Kensington Gardens Rehab and Nursing Center

Name: Kensington Gardens Rehab and Nursing Center
Address: 2055 PALMETTO ST, Clearwater, FL, 33758, US
Telephone: 7274616613

2055 Palmetto St, Clearwater, FL 33758 · Pinellas County · 150 certified beds · avg 129 residents/day · certified since Dec 30, 1983

Part of chain: ASTON HEALTH (38 facilities, chain avg rating 2.7★)

1/5

Health inspection rating (on-site)

Serious findings on record

$18,070

Fines, last 3 years

3.86

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (41)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Feb 18, 2026	E · Potential for harm, repeated	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. · from a complaint
Feb 18, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Jan 16, 2026	E · Potential for harm, repeated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint
Jan 16, 2026	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jan 16, 2026	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jan 16, 2026	E · Potential for harm, repeated	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint
Jan 16, 2026	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Jan 16, 2026	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Jan 16, 2026	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Jan 16, 2026	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Jan 16, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Jan 16, 2026	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Jun 12, 2025	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Jun 12, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Jun 12, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Jun 12, 2025	D · Potential for harm, one-off	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint
May 13, 2025	E · Potential for harm, repeated	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint
May 13, 2025	D · Potential for harm, one-off	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · from a complaint
May 13, 2025	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint
Feb 1, 2024	F · Potential for harm, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Feb 1, 2024	E · Potential for harm, repeated	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Feb 1, 2024	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Feb 1, 2024	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Feb 1, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Feb 1, 2024	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Feb 1, 2024	E · Potential for harm, repeated	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · from a complaint
Feb 1, 2024	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint
Feb 1, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Feb 1, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Dec 14, 2023	E · Potential for harm, repeated	The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. · from a complaint
Dec 14, 2023	D · Potential for harm, one-off	The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. · from a complaint
Dec 14, 2023	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint
Apr 14, 2022	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Apr 14, 2022	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Apr 14, 2022	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Apr 14, 2022	E · Potential for harm, repeated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Apr 14, 2022	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Apr 14, 2022	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Apr 14, 2022	D · Potential for harm, one-off	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Apr 14, 2022	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Apr 14, 2022	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (9 → 5).

Year	Citations	Worst severity that year
2022	9	E
2023	3	E
2024	10	F
2025	7	E
2026	12	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

2 fines totaling $18,070.

Date	Type	Amount / length
May 13, 2025	Fine	$8,490
May 13, 2025	Fine	$9,580

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Florida avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.86	4.03	3.95	bottom 49% in Florida; top 45% in the U.S.
Registered Nurse hours	0.60	0.76	0.69	bottom 41% in Florida; top 48% in the U.S.
Weekend total nurse staffing	3.55	3.68	3.50	top 48% in Florida; top 40% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.42	0.53	0.48	bottom 45% in Florida; top 45% in the U.S.
Total nursing staff turnover (%)	0.0	41.4	45.8	—
RN turnover (%)	0.0	46.0	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.57, RN 0.56, weekend 3.28. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5

Who owns this facility

For profit - Individual

Owner / manager	Type	Role	Stake	Since
Citadel Care Group LLC	Organization	5% or Greater Indirect Ownership Interest	100%	05/07/2018
CW Care Holdings LLC	Organization	5% or Greater Direct Ownership Interest	100%	05/07/2018
Aston Healthcare LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2022
Bell-Morris, Julie	Individual	Operational/Managerial Control	NOT APPLICABLE	11/05/2025
Bell-Morris, Julie	Individual	ADP of the SNF	NOT APPLICABLE	11/05/2025
Campbell, Jennifer	Individual	Operational/Managerial Control	NOT APPLICABLE	11/05/2025
Colip, Nathan	Individual	Operational/Managerial Control	NOT APPLICABLE	11/05/2025
Colip, Nathan	Individual	ADP of the SNF	NOT APPLICABLE	11/05/2025
Wildes, Donna	Individual	Corporate Officer	NOT APPLICABLE	08/28/2025
Wildes, Donna	Individual	Operational/Managerial Control	NOT APPLICABLE	08/28/2025
Wilson, Constantina	Individual	Operational/Managerial Control	NOT APPLICABLE	11/05/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Aviata at Sand Key	1.0 mi	Clearwater, FL	★★☆☆☆	1/5
Advanced Care Center	1.7 mi	Clearwater, FL	★★★★☆	3/5
Highland Pines Rehabilitation Center	2.0 mi	Clearwater, FL	★☆☆☆☆	1/5
Harbourwood Post-Acute and Rehabilitation Center	2.1 mi	Clearwater, FL	★☆☆☆☆	1/5	abuse
Regency Oaks Health Center	2.2 mi	Clearwater, FL	★★☆☆☆	1/5
Clearwater Center	2.2 mi	Clearwater, FL	★☆☆☆☆	1/5	SFF
Gulfside Health and Rehabilitation Center	2.6 mi	Clearwater, FL	★★★☆☆	2/5
Aviata at Lakeside Oaks	2.8 mi	Dunedin, FL	★★☆☆☆	2/5
Meadowpark Health and Rehabilitation Center	3.1 mi	Dunedin, FL	★★★★☆	3/5
Willowbrooke Court Skilled Care Center at Mease Li	3.2 mi	Dunedin, FL	★★★★★	5/5
Oaks of Clearwater, the	3.3 mi	Clearwater, FL	★★☆☆☆	2/5
Morton Plant Rehabilitation Center	3.5 mi	Belleair, FL	★★★★★	3/5

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 105453.

The Care File

Visit checklist — Kensington Gardens Rehab and Nursing Center

2055 Palmetto St, Clearwater, FL 33758 · 7274616613

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $18,070

Questions for the administrator:

☐ "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 105453 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)