Clearwater, FL

Westchester Gardens Health & Rehabilitation

4-star overall rating with 3-star inspections with 9 recent health deficiencies

3301 N Mcmullen Booth Rd, Clearwater, FL

(727) 785-8335

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

111

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Goodman Group

Operator or chain grouping

Approved since

1989-09-19

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.81

Registered nurse staffing

LPN hours / resident day

0.67

Licensed practical nurse staffing

Aide hours / resident day

2.44

Nurse aide staffing

Weekend hours

3.46

Weekend nurse staffing

RN turnover

26%

Annual RN turnover

Total nurse turnover

48%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.1
2.1
About the same
1.9
0.2 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.2
1.2
1 pts better
1.8
1.6 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.6%
97.8%
1.8 pts better
93.4%
6.2 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents experiencing one or more falls with major injury 0.4%
2.6%
2.2 pts better
3.3%
2.9 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents who lose too much weight 5.1%
5.9%
0.8 pts better
5.4%
0.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 13.4%
15.7%
2.3 pts better
19.6%
6.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 3.8%
9.8%
6 pts better
16.7%
12.9 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 12.1%
11.7%
0.4 pts worse
16.3%
4.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 6.5%
9.8%
3.3 pts better
14.9%
8.4 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents with a urinary tract infection 0.4%
0.8%
0.4 pts better
1.7%
1.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 17.1%
12.5%
4.6 pts worse
19.8%
2.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 7.5%
5.1%
2.4 pts worse
5.1%
2.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
94.3%
5.7 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 6.3%
9.3%
3 pts better
12.0%
5.7 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.6%
1.5%
0.9 pts better
1.6%
1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 99.2%
94.7%
4.5 pts better
79.7%
19.5 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 36.8%
26.2%
10.6 pts worse
23.9%
12.9 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-05 · Fire 2025-06-05

9 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-04-06 · Fire 2023-04-06

1 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2021-06-25 · Fire 2021-06-25

6 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

C · Minimal harm 2023-04-06

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-05-01

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-03

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-01-03

E · Potential for more than minimal harm 2025-06-05

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-07-05

E · Potential for more than minimal harm 2025-06-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-05

D · Potential for more than minimal harm 2025-06-05

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-07-05

D · Potential for more than minimal harm 2025-06-05

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 2025-07-05

D · Potential for more than minimal harm 2025-06-05

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 2025-07-05

D · Potential for more than minimal harm 2025-06-05

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-05

D · Potential for more than minimal harm 2025-06-05

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-07-05

D · Potential for more than minimal harm 2025-06-05

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 2025-07-05

D · Potential for more than minimal harm 2023-07-17

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 2023-08-11

D · Potential for more than minimal harm 2023-07-17

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2023-08-11

D · Potential for more than minimal harm 2023-04-06

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 2023-05-01

E · Potential for more than minimal harm 2021-06-25

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 2021-07-25

D · Potential for more than minimal harm 2021-06-25

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2021-07-25

D · Potential for more than minimal harm 2021-06-25

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 2021-07-25

D · Potential for more than minimal harm 2021-06-25

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2021-07-25

Penalties and ownership

What sits behind the stars

Ownership

Benson, Randall

5% Or Greater Indirect Ownership Interest · Individual

9% 7 facilities 2017-02-28
John B. Goodman 2006 Irrv Grantor Tr

5% Or Greater Indirect Ownership Interest · Organization

9% 7 facilities 2017-02-28
Salmen, Thomas

5% Or Greater Indirect Ownership Interest · Individual

9% 9 facilities 2017-02-28
South Dakota Trust Company, LLC

5% Or Greater Indirect Ownership Interest · Organization

9% 5 facilities 2017-02-28
Weichert, James

5% Or Greater Indirect Ownership Interest · Individual

9% 9 facilities 2017-02-28
Wilson, Mark

5% Or Greater Indirect Ownership Interest · Individual

9% 16 facilities 2017-02-28
Grossman, Beverly

5% Or Greater Indirect Ownership Interest · Individual

8% 1 facilities 2015-05-01
Benson, Randall

General Partnership Interest · Individual

0% 7 facilities 2017-02-28
Benson, Randall

Limited Partnership Interest · Individual

0% 7 facilities 2017-02-28
Benson, Randall

Corporate Officer · Individual

0% 7 facilities 2016-06-26
Beverly N. Grossman Revocable Trust

5% Or Greater Direct Ownership Interest · Organization

0% 1 facilities 2015-05-01
Beverly N. Grossman Revocable Trust

Limited Partnership Interest · Organization

0% 1 facilities 2015-05-01
Edinger, Craig

Corporate Officer · Individual

0% 9 facilities 2016-10-21
Grossman, Beverly

Limited Partnership Interest · Individual

0% 1 facilities 2015-05-01
Jbge Westchester Inc

General Partnership Interest · Organization

0% 1 facilities 2003-06-17
John B. Goodman 2006 Irrv Grantor Tr

5% Or Greater Direct Ownership Interest · Organization

0% 7 facilities 2017-02-28
John B. Goodman 2006 Irrv Grantor Tr

General Partnership Interest · Organization

0% 7 facilities 2017-02-28
John B. Goodman 2006 Irrv Grantor Tr

Limited Partnership Interest · Organization

0% 7 facilities 2017-02-28
Knacke, Clinton

Corporate Officer · Individual

0% 10 facilities 2022-10-12
Olson, Denise

Corporate Officer · Individual

0% 7 facilities 2013-09-16
Reed, Travis

W-2 Managing Employee · Individual

0% 1 facilities 2023-07-07
Salmen, Thomas

General Partnership Interest · Individual

0% 9 facilities 2017-02-28
Salmen, Thomas

Limited Partnership Interest · Individual

0% 9 facilities 2017-02-28
South Dakota Trust Company, LLC

General Partnership Interest · Organization

0% 5 facilities 2017-02-28
South Dakota Trust Company, LLC

Limited Partnership Interest · Organization

0% 5 facilities 2017-02-28
The Goodman Group Properties LLC

5% Or Greater Direct Ownership Interest · Organization

0% 4 facilities 2006-12-31
The Goodman Group Properties LLC

Limited Partnership Interest · Organization

0% 4 facilities 2006-12-31
Weichert, James

General Partnership Interest · Individual

0% 9 facilities 2017-02-28
Weichert, James

Limited Partnership Interest · Individual

0% 9 facilities 2017-02-28
Weichert, James

Corporate Director · Individual

0% 9 facilities 2016-10-21
Werner Ventures Limited Partnership

5% Or Greater Direct Ownership Interest · Organization

0% 3 facilities 1989-11-17
Werner Ventures Limited Partnership

Limited Partnership Interest · Organization

0% 3 facilities 1989-11-17
Westchester Gardens Limited Partnership

5% Or Greater Direct Ownership Interest · Organization

0% 1 facilities 1989-11-17
Wilson, Mark

General Partnership Interest · Individual

0% 16 facilities 2017-02-28
Wilson, Mark

Limited Partnership Interest · Individual

0% 16 facilities 2017-02-28

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