Clearwater, FL

Kensington Gardens Rehab And Nursing Center

1-star overall rating with 1-star inspections with $18,070 in total fines with 21 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

2055 Palmetto St, Clearwater, FL

(727) 461-6613

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

150

Certified beds

Average residents

133

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Aston Health

Operator or chain grouping

Approved since

1983-12-30

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

30 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.53

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.76

Licensed practical nurse staffing · state 0.79 · national 0.87

Aide hours / resident day

2.08

Nurse aide staffing · state 2.34 · national 2.35

Total nurse hours

3.36

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.29

RN + LPN hours · state 1.52 · national 1.54

Weekend hours

3.23

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.49

Weekend registered nurse coverage · state 0.53 · national 0.47

Physical therapist

0.08

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.59

CMS adjusted RN staffing hours

Adjusted total hours

3.75

CMS adjusted total nurse staffing hours

Case-mix index

1.23

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

57%

Annual nurse turnover · state 42% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,434

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

16.78

Composite VBP score used to determine payment impact.

Payment multiplier

0.9817

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.93

Baseline 18.62% · Performance 19.61% · Measure score 3.93 · Achievement 3.93 · Improvement 0

Healthcare-associated infections

0

Baseline 6.62% · Performance 8.28% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

0

Performance 67.42% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

2.78

Baseline 3.97 hours · Performance 3.87 hours · Measure score 2.78 · Achievement 2.78 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.68%
10.72%
1 pts worse
No Different than the National Rate · Eligible stays 92 · Observed rate 16.3% · Lower 95% interval 8.39%
Discharge to community 34.4%
50.57%
16.2 pts worse
Worse than the National Rate · Eligible stays 54 · Observed rate 22.22% · Lower 95% interval 24.09%
Medicare spending per beneficiary 1.09
1.02
0.1 pts worse
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 89 · Denominator 89
Falls with major injury 2.25%
0.77%
1.5 pts worse
Numerator 2 · Denominator 89
Discharge self-care score 49.09%
53.69%
4.6 pts worse
Numerator 27 · Denominator 55
Discharge mobility score 38.18%
50.94%
12.8 pts worse
Numerator 21 · Denominator 55
Pressure ulcers or injuries, new or worsened 1.12%
2.29%
1.2 pts better
Numerator 1 · Denominator 89 · Adjusted rate 0.93%
Healthcare-associated infections requiring hospitalization 8.28%
7.12%
1.2 pts worse
No Different than the National Rate · Eligible stays 41 · Observed rate 14.63% · Lower 95% interval 4.62%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 137
Staff flu vaccination coverage Not Available
42%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score 47.27%
56.45%
9.2 pts worse
Numerator 26 · Denominator 55
Transfer of health information to provider 94.29%
95.95%
1.7 pts worse
Numerator 33 · Denominator 35
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 0%
25.2%
25.2 pts worse
Numerator 0 · Denominator 45

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.9
2.1
0.2 pts better
1.9
About the same
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.9 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.2
1.2
About the same
1.8
0.6 pts better
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.6%
97.8%
3.2 pts worse
93.4%
1.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 85.6% · Q2 98.3% · Q3 98.3% · Q4 96.6% · 4Q avg 94.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
99.2%
0.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 2.6%
2.6%
About the same
3.3%
0.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 0.9% · Q3 1.7% · Q4 3.4% · 4Q avg 2.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.0%
3.7%
3.7 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight 9.5%
5.9%
3.6 pts worse
5.4%
4.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 12.6% · Q2 12.0% · Q3 5.5% · Q4 8.1% · 4Q avg 9.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 28.6%
15.7%
12.9 pts worse
19.6%
9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 26.5% · Q2 29.5% · Q3 31.6% · Q4 27.0% · 4Q avg 28.6%
Percentage of long-stay residents who received an antipsychotic medication 18.9%
9.8%
9.1 pts worse
16.7%
2.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 16.7% · Q3 21.6% · Q4 21.2% · 4Q avg 18.9% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 7.4%
11.7%
4.3 pts better
16.3%
8.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 6.4% · Q3 7.6% · Q4 7.0% · 4Q avg 7.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 9.4%
9.8%
0.4 pts better
14.9%
5.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 9.4% · Q3 13.2% · Q4 7.5% · 4Q avg 9.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.4%
0.4 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.0%
0.8%
0.8 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 16.4%
12.5%
3.9 pts worse
19.8%
3.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 14.6% · Q2 14.9% · Q3 20.6% · Q4 15.7% · 4Q avg 16.4%
Percentage of long-stay residents with pressure ulcers 7.4%
5.1%
2.3 pts worse
5.1%
2.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 7.3% · Q3 10.2% · Q4 6.0% · 4Q avg 7.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 82.9%
94.3%
11.4 pts worse
81.7%
1.2 pts better
Short Stay · 2024Q4-2025Q3 · Q1 92.0% · Q2 89.8% · Q3 77.8% · Q4 72.8% · 4Q avg 82.9%
Percentage of short-stay residents who had an outpatient emergency department visit 8.4%
9.3%
0.9 pts better
12.0%
3.6 pts better
Short Stay · 20240701-20250630 · Adjusted 8.4% · Observed 10.0% · Expected 13.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 2.2%
1.5%
0.7 pts worse
1.6%
0.6 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 3.6% · Q4 3.9% · 4Q avg 2.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 87.3%
94.7%
7.4 pts worse
79.7%
7.6 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 33.0%
26.2%
6.8 pts worse
23.9%
9.1 pts worse
Short Stay · 20240701-20250630 · Adjusted 33.0% · Observed 38.0% · Expected 27.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-02-01 · Fire 2024-02-01

21 health deficiencies

Top issue: Resident Rights (5 deficiencies)

6 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 2 Health 2022-04-14 · Fire 2022-04-14

9 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2021-02-05 · Fire 2021-02-05

8 health deficiencies

Top issue: Resident Rights (4 deficiencies)

6 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-02-01

K200 · Egress Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2024-02-29

D · Potential for more than minimal harm 2024-02-01

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-02-29

D · Potential for more than minimal harm 2024-02-01

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-02-29

D · Potential for more than minimal harm 2024-02-01

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-02-29

D · Potential for more than minimal harm 2024-02-01

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-02-29

D · Potential for more than minimal harm 2024-02-01

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-02-29

D · Potential for more than minimal harm 2021-02-05

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2021-02-10

D · Potential for more than minimal harm 2021-02-05

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2021-02-10

D · Potential for more than minimal harm 2021-02-05

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2021-02-10

D · Potential for more than minimal harm 2021-02-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-02-10

D · Potential for more than minimal harm 2021-02-05

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2021-02-10

D · Potential for more than minimal harm 2021-02-05

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2021-02-10

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-16

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2026-02-15

E · Potential for more than minimal harm 2026-01-16

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-02-15

D · Potential for more than minimal harm 2026-01-16

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2026-02-15

D · Potential for more than minimal harm 2026-01-16

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2026-02-15

D · Potential for more than minimal harm 2026-01-16

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2026-02-15

D · Potential for more than minimal harm 2026-01-16

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-02-15

D · Potential for more than minimal harm 2026-01-16

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-02-15

D · Potential for more than minimal harm 2026-01-16

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2026-02-15

D · Potential for more than minimal harm 2026-01-16

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-02-15

E · Potential for more than minimal harm 2025-06-12

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2025-07-12

D · Potential for more than minimal harm 2025-06-12

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-07-12

D · Potential for more than minimal harm 2025-06-12

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-07-12

D · Potential for more than minimal harm 2025-06-12

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-07-12

E · Potential for more than minimal harm 2025-05-13

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2025-07-12

D · Potential for more than minimal harm 2025-05-13

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2025-07-12

D · Potential for more than minimal harm 2025-05-13

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-07-12

F · Potential for more than minimal harm 2024-02-01

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-02-29

E · Potential for more than minimal harm 2024-02-01

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-02-29

E · Potential for more than minimal harm 2024-02-01

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-02-29

E · Potential for more than minimal harm 2024-02-01

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-02-29

E · Potential for more than minimal harm 2024-02-01

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-02-29

D · Potential for more than minimal harm 2024-02-01

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2024-02-29

D · Potential for more than minimal harm 2024-02-01

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-02-29

D · Potential for more than minimal harm 2024-02-01

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-02-29

D · Potential for more than minimal harm 2024-02-01

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-02-29

D · Potential for more than minimal harm 2024-02-01

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-02-29

E · Potential for more than minimal harm 2023-12-14

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2024-01-14

D · Potential for more than minimal harm 2023-12-14

F568 · Resident Rights Deficiencies

Health

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2024-01-14

D · Potential for more than minimal harm 2023-12-14

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2024-01-14

E · Potential for more than minimal harm 2022-04-14

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2022-05-14

E · Potential for more than minimal harm 2022-04-14

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2022-05-14

E · Potential for more than minimal harm 2022-04-14

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2022-05-14

E · Potential for more than minimal harm 2022-04-14

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2022-05-14

D · Potential for more than minimal harm 2022-04-14

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2022-05-14

D · Potential for more than minimal harm 2022-04-14

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2022-05-14

D · Potential for more than minimal harm 2022-04-14

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2022-05-14

D · Potential for more than minimal harm 2022-04-14

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-05-14

D · Potential for more than minimal harm 2022-04-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-05-14

Penalties and ownership

What sits behind the stars

$8,490 2025-05-13

Fine

Fine · fine $8,490

Fine

$9,580 2025-05-13

Fine

Fine · fine $9,580

Fine

Ownership

Cw Care Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2018-05-07
Bell-Morris, Julie

Operational/Managerial Control · Individual

0% 1 facilities 2025-11-05
Campbell, Jennifer

Operational/Managerial Control · Individual

0% 1 facilities 2025-11-05
Citadel Care Group LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 2 facilities 2018-05-07
Colip, Nathan

Operational/Managerial Control · Individual

0% 1 facilities 2025-11-05
Friedman, Leopold

5% Or Greater Indirect Ownership Interest · Individual

0% 27 facilities 2018-05-07
Gutman, Samuel

5% Or Greater Indirect Ownership Interest · Individual

0% 31 facilities 2018-05-07
Wildes, Donna

Operational/Managerial Control · Individual

0% 23 facilities 2025-08-28
Wildes, Donna

Corporate Officer · Individual

0% 23 facilities 2025-08-28
Wilson, Constantina

Operational/Managerial Control · Individual

0% 1 facilities 2025-11-05

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