6 health deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Palm Beach Gardens, FL
2-star overall rating with 3-star inspections with 6 recent health deficiencies
3600 Masterpiece Way, Palm Beach Gardens, FL
(561) 514-5000
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
40
Certified beds
Average residents
38
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Kisco Senior Living
Operator or chain grouping
Approved since
2005-03-25
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
2 facilities
Chain averages 3 overall / 4 health / 1 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.00
Registered nurse staffing
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
0.00
Nurse aide staffing
Total nurse hours
0.00
All reported nurse hours
Licensed hours
0.00
RN + LPN hours
Weekend hours
0.00
Weekend nurse staffing
Weekend RN hours
0.00
Weekend registered nurse coverage
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.00
CMS adjusted RN staffing hours
Adjusted total hours
0.00
CMS adjusted total nurse staffing hours
Case-mix index
0.00
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Program rank
10,000
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
21.76
Composite VBP score used to determine payment impact.
Payment multiplier
0.9827
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0.46
Baseline 26.20% · Performance 25.32% · Measure score 0.46 · Achievement 0 · Improvement 0.46
Healthcare-associated infections
2.41
Baseline 6.27% · Performance 7.11% · Measure score 2.41 · Achievement 2.41 · Improvement 0
Total nurse turnover
3.35
Baseline 50.91% · Performance 50.00% · Measure score 3.35 · Achievement 3.35 · Improvement 0
Adjusted total nurse staffing
2.49
Baseline 3.89 hours · Performance 3.79 hours · Measure score 2.49 · Achievement 2.49 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.93% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 798 · Observed rate 8.9% · Lower 95% interval 9.2% |
| Discharge to community | 69.74% |
50.57%
19.2 pts better
|
Better than the National Rate · Eligible stays 857 · Observed rate 67.68% · Lower 95% interval 66.35% |
| Medicare spending per beneficiary | 0.92 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 88.98% |
95.27%
6.3 pts worse
|
Numerator 412 · Denominator 463 |
| Falls with major injury | 0.43% |
0.77%
0.3 pts better
|
Numerator 2 · Denominator 463 |
| Discharge self-care score | 39.68% |
53.69%
14 pts worse
|
Numerator 125 · Denominator 315 |
| Discharge mobility score | 34.6% |
50.94%
16.3 pts worse
|
Numerator 109 · Denominator 315 |
| Pressure ulcers or injuries, new or worsened | 0.86% |
2.29%
1.4 pts better
|
Numerator 4 · Denominator 463 · Adjusted rate 1.01% |
| Healthcare-associated infections requiring hospitalization | 7.11% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 490 · Observed rate 5.92% · Lower 95% interval 4.95% |
| Staff COVID-19 vaccination coverage | 0.93% |
8.2%
7.3 pts worse
|
Numerator 1 · Denominator 107 |
| Staff flu vaccination coverage | 16.67% |
42%
25.3 pts worse
|
Numerator 21 · Denominator 126 |
| Discharge function score | 38.73% |
56.45%
17.7 pts worse
|
Numerator 122 · Denominator 315 |
| Transfer of health information to provider | 95.68% |
95.95%
0.3 pts worse
|
Numerator 133 · Denominator 139 |
| Transfer of health information to patient | 99.05% |
96.28%
2.8 pts better
|
Numerator 313 · Denominator 316 |
| Resident COVID-19 vaccinations up to date | 11.47% |
25.2%
13.7 pts worse
|
Numerator 25 · Denominator 218 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
97.8%
2.2 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
2.6%
2.6 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.3% |
3.7%
4.6 pts worse
|
11.4%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 8.3% |
| Percentage of long-stay residents who lose too much weight | 0.0% |
5.9%
5.9 pts better
|
5.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 4.5% |
15.7%
11.2 pts better
|
19.6%
15.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.5% |
| 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 · 4Q avg 0.0% |
| 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 · 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.3% |
12.5%
7.2 pts better
|
19.8%
14.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.3% |
| Percentage of long-stay residents with pressure ulcers | 8.8% |
5.1%
3.7 pts worse
|
5.1%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 8.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
94.3%
5.2 pts better
|
81.7%
17.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.6% · Q2 99.2% · Q3 99.2% · Q4 100.0% · 4Q avg 99.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.3% |
9.3%
3 pts worse
|
12.0%
0.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.3% · Observed 11.5% · Expected 10.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.5%
About the same
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.3% · Q3 1.8% · Q4 1.2% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.1% |
94.7%
2.4 pts better
|
79.7%
17.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.5% |
26.2%
5.3 pts worse
|
23.9%
7.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 31.5% · Observed 28.1% · Expected 21.3% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-20
Health
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2024-11-20
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2024-11-20
Health
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected 2024-11-20
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-11-20
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-11-20
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-08
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-10-08
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-10-08
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Mortgage Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Nearby options
Palm Beach Gardens, FL
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Palm Beach Gardens, FL
2-star overall rating with 2-star inspections with $45,604 in total fines with 13 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Juno Beach, FL
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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