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🔎 Kensington Gardens Rehab And Nursing Center

Inspection Results


Inspection Overview

Kensington Gardens Rehab And Nursing Center has been cited for a total of 39 deficiencies since we began saving each survey.

In Florida, the average facility has **23.63 deficiencies** in our database. This profile shows the longer-term view.

Tip: Surveys happen throughout the year. Always check the official Medicare Care Compare site for the most recent data.



Understanding Deficiency Severity (A-L Scale)

The farther along in the alphabet (A through L) the Scope value is, the more severe the deficiency. **A through F means no actual harm has happened.**

Severity (Harm)Scope (Widespread?)Code Range
No Actual HarmIsolated to PatternA - C
No Actual HarmWidespreadD - F
**Actual Harm**IsolatedG
**Actual Harm**PatternH
**Actual Harm**WidespreadI
**Immediate Jeopardy**IsolatedJ
**Immediate Jeopardy**PatternK
**Immediate Jeopardy**WidespreadL


Detailed Deficiency List (Most Recent First)

Scope/Severity: E

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Survey Date: 2025-05-13
Correction Date:
Category: Administration Deficiencies
From Complaint: Y

Scope/Severity: D

Keep all essential equipment working safely.

Survey Date: 2025-05-13
Correction Date: 2025-06-06
Category: Environmental Deficiencies
From Complaint: Y

Scope/Severity: D

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey Date: 2025-05-13
Correction Date: 2025-06-06
Category: Environmental Deficiencies
From Complaint: Y

Scope/Severity: D

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Survey Date: 2024-02-01
Correction Date: 2024-02-29
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: E

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey Date: 2024-02-01
Correction Date: 2024-02-29
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey Date: 2024-02-01
Correction Date: 2024-02-29
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

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

Survey Date: 2024-02-01
Correction Date: 2024-02-29
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: F

Post nurse staffing information every day.

Survey Date: 2024-02-01
Correction Date: 2024-02-29
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: E

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.

Survey Date: 2024-02-01
Correction Date: 2024-02-29
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey Date: 2024-02-01
Correction Date: 2024-02-29
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey Date: 2024-02-01
Correction Date: 2024-02-29
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: E

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey Date: 2024-02-01
Correction Date: 2024-02-29
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: E

Ensure medication error rates are not 5 percent or greater.

Survey Date: 2024-02-01
Correction Date: 2024-02-29
Category: Pharmacy Service Deficiencies
From Complaint: Y

Scope/Severity: D

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Survey Date: 2023-12-14
Correction Date: 2024-01-14
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: E

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Survey Date: 2023-12-14
Correction Date: 2024-01-14
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: D

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Survey Date: 2023-12-14
Correction Date: 2024-01-14
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey Date: 2023-01-31
Correction Date: 2023-02-22
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: D

Respond appropriately to all alleged violations.

Survey Date: 2023-01-31
Correction Date: 2023-02-22
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey Date: 2023-01-31
Correction Date: 2023-02-22
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: E

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.

Survey Date: 2022-04-14
Correction Date: 2022-05-14
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey Date: 2022-04-14
Correction Date: 2022-05-14
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey Date: 2022-04-14
Correction Date: 2022-05-14
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

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

Survey Date: 2022-04-14
Correction Date: 2022-05-14
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Post nurse staffing information every day.

Survey Date: 2022-04-14
Correction Date: 2022-05-14
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: D

Ensure medication error rates are not 5 percent or greater.

Survey Date: 2022-04-14
Correction Date: 2022-05-14
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: E

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.

Survey Date: 2022-04-14
Correction Date: 2022-05-14
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

Provide and implement an infection prevention and control program.

Survey Date: 2022-04-14
Correction Date: 2022-05-14
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: E

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey Date: 2022-04-14
Correction Date: 2022-05-14
Category: Environmental Deficiencies
From Complaint: N

Scope/Severity: D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey Date: 2022-04-14
Correction Date: 2022-05-14
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey Date: 2020-10-13
Correction Date: 2020-11-13
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: D

Provide and implement an infection prevention and control program.

Survey Date: 2020-06-09
Correction Date: 2020-07-13
Category: Infection Control Deficiencies
From Complaint: Y

Scope/Severity: D

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey Date: 2020-06-09
Correction Date: 2020-07-13
Category: Environmental Deficiencies
From Complaint: Y

Scope/Severity: D

Ensure residents have reasonable access to and privacy in their use of communication methods.

Survey Date: 2019-06-20
Correction Date: 2019-07-20
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey Date: 2019-06-20
Correction Date: 2019-07-20
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey Date: 2019-06-20
Correction Date: 2019-07-20
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey Date: 2019-06-20
Correction Date: 2019-07-20
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

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

Survey Date: 2019-06-20
Correction Date: 2019-07-20
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

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.

Survey Date: 2019-06-20
Correction Date: 2019-07-20
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

Provide and implement an infection prevention and control program.

Survey Date: 2019-06-20
Correction Date: 2019-07-20
Category: Infection Control Deficiencies
From Complaint: N


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All deficiency data is sourced directly from the **Centers for Medicare & Medicaid Services (CMS)**.
Data Aggregation and Review provided by **The Nursing Home Site.**