The most serious citations on this record
Every nursing-home citation carries a scope-and-severity grade from A (least serious) to L (most serious). The five highest-graded citations at Kensington Gardens Rehab And Nursing Center are:
F-0732 · February 1, 2024 · Grade F — Potential for more than minimal harm
Post nurse staffing information every day.
Status: Deficient, Provider has date of correction · correction date February 29, 2024
F-0881 · February 18, 2026 · Grade E — Potential for more than minimal harm
Implement a program that monitors antibiotic use.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date March 18, 2026
F-0585 · January 16, 2026 · Grade E — Potential for more than minimal harm
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.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date February 15, 2026
F-0684 · January 16, 2026 · Grade E — Potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date February 15, 2026
F-0689 · January 16, 2026 · Grade E — Potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date March 18, 2026
What surveyors cited, theme by theme
Grouping the citations by subject shows whether a home's problems are isolated or concentrated in one part of care. At Kensington Gardens Rehab And Nursing Center, 14 subject areas appear across health and fire-safety inspections.
Nursing and Physician Services
2 citations between April 14, 2022 and February 1, 2024. The most serious was graded F — potential for more than minimal harm, affecting widespread across the facility. No actual harm was documented, but surveyors judged the failure could have caused more than minimal harm. Correction record: 2 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
F-0732 · February 1, 2024 · Grade F — Post nurse staffing information every day.
F-0732 · April 14, 2022 · Grade D — Post nurse staffing information every day.
Resident rights
10 citations between April 14, 2022 and January 16, 2026. The most serious was graded E (potential for more than minimal harm). 8 of these citations came out of complaint investigations. Correction record: 10 citations show a recorded correction date.
Rights citations cover dignity, choice, privacy, grievances, and being told about changes in condition or care. Ask how the home notifies family of changes and how grievances are logged and answered.
F-0585 · January 16, 2026 · Grade E — 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.
F-0584 · June 12, 2025 · Grade 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.
F-0584 · February 1, 2024 · Grade 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.
Quality of life and daily care
8 citations between April 14, 2022 and January 16, 2026. The most serious was graded E (potential for more than minimal harm). 5 of these citations came out of complaint investigations. Correction record: 8 citations show a recorded correction date.
This group covers the basics of daily care — help with eating, bathing, toileting, repositioning, and timely treatment. Repeated citations here often match what families notice first: call lights unanswered, soiled briefs, missed care.
F-0684 · January 16, 2026 · Grade E — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-0689 · January 16, 2026 · Grade E — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0698 · February 1, 2024 · Grade E — Provide safe, appropriate dialysis care/services for a resident who requires such services.
Assessments and care planning
4 citations between April 14, 2022 and January 16, 2026. The most serious was graded E (potential for more than minimal harm). 1 of these citations came out of complaint investigations. Correction record: 4 citations show a recorded correction date.
Care-plan citations mean the written plan did not match the resident's known risks. Ask whether the care plan changed after each fall, wound, infection, or hospital return — or whether the same plan stayed in place while the resident declined.
F-0644 · February 1, 2024 · Grade E — Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F-0656 · January 16, 2026 · Grade D — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0657 · February 1, 2024 · Grade D — Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Physical environment and safety
4 citations between April 14, 2022 and June 12, 2025. The most serious was graded E (potential for more than minimal harm). 3 of these citations came out of complaint investigations. Correction record: 4 citations show a recorded correction date.
Environmental citations cover the building itself — safe water temperatures, clean and working equipment, hazard-free spaces. Ask what was repaired, when, and what checks are in place now.
F-0925 · April 14, 2022 · Grade E — Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F-0925 · June 12, 2025 · Grade D — Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F-0908 · May 13, 2025 · Grade D — Keep all essential equipment working safely.
Infection prevention and control
3 citations between April 14, 2022 and February 18, 2026. The most serious was graded E (potential for more than minimal harm). 2 of these citations came out of complaint investigations. Correction record: 3 citations show a recorded correction date.
Infection citations matter because infections are a leading cause of hospital transfer and death in nursing homes. Families should ask how the home tracks infections, isolates sick residents, and tells families when an outbreak starts.
F-0881 · February 18, 2026 · Grade E — Implement a program that monitors antibiotic use.
F-0880 · February 18, 2026 · Grade D — Provide and implement an infection prevention and control program.
F-0880 · April 14, 2022 · Grade D — Provide and implement an infection prevention and control program.
Medication and pharmacy services
3 citations between April 14, 2022 and February 1, 2024. The most serious was graded E (potential for more than minimal harm). 1 of these citations came out of complaint investigations. Correction record: 3 citations show a recorded correction date.
Medication citations can involve wrong doses, unnecessary drugs, or poor monitoring. Ask for the medication administration record and whether a pharmacist reviewed the resident's drug regimen each month.
F-0759 · February 1, 2024 · Grade E — Ensure medication error rates are not 5 percent or greater.
F-0761 · April 14, 2022 · Grade 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.
F-0759 · April 14, 2022 · Grade D — Ensure medication error rates are not 5 percent or greater.
Administration and leadership
2 citations between May 13, 2025 and January 16, 2026. The most serious was graded E (potential for more than minimal harm). 2 of these citations came out of complaint investigations. Correction record: 2 citations show a recorded correction date.
Administrative citations suggest the problem sits with management systems, not one staff member. Ask who is responsible for quality oversight and what the home's own quality committee changed afterward.
F-0867 · January 16, 2026 · Grade E — Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F-0867 · May 13, 2025 · Grade E — Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Freedom from abuse, neglect, and exploitation
5 citations between February 1, 2024 and January 16, 2026. The most serious was graded D (potential for more than minimal harm). 5 of these citations came out of complaint investigations. Correction record: 5 citations show a recorded correction date.
These citations go to the core duty to protect residents. Ask how the home screens and trains staff, how allegations are investigated, and whether the same staff or unit appears in more than one report.
F-0607 · January 16, 2026 · Grade D — Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F-0609 · January 16, 2026 · Grade D — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F-0609 · June 12, 2025 · Grade D — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Fire, smoke, and emergency safety
4 citations between February 5, 2021 and February 1, 2024. The most serious was graded D (potential for more than minimal harm). Correction record: 4 citations show a recorded correction date.
Life-safety citations cover alarms, sprinklers, exits, and evacuation readiness. Ask for the date each item was corrected and whether the local fire authority re-inspected.
K-0321 · February 1, 2024 · Grade D — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K-0353 · February 1, 2024 · Grade D — Inspect, test, and maintain automatic sprinkler systems.
K-0353 · February 5, 2021 · Grade D — Inspect, test, and maintain automatic sprinkler systems.
Egress
2 citations between February 5, 2021 and February 1, 2024. The most serious was graded D (potential for more than minimal harm). Correction record: 2 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0200 · February 1, 2024 · Grade D — Meet other general requirements.
K-0211 · February 5, 2021 · Grade D — Keep aisles, corridors, and exits free of obstruction in case of emergency.
Miscellaneous
2 citations between February 1, 2024 and February 1, 2024. The most serious was graded D (potential for more than minimal harm). Correction record: 2 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0741 · February 1, 2024 · Grade D — Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
K-0761 · February 1, 2024 · Grade D — To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems
2 citations between February 5, 2021 and February 1, 2024. The most serious was graded D (potential for more than minimal harm). Correction record: 2 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0923 · February 1, 2024 · Grade D — Have proper medical gas storage and administration areas.
K-0923 · February 5, 2021 · Grade D — Have proper medical gas storage and administration areas.
Fire, smoke, and emergency safety
2 citations between February 5, 2021 and February 5, 2021. The most serious was graded D (potential for more than minimal harm). Correction record: 2 citations show a recorded correction date.
Life-safety citations cover alarms, sprinklers, exits, and evacuation readiness. Ask for the date each item was corrected and whether the local fire authority re-inspected.
E-0004 · February 5, 2021 · Grade D — Develop and maintain an Emergency Preparedness Program (EP).
E-0030 · February 5, 2021 · Grade D — List the names and contact information of those in the facility.
How to read the severity grades
CMS grades combine how many residents were affected with how much harm occurred. Grades J–L are immediate jeopardy: a situation that caused, or was likely to cause, serious injury or death. Grades G–I mean a resident was actually harmed. Grades D–F mean no harm was found but the failure could have caused more than minimal harm, and A–C carry only minimal-harm potential. The second dimension matters too: the grade also tells you whether surveyors saw an isolated case, a pattern, or a facility-wide problem.
Survey and penalty timeline
Kensington Gardens Rehab And Nursing Center appears in CMS data on 9 survey dates between February 5, 2021 and February 18, 2026. Complaint surveys happen because someone reported a problem; standard surveys are the routine inspections every home receives.
February 18, 2026
Complaint health survey — 2 citations, worst grade E (potential for more than minimal harm)
January 16, 2026
Complaint health survey — 10 citations, worst grade E (potential for more than minimal harm)
June 12, 2025
Complaint health survey — 4 citations, worst grade E (potential for more than minimal harm)
May 13, 2025
Complaint health survey — 3 citations, worst grade E (potential for more than minimal harm)
February 1, 2024
Health survey including complaint investigations — 10 citations, worst grade F (potential for more than minimal harm)
February 1, 2024
Fire-safety survey — 6 citations, worst grade D (potential for more than minimal harm)
December 14, 2023
Complaint health survey — 3 citations, worst grade E (potential for more than minimal harm)
April 14, 2022
Standard health survey — 9 citations, worst grade E (potential for more than minimal harm)
February 5, 2021
Fire-safety survey — 6 citations, worst grade D (potential for more than minimal harm)
Penalties imposed
May 13, 2025 — Fine of $8,490
May 13, 2025 — Fine of $9,580
How Kensington Gardens Rehab And Nursing Center compares with peer homes
Raw citation counts mean more in context. The table below compares Kensington Gardens Rehab And Nursing Center with the median reviewed facility in Pinellas County (30 homes in this research set) and across Florida (156 homes), using the same CMS data. On health citations alone, Kensington Gardens Rehab And Nursing Center sits above 83% of its reviewed county peers — near the top of the county for citation volume.
Measure
This home
Pinellas Co. median
Florida median
Health citations on record
41
31
30
Citations from complaint investigations
27
9
7
Citations at actual-harm level or worse
0
3
3
Immediate-jeopardy citations
0
2
2
Total fines in CMS penalty records
$18,070
$48,249
$59,961
Penalty records (fines + payment denials)
2
2
2
What families should ask Kensington Gardens Rehab And Nursing Center
- Ask for the plan of correction and follow-up monitoring for the nursing and physician services citations — most recently F-0732 on February 1, 2024 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the resident rights citations — most recently F-0584 on April 14, 2022 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the quality of life and daily care citations — most recently F-0689 on April 14, 2022 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the assessments and care planning citations — most recently F-0644 on February 1, 2024 — and the records showing the fix held.
- Ask what conduct led to the fines — CMS records 2 totalling $18,070, the most recent dated May 13, 2025 — and what changed afterward.
- What changed in the resident's condition, and when did staff at Kensington Gardens Rehab And Nursing Center first document the change?
- Were recent complaint-related citations at Kensington Gardens Rehab And Nursing Center connected to the same kind of issue your family noticed?
Records to preserve
Connect this record to what your family saw
A citation record is context. The warning sign your family noticed is the starting point for a resident-specific review — match the two, then preserve the records listed above. Start with how facility research works.
Warning sign
Bed sores
Warning sign
Falls
Warning sign
Bruises
Warning sign
Infections
Facility research
Inspection deficiencies
Facility research
Civil penalties
Facility research
Abuse citations
Facility research
Complaint surveys
CMS facility facts
CMS certification number
105453
Legal business name
CLEAR WATER CARE ACQUISITION LLC
Ownership type
For profit - Individual
Provider type
Medicare and Medicaid
First approved for Medicare/Medicaid
December 30, 1983
Chain name
ASTON HEALTH
Certified beds
150
Average residents per day
132.9
Overall CMS rating
1 star
Health inspection rating
1 star
Staffing rating
1 star
Reported nurse staffing hours per resident day
Not listed
Total nursing staff turnover
Not listed
Public records are a starting point, not a conclusion
This profile of Kensington Gardens Rehab And Nursing Center uses official CMS provider data as a research starting point. It does not state that Kensington Gardens Rehab And Nursing Center abused or neglected any resident. A citation, fine, or rating becomes meaningful only when it is compared with the resident's own chart, the facility's explanation, and source documents with dates and outcome status.
Citation and penalty detail on this page comes from the CMS Provider Data health-deficiency, fire-safety, and penalties datasets, pulled October 12, 2026. Figures describe the facility's public inspection record; they do not by themselves prove what happened to any individual resident.
Legal help resource
Suspect nursing home abuse or neglect?
Public records are only part of the picture. If your family believes a Florida nursing home harmed your loved one, you can speak with a Florida nursing home abuse lawyer about what happened and what options your family may have. Senior Justice Help is not a law firm and is not affiliated with any law firm; this link is provided as a resource only.
Injury and neglect guides
When a Florida care injury may involve negligence
Inspection records show what regulators found; they do not by themselves prove a legal claim. If your family is looking back at a serious injury or death in a Florida nursing home or care facility, these guides explain the deadlines, procedures, records, and questions that apply in Florida:
- Stroke misdiagnosis lawyer information in Florida
- Falls and fractures in Florida care facilities: legal information
- Pressure injuries and bedsores: Florida legal information
- Sepsis from infection in Florida care facilities: legal information
- Medication errors in Florida care facilities: legal information
- Wrongful death in a Florida care facility: legal information
Sources for Kensington Gardens Rehab And Nursing Center
Senior Justice Help is a public-information and facility-research website. We are not a law firm, medical provider, government agency, or nursing home regulator. We may help families understand what kind of lawyer to contact or connect with legal resources, but this site does not provide legal or medical advice.
Editorial review
Written and editorially reviewed for family clarity
Written by: Senior Justice Help Editorial Team, Family questions and nursing home records research team
Pages are written for families, checked against public agency sources, and reviewed for clarity, sourcing, and overclaiming. The site does not provide medical advice or legal advice.