Tierra Pines Center
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 157 Google reviews
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What this means for your family
Tierra Pines Center is often praised for its clean environment and effective rehab therapy, making it a potential candidate for short-term recovery. However, families must be vigilant regarding daily care; multiple reviewers noted issues with call light response times and hygiene. We strongly recommend visiting during off-hours or weekends to observe staffing levels for yourself before committing.
Google Reviews
Google Reviews
157 reviews on Google“Tierra Pines Center receives highly polarized feedback, with many families praising the facility for its clean environment, friendly administrative staff, and effective physical therapy programs. However, a significant number of reviewers report serious concerns regarding inconsistent nursing care, poor food quality, and understaffing that leads to delayed responses to patient needs. Families should be aware that while many have positive experiences, there is a recurring pattern of complaints regarding basic hygiene and responsiveness.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical and occupational therapy
- Clean and well-maintained facility
- Helpful and professional administrative/admissions staff
- Compassionate nursing care (noted by many)
Concerns
- Understaffing leading to delayed response times and poor hygiene (mentioned by 7 reviewers)
- Poor quality, cold, or unappealing food (mentioned by 5 reviewers)
- Medication management errors and lack of oversight (mentioned by 3 reviewers)
- Inadequate communication or dismissive attitude from some nursing staff (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 160 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1We've heard wonderful things about the physical and occupational therapy programs here; could you tell us more about how those therapies are integrated into a resident's weekly routine?
- 2It's great to see that the administration is so active in responding to feedback; how does the leadership team use resident and family input to improve daily operations?
- 3With the facility being so well-maintained and clean, what specific protocols are in place to ensure that high standards of hygiene are consistently met during busy shifts?
- 4Could you walk us through the process for medication administration and what specific oversight is in place to ensure accuracy and safety?
- 5We want to make sure our loved one stays engaged; what kind of daily social activities or group outings are available for residents?
- 6How does the nursing team manage communication with families, especially if there are changes in a resident's health or if a response to a call light is delayed?
Personalized based on this facility's data
Key Review Excerpts
“The physical therapy room and the therapists are outstanding. I truly appreciate the care and attention my mother received.”
“Staff are very nice, but very clearly stretched thin. We couldn't get help for our relative that had soiled his clothes for about 20 minutes, and several patients had feces/other fluids that couldn't get help until we let the nurses know.”
“My mom lives here and they take very good care of her (she is 92 and has dementia). The community is clean and unkept. My only complaint would be the food.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
6
measures
4
measures
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Tierra Pines Center has recurring issues across multiple areas, with families filing complaints that triggered inspections regarding equipment safety and living conditions. The facility shows persistent problems with fire safety systems, care planning, and food safety across surveys from 2021-2025. While all deficiencies have correction dates, the pattern of repeated violations in safety systems and basic care areas suggests ongoing operational challenges families should carefully consider.
Jan 30, 2025Routine11
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Emergency Preparedness Deficiencies
Include a process for Emergency Preparedness collaboration.
Emergency Preparedness Deficiencies
Establish policies and procedures including evacuation.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Apr 15, 2024Complaint1
Environmental Deficiencies
Keep all essential equipment working safely.
Oct 31, 2023Complaint1
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Dec 8, 2022Routine14
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Apr 9, 2021Routine5
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Federal Penalties
Fine
Jan 30, 2025
$4,147
Ownership & Operations
Who Operates This Facility
Tierra Pines Center
for profit
Chain Affiliation
Aston Health
38 facilities nationwide
Chain avg rating: 2.5/5 · Rank 14 of 30
Ownership & Management
Owners
Klein, Samuel
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
157 reviews from families & visitors
Official Website
Visit tierrapinescenter.com
Medicare data downloads
Original nursing home datasets
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