Palm Garden Of Sun City

Location & what’s nearby

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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.

58.1% 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 436 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 52.9% 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 172 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 0.39 therapist hours per resident per day in 2026Q1 — more than 68% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% 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 132 beds and averages 119.5 residents a day — about 91% occupied, or roughly 12 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 3.73 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.52 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.19 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 3.37 hrs/resident/day on weekends vs 3.88 on weekdays — 13% thinner on weekends. RN hours go from 0.63 to 0.26 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 43% is about the same as the national median of 45%. 1 administrator has left in the past year.

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.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

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.

20 citations, most serious first. The 13 most serious are shown; the remaining 7 are one tap away and print in full.

• Actual harm · Gcited before2025-05-06 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 interviews, record review, and policy review, the facility failed to protect the resident's right to be free from neglect related to not ensuring a safe transfer from a wheelchair to a bed for one resident (Resident #2) of three sampled residents requiring staff assistance with a mechanical lift for transfers. This failure created a situation where the resident fell from the mechanical lift to the floor, causing injuries resulting in transfer to a higher level of care for treatment. Findings included: Review of Resident #2's nurse progress notes dated 4/22/2025 at 6:23 p.m. and authored by Staff A, Licensed Practical Nurse (LPN), revealed the following Nursing Note: Writer was notified by [Certified Nursing Assistant] CNA that [Resident #2] was on floor. CNA came and informed me that another CNA stated she couldn't reach to hook sling up and when said CNA went to raise [name brand of full body mechanical lift], she didn't know that she wasn't hooked up properly and resident fell out of sling. Upon…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-09-10 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record review the facility failed to protect the right to be free from neglect related to pain management, contracture management, activities of daily living (ADL) care, and seating systems for one resident (#91) out of 38 total sampled residents. Findings included: On 9/7/24 at 3:31 p.m., Resident #91 was lying in bed with bilateral upper extremities contracted. No palm guards or splints were observed on the resident or in the room. No wheelchair or seating system was observed in the room. Her fingernails extended approximately ½ inch past the tips of her fingers with debris underneath and she had hair growth on her chin. The resident stated she didn't know if the staff could clip her nails, but she would like them shorter. (Photographic evidence obtained with resident consent). Review of the admission Record showed Resident #91 was admitted in April of 2024 with diagnoses to include nontraumatic intracerebral hemorrhage, moyamoya disease, adult failure to thrive, unspecified dementia moderate without behavioral/psychotic/or mood disturbance,…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-09-10 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record review the facility failed to ensure pain was managed for one resident (#91) out of three residents reviewed for pain out of a total sample of 38 residents. Findings included: On 9/7/24 at 3:31 p.m., Resident #91 lying in bed with bilateral upper extremities contracted. No palm guards or splints were observed on the resident or in the room. No wheelchair or seating system was observed in the room. Her fingernails extended approximately ½ inch past the tips of her fingers with debris underneath. The resident stated she didn't know if the staff could clip her nails, but she would like them shorter. (Photographic evidence obtained with resident consent). On 9/8/24 at 1:44 p.m., Resident #91 was lying flat in her bed with a left tilt. The resident was quiet while lying still. When she attempted to move her right hand and arm, she screamed out. The resident said she was in pain and needed something. When asked if she had any splints, guards, or anything for her contracted hands, she said she did not but would like something to help. The…

  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 before2026-06-18 · tag F0585 — failed to handle grievances — isolated
  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.
  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 interviews and record review, the facility failed to investigate and work to resolve complaints/grievances related to allegations of poor staff treatment for one resident (#1) out of three residents sampled. Findings included:On 6/18/2026 at 11:00 a.m. a telephone interview with Resident #1's Power of Attorney (POA) revealed during the course of Resident #1's stay, she had verbalized complaints/grievances to staff with regards to the way staff were speaking to her and Resident #1. Resident #1's POA stated Resident #1 was at the facility for approximately eight days from 5/20/2026 through 5/28/2026. Resident #1's POA stated she had concerns with staff at the facility not following up with laboratory orders in a timely manner and staff speaking to her and Resident #1 in an undignified manner. Resident #1's POA stated on 5/26/2026 she had been spoken to in an unprofessional manner by Licensed Practical Nurse (LPN) Staff A. Resident #1's POA stated Staff A told her to take Resident #1's ass out from bed so…

  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 plan of correction
• Potential for harm · Dcited before2026-03-18 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  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 record review and interviews, the facility failed to ensure a resident was free from a fall during incontinent care for 1 of 3 resident sampled (#3) who required 2-person assistance for bed mobility. Findings Include: Review of an admission record dated [DATE] showed Resident # 3 was admitted to the facility originally on [DATE] and readmitted on [DATE] with diagnoses to include but not limited to other abnormalities of gait and mobility, other lack of coordination, acquired absence of right and left leg above knee. Review of a change in condition dated [DATE] showed Resident # 3 had a change in condition due to a fall. Resident has a small skin tear to forehead. Transferred to bed facility protocol initiated.On [DATE] at 10:44 AM. an interview was conducted with Staff A, License Practical Nurse, LPN. Staff A stated she has worked at the facility for 20 years. She had just come on to her shift when Staff B asked her to come to the room because Resident # 3 was on the floor. Staff A stated she assessed…

  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 · Fcited before2024-09-10 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  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 dietary staff were wearing hair nets, temperature logs were completed, and food items were labeled, dated, and stored according to professional standards for food safety services in one of one kitchen, one of one dining room, one of two nourishment rooms, and one of one activity room. Findings included: On 09/07/24 at 9:07 a.m., Staff A, Dietary Aide (DA) had no hairnet on while in the kitchen area. Immediate interview with Staff A, Dietary Aide (DA) revealed staff are required to wear hairnets while in the kitchen area. I just forgot to put a hairnet on this morning. On 09/07/24 at 9:11 a.m., a box of bananas was stored on the floor in the dry storage area. On 09/07/24 at 9:16 a.m., the walk-in refrigerator had: three bags of green leafy vegetables and three bags of green beans that were not labeled or dated, and two food items that had other food items stored on top of them breaking the seal and exposing the food items. On 09/07/24 at 9:24 a.m., a Refrigerator and Freezer Temperature Log hanging on…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-09-10 · tag F0645 — pattern
  PASARR screening for Mental disorders or Intellectual Disabilities
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 2. Review of the admission Record showed Resident #15 was admitted on [DATE] and re-admitted on [DATE] with diagnoses including post-traumatic stress disorder, bipolar disorder, unspecified dementia, major depressive disorder, and unspecified mood (affective) disorder. Review of Resident #15's PASRR Level I Screen, dated 6/5/24, indicated anxiety disorder, bipolar disorder, and depressive disorder. Section II, #7 indicated No to the question asking if the resident had dementia. 3. Review of the admission Record showed Resident #59 was admitted on [DATE] and re-admitted on [DATE] with diagnoses including anxiety disorder, major depressive disorder, and adjustment disorder with mixed anxiety and depressed mood. Review of Resident #59's PASRR Level I Screen, dated 6/15/22, did not indicate any mental illness or suspected mental illness. No updated PASRR was present in the resident's medical record. Based on record review and interview, the facility failed to complete accurate Preadmission Screening and Resident…

  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 · E2024-09-10 · tag F0761 — failed to label and store drugs safely — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility did not ensure medications were stored properly on two out of three units and in three out of three medication carts. Findings included: On 9/7/24 at 10:49 a.m., pills in a medication cup were on the bedside table in room [ROOM NUMBER] D. On 9/7/24 at 10:56 a.m., a pill in a medication cup was on the bedside table in room [ROOM NUMBER]. An interview was conducted on 9/8/24 at 9:19 a.m. with Staff R, Registered Nurse (RN). Staff R confirmed she was assigned to room [ROOM NUMBER] and 165 on 9/7/24. She said nurses should stay with the resident until they swallow of their medication. She said the pills in the room on 9/7/24 must have got by me. An audit and interview was conducted on 9/10/24 at 9:42 a.m. of a west unit medication cart with Staff L, Licensed Practical Nurse (LPN). The medication cart drawers contained a total of 4 loose pills. One drawer contained a bottle of Acetaminophen suppository's that expired in June of 2024 and a bottle 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 · Ecited before2024-09-10 · tag F0880 — failed to prevent and control infections — pattern
  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 did not ensure proper infection control practices in two out of three units related to incorrect transmission-based precaution signs, lack of hand hygiene during tray pass, improper storage of respiratory masks, and improper personal protective equipment (PPE) usage. Findings included: On 9/7/24 at 10:56 a.m., a respiratory mask sitting on a bedside table uncovered for Resident #210. The mask remained uncovered throughout the day on 9/7/24 and 9/8/24. On 9/7/24 at 12:09 p.m., a respiratory mask sitting out uncovered in room [ROOM NUMBER]. The mask remained uncovered throughout the day on 9/7/24 and 9/8/24. On 9/7/24 at 11:03 a.m. and 9/8/24 at 1:42 p.m., Resident #210's room had no isolation precaution signage posted. On 9/9/24 at 2:29 p.m., a contact precautions sign was present on Resident #210's door. Review of the admission Record showed Resident #210 was admitted on [DATE] with diagnoses including pulmonary disease, breast cancer, liver cancer,…

  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 · D2024-09-10 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  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 dignity was maintained for one (Resident #257) out of three residents reviewed for dignity out of a total resident sample of 38. Findings included: During an interview on 09/07/2024 at 10:38 AM Resident #257 stated, I had to sleep on an unmade bed last night. Resident #257 said I needed to use the bathroom, but the urinal was almost full, and had not been emptied from earlier. I pushed the call light, but they did not come quick enough. I had to go. I used the almost full urinal. Of course, it spilled. When the Certified Nursing Assistant (CNA) came in, she had an attitude and said now she would have to shower me. I told her she was crazy. It's 4:30 AM, I want to go back to bed. Resident #257 stated the CNA stripped the bed and never came back. I got my clothes on, with a big sweater and went back to bed as she never came back to make the bed. When my morning CNA came in she said, what are you doing on the mattress. During an interview on 09/07/2024 at 10:45 AM Resident #257's roommate confirmed the events that had…

  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 · Dcited before2024-09-10 · 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 — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview the facility failed to develop a care plan for splint management and impaired vision for two residents (#9 and #59) out of 38 sampled residents. Findings included: 1. On 09/07/24 at 1:00 p.m., Resident #9 was lying in bed with a cream-colored palm guard that laid on the bedside table. During an interview on 09/07/24 at 1:00 p.m. Resident # 9 stated I am supposed to wear it (referring to the palm guard) at all the times. Resident #9 stated staff took it off, and I cannot get it back on myself without help. On 09/08/24 at 10:03 a.m., the cream-colored palm guard laid on the bedside table while Resident #9 rested in bed. On 09/08/24 at 1:40 p.m., the cream-colored palm guard laid on the bedside table while Resident #9 watched television in bed. During an interview on 09/08/24 at 1:40 p.m. Resident #9 stated no one put the palm guard on me today. Review of the admission Record showed Resident #9 was admitted to the facility in February of 2024 with diagnoses to…

  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 · D2024-09-10 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  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 one resident (#9) out of four residents reviewed for orthotic devices received physician ordered splint management for prevention and worsening of a contracture. Findings included: On 09/07/24 at 1:00 p.m. Resident #9 laid in bed with a cream-colored palm guard on the bedside table. During an interview on 09/07/24 at 1:00 p.m., Resident # 9 stated I am supposed to wear the palm guard at all the times. Resident #9 stated staff took it off, and I cannot get it back on myself without help. On 09/08/24 at 10:03 a.m., the cream-colored palm guard laid on the bedside table while Resident #9 rested in bed. On 09/08/24 at 1:40 p.m., the cream-colored palm guard laid on the bedside table while Resident #9 watched television in bed. During an interview on 09/08/24 at 1:40 p.m., Resident # 9 stated no one had put the palm guard on me today. Review of the admission Record showed Resident #9 was admitted to the facility in February 2024 with…

  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 · D2024-09-10 · tag F0803 — failed to meet residents' dietary needs — isolated
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  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 observations, record review, and interview, the facility failed to provide a well-balanced special diet for one of two residents (Resident # 25) reviewed for special diets. Findings included: On 09/07/24 at 12:34 p.m., Resident #25's lunch tray revealed the resident was on a vegetarian diet, prefers fish, and was on a select menu. A select menu allows the resident to select/checkmark in advance the items they want served from the meal options offered. On 09/10/24 at 12:45 p.m., Resident #25's lunch tray was observed. The select menu sheet on the meal tray had a checkmark with blue ink for seasoned pasta. Interview with Resident #25 during the observation confirmed the blue checkmarks and handwriting was completed by the resident. The seasoned pasta selected by the resident had a black ink line through it/striking out the item selected. The resident confirmed the black ink markings were done by facility staff. No seasoned pasta was observed on the tray, and a review of the meal options offered revealed…

  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.

  Nutrition and Dietary 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

$85,965 in federal fines across 4 penalties.

• $68,880 — penalty dated 2025-05-06
• $4,085 — penalty dated 2024-09-10
• $4,846 — penalty dated 2024-09-10
• $8,154 — penalty dated 2024-09-10

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

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 $3.7M paid to related parties — landlords or management companies under common ownership — equal to about 24% 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