Palm Garden Of Gainesville

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

57.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 373 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 56.1% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 189 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.38 therapist hours per resident per day in 2026Q1 — more than 66% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 22% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 150 beds and averages 138.6 residents a day — about 92% occupied, or roughly 11 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.64 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.37 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.22 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.39 hrs/resident/day on weekends vs 3.74 on weekdays — 9% thinner on weekends. RN hours go from 0.46 to 0.14 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 63% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

27 citations, most serious first. The 10 most serious are shown; the remaining 17 are one tap away and print in full.

• Potential for harm · Ecited before2025-05-30 · tag F0842 — failed to keep accurate, complete medical records — pattern
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to maintain complete and accurately documented medical records for 5 of 8 residents, Residents #28, #32, #62, #97, and #119 reviewed for medication management, 2 of 6 residents, Residents #99 and #111 reviewed for mood and behavior, 1 of 3 residents, Resident #103 reviewed for intravenous therapy, and 1 of 3 residents, Resident #136, reviewed for discharge. Findings include: 1) Review of Resident #97's physician order dated 5/5/2025 read, Basaglar Kwikpen Solution Pen-Injector 100 UNIT/ML [milliliter] [insulin Glargine] inject 10 unit subcutaneously in the morning for diabetes. Review of Resident #97's physician order dated 5/5/2025 read, Insulin Lispro [NAME] KwiwPen Subcutaneous solution Pen-Injector 100 UNIT/ML [Insulin Lispro] inject as per sliding scale: If 0-150= 0 units, 151-200=2 units, 201-250= 4 units, 251-300= 6 units, 301-350=6 units, 351-400=10 units; 401+ Notify MD [Medical Doctor] subcutaneously before meals for diabetes.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-30 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview the facility failed to ensure a recapitulation summary was documented for 1 of 3 residents, Resident #136, reviewed for discharge. Findings include: Review of resident #136's medical record did not contain documentation of the recapitulation of stay for the resident. During an interview on 5/30/25 at approximately 10:00 AM Staff L, LPN (Licensed Practical Nurse) on the Short Term Rehabilitation hall stated, Once an order is obtained in the chart for discharge, Social Services starts the process of filling out a Discharge Summary/Recapitulation packet for the resident's discharge. This packet goes home with the resident/representative and a copy goes to medical records. The packet is signed and dated by the resident/responsible party and staff member. A copy will go to Medical Records. During interview on 5/30/25 at approximately 10:30 AM Staff K, Health Information Specialist stated, I am unable to locate a copy of [Resident #136's name] discharge summary. Review of the policy and procedure titled, Policy Transfer and Discharge Effective date:…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-30 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record reviews the facility failed to ensure accurate Minimum Data Set (MDS) assessments for 3 of 8 residents, Residents #73, #103, and #87, reviewed for MDS assessments. Findings include: 1) Review of Resident #73's physician order dated 5/3/2025 read, NPO [Nothing by Mouth] diet, Not applicable texture, NPO consistency. Review of Resident #73's speech therapy evaluation dated 5/8/2025 read Clinical Bedside Assessment of Swallowing: Dysphagia: Pt [patient] requiring suctioning of oral secretions. Unable to elicit volitional or reflexive swallow. At this time, not appropriate for PO [oral] trials due to poor oral manipulation, control of ability to initiate a swallow. Review of Resident #73's MDS admission dated 5/9/2025 read Section K0100. Swallowing Disorder, Check all that apply. No areas under this section were marked to acknowledge Resident #73 suffered a swallowing disorder. Review of Resident #73's physician order dated 5/5/2025 read provide suction every 1 hours as needed for retained oral secretions 5/5/2025. Review of Resident #73's…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-30 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interviews and record review, the facility failed to comply with the development and implementation of a comprehensive care plan regarding suctioning in 1 out of 3 residents. Resident #73. Findings include: Review of Resident #73's physician order dated 5/5/2025 showed to read provide suction every 1 hours as needed for retained oral secretions 5/5/2025. Review of Resident #73's electronic medical record dated 5/3/2025, by Advanced Practitioner Registered Nurse #1 showed to read Order placed for bedside suction per daughter's request. During an interview on 5/29/2025 at 11:00 AM, Staff B, Licensed Practical Nurse/Minimum Data Set Coordinator, (LPN/MDS) stated if he [Resident #73] was receiving suctioning, it should have been care planned. During an interview on 5/29/2025 at 2:00pm, the Director of Nursing stated I expect the MDS' [Minimum Data Set] and care plans to be accurate and complete.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-30 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure residents who were unable to carry out activities of daily living received the necessary services to maintain appropriate grooming and personal hygiene for 1 of 3 residents, Resident #61, reviewed for Activities of Daily Living. Findings include: During an interview on 05/27/25 at 11:47 AM, Resident #61 stated, My shower days are Tuesdays, Thursdays, and Saturdays, but that I'm lucky to get a shower once a week. My preference is to have showers on my scheduled shower days. Review of Resident #61's Task List documentation for the period of 5/1/25 through 5/29/25 documented Resident #61 received showers on 5/1/25, 5/24/25, and 5/29/25, with no documentation of other bath or shower provided for the 30 days. During an interview on 5/30/25 at 9:05 AM Staff U, CNA (Certified Nursing Assistant) stated, We try to get each resident up and to the shower at least once a week. I'm not sure how often [Resident #61's name] receives a shower. We are supposed to document it in POC and in the shower book when the resident is bathed.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-30 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure treatment and care was provided in accordance with professional standards of practice for a central venous catheter for 1 of 3 residents, Resident #103, observed for intravenous (IV) catheter care and medication administration practices. Findings include: During an observation on 5/27/25 at 2:11 PM, Resident #103 had a dual lumen, central venous catheter in his right upper chest with a dressing dated 5/1/25. The catheter insertion site was visible, the dressing was clean, dry, and intact. (Photographic evidence obtained) During an interview on 5/27/25 at 2:11 PM, Resident #103 stated, The last time I was in the hospital they put in the catheter for antibiotics. Since I've returned to the facility, a nurse had said that the dressing needed to be changed, but the dressing has not been changed. Review of Resident #103's medical record documented the resident was most recently admitted on [DATE] with medical diagnosis to include…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-30 · tag F0756 — failed to review each resident's drug regimen — isolated
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  2) Review of Resident #62 Omnicare Consultation Report dated 4/18/2025 read, Recommendation: Please attempt a gradual dose reduction to Abilify 1 mg once daily. The consultation report did not have a physician signature, or a rationale only documented MD [Medical Doctor] refused. Review of Resident #62 physician order dated 4/17/2025 read, Aripiprazole Tablet 2 mg give 1 tablet by mouth in the morning for depression. During an interview on 5/29/2025 at 3:53 PM Medical Doctor #1 stated, [Resident #62's name] has severe depression and is doing fairly well with the medication. After talking to the resident, we decided to keep the medication. Sometimes the facility requires a rationale, but it is typically more complicated. Usually, the nurses will drop the recommendation in my book, and I will review them. During an interview on 5/30/2025 at 2:51 PM the Director of Nursing stated, [Resident #62 name] consultation report should have been signed and a rationale should have been provided. Based on interview and record review, the facility failed to ensure documentation of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-30 · tag F0761 — failed to label and store drugs safely — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to ensure drugs and biologicals used in the facility were stored in accordance with currently accepted professional principle for 1 of 3 hallways reviewed for secured medication. Findings include: 1) During an observation on 5/27/2025 at 10:17 AM of Resident #71 it showed the resident was lying in bed. CeraVe itch relief moisturizing cream, vapor rub, Benadryl extra strength cream, and arthritis cream which contained 10% Trolamine Salicylate was on top of the nightstand. (Photographic evidence obtained) Review of Resident #71's medical record did not document an order or an assessment the resident was safe to self-administer medications. 2) During an observation on 5/27/2025 at 10:28 AM of Resident #53 it showed the resident was lying in bed. Nystatin Cream was observed on top of the nightstand. (Photographic evidence obtained) Review of Resident #53's medical record did not document an order or an assessment the resident was safe to self-administer medications. 3) During an observation on 5/27/2025 at 10:41 AM…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-30 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to maintain appropriate infection prevention and control practices during medication administration for 2 of 15 residents, Residents #78 and #338) reviewed for medication administration practices, and failed to ensure appropriate infection control barriers were applied for residents with orders for isolation for 1 of 2 residents, Resident #129, reviewed for infection control. Findings include: 1) During an observation on 5/29/25 at 11:09 AM, Staff D, Licensed Practical Nurse (LPN), donned gloves, and cleaned Resident #78's glucometer. After cleaning the glucometer, and removing her gloves, she dropped the gloves on the ground, picked them up and disposed of them. Staff D then donned a new pair of gloves, without performing hand hygiene, and removed Resident #78's insulin pen [a device used to administer insulin injections] from the medication cart and then removed and disposed of her gloves. Staff D donned a new pair of gloves without performing hand hygiene and entered Resident #78's room and performed a finger…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-12-27 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to prevent the possible spread of infection when failing to perform hand hygiene or use appropriate personal protective equipment (PPE) when performing care for 1 (Resident #1) of 3 residents on Enhanced Barrier Precautions. Findings include: Review of the admission record for Resident #1 documented the resident was readmitted to the facility on [DATE] with diagnoses including a pressure ulcer of the sacral region, Stage 4 [a wound on the lower back that extends through all layers of skin, exposing underlying muscle, tendons, and bone and requires extensive and prolonged treatment], schizophrenia [a disorder that affects a person's ability to think, feel, and behave clearly], major depressive disorder, difficulty in walking, and urinary tract infection. Review of the physician's order dated 11/12/2024 for Resident #1 read, Enhanced Barrier Precautions - Wound/Catheter every shift for Stage 4/catheter. Review of the physician's order dated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to PALM GARDEN HEALTH AND REHABILITATION — 14 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 19 rows in the source record cover these 13 parties — each is shown once here with every role it holds. Nothing is omitted.

7 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $3.6M paid to related parties — landlords or management companies under common ownership — equal to about 21% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in FL