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Palm Garden Of West Palm Beach

300 Executive Center Drive, West Palm Beach, FL 33401 · For profit - Limited Liability company · 176 certified beds · (561) 471-5566 Medicare & Medicaid certified

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1 immediate-jeopardy citation$16,153 in federal fines
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • inspectors cited 1 immediate-jeopardy problem — the most serious level
  • a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $16,153 in federal fines (most recent 2025-04-24)
  • about 22% of its spending goes to commonly-owned related companies
  • its last standard health inspection was over 2 years ago — the star rating may not reflect current conditions

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
219 Baker Dr · (561) 891-1236 · Call to confirm hours
Pharmacy
1027 N Florida Mango Rd Ste 7 · (561) 712-4900 · Call to confirm hours
Grocery
Aldi0.7 mi
2481 Okeechobee Blvd · (855) 955-2534 · Call to confirm hours
Park
Place of worship
215 S Congress Ave · (561) 683-8811

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

Overall quality measures 4 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 3 of 5

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.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 4 to 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased9.3%8.7%15.4%better
Long-stay residents who lose too much weight5.3%5.5%5.4%typical
Long-stay residents with a catheter left in their bladder0.5%0.3%0.9%worse than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.2%0.7%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms0.2%4.6%6.5%better
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury0.8%2.5%3.3%better
Long-stay residents whose ability to walk worsened8.9%9.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication15.8%14.4%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%99.2%95.3%typical
Long-stay residents with pressure ulcers5.1%4.5%4.7%typical
Long-stay residents with worsening bladder/bowel control22.3%10.5%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table4.6%8.6%17.1%better
Short-stay residents who newly got an antipsychotic medication1.9%1.5%1.4%worse
Short-stay residents given the seasonal flu vaccine88.1%94.7%79.4%better
Short-stay residents rehospitalized after admission24.6%26.1%22.6%typical
Short-stay residents with an outpatient ER visit9.8%9.1%12.0%better
Long-stay hospitalizations per 1,000 resident days3.822.131.67worse
Long-stay outpatient ER visits per 1,000 resident days2.311.151.80worse

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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.

52.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 186 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

52.9%U.S. median 51.5%
Got home and stayed home
10.3%U.S. median 10.7%
Went back to hospital
60.4%U.S. median 56.6%
Met the expected recovery
0.26U.S. median 0.31
Therapy hours / resident / day
0.17hours / resident / day
Physical therapy
0.06hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Met the expected recovery: 60.4% 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 91 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 0.26 therapist hours per resident per day in 2026Q1 — more than 38% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 25% 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF52.9%CMS range 44.4–59.751.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.3%CMS range 7.4–13.610.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge60.4%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge68.1%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge40.7%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified86.4%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting95.8%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge90.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay1.1%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened3.4%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.5%CMS range 4.8–13.17.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.061.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.56
RN hours/ resident / day
0.82
LPN hours/ resident / day
2.15
Aide hours/ resident / day
3.53
Total nurse hours/ resident / day
0.44
RN hoursweekends
38.0%
Total nursing turnover
55.2%
RN turnover

How full it usually is: this home is certified for 176 beds and averages 149.7 residents a day — about 85% occupied, or roughly 26 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 3.53 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.56 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.15 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 3.22 hrs/resident/day on weekends vs 3.65 on weekdays — 12% thinner on weekends. RN hours go from 0.60 to 0.44 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 38% 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

4
deficiencies at the latest standard inspection (2024-04-18)
7
at the previous standard inspection (2023-01-26)

Deficiencies are fewer than at the previous inspection — improving. 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.

ABCDEFGHIJKL

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 11 most serious are shown; the remaining 9 are one tap away and print in full.

  • Immediate jeopardy · J2025-04-24 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    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, interview, policy review, and surveillance camera review, the facility failed to ensure a resident's advance directive choices were honored for a resident's expressed wishes for a Do Not Resuscitate (DNR) order for 1 of 4 sampled residents reviewed for DNR status (Resident #1). The deficient practice caused Resident #1 to have likely suffered serious psychological harm by the facility's attempt to be resuscitated against his wishes. Resident #1 could not express his reaction to this event; therefore, the reasonable person concept was applied. Additionally, there was a likelihood that Resident #1 experienced severe physical pain; broken ribs; broken sternum and bleeding in the chest area from the resuscitation efforts (https://pubmed.ncbi.nlm.nih.gov/38206442/). The facility staff did not follow their procedure to verify code status prior to initiating CPR. These actions resulted in the identification of Immediate Jeopardy. The facility administrator was informed of the Immediate Jeopardy…

    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 · D2025-12-29 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    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 reviews and interviews, the facility failed to ensure care and services to prevent pressure ulcers, as evidenced by no interventions ordered or in place to prevent, 1 of 3 sampled residents, Resident #3, from acquiring pressure ulcers. The findings included:Record review revealed Resident #3 was readmitted to the facility on [DATE]. Review of the admission assessment dated [DATE] documented Resident #3 had redness to her buttocks area. Review of the quarterly minimum data set assessment dated [DATE] documented Resident #3 was dependent on staff for toileting and required moderate assistance for turning right to left in bed.Review of the physician orders for Resident #3 did not reveal any orders to prevent skin breakdown.Review of a skin assessment dated [DATE] documented Resident #3 had an open wound to her sacrum and left buttocks.Review of a progress note dated 04/25/25 revealed documentation that staff called Resident #3's daughter to inform her of an open area and redness to the resident'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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-18 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    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 accurately assess 2 of 33 sampled residents. The Minimum Data Set (MDS) assessment was inaccurate related to indwelling urinary catheter use for Resident #79 and related to the discharge status for Resident #141. The findings included: 1. Review of the record revealed Resident #79 was admitted to the facility on [DATE] with a return to the facility on [DATE]. Review of the admission progress note on 03/15/24 at 8:48 AM documented the resident was readmitted to the facility with a Foley catheter (indwelling urinary catheter) in place. Additional progress notes, to include those on 03/25/24, 04/01/24, and 04/03/24, all referred to the use of the indwelling urinary catheter. An observation on 04/15/24 at 12:32 PM revealed Resident #79 in bed. An indwelling urinary catheter bag was noted to bedside drainage. Review of the admission Minimum Data Set (MDS) assessments dated 03/21/24 lacked the documented use of the indwelling urinary catheter.…

    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 · D2024-04-18 · 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 comprehensive care plan for 1 of 1 sampled resident reviewed with an indwelling urinary catheter (Resident #79). The findings included: 1. Review of the record revealed Resident #79 was admitted to the facility on [DATE] with a return to the facility on [DATE]. Review of the admission progress note on 03/15/24 at 8:48 AM documented the resident was readmitted to the facility with a Foley (indwelling urinary catheter) in place. Additional progress notes, to include those on 03/25/24, 04/01/24, and 04/03/24, all referred to the use of the indwelling urinary catheter. An observation on 04/15/24 at 12:32 PM revealed Resident #79 in bed. An indwelling urinary catheter bag was noted to bedside drainage. Review of the current care plans lacked any care plans related to the use of the indwelling urinary catheter. During an interview on 04/18/24 at 11:00 AM, Staff D, Minimum Data Set (MDS) Coordinator, agreed with the lack of a care plan…

    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 · D2024-04-18 · tag F0770 — failed to provide lab services — isolated
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    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 interview, the facility failed to ensure ordered labs were completed timely for 1 of 5 sampled residents, Resident #194. The findings included: Review of the record revealed Resident #194 was admitted to the facility on [DATE], after a hospitalization for a hip replacement. Review of the record revealed a physician order dated 04/05/24, for a Complete Blood Count (CBC) and a Basic Metabolic Panel (BMP) to be drawn on 04/06/24. Review of the record revealed a CBC was collected on 04/08/24. The record lacked a BMP on or about 04/06/24. Review of the progress notes lacked any documentation related to the failure to obtain the CBC on 04/06/24 as ordered, the reason for the late collection on 04/08/24, and or the failure to obtain the BMP. An additional order dated 04/16/24 at 8: 23 AM ordered a CBC, CMP (comprehensive metabolic panel), and BMP for a follow up. The record revealed intravenous fluids were ordered on 04/17/24 at 4:27 PM for dehydration, and a progress note revealed the fluids…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-04-18 · tag F0842 — failed to keep accurate, complete medical records — isolated
    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, record review, and interview, the facility failed to ensure accurate and complete resident records for 4 of 33 sampled residents, as evidenced by: the record for Resident #79 lacked an order for the indwelling urinary catheter; the record for Resident #36 lacked documentation related to a change in a code status; the record for Resident #57 had inaccurate documentation related to a dressing change; and the record for Resident #92 lacked documentation related to blood sugar monitoring. The findings included: 1. Review of the record revealed Resident #79 was admitted to the facility on [DATE] with a return to the facility on [DATE]. Review of the admission progress note on [DATE] at 8:48 AM documented the resident was readmitted to the facility with a Foley catheter (indwelling urinary catheter) in place. Additional progress notes, to include those on [DATE], [DATE], and [DATE], all referred to the use of the indwelling urinary catheter. An observation on [DATE] at 12:32 PM revealed 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 · D2023-01-26 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each 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 observation and interview, the facility failed to meet the needs and requests of residents to reasonably accommodate the residents needs for 4 of 4 sampled residents (Residents #81, #22, #81 and #79), as evidenced by failure of answer call lights timely, provide additional assistance, and unable to locate a staff member to assist residents. The findings included: 1. Record review revealed Resident #81 was re-admitted to the facility on [DATE]. The Annual minimum data set (MDS) assessment, reference date 12/07/22, recorded a brief interview for mental status (BIMS) score of 15, indicated Resident #81 was cognitively intact, and had no cognition impairment. The annual minimum data set (MDS) dated [DATE] indicated Resident #81 required supervision with bed mobility, limited assistance with transfer, supervision with locomotion on and off unit, extensive assistance with dressing, independent with eating, limited assistance toilet use and personal hygiene. On 01/23/23 at 9:50 AM, an interview was held 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-01-26 · 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 observations, interviews and record reviews, the facility failed to ensure 6 of 28 sampled residents reviewed received treatment and care in accordance with professional standards of practice and the residents' comprehensive person-centered care plans as evidenced by the following: 1. Failure to provide barrier cream as ordered, and failure to conduct skin checks per facility protocol (Resident #20); 2. Failure to provide barrier cream, heel prep, and prescribed topical cream as ordered; failure to conduct skin checks per facility protocol (Resident #90); 3. Failure to conduct skin checks per protocol for Resident #59; 4. Failure to apply ordered geri-sleeves each day for Resident #98; 5. Failure to apply ordered hand split for Resident #107; and 6. Failure to provide medications as ordered for Resident #31. The findings included: A review of the facility policy, titled, Skin Care and Wound Management, effective October 2014, Revised July 2017 stated in part: Page 4. The Skin Grid-Other will be…

    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 · D2023-01-26 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to complete Dialysis Center Communication care forms for 4 of 4 sampled residents reviewed for dialysis, Residents #30, #118, #96 and #66. The findings included: The facility form, titled, Dialysis-Palm Garden Communication Form, is used for the residents who are leaving the facility for dialysis treatment. There is an A, B and C section located on the form. The facility nurse is to complete Section A of the form prior to the resident(s) leaving the facility for dialysis. Section B is filled out by the Dialysis Nurse and Section C is filled out by the facility nurse when the resident returns to the facility. The documentation for Section A is to include departure time, vital signs, last blood sugar if insulin dependent, last weight, date of last weight, dietary concerns, if the resident had wounds, medications given prior to dialysis and special instructions or information. There is a section for a signature and date. The documentation in Section C is to include the time the resident returned to the facility, post dialysis…

    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 · D2023-01-26 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    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 the narcotic reconciliation was accurate for 2 of 6 sampled resident, Residents #28 and #31. The findings included: On 01/25/23 at 1:05 PM, a medication storage observation was conducted with Staff B, Licensed Practical Nurse (LPN). The observation was conducted on the second floor Cart #1. A random narcotic count was done. Resident #28 was ordered Oxycodone HCL 5 mg tablets to be given every 6 hours for pain, as needed. The document, titled, Controlled Medication Utilization Record, was reviewed for Resident #28. The Controlled Medication Utilization record documented the time medication was removed from the narcotic storage. The Medication Administration Record (MAR) was reviewed. The MAR documented the time the removed narcotic was administered to the resident. On 12/13/22 at 12:55 PM, on 12/16/22 at 3:45 PM and on 01/20/23 with (no time recorded) the resident's medication Oxycodone 5 mg was removed from the narcotic storage and the MAR failed to provide evidence the medication was administered to the 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-01-26 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, policy review and interview, the facility failed to ensure the medication review recommendations by the consultant pharmacist were addressed by the prescribing physician for 1 of 5 sampled resident reviewed for unnecessary medications. (Resident (#59) The findings included: A review of the facility policy, titled, Medication Regimen Review (MRR), effective date 12/01/07 and last revised 03/03/20, stated, in part, the following: 7. Facility should encourage Physician/Prescriber or other responsible parties receiving the MRR and the Director of Nursing (DON) to act upon the recommendations contained in the MRR. 7.1 For those issues that require Physician/Prescriber intervention, the facility should encourage Physician/Prescriber to either accept and act upon the recommendations contained within the MRR or reject all or some of the recommendations contained in the MRR and provide an explanation as to why the recommendation was rejected. 7.2 The attending physician should document in 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
Show the remaining 9 citations
  • Potential for harm · D2023-01-26 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    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 have a medication error rate of less than 5%, as evidenced by the medication rate was 7.4% percent. Two (2) medication errors were identified while observing a total of 27 opportunities, affecting Residents #59 and #285. The findings included: 1. On 01/23/23 at 10:52 AM, observation of medication administration was conducted with Staff D, agency Licensed Practical Nurse (LPN), who was administering medications to Resident #59. Staff D administered the following medications to Resident #59, that included: Fluticasone 1 spray in each nose, Primidone 50 mg 1 tablet by mouth, Torsemide 20 mg 1 tablet by mouth, Sertraline 100 mg 1 tablet by mouth, Lamotrigine 150 mg 1 tablet by mouth, Finasteride 5 mg 1 tablet by mouth, Gabapentin 300 mg 1 tablet by mouth, and Lidocaine patch 4% applied to the left knee. After the administration, the surveyor returned to the medication cart, reviewed the scheduled medications in the computer, during which time, it was revealed that Staff D, had omitted the following medications:…

    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 before2023-01-26 · tag F0842 — failed to keep accurate, complete medical records — isolated
    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 record review, observation and interview the facility failed to ensure accurate documentation for the care provided to residents for 5 of 28 sampled residents reviewed (Residents #12, #21, #59, #98, and #107). The findings included: 1. Record review revealed the resident was admitted to the facility on [DATE]. The resident had been seen by a dentist per facility request on 10/03/22 and her dentures were evaluated at that time. The top denture was fitting appropriately with dental adhesive and the bottom denture did not fit well due to bone loss. The tissues were noted as healthy and the dentures were cleaned. Review of the resident's MDS (Minimum Date Set) revealed a quarterly assessment, dated 12/14/22, with a BIMS (Brief Interview for Mental Status) of 12 which implies mildly impaired cognition. Further review of the record revealed denture care was being done by the Certified Nursing Assistants (CNA's). A look back of 30 days revealed the denture care was provided on: January 25, 23, 18, 17, 16, 15,…

    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 · D2021-10-07 · tag F0644 — isolated
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    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 a request for a Level II Preadmission Screening and Record Reveiw (PASARR) evaluation was initiated for 2 of 2 sampled residents, Resident #33 and Resident #88. The findings included: Review of the facility's policy titled Pre-admission Screening for Serious Mental Illness (SMI) and Intellectually Disabled (ID) Individuals (PASRR) [Effective Date: March 2015 and Revision Date: January 2018 and July 2021] showed: 4. If it is learned after admission that a Serious Mental Illness (SMI) or Intellectually Disabled (ID) Level II screening is indicated; it will be the responsibility of Social Services to coordinate and/or inform the appropriate agency to conduct the screening and obtain the results. 7. Social Services will be responsible for coordinating significant change updates of these screenings, conducted by the appropriate agency. These results, along with the results from previous years will be kept in the appropriate sections 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-10-07 · 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, record review and interview, the facility failed to ensure timely assessment, treatment, and notification to the physician and resident representative of a new skin impairment for 2 of 3 sampled residents reviewed for skin issues (Residents #18 and #65). The findings included: 1. Review of the record revealed Resident #18 was admitted to the facility on [DATE] and moved to her current room on 08/04/20. Review of the current Quarterly Minimum Data Set (MDS) assessment dated [DATE] documented Resident #18 had a Brief Interview for Mental Status (BIMS) score of 7, on a 0 to 15 scale, indicating the resident had moderate cognitive impairment. During an observation on 10/04/21 at 11:16 AM, Resident #18 was sitting up in her wheelchair at bedside. A gauze boarder dressing dated 09/29/21 was noted to the resident's left outer lower leg. When asked about the area, Resident #18 was unable to recall what happened. During a subsequent observation on 10/05/21 at 11:27 AM, the same gauze dressing 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-10-07 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review and policy review, the facility failed to ensure the provision of pain medications for 1 of 2 sampled residents, Resident #63, reviewed with complaints of poor pain management. The findings included: Review of the policy Medication Shortages/Unavailable Medications effective 12/01/07, with the most current revision dated 01/01/13 documented, Procedure: 1. Upon discovery that facility has an inadequate supply of a medication to administer to a resident, facility staff should immediately initiate action to obtain the medication from pharmacy. This policy described what the nurse should do depending upon the time of day the inadequate supply was identified, including the use of the Emergency Medication Supply, an emergency delivery, or use of a back-up third party pharmacy. The policy further described should a medication not be available by any method the physician should be notified. The policy further documented, 8. When a missed dose is unavoidable, facility nurse should…

    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 · D2021-10-07 · tag F0730 — isolated
    Observe each nurse aide's job performance and give regular training.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to provide evidence that annual competency evaluations were conducted for 4 of 4 sampled certified nursing assistants (CNAs), CNA-1, CNA-2, CNA-3, and CNA-4. The findings included: The facility's employees list was reviewed and four CNAs who have been employed with the facility for over a year were reviewed. CNA-1, CNA-2, CNA-3 and CNA-4's files were included in the review. CNA-1 had a hire date of 09/29/2018. CNA-2 had a hire date of 11/13/1995. CNA-3 had a hire date of 09/25/2000. CNA-4 had a hire date of 03/03/1993. A request was made on 10/06/21 to review the last annual competency evaluations for the four sampled CNAs, CNA-1, CNA-2, CNA-3 and CNA-4. On 10/07/21, the facility provided packets of tests completed by the sampled CNAs involving topics such as Abuse/Neglect and Emergency Preparedness. The facility did not provide evidence of annual job specific skills evaluations. An interview was conducted with the Director of Education on 10/07/21 at 3:14 PM. She stated the facility does not have a policy regarding…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-10-07 · 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 and interview, the facility failed to properly store medications for 1 random observation (Resident #2); and failed to dispose of expired medications in 3 of 4 medication storage areas, Carts #1 and #2 on the 200 Wing. The findings included: 1. A review of the facility policy, Nursing- Medications, storage of, dated 10/14 and revised 12/20, documented medications should not be kept at bedside. A interview was conducted with Resident #2 on 10/04/21 at 10:00 AM. A medicine cup containing 5 pills and another medicine cup with 30 milliliters of fluid were observed on Resident #2's bedside table. Resident #2 stated they were her medications, and she was supposed to take them. An interview was conducted with the Unit Manager (UM), a Registered Nurse, on 10/04/21 at 10:05 AM, at Resident #2's bedside. The UM stated she left the resident's medication at bedside because the resident wasn't ready to take the medications. The UM then proceeded to administer Resident #2 the medications. 2. Review of the policy, titled Palm Garden Nursing Storage of Medications: Effective…

    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 · D2021-10-07 · tag F0791 — failed to provide routine dental services — isolated
    Provide or obtain dental services for each 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 observation, interview and record review, the facility failed to ensure dental services for 1 of 1 sampled resident, Resident #63. The findings included: Review of the record revealed Resident #63 was admitted to the facility on [DATE]. Review of the current admission Minimum Data Set (MDS) assessment, dated 09/01/21, documented Resident #63 had a Brief Interview for Mental Status (BIMS) score of 15, on a 0 to 15 scale, indicating the resident was cognitively intact. This same assessment documented Resident #63 had broken natural teeth. A current care plan, dated 08/31/21, documented Resident #63 had unavoidable weight loss related to cancer. This care plan also documented the resident's diet was mechanically altered in texture to ease in chewing. During an observation and interview on 10/05/21 at 10:05 AM, when asked about any dental needs, Resident #63 stated and revealed she had all broken teeth, due to her multiple chemotherapy and radiation treatments. The resident explained in the past (prior 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-10-07 · 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

    Based on interview and facility menu review, the facility failed to provide an alternative menu for 5 of 5 sampled residents reviewed for food, Residents # 12, 57, 29, 103, and 364. The findings included: 1. An interview was conducted with Resident #12 on 10/05/21 at 10:00 AM. Resident #12 stated he had an issue with the facility's menu not having a variety. The resident stated he has no say in the selection of his meals. The surveyor asked Resident #12 if the facility had an alternative menu to select from. Resident #12 replied there was no alternative menu, but he could order a grilled cheese sandwich or a chef salad if he did not want what was on his tray. 2. An interview was conducted with Resident #57 (Resident #12's roommate) on 10/05/21 at 10:10 AM. Resident #57 stated if he did not like a meal that was sent, he would order a chef salad. Resident #57 stated he was not aware of an alternative menu, but knew he could order a chef salad. An interview was conducted with the registered dietician (RD) on 10/07/21 at 11:00 AM. The RD stated the facility did have an alternative menu.…

    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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$16,153 in federal fines across 1 penalty.

  • $16,153 — penalty dated 2025-04-24

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 →

RatingThis homeChain avg
Overall 3 of 53.1-0.1 vs chain
Health inspection 3 of 52.6+0.4 vs chain
Staffing 3 of 53.4-0.4 vs chain
Quality measures 4 of 54.4-0.4 vs chain
The other 13 homes this chain runs (chain average 3.1★, per CMS)

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

Owner / managerTypeRoleShareSince
PALM GARDEN HEALTHCARE HOLDINGS, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST50%since 11/01/2013
MCCARVER, PATSYIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST50%since 11/01/2013
JAMES O. MCCARVER QTIP BUSINESS MARITAL TRUST U/A DATED JUNE 22, 2001,Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF38%since 11/01/2013
JAMES O. MCCARVER RESIDUARY TRUST SHARE U/A DATED 06/22/2001Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST8%since 12/23/2014
PATSY E. MCCARVER TRUST U/A DATED JUNE 22, 2001 AS AMENDED, PATSY EOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF48%since 11/01/2013
PGWPB RE, LLCOrganization5% OR GREATER SECURITY INTEREST; ADP OF THE SNFsince 03/14/2024
REGIONS BANKOrganization5% OR GREATER SECURITY INTERESTsince 11/01/2013
BOMBERGER, JEFFREYIndividualCORPORATE OFFICERsince 10/01/2014
CHALMERS, JAMESIndividualCORPORATE OFFICERsince 01/01/2015
GREENE, ROBERTIndividualCORPORATE OFFICERsince 10/01/2014
GIL, WALTERIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/20/2022
VANEGES, CARLOSIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/04/2025
PALM HEALTHCARE MANAGEMENT, LLCOrganizationADP OF THE SNFsince 04/11/2025

CMS files one row per role, so the 18 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.

$16.1M
Net patient revenuemost recent cost report
-3.0%
Operating marginrevenue minus expenses
$3.6M
Related-party expense22% of expenses
Who pays — share of resident-days
Medicaid 60%Medicare 10%Other / private 30%

This home reported $3.6M paid to related parties — landlords or management companies under common ownership — equal to about 22% 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

$337per resident / day
operating cost
$10,231per month
≈ monthly operating cost
$327per day
avg. revenue, all payers

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

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Florida Medicaid page.

Typical monthly cost in Florida
$10,342/mo
Nursing home (semi-private)
$12,167/mo
Nursing home (private)
$5,610/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 105607. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-04-18, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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