Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Addington Place At College Harbor during CMS and state inspections, most recent first.
A resident with intact cognition and multiple health conditions was not invited to participate in care planning meetings during her year-long stay at the facility. Despite being the council president and expressing a desire to be involved, there was no record of her being informed or attending any care plan meetings. The facility lacked a care plan policy, and the resident handbook's procedures for care conferences were not followed.
The facility failed to accurately complete PASRRs for several residents, leading to discrepancies between documented mental health diagnoses and those listed in the PASRRs. Residents with diagnoses such as anxiety disorder, major depressive disorder, and schizophrenia were not accurately reflected in their PASRRs. The Social Services Director acknowledged the inaccuracies and stated that PASRRs were not reviewed for current residents, highlighting a gap in the facility's adherence to its PASRR policy.
The facility failed to follow oxygen administration orders for two residents. One resident with pneumonia and COPD had orders for oxygen at 2 L/min, but was observed receiving 3 L/min. Staff were unaware of the correct orders. Another resident with heart failure and COPD had orders for 2 L/min, but was observed receiving 3.5 L/min. There were also gaps in documenting oxygen saturation levels, indicating non-compliance with the facility's oxygen administration policy.
Resident Not Involved in Care Planning
Penalty
Summary
The facility failed to ensure that a resident was provided the opportunity to participate in care planning. Resident #14, who had been at the facility for a year, reported that she had never been invited to a care plan meeting, despite expressing a desire to be informed and involved in her plan of care. Observations showed that the resident was well-groomed, with no signs of distress, and she was the new council president, indicating her active involvement in the facility community. The resident had a BIMS score of 14, indicating intact cognition, and was diagnosed with myasthenia gravis, multiple sclerosis, and major depressive disorder. The MDS Director, Staff A, stated that residents or their families were invited to care plan meetings quarterly, and a letter was sent out to inform them. However, there was no record of such a letter for Resident #14 for the months of July or August, and Staff A acknowledged that she had never seen the resident attend any care plan meetings. The facility lacked a care plan policy to address this issue, and the resident handbook indicated that care conferences should be held no later than the 21st day of admission, with advance notice given to residents and their representatives. However, there was no evidence that this procedure was followed for Resident #14.
Inaccurate PASRR Completion for Residents
Penalty
Summary
The facility failed to ensure the Preadmission Screening and Resident Review (PASRR) was completed accurately for four residents. Resident #8 was admitted with diagnoses including anxiety disorder and major depressive disorder, but her PASRR did not reflect any qualifying mental health diagnosis. Similarly, Resident #6's PASRR did not list schizophrenia as a current diagnosis, despite it being an active diagnosis in the Minimum Data Set (MDS). Additionally, Resident #1's PASRR failed to include depression as a current diagnosis, even though the resident was receiving medication for depression and anxiety. Resident #5's PASRR was also found to be inaccurate, as it did not mark any mental illness despite the resident having diagnoses of major depressive disorder and anxiety disorder. The resident was on medications for anxiety and depression, which were documented in the MDS and care plan. The Social Services Director (SSD) acknowledged the discrepancies in the PASRRs for these residents and stated that he was responsible for reviewing PASRRs prior to new admissions but did not review them for current residents. Interviews with the SSD and the Director of Nursing (DON) revealed a lack of ongoing review and updating of PASRRs for residents already admitted to the facility. The facility's PASRR policy mandates that all residents receive a PASRR in accordance with state and federal regulations, but the implementation of this policy was inadequate, leading to the deficiencies identified in the report.
Failure to Follow Oxygen Administration Orders
Penalty
Summary
The facility failed to ensure proper oxygen administration for two residents receiving oxygen therapy. Resident #239 was admitted with diagnoses including pneumonia and chronic obstructive pulmonary disease. The physician's orders specified oxygen at 2 L/min via nasal cannula as needed to maintain oxygen saturation above 90% for shortness of breath. However, observations on multiple occasions revealed the oxygen concentrator was set at 3 liters, contrary to the prescribed orders. Staff, including a registered nurse, were unaware of the resident's specific oxygen orders, indicating a lack of adherence to the prescribed treatment plan. Similarly, Resident #2, with diagnoses including acute diastolic congestive heart failure and chronic obstructive pulmonary disease, had physician orders for oxygen at 2 L/min to maintain oxygen saturation above 92%. Observations showed the oxygen concentrator set at 3.5 liters and later at 3 liters, not aligning with the prescribed orders. Additionally, there was a lack of consistent documentation of oxygen saturation levels, with significant gaps between recorded entries. The facility's policy on oxygen administration was not followed, leading to discrepancies in the care provided to these residents.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Saint Petersburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pinellas Point Nursing And Rehab Center | 1 mi | ★★★★★ | 0 | 0 |
| Bay Pointe Nursing Pavilion | 1.2 mi | ★★★★★ | 2 | 0 |
| Alpine Health And Rehabilitation Center | 2.2 mi | ★★★★★ | 18 | 0 |
| Westminster Suncoast | 2.9 mi | ★★★★★ | 5 | 0 |
| Boca Ciega Center | 2.9 mi | ★★★★★ | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.