Nursing Center at la Posada, the
3600 Masterpiece Way, Palm Beach Gardens, FL 33410 · Palm Beach County · 40 certified beds · avg 38 residents/day · certified since Mar 25, 2005
Part of chain: KISCO SENIOR LIVING (2 facilities, chain avg rating 3.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 (9)
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 |
|---|---|---|
| Oct 30, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Oct 30, 2024 | E · Potential for harm, repeated | The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs. |
| Oct 30, 2024 | E · Potential for harm, repeated | The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign. |
| Oct 30, 2024 | E · Potential for harm, repeated | The facility did not provide a neutral and fair arbitration process. Arbitration is a way of settling disputes outside of court, and if it's used, the facility must agree with the resident on a neutral arbitrator and a convenient location. |
| Oct 30, 2024 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
| Oct 30, 2024 | D · Potential for harm, one-off | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Sep 8, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Sep 8, 2023 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Sep 8, 2023 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | D |
| 2024 | 6 | 0 | F |
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)
No fines or payment denials in the published 3-year window.
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) | 4.14 | 4.03 | 3.95 | top 30% in Florida; top 34% in the U.S. |
| Registered Nurse hours | 1.18 | 0.76 | 0.69 | top 11% in Florida; top 10% in the U.S. |
| Weekend total nurse staffing | 3.78 | 3.68 | 3.50 | top 30% in Florida; top 30% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.08 | 0.53 | 0.48 | top 6% in Florida; top 5% 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 4.41, RN 1.26, weekend 4.03. Staffing rating: 3/5.
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: —/5 · short-stay residents: 3/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Davis, Karen | Individual | 5% or Greater Indirect Ownership Interest | — | 08/01/2013 |
| Hands, James | Individual | 5% or Greater Indirect Ownership Interest | — | 08/01/2013 |
| Hanna, John | Individual | 5% or Greater Indirect Ownership Interest | — | 01/01/2023 |
| Horizon Loan Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 08/01/2013 |
| Horizon LP Uv Lender LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 09/10/2012 |
| Jam Kohlberg Family LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 08/01/2013 |
| KC Palm Beach Gardens LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 09/10/2012 |
| KC PBG Health Center, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/01/2013 |
| Kohlberg, Scott | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/01/2013 |
| KSL Communities LP | Organization | Indirect Ownership Interest | NOT APPLICABLE | 08/01/2013 |
| Petersham General INC | Organization | 5% or Greater Indirect Ownership Interest | — | 08/01/2013 |
| A Quality Staffing LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2013 |
| Bmo Bank National Association | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 06/24/2025 |
| Bmo Bank National Association | Organization | ADP of the SNF | NOT APPLICABLE | 06/24/2025 |
| Cadiere, Bradley | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/16/2013 |
| Cadiere, Bradley | Individual | ADP of the SNF | NOT APPLICABLE | 10/16/2013 |
| Canasi, Javier | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/09/2014 |
| Canasi, Javier | Individual | ADP of the SNF | NOT APPLICABLE | 05/09/2014 |
| Careone Pharmacy Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2018 |
| Hanna, John | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2018 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can I see a sample menu, and how do you handle special diets like low-sodium or diabetic meals?"
- "Is signing an arbitration agreement required for admission, and can we refuse it without affecting my family member's care?"
- "Does your admission agreement include an arbitration clause, and is signing it optional?"
- "How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "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 |
|---|---|---|---|---|---|
| Gardens Court | 0.6 mi | Palm Beach Gardens, FL | ★★★★★ | 5/5 | |
| Prosper Health and Rehabilitation Center | 1.3 mi | Palm Beach Gardens, FL | ★★☆☆☆ | 2/5 | |
| Waterford, the | 1.8 mi | Juno Beach, FL | ★★★★☆ | 4/5 | |
| Luxe at Jupiter Rehabilitation Center (the) | 2.7 mi | Jupiter, FL | ★☆☆☆☆ | 1/5 | |
| Chatsworth at Pga National | 4.1 mi | Palm Beach Gardens, FL | ★★★★★ | 5/5 | |
| North Lake Care Center and Rehab | 4.3 mi | Lake Park, FL | ★★★★☆ | 3/5 | |
| Edward J Healey Rehabilitation and Nursing Center | 4.9 mi | Riviera Beach, FL | ★★★★★ | 4/5 | |
| Rehabilitation Center of the Palm Beaches, the | 6.3 mi | West Palm Beach, FL | ★★★★☆ | 4/5 | |
| Jupiter Rehabilitation and Healthcare Center | 6.4 mi | Jupiter, FL | ★★☆☆☆ | 2/5 | |
| Joseph L Morse Health Center INC the | 7.6 mi | West Palm Beach, FL | ★★★★★ | 5/5 | |
| Lakeside Health Center | 8.2 mi | West Palm Beach, FL | ★★★★☆ | 4/5 | |
| Colonial Skilled Nursing Facility LLC | 8.4 mi | West Palm Beach, FL | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 106067.