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Westchester Gardens Health & Rehabilitation

3301 N McMullen Booth Rd, Clearwater, FL 33761 · Pinellas County · (727) 785-8335

120 certified beds, about 110 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1989

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 105654 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 5, 2025, inspectors cited 8 health deficiencies (the Florida average is 7.1, the national average 9.2).

None of its 14 health citations since June 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 3.92 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.70 of those hours.

45.0% of nursing staff left within the year CMS measured (Florida average 41.4%).

CMS links it to The Goodman Group, an affiliated group of 9 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.

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 14 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
3E
0F
Potential for minimal harm
0A
0B
0C
December 3, 2025Complaint inspection · 1 citation
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 3, 2026
    Inspectors wroteBased on interviews and record reviews, the facility failed to implement the ordered interventions to alleviate pressure to the heels for one resident (#1) out of three reviewed for following wound care provider orders.
June 5, 2025Standard inspection · 8 citations
  1. E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 5, 2025
    Inspectors wroteBased on interview and record review, the facility failed to maintain an accurate medical record for medication and transmission-based precautions for one resident (#451) of 36 sampled residents on five of five days reviewed involving five nurses on three different shifts.
  2. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 5, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure proper hand hygiene during meal service in four halls (200, 300, 400 and 500 hall of six halls observed, and for nine residents (#3, #60, #452, #448, #96, #76, #1, #58 and #43) of 36 residents sampled. 2) The facility failed to implement their infection prevention and control plan by failing to provide evidence of process surveillance of staff practices directly related to resident care. 3) The facility failed to properly use enhanced barrier precautions (EBP) for one resident (#19) of two residents observed for EBP with indwelling medical devices. 4) The facility failed to properly disinfect a multi-use blood glucometer for two staff members observed during medication administration (Staff members O, Licensed Practical Nurse (LPN) and P, Registered Nurse (RN)) of five staff observed. [...]
  3. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 5, 2025
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure residents received a dignified dining experience in two halls (200 and 300) of six halls toured and for three residents (#1, #58 and #43) of 36 residents sampled.
  4. 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 5, 2025
    Inspectors wroteBased on observations, staff interviews, and facility policy review, it was determined that the facility failed to ensure five resident room bathrooms out of ten resident room bathrooms toured on the 400 hallway of the facility's Queen's Way resident unit were maintained in a clean, homelike environment. (Photographic evidence obtained.)
  5. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 5, 2025
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide necessary services to maintain grooming and personal hygiene for one resident (#49) out of four residents sampled for grooming and personal hygiene services.
  6. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 5, 2025
    Inspectors wroteBased on observations interview and record review, the facility failed to ensure continuous oxygen therapy was provided per physician orders, and failed to ensure respiratory equipment was stored appropriately for one resident (#76) of one resident sampled.
  7. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 5, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure one resident (#59) of three sampled residents who require wound care were provided with pain management services and staff accurately assessed for the presence of pain.
  8. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 5, 2025
    Inspectors wroteBased on observations interviews and record review, the facility did not ensure medications were inaccessible to unauthorized staff, residents, and visitors for three residents (#37 #86, and #76) of 36 sampled residents.
April 6, 2023Standard inspection · 1 citation
  1. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 1, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow care plan interventions related to fall mat placement for two of four observations made during a four-day survey, for one (Resident #12) of three residents reviewed for falls.
June 25, 2021Standard inspection · 4 citations
  1. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 25, 2021
    Inspectors wroteBased on observations, interviews, and record review the facility failed to appropriately secure medications in four medication carts (100,200,400 and 500 Halls) of five medication carts sampled.
  2. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 25, 2021
    Inspectors wroteBased on record reviews and interviews the facility failed to provide the Office of the State Long-Term Care Ombudsman with a written notice of the hospital transfers for two (#63 and #105) out of two residents reviewed for hospitalizations.
  3. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 25, 2021
    Inspectors wroteBased on observations, record review and staff interview the facility failed to ensure care plan interventions were properly implemented for two (#65 and #305) of six residents sampled for care planning
  4. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 25, 2021
    Inspectors wroteBased on observation, interview and record review, the facility did not ensure that the medication error rate was below 5.00%. A total of twenty-seven medications were observed administered and two errors were identified for one (1) (Resident #103) of three (3) residents observed. These errors constituted a medication error rate of 7.41 percent.

Fire safety inspections

1 fire safety citation on file: 1 on April 6, 2023.

Every fire safety citation1 citation
  1. C
    Ensure proper usage of power strips and extension cords.
    K 920 · April 6, 2023 · Corrected (the home has a date of correction)

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.

MeasureThis homeFloridaUnited States
All nursing staff (RN, LPN and aides)3.923.823.86
Registered nurses0.700.730.69
All nursing staff on weekends3.523.493.42
Nurse aides2.35
Licensed practical nurses0.87
Nursing staff turnover (share who left in a year)45.0%41.4%45.8%
Registered nurse turnover47.6%46.0%42.9%
Administrators who left1

CMS expects 3.87 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 4.08 on weekdays and 3.52 on weekends, 14% 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 3.90 in April to June 2025 to 3.92 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.920.704.083.52 0.0%0 of 90110
Oct to Dec 20253.740.643.903.33 0.0%0 of 92113
Jul to Sep 20253.920.814.103.46 0.0%0 of 92111
Apr to Jun 20253.900.914.073.48 0.0%0 of 91112
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Florida, Jan to Mar 20263.760.703.903.441.1%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.

MeasureThis homeFloridaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
10.18.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.40.71.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.02.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.51.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
19.69.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.54.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
5.18.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
37.426.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
9.49.112.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.92.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.01.11.8

Owners and operators

Legal business name: WESTCHESTER GARDENS LIMITED PARTNERSHIP. CMS links this home to The Goodman Group, a group of 9 nursing homes averaging 3.4 stars overall.

NameRoleTypeShareSince
Westchester Gardens Limited Partnership5% or greater direct ownership interestOrganization100%11/17/1989
Beverly N. Grossman Revocable Trust5% or greater indirect ownership interestOrganization05/01/2015
John B. Goodman 2006 Irrv Grantor Tr5% or greater indirect ownership interestOrganization02/28/2017
South Dakota Trust Company, LLC5% or greater indirect ownership interestOrganization02/28/2017
The Goodman Group Properties LLC5% or greater indirect ownership interestOrganization12/31/2006
Werner Ventures Limited Partnership5% or greater indirect ownership interestOrganization11/17/1989
Benson, Randall5% or greater indirect ownership interestIndividual02/28/2017
Salmen, Thomas5% or greater indirect ownership interestIndividual02/28/2017
Weichert, James5% or greater indirect ownership interestIndividual02/28/2017
Wilson, Mark5% or greater indirect ownership interestIndividual02/28/2017
Weichert, JamesCorporate directorIndividual10/21/2016
Benson, RandallCorporate officerIndividual06/26/2016
Edinger, CraigCorporate officerIndividual10/21/2016
Knacke, ClintonCorporate officerIndividual10/12/2022
Olson, DeniseCorporate officerIndividual09/16/2013
Chavez, AllisonOperational/managerial controlIndividual06/11/2026
Ray, ScottOperational/managerial controlIndividual03/31/2025
Jbge Westchester IncGeneral partnership interestOrganization06/17/2003
John B. Goodman 2006 Irrv Grantor TrGeneral partnership interestOrganization02/28/2017
South Dakota Trust Company, LLCGeneral partnership interestOrganization02/28/2017
Benson, RandallGeneral partnership interestIndividual02/28/2017
Salmen, ThomasGeneral partnership interestIndividual02/28/2017
Weichert, JamesGeneral partnership interestIndividual02/28/2017
Wilson, MarkGeneral partnership interestIndividual02/28/2017
Beverly N. Grossman Revocable TrustLimited partnership interestOrganization05/01/2015
John B. Goodman 2006 Irrv Grantor TrLimited partnership interestOrganization02/28/2017
South Dakota Trust Company, LLCLimited partnership interestOrganization02/28/2017
The Goodman Group Properties LLCLimited partnership interestOrganization12/31/2006
Werner Ventures Limited PartnershipLimited partnership interestOrganization11/17/1989
Benson, RandallLimited partnership interestIndividual02/28/2017
Salmen, ThomasLimited partnership interestIndividual02/28/2017
Weichert, JamesLimited partnership interestIndividual02/28/2017
Wilson, MarkLimited partnership interestIndividual02/28/2017
Chavez, AllisonAdp of the SNFIndividual06/11/2026
Ray, ScottAdp of the SNFIndividual07/15/2026

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on December 3, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on June 5, 2025: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on June 5, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on June 5, 2025: "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."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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Common questions

What is Westchester Gardens Health & Rehabilitation's Medicare star rating?
CMS rates Westchester Gardens Health & Rehabilitation 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 Westchester Gardens Health & Rehabilitation get at its last inspection?
8 health deficiencies at the standard inspection on June 5, 2025. The Florida average is 7.1.
Has Westchester Gardens Health & Rehabilitation been fined?
CMS lists no fines in the last three years.
Does Westchester Gardens Health & Rehabilitation 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 Westchester Gardens Health & Rehabilitation?
CMS lists 35 owners and managers, and links the home to The Goodman Group. Legal business name: WESTCHESTER GARDENS LIMITED PARTNERSHIP.

Sources

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