Kensington Gardens Rehab And Nursing Center
KENSINGTON GARDENS REHAB AND NURSING CENTER in CLEARWATER, FL — inspection on May 13, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Findings included:
A review of an undated facility policy titled, Quality Assurance and Performance Improvement (QAPI), showed a policy statement: This facility shall develop, implement, and maintain on ongoing, facility-wide, data-driven QAPI program that is focused on indicators of the outcomes of care and quality of life for out residents.
The objectives of the QAPI program are to:
1.
Provide a means to measure current and potential indicators for outcomes of care and quality of life.
2.
Provide a means to establish and implement performance improvement projects to correct identified negative or problematic indicators.
3.
Reinforce and build upon effective systems and processes related to the delivery of quality care and services.
4.
Establish systems through which to monitor and evaluate corrective actions.
Authority:
1.
The owner and/ or governing board body of our facility is ultimately responsible for the QAPI program
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
105453
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 105453 B.
Wing 05/13/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Kensington Gardens Rehab and Nursing Center 2055 Palmetto St Clearwater, FL 33758
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.