Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
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 Belleair Health Care Center during CMS and state inspections, most recent first.
A resident with oral cancer and dysphagia, who was under an NPO order, was observed drinking from a cup provided by family, despite care plan interventions that were not appropriate for NPO status. Both the Care Plan Coordinator and DON confirmed the care plan was not person-centered or suitable for the resident's needs.
A resident with multiple wounds on the right foot did not receive wound care according to physician orders, as an LPN failed to apply required dressings and did not use proper infection control practices, including hand hygiene and glove changes between wounds. The DON confirmed that staff are expected to follow orders and infection control protocols.
A resident with a right-hand contracture was repeatedly observed without the physician-ordered palm guard splint in place, despite active orders and a restorative program intended to maintain range of motion. Staff interviews revealed confusion about responsibility for applying the splint, and the device was not applied during direct observation by an LPN.
Surveyors found that two residents had medications and biologicals improperly stored in their rooms, including a wound care solution and a skin cream. In both cases, the items were not secured as required, and in one instance, a skin cream was applied by staff without a physician order or management's knowledge.
A resident with multiple wounds on the right foot did not receive wound care in accordance with infection control protocols or physician orders. An LPN failed to perform hand hygiene and change gloves between treating two separate wounds, and did not apply all ordered treatments or dressings. Both the LPN and DON acknowledged these lapses in infection control and adherence to physician orders.
The facility failed to address grievances raised by the Resident Council, including untimely call bell responses, unmade beds, and slow water refills. Despite these issues being raised over several months, there was no documented response or action from the facility. Residents reported significant delays in call bell responses and a lack of feedback from the administration regarding their grievances.
The facility failed to ensure a functioning grievance process for two residents regarding missing hearing aids. One resident's family filed a grievance about a missing hearing aid suspected to be lost in the laundry, but there was no follow-up with an audiologist, leading them to purchase a new one. Another resident reported a missing hearing aid, but there was no documentation of follow-up or replacement arrangements. Staff interviews revealed inconsistencies and lack of documentation in the grievance process.
Failure to Develop and Implement Person-Centered NPO Care Plan
Penalty
Summary
The facility failed to develop and implement a comprehensive, person-centered care plan for a resident with a swallowing problem related to oral cancer and dysphagia. Despite a physician's order for an NPO (nothing by mouth) diet with no end date, the resident was observed drinking from a cup at the bedside, which the resident stated was provided by family and acknowledged he was not supposed to have. Review of the care plan showed interventions such as encouraging the resident to eat in an upright position, eat slowly, and chew thoroughly, which were not appropriate for an NPO status. Both the Care Plan Coordinator and the DON confirmed that the care plan interventions were not suitable for the resident's current needs and did not reflect a person-centered approach.
Failure to Follow Wound Care Orders and Infection Control Practices
Penalty
Summary
The facility failed to provide appropriate wound care for a resident with non-pressure related skin conditions by not following physician orders and professional standards of infection control. The resident, admitted for an infected wound on the right foot, had specific physician orders for wound care, including the application of collagen, calcium alginate, and self-adherent bandages to the right hallux/plantar and right heel wounds. Observations revealed that the nurse did not apply calcium alginate or self-adherent bandages as ordered, and instead used Medi honey and collagen inconsistently with the prescribed treatment. Additionally, infection control protocols were not followed during wound care. The nurse was observed removing soiled dressings, changing gloves without performing hand hygiene, and treating multiple wounds on the same foot without changing gloves or performing hand hygiene between wounds. The nurse confirmed these lapses in infection control and acknowledged that the physician's wound care orders were not followed. The DON stated that the expectation was for staff to follow physician orders and proper infection control practices, including hand hygiene between each wound care step and between different wounds.
Failure to Apply Physician-Ordered Splint for Resident with Hand Contracture
Penalty
Summary
A resident with a right-hand contracture was observed on multiple occasions without the prescribed splint or palm guard in place, despite physician orders requiring continuous use of the device with removal only for skin checks and hygiene. Observations showed the resident in bed with the right hand contracted and no splint or washcloth present. Review of the resident's medical record confirmed an active order for a right-hand palm guard with finger separators and a rolled towel for the elbow crease, to be used 24 hours a day as tolerated. The occupational therapy discharge summary indicated that the resident had previously met a goal of tolerating the palm guard for four hours daily, and a restorative program was implemented with staff training. However, interviews with staff revealed a lack of clarity regarding responsibility for applying the splint, with the DON stating that therapy staff put on the splints and floor staff monitored for skin checks. During an assessment, an LPN did not apply the splint after examining the resident's hand. Therapy services for the resident had ended, with the restorative program intended to continue, but the splint was not consistently applied as ordered.
Improper Storage and Unauthorized Use of Medications
Penalty
Summary
Surveyors observed that drugs and biologicals were not properly stored for two residents. For one resident, a bottle of Dakin's Solution, a pharmacy-grade bleach solution used for wound care, was found on the resident's dresser in their room on two consecutive days. Nursing staff confirmed that this medication should have been stored on the treatment cart and secured, not left in the resident's room. For another resident, a container of Desitin cream was repeatedly observed on a shelf next to the resident's bedside, even when the resident was not present. The resident reported that her family had provided the cream due to a lack of supply and that staff applied it during incontinence care. However, there was no physician order for the Desitin cream in the resident's medical record. Staff interviews confirmed that the cream was being applied without an order and that management was unaware it was being brought in and used. Facility policy requires that medications and biologicals be stored securely and only accessible to authorized personnel.
Infection Control Deficiency During Wound Care
Penalty
Summary
The facility failed to maintain proper infection control practices during wound care for a resident with multiple non-pressure related wounds on the right foot. The resident had a history of a right foot wound that became infected prior to admission and was receiving daily wound care per physician orders, which included the application of collagen, calcium alginate, and specific dressings. During an observed wound care procedure, the LPN performed hand hygiene and donned appropriate personal protective equipment before removing the soiled dressing. However, after removing gloves, the LPN did not perform hand hygiene before donning new gloves and proceeded to clean one wound, then another, without changing gloves or performing hand hygiene between the two different wound sites. The LPN then applied treatments and dressings to both wounds without changing gloves or performing hand hygiene between steps, only removing gloves and performing hand hygiene at the end of the procedure. Additionally, the wound care provided did not follow the physician's orders, as calcium alginate was not applied to either wound and the wounds were not covered with the specified self-adherent bandage. The LPN confirmed during interview that hand hygiene was not performed at the appropriate times and that gloves were not changed between wound sites, acknowledging this as an infection control issue. The DON also stated that the expectation was for staff to follow physician orders and proper infection control practices, including hand hygiene between each step and wound.
Facility Fails to Address Resident Grievances and Call Bell Delays
Penalty
Summary
The facility failed to effectively respond to grievances raised by the Resident Council regarding care and life in the facility. Over several months, the Resident Council meeting minutes documented recurring concerns such as untimely call bell responses, unmade beds, loud noise during shift changes, and slow water refills. Despite these issues being consistently raised in meetings from May to September 2024, there was no documented response or action from the facility to address these concerns. Interviews with the Director of Nursing (DON) revealed that no audits had been conducted to assess call bell response times, and there was no systematic approach to ensure that staff education on these issues was effective. Multiple residents reported significant delays in call bell responses, sometimes waiting up to an hour, and noted that their grievances were not acknowledged or addressed by the administration. The Resident Council President expressed frustration over the lack of feedback from the administration regarding their grievances, such as requests for wheelchair cleaning and window cleaning, which were not followed up on. Residents also reported that beds were not consistently made, and water delivery was inadequate, with no improvements observed over the months. These deficiencies highlight a lack of effective communication and grievance resolution processes within the facility.
Failure in Grievance Process for Missing Hearing Aids
Penalty
Summary
The facility failed to ensure a functioning grievance process for two residents regarding missing hearing aids. Resident #3 was admitted on 10/22/2023 and discharged on 11/03/2023. A grievance was filed by the resident's family member in October 2023 about a missing hearing aid, suspected to have been lost in the laundry. Despite the grievance being documented and actions noted, such as informing the kitchen supervisor and housekeeping director, there was no follow-up with an audiologist appointment, and the family ended up purchasing a new hearing aid after four months without resolution. The grievance form indicated satisfaction with the resolution, but there was no documentation in the clinical record about the audiologist appointment or replacement. Resident #5, admitted in February 2023, also experienced a missing hearing aid, which was reported in a grievance dated August 2024. The resident complained that her roommate had been looking at the hearing aids before they were lost. Actions taken included obtaining the name of the hearing aid provider and informing social services for replacement. However, there was no follow-up documentation in the resident's clinical chart regarding the missing hearing aid or arrangements for replacement. The Social Services Director (SSD) and other staff were aware of the issue but failed to document their efforts adequately. Interviews with staff revealed inconsistencies in the grievance process and lack of documentation. The SSD stated that the audiologist was supposed to visit monthly, but visits were infrequent, and there was confusion about whether Resident #5 was seen by the audiologist. The facility's grievance policy required prompt follow-up and documentation, which was not adhered to, leading to unresolved grievances and dissatisfaction among residents and their families.
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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 Clearwater
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Morton Plant Rehabilitation Center | 1 mi | ★★★★★ | 0 | 0 |
| Gulfside Health And Rehabilitation Center | 1.7 mi | ★★★★★ | 0 | 0 |
| Oaks Of Clearwater, The | 1.9 mi | ★★★★★ | 18 | 0 |
| Clearwater Center | 1.9 mi | ★★★★★ | 0 | 0 |
| Highland Pines Rehabilitation Center | 1.9 mi | ★★★★★ | 3 | 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.