Tag 0689 · Severity G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-03-29For-profit
Palm Garden of Largo
10500 Starkey Rd, Largo, FL 33777
(727) 397-8166 · Palm Garden Health and Rehabilitation
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Limited Liability company | Certified beds | 140 |
|---|---|---|---|
| Estimated occupancy | 97.0% | Latest inspection | 2024-02-29 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 2 of 5
Health-inspection score
Facility: 135.0 points
Total nurse staffing
Facility: 3.64 hours/day
RN staffing
Facility: 0.56 hours/day
Staff turnover
Facility: 54.5%
Latest health deficiencies
Facility: 19 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 2 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 135.0 points | 74.0 points | 38.5 points |
| Total nurse staffing | 3.64 hours/day | 3.51 hours/day | 3.63 hours/day |
| RN staffing | 0.56 hours/day | 0.56 hours/day | 0.62 hours/day |
| Staff turnover | 54.5% | 50.7% | 41.8% |
| Latest health deficiencies | 19 deficiencies | 11 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2024-02-29
19 deficiencies
Highest severity: G
Immediate-jeopardy citations: 0
Tag 0645 · Severity F
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-03-29Tag 0565 · Severity E
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-03-29Tag 0656 · Severity E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-03-29Tag 0657 · Severity E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-03-29Tag 0759 · Severity E
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-03-29Tag 0761 · Severity E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-03-29Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-03-29Tag 0557 · Severity D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-03-29Tag 0600 · Severity D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2024-03-29Tag 0610 · Severity D
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2024-03-29Tag 0684 · Severity D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-03-29Tag 0756 · Severity D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-03-29Tag 0758 · Severity D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-03-29Tag 0791 · Severity D
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-03-29Tag 0849 · Severity D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration Deficiencies · Deficient, Provider has date of correction 2024-03-29Tag 0919 · Severity D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Deficient, Provider has date of correction 2024-03-292021-12-10
7 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0684 · Severity E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-03-07Tag 0867 · Severity E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Deficient, Provider has date of correction 2022-03-07Tag 0558 · Severity D
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-01-10Tag 0656 · Severity D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2022-01-10Tag 0761 · Severity D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2022-01-102020-09-11
4 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0761 · Severity E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2020-10-11Tag 0656 · Severity D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2020-10-11Staffing composition
2.19 hours/dayNurse aide
0.89 hours/dayLPN
0.56 hours/dayRN
- Total staffing
- 3.64 hours/day
- County median
- 3.51 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.32 hours/day
- Staff turnover
- 54.5%
- RN turnover
- 52.2%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
1.4 per 1,000 daysbetterFlorida: 2.1 per 1,000 days · County: 2.3 per 1,000 days20250101-20251231
Emergency-department visits
1.6 per 1,000 daysworseFlorida: 1.0 per 1,000 days · County: 1.1 per 1,000 days20250101-20251231
Falls with major injury
3.3%worseFlorida: 2.2% · County: 2.3%2025Q2-2026Q1
Pressure ulcers
2.6%betterFlorida: 4.2% · County: 4.6%2025Q2-2026Q1
Urinary tract infections
0.3%unavailableFlorida: 0.0% · County: 0.2%2025Q2-2026Q1
Antipsychotic medication use
7.6%worseFlorida: 7.0% · County: 7.0%2025Q2-2026Q1
These group measures do not predict an individual resident’s experience.
Questions to ask
Use these prompts during a tour or phone call
What corrective actions and resident protections were put in place after the issue associated with the CMS abuse flag?
Suggested because of: abuse iconWhat changes were made after inspectors reported actual harm during the 2026-05-20 inspection?
Suggested because of: latest actual harmHow many RNs are typically on site during days, nights, and weekends?
Suggested because of: rn staffingWhat is driving staff turnover, and what is being done to retain nurses and aides?
Suggested because of: staff turnoverWhat fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injury
Facility Details
- County
- Pinellas County
- Certified beds
- 140
- Average daily residents
- 135.8
- Ownership
- For profit - Limited Liability company
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1987-07-31
- CCN
- 105574
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.19122 |
| Lpn hours | 0.88828 |
| Rn hours | 0.56483 |
| Reported total hours | 3.64434 |
| Weekend total hours | 3.32201 |
| Weekend rn hours | 0.44249 |
| Adjusted total hours | 4.02111 |
| Total turnover percent | 54.5 |
| Rn turnover percent | 52.2 |
| Administrators left | 2 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$66,613.00Total fines
2Number of fines
0Payment denials
| Date | Type | Amount |
|---|---|---|
| 2025-06-21 | Fine | $33,248.00 |
| 2024-02-29 | Fine | $33,365.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
19Health citations
11Fire safety citations
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
Serious Deficiencies
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
3
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| PALM GARDEN HEALTHCARE HOLDINGS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% |
| MCCARVER, PATSY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% |
| JAMES O. MCCARVER QTIP BUSINESS MARITAL TRUST U/A DATED JUNE 22, 2001, | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 38% |
| JAMES O. MCCARVER RESIDUARY TRUST SHARE U/A DATED 06/22/2001 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% |
| PATSY E. MCCARVER TRUST U/A DATED JUNE 22, 2001 AS AMENDED, PATSY E | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 48% |
| PGLAR RE, LLC | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| REGIONS BANK | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| PGLAR RE, LLC | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE |
| REGIONS BANK | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE |
| BOMBERGER, JEFFREY | CORPORATE OFFICER | NOT APPLICABLE |
| CHALMERS, JAMES | CORPORATE OFFICER | NOT APPLICABLE |
| GREENE, ROBERT | CORPORATE OFFICER | NOT APPLICABLE |
| FITTS, JOHN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KORBAJ, RABEE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| JAMES O. MCCARVER QTIP BUSINESS MARITAL TRUST U/A DATED JUNE 22, 2001, | ADP OF THE SNF | NOT APPLICABLE |
| PALM HEALTHCARE MANAGEMENT, LLC | ADP OF THE SNF | NOT APPLICABLE |
| PATSY E. MCCARVER TRUST U/A DATED JUNE 22, 2001 AS AMENDED, PATSY E | ADP OF THE SNF | NOT APPLICABLE |
| PGLAR RE, LLC | ADP OF THE SNF | NOT APPLICABLE |
| FITTS, JOHN | ADP OF THE SNF | NOT APPLICABLE |
| KORBAJ, RABEE | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology