Tag 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 2025-05-24For-profit
Palm Garden of Vero Beach
1755 37Th Street, Vero Beach, FL 32960
(772) 567-2443 · 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 | 189 |
|---|---|---|---|
| Estimated occupancy | 94.2% | Latest inspection | 2025-04-24 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 3 of 5
Health-inspection score
Facility: 45.0 points
Total nurse staffing
Facility: 3.81 hours/day
RN staffing
Facility: 0.56 hours/day
Staff turnover
Facility: 51.6%
Latest health deficiencies
Facility: 8 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 3 of 5 | 2.5 of 5 | 3 of 5 |
| Health-inspection score | 45.0 points | 59.0 points | 38.5 points |
| Total nurse staffing | 3.81 hours/day | 3.92 hours/day | 3.63 hours/day |
| RN staffing | 0.56 hours/day | 0.49 hours/day | 0.62 hours/day |
| Staff turnover | 51.6% | 51.6% | 41.8% |
| Latest health deficiencies | 8 deficiencies | 9 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2025-04-24
8 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
Tag 0686 · Severity D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-05-24Tag 0690 · Severity D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-05-24Tag 0757 · Severity D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-05-24Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-05-242024-01-12
15 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 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 2024-02-11Tag 0641 · Severity E
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-02-11Tag 0677 · Severity E
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-02-11Tag 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 2024-02-11Tag 0725 · Severity E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2024-02-11Tag 0804 · Severity E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2024-02-11Tag 0550 · Severity D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-02-11Tag 0558 · Severity D
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-02-11Tag 0561 · Severity D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-02-11Tag 0584 · Severity D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-02-11Tag 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 2024-02-11Tag 0692 · Severity D
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-02-11Tag 0694 · Severity D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-02-11Tag 0757 · Severity D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-02-11Tag 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 2024-02-112022-09-01
2 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
Tag 0561 · Severity D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-10-01Tag 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 2022-10-01Staffing composition
2.31 hours/dayNurse aide
0.95 hours/dayLPN
0.56 hours/dayRN
- Total staffing
- 3.81 hours/day
- County median
- 3.92 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.51 hours/day
- Staff turnover
- 51.6%
- RN turnover
- 69.4%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
1.7 per 1,000 daysbetterFlorida: 2.1 per 1,000 days · County: Unavailable20250101-20251231
Emergency-department visits
1.8 per 1,000 daysworseFlorida: 1.0 per 1,000 days · County: Unavailable20250101-20251231
Falls with major injury
2.4%worseFlorida: 2.2% · County: 2.2%2025Q2-2026Q1
Pressure ulcers
4.3%similarFlorida: 4.2% · County: 5.7%2025Q2-2026Q1
Urinary tract infections
1.2%unavailableFlorida: 0.0% · County: 0.0%2025Q2-2026Q1
Antipsychotic medication use
2.2%betterFlorida: 7.0% · County: 9.0%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
How 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 injuryHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning
Facility Details
- County
- Indian River County
- Certified beds
- 189
- Average daily residents
- 178.1
- Ownership
- For profit - Limited Liability company
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1987-11-25
- CCN
- 105592
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.31031 |
| Lpn hours | 0.94658 |
| Rn hours | 0.5561 |
| Reported total hours | 3.81298 |
| Weekend total hours | 3.51495 |
| Weekend rn hours | 0.29488 |
| Adjusted total hours | 4.02328 |
| Total turnover percent | 51.6 |
| Rn turnover percent | 69.4 |
| Administrators left | Not reported by CMS |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$0.00Total fines
0Number of fines
0Payment denials
No matching penalties in the supplied CMS records.
Totals reflect the supplied CMS records, not a lifetime total.
Citations
8Health citations
12Fire 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.
0
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| PALM GARDEN HEALTHCARE HOLDINGS, LLC | 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 | NO PERCENTAGE PROVIDED |
| JAMES O. MCCARVER RESIDUARY TRUST SHARE U/A DATED 06/22/2001 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| PATSY E. MCCARVER TRUST U/A DATED JUNE 22, 2001 AS AMENDED, PATSY E | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| MCCARVER, PATSY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| REGIONS BANK | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| PGVER 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 |
| JORDAN, NICOLE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MALONE, MARCUS | 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 |
| PGVER RE, LLC | ADP OF THE SNF | NOT APPLICABLE |
| JORDAN, NICOLE | ADP OF THE SNF | NOT APPLICABLE |
| MALONE, MARCUS | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology