Hearthstone Senior Communities

Phoebe J
PBJ Takeaway: Hearthstone Senior Communities

8 Facilities1 States38% For-ProfitAvg. Overall Rating: 1.9Avg. Staffing Rating: 2.5Staffing Rating: 2.5

Hearthstone Senior Communities operates 8 nursing homes across 1 state, with 38% classified as for-profit. Its average CMS overall rating is 1.9 stars.

Across the portfolio, facilities report an average of 3.20 total nurse HPRD, including 0.50 RN hours, below the national ratio of 3.77 HPRD.

50% of Hearthstone Senior Communities facilities meet PBJ320 high-riskPBJ320 assigns nursing homes as high-risk when CMS designates them as: Special Focus Facility (SFF), SFF candidate, 1-star overall rating, or with an abuse icon. criteria (e.g. special focus facility, one-star overall, abuse icon). CMS reports a total of 9 fines ($494,133) for the chain's nursing homes.

320 Consulting
Hearthstone Senior Communities Key Metrics
Providers
8
States
1
Avg. Rating
1.9
Total Fines
$494,133
High-Risk FacilitiesPBJ320 assigns nursing homes as high-risk when CMS designates them as: Special Focus Facility (SFF), SFF candidate, 1-star overall rating, or with an abuse icon. – Hearthstone Senior Communities
Special Focus Facilities (SFFs)
0
SFF Candidates
2
1-Star Overall
2
Cited for Abuse
2
Avg. CMS 5-Star Rating – Hearthstone Senior Communities
Overall
1.9
Health Inspection
1.8
Staffing
2.5
Quality Measures
3.3
Hearthstone Senior Communities Facilities

Nursing homes affiliated with this entity. Latest quarter staffing from CMS PBJ data. Click column headers to sort.

StateProviderCityTotal HPRDRN HPRDOverall RatingStaffing Rating
FLEmerald Coast CenterFort Walton Beach3.250.5243
FLGroves Center Abuse, SFFLake Wales3.260.40
FLBoca Ciega CenterGulfport3.180.5823
FLClearwater Center 1 star, SFF CandidateClearwater3.220.4312
FLTarpon Bayou Center 1 starTarpon Springs3.120.5414
FLLakeland Hills Center AbuseLakeland3.280.4922
FLBartow CenterBartow3.180.4322
FLEgret Cove CenterSaint Petersburg3.070.4822
Methodology

This dashboard uses CMS Payroll-Based Journal (PBJ) data (2017–2025), along with other public datasets (Provider Information, Affiliated Entity). State staffing standards via MACPAC (2022).

Metrics

  • Hours Per Resident Day (HPRD): Total staff hours ÷ average residents. Example: 350 hours for 100 residents = 3.5 HPRD.
  • Direct Care (excl. Admin, DON): Hours per resident day for direct care staff only (RN, LPN, CNA, NAtrn, MedAide), excluding administrative and supervisory roles.
  • Contract Staff %: Share of hours provided by contract staff.
  • Census: Average number of residents during the period.

Note: Some states set minimums (e.g., NJ, CA, NY at 3.5 HPRD); a federal 3.48 minimum was recently overturned (2025). A 2001 federal study linked 4.1 HPRD to better outcomes in that study. Staffing needs vary by resident acuity (case-mix), day, and shift. Estimates on PBJ Takeaway assume roughly 60% of staff are CNAs.

Data transparency

The PBJ Dashboard pulls directly from CMS data and is carefully vetted for accuracy. Still, sometimes a bug sneaks into the jelly. That could mean: a systemic CMS data reporting issue (e.g., Q2 2017 contract staffing, missing data in 2020 due to COVID) or there could be a coding error on our part. If you spot something that looks off, please let me know via the contact form so I can set things right.

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