Advanced Care Center
401 Fairwood Ave, Clearwater, FL 33759 · Pinellas County · (727) 210-2600
120 certified beds, about 109 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1984
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105478 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 19, 2024, inspectors cited 6 health deficiencies (the Florida average is 7.1, the national average 9.2).
None of its 18 health citations since May 2021 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.50 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.54 of those hours.
51.4% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Gold Fl Trust II, an affiliated group of 36 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
705/21
010/22
612/24
510/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 18 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
9E
0F
Potential for minimal harm
0A
0B
0C
October 23, 2025Complaint inspection · 5 citations
- 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.
Inspectors wroteBased on observations, record reviews and interviews the failed to maintain a home-like environment for fourteen rooms (# 3, 4, 6, 8, 11, 14, 20, 32,33, 37, 48, 50, 54, 55, 62) out of fifty rooms sampled.
- E Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Inspectors wroteBased on interviews and record reviews the facility did not ensure two residents (#1 and #2) out of four residents reviewed had physician orders to ensure the residents received necessary care and services upon admission.
- E Ensure that residents are free from significant medication errors.
Inspectors wroteBased on interviews and records review facility did not ensure residents received necessary prescribed medications upon admission for two residents (#1, #2) out of four residents reviewed.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on observation, interview and record reviews, the facility failed to investigate an injury of unknown origin, related to bruising on one resident (#3) of three sampled residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interviews the facility failed to ensure referral for urology consultation/evaluation was provided for one resident (#5) of three residents sampled. Findings Included: Review of an admission Record dated 10/23/2025 revealed Resident #5 was admitted to the facility on [DATE] with diagnoses to include but not limited to Type 2 Diabetes Mellitus with hyperglycemia, neuromuscular dysfunction of bladder, unspecified, infection and inflammatory reaction due to indwelling urethral catheter, subsequent encounter, chronic kidney disease, stage 3A. Review of an order summary dated 10/23/2025 showed:Consult Urology for urinary retention, verbal active order, dated 10/23/2025. Review of a progress note dated 10/08/2025 created by Staff G, Advanced Registered Nurse Practitioner (ARNP) noted to start a voiding trial on Resident #5. [...]
December 19, 2024Standard inspection · 6 citations
- E Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on record review and staff interview, the facility failed to complete the Pre-admission Screening and Resident Review (PASRR) Level II upon a new qualifying mental health diagnoses and failed to resubmit for a PASRR Level II review for five residents (Resident #1, Resident #3, Resident #98, Resident #46, and Resident #38) of 10 residents sampled for PASRRs.
- E PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on record review and staff interviews, the facility failed to complete the Pre-admission Screening and Resident Reviews (PASRR) for residents with a mental disorder and individuals with intellectual disability following identification of qualifying mental health diagnoses for three residents (Resident #36, Resident #102, and Resident #53) of 10 residents sampled for PASRRs.
- D 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.
Inspectors wroteBased on observations, interviews, and policy review, the facility failed to ensure resident rooms were maintained in a safe, sanitary, and homelike manner in three Zones (Zones 3, 6, and 8) out of eight facility Zones.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on interviews, record review, and policy review, the facility failed to ensure a written Notice of Transfer and/or Discharge Notice was issued in writing for one resident (Resident #94) of three residents reviewed for transfer/discharge process and failed to ensure a thirty (30) day Notice of Discharge was provided one resident (Resident #94) of three residents reviewed for transfer/discharge process.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review, observations, and interviews, the facility failed to ensure the comprehensive Minimum Data Set (MDS) Assessment was accurately coded for two residents (Resident #46 and Resident #38) of four residents sampled for accuracy of assessments.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure treatment and care for chronic conditions were provided in accordance with professional standards of practice and failed to complete timely and thorough assessments for one resident (Resident #36) of one resident reviewed for edema.
October 27, 2022Standard inspection · 0 citations
May 14, 2021Standard inspection · 7 citations
- 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.
Inspectors wroteBased on observation, interview, and record review the facility did not ensure a home like environment related to ensuring resident rooms, and handrails, used by residents for ambulation, were kept in good repair on two of two wings (East and West) for Rooms #9, #44 and # 50.
- E Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure seven Residents (#210, #54, #65, #83, #85, #212 and #8) utilizing bed rails consented prior to instillation of the bed rails. The facility failed to assess the resident's need for side rails and failed to ensure the safety of the side rails for one Resident, #210, and working order of the side rails for one Resident, #54, of 7 of 47 residents sampled. Findings Included: 1. During an interview with the DON on 5/13/21 at 3:08 p.m. she confirmed the residents side rails are assessed for need by the nurse on admission and they discuss them in the morning report. The DON confirmed they do not have a document that they use to assess the rails of each resident and do not have a consent for the side rails. [...]
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and policy review the facility failed to ensure kitchen food-contact equipment and serving utensils were stored clean and free of grime and debris. The food contact equipment and utensils are provided to residents residing on two of two facility wings. (East and West)
- E Have enough outside ventilation via a window or mechanical ventilation, or both.
Inspectors wroteBased on the sense of smell, interview and record review, the facility failed to maintain an environment free from odor on 1 of 2 (East wing) living units.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observations, interview and record review the facility failed to provide activities of daily living (ADL's) for 2 of 47 (#57, #74) sampled residents related to nail care for Resident #57 and bathing for Resident #74.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, record review and interview the facility failed to provide appropriate respiratory care for 4 of 47 (#13, #31, #93, #47) sampled residents
- 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.
Inspectors wroteBased on observation, interview and record review, the facility failed to follow their policy to appropriately store medications in one of five medication carts (East Wing); failed to lock one of five medication carts located in a high traffic area (Dementia Unit) and did not ensure medications were stored to prevent excess temperatures in One (West Wing Medication Room) of two medication rooms sampled.
Fire safety inspections
17 fire safety citations on file: 5 on December 19, 2024, 6 on October 27, 2022, 6 on May 14, 2021.
Every fire safety citation17 citations
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Install an approved automatic sprinkler system.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Have generator or other power source capable of supplying service within 10 seconds.
- F List the names and contact information of those in the facility.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Provide properly protected cooking facilities.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D Ensure proper usage of power strips and extension cords.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Florida | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.50 | 3.82 | 3.86 |
| Registered nurses | 0.54 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.27 | 3.49 | 3.42 |
| Nurse aides | 2.19 | ||
| Licensed practical nurses | 0.77 | ||
| Nursing staff turnover (share who left in a year) | 51.4% | 41.4% | 45.8% |
| Registered nurse turnover | 57.9% | 46.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.51 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.60 on weekdays and 3.27 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.48 in April to June 2025 to 3.50 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.50 | 0.54 | 3.60 | 3.27 | 0.0% | 0 of 90 | 109 |
| Oct to Dec 2025 | 3.41 | 0.47 | 3.50 | 3.18 | 1.9% | 0 of 92 | 112 |
| Jul to Sep 2025 | 3.33 | 0.47 | 3.39 | 3.19 | 4.7% | 0 of 92 | 115 |
| Apr to Jun 2025 | 3.48 | 0.56 | 3.58 | 3.24 | 3.3% | 0 of 91 | 115 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Florida, Jan to Mar 2026 | 3.76 | 0.70 | 3.90 | 3.44 | 1.1% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Florida | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 2.4 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.1 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.3 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.0 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.9 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.7 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.6 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.9 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.1 | 1.8 |
Owners and operators
Legal business name: ADVANCED NURSING AND REHAB LLC. CMS links this home to Gold Fl Trust II, a group of 36 nursing homes averaging 3.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Advanced Nursing Holdco LLC | 5% or greater direct ownership interest | Organization | 100% | 03/23/2022 |
| Fl Master Opco Holdco LLC | 5% or greater indirect ownership interest | Organization | 07/27/2022 | |
| Fl SNF Trust I | 5% or greater indirect ownership interest | Organization | 07/27/2022 | |
| Fl SNF Trust II | 5% or greater indirect ownership interest | Organization | 07/27/2022 | |
| Hibnick, Philip | W-2 managing employee | Individual | 07/27/2022 | |
| Garfinkel, Allan | Corporate officer | Individual | 07/27/2022 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on October 23, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on October 23, 2025: "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."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on October 23, 2025: "Provide doctor's orders for the resident's immediate care at the time the resident was admitted."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on October 23, 2025: "Ensure that residents are free from significant medication errors."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.27 hours per resident per day, below the Florida average of 3.49.
Other nursing homes nearby
- Harbourwood Post-Acute and Rehabilitation Center Clearwater, 0.8 mi · 1 of 5 stars · 37 citations
- Kensington Gardens Rehab and Nursing Center Clearwater, 1.7 mi · 1 of 5 stars · 41 citations
- Regency Oaks Health Center Clearwater, 1.8 mi · 2 of 5 stars · 16 citations
- Aviata at Sand Key Clearwater, 2.3 mi · 2 of 5 stars · 34 citations
- Aviata at the Harbor Safety Harbor, 3 mi · 2 of 5 stars · 29 citations
- Highland Pines Rehabilitation Center Clearwater, 3.3 mi · 1 of 5 stars · 37 citations
- Clearwater Center Clearwater, 3.7 mi · 1 of 5 stars · 22 citations
- East Bay Rehabilitation Center Clearwater, 3.9 mi · 4 of 5 stars · 12 citations
Florida contacts for a concern about a nursing home
These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Florida Agency for Health Care Administration, Long Term Care Services Unit, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Florida Long-Term Care Ombudsman Program, 1-888-831-0404. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: FloridaHealthFinder, where Florida publishes its own records on licensed homes.
Common questions
- What is Advanced Care Center's Medicare star rating?
- CMS rates Advanced Care Center 4 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Advanced Care Center get at its last inspection?
- 6 health deficiencies at the standard inspection on December 19, 2024. The Florida average is 7.1.
- Has Advanced Care Center been fined?
- CMS lists no fines in the last three years.
- Does Advanced Care Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Advanced Care Center?
- CMS lists 6 owners and managers, and links the home to Gold Fl Trust II. Legal business name: ADVANCED NURSING AND REHAB LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.