2600 Highlands Blvd N, Palm Harbor, FL 34684 · Pinellas County · (727) 785-5671
120 certified beds, about 111 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1981
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105394 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on August 9, 2024, inspectors cited 8 health deficiencies (the Florida average is 7.1, the national average 9.2).
Of 42 health citations since February 2021, 4 were rated as actual harm or immediate jeopardy to residents (4 immediate jeopardy).
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.25 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.28 of those hours.
53.8% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Aviata Health Group, an affiliated group of 50 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 42 health citations on file.
Inspectors wroteBased on record review and interviews, the facility failed to ensure adequate supervision and staff competency in leave of absence (LOA) procedures, resulting in three residents (#3, #4, and #7) of three residents reviewed for elopement exiting the facility without supervision; and failed to provide a safe environment when smoking materials were left unattended in room [ROOM NUMBER] where oxygen equipment was present.
Inspectors wroteBased on interviews and record review, the facility failed to implement its antibiotic stewardship protocol and failed to monitor antibiotic use as required by facility policy. The facility did not maintain surveillance tools, tracking forms, or monthly line listings for seven months. This failure had the potential to result in inappropriate antibiotic prescribing and ineffective monitoring of infections for all residents in the facility.
Inspectors wroteBased on record review and interviews, the facility failed to ensure accurate and complete documentation of tracheostomy care for one resident (#2) out of two residents sampled. This failure resulted in missing documentation of required tracheostomy treatments, which created the potential for airway obstruction, infection, and respiratory compromise.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to implement transmission based precautions according to infection control standards for one resident (#1) out of one resident reviewed for infection control, creating the potential for transmission of suspected scabies or impetigo to other residents and staff.
Inspectors wroteBased on observations, and interviews the facility failed to provide a homelike, safe, clean and sanitary, and pest free environment for four (#7, #16, #17, #18) out of four residents reviewed.
Inspectors wroteBased on interviews and record review, the facility failed to ensure voiced concerns from resident council meetings were documented as a grievance and acted upon during two meetings (held on 1/5/26 and 2/4/26) out of three meeting minutes reviewed, as well as three food committee meetings (held on 3/10/26, 3/24/26, and 4/7/26) out of three meeting minutes reviewed.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure respiratory care and services that is in accordance with professional standards of practice were provided related to: 1. ensuring oxygen was administered per physician orders for one resident (#10) out of two reviewed for oxygen therapy; 2. Failed to provide tracheostomy care according to professional standards of practice for two residents (#10, #12) out of two residents reviewed for tracheostomy care.
Inspectors wroteBased on interviews and record reviews, the facility failed to ensure nursing staff had the appropriate competencies related to intravenous (IV) therapy for two residents (#20, #21) of three sampled for IV therapy and failed to ensure tracheostomy care was completed competently for two residents (#10, #12) of two sampled residents. Cross reference F695Findings included:Review of an employee list of IV certifications, provided by Human Resources (HR), showed 15 out of 19 LPNs with IV certification expired on [DATE]. Interview on [DATE] at 6:55 p.m. Human Resources (HR) stated, The person before me may have had a list of all the LPN certifications, however I was only able to verify the IV therapy certifications that I could put my eyes on for four LPNs on the list I gave you. [...]
Inspectors wroteBased on observations and interviews, the facility failed to ensure Activities of Daily Living (ADL) were provided to maintain grooming and personal hygiene for one (#19) resident of one resident reviewed for ADL care.
Inspectors wroteBased on record review and interviews, the facility failed to ensure the physician was notified of blood sugar levels (BSLs) that were outside parameters for one (Resident #2) of two residents sampled.
Inspectors wroteBased on observation, record review and interviews, the facility failed to ensure a resident with contractures received care and services to prevent on-going decline in physical abilities and deconditioning for one (Resident # 1) of one resident observed.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure the resident's right to be free from neglect for one resident (#3) out of two residents reviewed for neglect and abuse. The facility neglected to provide Resident #3 with the correct physician ordered diet and resulted in the resident choking, which required staff to execute the Heimlich maneuver. Resident #3's care plan and speech therapy evaluation showed the resident needed assistance with dining and supervision as needed. Observations of the resident during the lunch dining on 11/17/25 and 11/18/25 revealed he was not in the upright position when eating, which increased the risk of choking, and one to one supervision was not observed. [...]
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure residents were free from avoidable accidents for two residents (#3 and #2) out of three residents reviewed for accidents. The facility failed to provide Resident #3 with the correct physician ordered diet and resulted in the resident choking, which required staff to execute the Heimlich maneuver. Resident #3's care plan and speech therapy evaluation showed the resident needed assistance with dining and one to one supervision. Observations of the resident during the lunch dining on 11/17/25 and 11/18/25 revealed he was not in the upright position when eating, which increased the risk of choking, and one to one supervision was not observed. [...]
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure residents were provided the correct physician ordered therapeutic diet for one resident (#3) out of twenty-three residents sampled with texture-modified diets. The facility failed to provide Resident #3 with the correct physician ordered diet which resulted in the resident choking, and required staff to execute the Heimlich maneuver. Resident #3's physician ordered diet on 11/9/25 was a controlled carbohydrates (CCHO) diet, pureed texture, and regular/thin consistency due to advanced dementia and swallowing difficulties. The resident was provided a regular consistency meal for lunch. These failures created a situation that resulted in a worsened condition and the likelihood for serious injury and/or death to Resident #3 and resulted in the determination of Immediate Jeopardy on 11/18/25. [...]
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure licensed nursing staff were knowledgeable and competent to provide care and services for three residents (#3, #11, and #2) out of eleven residents sampled related to: 1) failure to prevent accidents resulting in a choking and a fall incident; 2) failure to follow physician orders and care plan for therapeutic diets and positioning; and 3) failure to follow speech therapy recommendations for positioning and assistance when eating. The facility failed to provide Resident #3 with the correct physician ordered diet and resulted in the resident choking, which required staff to execute the Heimlich maneuver. Resident #3's care plan and speech therapy evaluation showed the resident needed assistance with dining and one to one supervision. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure three (#147, #47 and #68 ) of four residents reviewed had dressings changed appropriately and per physician orders. The facility failed to ensure one (#37) of one resident had a splint applied and documented as ordered.
Inspectors wroteBased on record review and interview, the facility failed to ensure one Dietary Manager out of one Dietary Manager met at least one of the minimum qualifications for the position.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure one resident (#81) out of three residents reviewed for resident rights had their choices honored.
Inspectors wroteBased on interview and record review, the facility failed to honor a resident's decision to formulate an advance directive and did not ensure a current copy of the Advance Directive was in the resident's medical record for one resident (#55) of five sampled residents. During an interview on 8/6/2024 at 4:55 p.m., Resident #55 stated, I have spoken to several nurses when I returned from the hospital as I want to be a Full Code and change my Health Care Surrogate (HCS). I know this conversation occurred prior to 7/2/2024. I met with the Director of Social Services (DSS), discussed the [HCS] and request of being a full code. The DSS came back and told me everything was taken care of. Resident #55 continued to state never receiving the requested copies from the DSS and kept checking with the nurses regarding the changes and wanting to be a Full Code. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a clean and home like environment in two (#311 and #405 B) of sixty-one rooms observed.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure the accuracy of the Preadmission Screening and Resident Review's (PASRRs) and obtain a Level II screening when appropriate for three (#44, #11, and #46) of six residents sampled for PASRR's.
Inspectors wroteBased on interview and record review, the facility failed to develop and implement an effective discharge plan for one (#449) of three residents reviewed. During an interview on 8/8/2024 at 12:16 p.m. with Resident #449, she stated her discharge was not arranged. She said she was admitted to the facility from the hospital after a motor vehicle accident. She stated the physician stated the benefit would come from therapy. She stated, Everything was going well, then the insurance company thought I should be discharged . I had to appeal. Each time I had to be the one to follow up on if the appeal was granted etc. The Social Service Director (SSD) hardly assisted at all. The [SSD] asked when I was admitted , if I would be going home, with who and if I would need home health care at home. On 3/13/2024 the facility told me I would be discharging [the next day]. [...]
Inspectors wroteBased on record review and interview the facility failed to follow the pharmacist recommendations to monitor for behaviors for two residents (#76 and #89) of two Medication Regimen Reviews (MRR) reviewed.
Inspectors wroteBased on record review and interviews, the facility failed to ensure the resident or the responsible party for three residents (#47, #25, and #30) of four residents sampled for hospital transfers were provided with a written notice of transfer.
Inspectors wroteBased on staff interview, record review and review of the facility policy, the facility failed to ensure three residents (#47, #128, and #25) or their representatives were provided a notice of bed hold policy when the residents were transferred to the hospital of four residents reviewed for hospital transfers.
Inspectors wroteBased on observations, record reviews, and interviews, the facility failed to ensure medications were stored and labeled properly in two (300-hall 1 and 300-hall 2) of four medication carts and one (south) of two medication rooms.
Inspectors wroteBased on observations, interviews, facility policy and record reviews, the facility failed to ensure the interventions on the resident centered care plan were revised, related to wearing a left-hand soft orthosis for contracture management for one resident (#15) of thirty-eight residents sampled.
Inspectors wroteBased on observations, interviews, and record reviews, it was determined the facility failed to arrange a physician ordered appointment for eye surgery in a timely manner for one resident (#38) out of a sample of thirty eight residents.
Inspectors wroteBased on observation, interviews, and record reviews, the facility failed to ensure a Stage IV pressure ulcer was treated in a manner to promote healing and prevent infections for one resident (#45) out of 14 facility residents with pressure injuries.
Inspectors wroteBased on observations, record review, and interviews, the facility failed to ensure one (#31) of two sampled residents reviewed for enteral feedings received nutritional support as ordered.
Inspectors wroteBased on interviews and medical record review, the facility failed to arrange transportation to a medical appointment, which resulted in a delay of care and treatment, for one resident (#43) of 38 sampled residents.
Inspectors wroteBased on observations, record reviews, and interviews, the facility failed to ensure medications were monitored for behaviors related to the administration of psychotropic medication(s) and failed to clarify a dosage for Acetaminophen for one (Resident #178) of five residents sampled for unnecessary medications.
Inspectors wroteBased on observations, record reviews, and interviews, the facility failed to ensure the medication error rate was less than 5.00%. Twenty-seven medication administration opportunities were observed and two errors were identified for two (Residents #74 and #47) of five residents observed. These errors constituted a 7.41% medication error rate.
Inspectors wroteBased on observation, interview, and record review the facility's quality assurance (QA) and assessment committee failed to implement an effective plan of action to correct deficient practice identified during the recertification survey and complaint survey originally conducted 4/18/22 through 4/22/22 as evidenced by: [...]
Inspectors wroteBased on observations, record reviews, and interviews, the facility failed to ensure medications were consumed during medication administration for one resident (Resident #54) out of the sampled forty-four residents.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that their policy related to identifying and arranging an appropriate representative to make health care decisions was implemented for one Resident (#231) of forty-four residents sampled.
Inspectors wroteBased on observations, interview, medical record review and facility policy review, the facility failed to ensure that a resident centered care plan was developed and implemented related to wearing a Wander Guard Device/Bracelet for one (Resident #24) of forty-four residents in the sample group.
Inspectors wroteBased on record reviews and interviews, the facility failed to perform full body skin assessment weekly for one resident (Resident #72) out of the sampled forty-four residents.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure a resident's fall on 2/6/21 was investigated to ensure effective interventions were in place after a previous fall on 2/3/21 for one (Resident #65) of two sampled residents.
Inspectors wroteBased on observations, record reviews, and interviews, the facility failed to ensure food was dated and labeled in two of two nourishment refrigerators.
Inspectors wroteBased on record reviews and interviews, the facility failed to schedule outside appointments in a timely manner for one resident (Resident #13) out of the one sampled resident.
Inspectors wroteBased on observation, interviews, medical record review and policy review, the facility failed to follow their policy and procedure related to providing education, and obtaining consent for the influenza vaccination, for one resident (#39), of five sampled residents that were reviewed for of immunization documentation.
17 fire safety citations on file: 6 on August 9, 2024, 4 on April 22, 2022, 7 on February 18, 2021.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Florida | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.25 | 3.82 | 3.86 |
| Registered nurses | 0.28 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.07 | 3.49 | 3.42 |
| Nurse aides | 2.01 | ||
| Licensed practical nurses | 0.96 | ||
| Nursing staff turnover (share who left in a year) | 53.8% | 41.4% | 45.8% |
| Registered nurse turnover | 69.2% | 46.0% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.28 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.32 on weekdays and 3.07 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.41 in April to June 2025 to 3.25 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.25 | 0.28 | 3.32 | 3.07 | 0.0% | 0 of 90 | 111 |
| Oct to Dec 2025 | 3.23 | 0.30 | 3.33 | 2.97 | 0.0% | 2 of 92 | 109 |
| Jul to Sep 2025 | 3.32 | 0.30 | 3.41 | 3.08 | 0.0% | 0 of 92 | 112 |
| Apr to Jun 2025 | 3.41 | 0.35 | 3.46 | 3.27 | 0.0% | 0 of 91 | 113 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Florida, Jan to Mar 2026 | 3.76 | 0.70 | 3.90 | 3.44 | 1.1% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Florida, all employers | |||
| CNAs (nursing assistants) | $18.03 | $17.33 to $20.34 | 96,960 |
| LPNs and LVNs | $29.70 | $28.14 to $31.11 | 38,620 |
| Registered nurses | $40.48 | $37.82 to $48.64 | 229,940 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Florida | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 9.4 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.7 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.7 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.4 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 3.4 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.7 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.3 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Aviata at the Palms's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (27.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
27.8% this home
Worse than the national rate
US median of homes 51.5% · Florida: 169 better, 109 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 41 eligible stays.
12.8% this home
No different from the national rate
US median of homes 10.7% · Florida: 2 better, 35 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 39 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 7.1% · Florida: 6 better, 21 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 19 eligible stays.
39.0% this home
Median of homes: Florida55.1% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 59 residents counted.
0.0% this home
Median of homes: Florida0.6% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 82 residents counted.
1.0% this home
Median of homes: Florida1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 82 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Florida97.7% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 11 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: HIGHLANDS BLVD OPCO LLC. CMS links this home to Aviata Health Group, a group of 50 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Highlands Blvd Parent LLC | Direct ownership interest | Organization | 11/15/2023 | |
| Asp Fl LLC | Indirect ownership interest | Organization | 11/15/2023 | |
| Freund, Nochum | Indirect ownership interest | Individual | 11/15/2023 | |
| Freund, Nochum | Corporate officer | Individual | 11/15/2023 | |
| Freund, Nochum | Operational/managerial control | Individual | 11/15/2023 | |
| Proctor, Samantha | Operational/managerial control | Individual | 04/07/2025 | |
| Tariq, Marium | Operational/managerial control | Individual | 08/01/2024 | |
| Dagan, Amitai | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/27/2025 | |
| Goldberger, Abraham | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/28/2025 | |
| Goldberger, Faigy | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/28/2025 | |
| Herskowitz, Eliezer | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/28/2025 | |
| Herskowitz, Yaakov | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/28/2025 | |
| Travitsky, Aaron | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/28/2025 | |
| Aspire Healthcare LLC | Adp of the SNF | Organization | 11/15/2023 | |
| Proctor, Samantha | Adp of the SNF | Individual | 04/07/2025 | |
| Tariq, Marium | Adp of the SNF | Individual | 08/01/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
Licensed assisted living homes in the same town or within 5 miles, each with its Florida inspection record.
These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.