For-profit

Sandgate Gardens Rehab and Nursing Center

703 S 29Th St, Fort Pierce, FL 34947

(772) 466-3322 · Aston Health

2CMS overall rating · out of 5

At a glance

CMS data snapshot: 2026-08-01 · Sources and limitations
2 of 5Overall
2 of 5Health inspections
2 of 5Staffing
4 of 5Resident quality
OwnershipFor profit - Limited Liability companyCertified beds107
Estimated occupancy95.9%Latest inspection2025-04-18

County and Florida comparison

Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 2 of 5
worse
Health-inspection score
Facility: 80.0 points
worse
Total nurse staffing
Facility: 3.52 hours/day
similar
RN staffing
Facility: 0.49 hours/day
worse
Staff turnover
Facility: 57.6%
worse
Latest health deficiencies
Facility: 18 deficiencies
worse
View data table
MetricFacilityCountyFlorida
Overall rating2 of 53 of 53 of 5
Health-inspection score80.0 points48.0 points38.5 points
Total nurse staffing3.52 hours/day3.82 hours/day3.63 hours/day
RN staffing0.49 hours/day0.70 hours/day0.62 hours/day
Staff turnover57.6%35.6%41.8%
Latest health deficiencies18 deficiencies11 deficiencies6 deficiencies

Comparisons describe CMS data; they are not recommendations.

Inspection history

2025-04-18
18 deficiencies
Highest severity: E

Immediate-jeopardy citations: 0

Tag 0803 · Severity E

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.

Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2025-05-17

Tag 0805 · Severity E

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2025-05-17

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 2025-05-17

Tag 0636 · Severity D

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-05-17

Tag 0638 · Severity D

Assure that each resident’s assessment is updated at least once every 3 months.

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-05-17

Tag 0641 · Severity D

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-05-17

Tag 0676 · Severity D

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-05-17

Tag 0677 · Severity D

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 2025-05-17

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 2025-05-17

Tag 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 2025-05-17

Tag 0697 · Severity D

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-05-17

Tag 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 2025-05-17

Tag 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 2025-05-17

Tag 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 2025-05-17

Tag 0880 · Severity D

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · Deficient, Provider has date of correction 2025-05-17

Tag 0881 · Severity D

Implement a program that monitors antibiotic use.

Infection Control Deficiencies · Deficient, Provider has date of correction 2025-05-17

Tag 0883 · Severity D

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies · Deficient, Provider has date of correction 2025-05-17
2023-12-21
15 deficiencies
Highest severity: E

Immediate-jeopardy citations: 0

Tag 0561 · Severity E

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 2024-01-21

Tag 0584 · Severity E

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 2024-01-21

Tag 0925 · Severity E

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Environmental Deficiencies · Deficient, Provider has date of correction 2024-01-21

Tag 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 2024-01-21

Tag 0677 · Severity D

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 2024-01-21

Tag 0689 · Severity D

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 2024-01-21

Tag 0693 · Severity D

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-01-21

Tag 0697 · Severity D

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-01-21

Tag 0726 · Severity D

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2024-01-21

Tag 0755 · Severity D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-01-21

Tag 0757 · Severity D

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-01-21

Tag 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 2024-01-21

Tag 0770 · Severity D

Provide timely, quality laboratory services/tests to meet the needs of residents.

Administration Deficiencies · Deficient, Provider has date of correction 2024-01-21

Tag 0909 · Severity D

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Environmental Deficiencies · Deficient, Provider has date of correction 2024-01-21
2022-08-25
12 deficiencies
Highest severity: E

Immediate-jeopardy citations: 0

Tag 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 2022-09-24

Tag 0880 · Severity E

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · Deficient, Provider has date of correction 2022-09-24

Tag 0886 · Severity E

Perform COVID19 testing on residents and staff.

Infection Control Deficiencies · Deficient, Provider has date of correction 2022-09-24

Tag 0558 · Severity D

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-09-24

Tag 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 2022-09-24

Tag 0641 · Severity D

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2022-09-24

Tag 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 2022-09-24

Tag 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 2022-09-24

Tag 0695 · Severity D

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-09-24

Tag 0698 · Severity D

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-09-24

Tag 0770 · Severity D

Provide timely, quality laboratory services/tests to meet the needs of residents.

Administration Deficiencies · Deficient, Provider has date of correction 2022-09-24

Staffing composition

2.16 hours/dayNurse aide
0.88 hours/dayLPN
0.49 hours/dayRN
Total staffing
3.52 hours/day
County median
3.82 hours/day
Florida median
3.63 hours/day
Weekend total
3.19 hours/day
Staff turnover
57.6%
RN turnover
67.7%

Reported averages, not a real-time staffing schedule.

Resident outcomes

Lower is generally better

Hospitalizations

2.0 per 1,000 dayssimilarFlorida: 2.1 per 1,000 days · County: 2.0 per 1,000 days
20250101-20251231

Emergency-department visits

1.1 per 1,000 daysworseFlorida: 1.0 per 1,000 days · County: 0.9 per 1,000 days
20250101-20251231

Falls with major injury

2.0%betterFlorida: 2.2% · County: 2.0%
2025Q2-2026Q1

Pressure ulcers

3.1%betterFlorida: 4.2% · County: 3.5%
2025Q2-2026Q1

Urinary tract infections

0.0%unavailableFlorida: 0.0% · County: 0.0%
2025Q2-2026Q1

Antipsychotic medication use

5.7%betterFlorida: 7.0% · County: 4.6%
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
  1. How many RNs are typically on site during days, nights, and weekends?

    Suggested because of: rn staffing
  2. What is driving staff turnover, and what is being done to retain nurses and aides?

    Suggested because of: staff turnover
  3. How will the care plan be developed, reviewed, and shared with our family?

    Suggested because of: general care planning

Facility Details

County
St. Lucie County
Certified beds
107
Average daily residents
102.6
Ownership
For profit - Limited Liability company
Provider type
Medicare and Medicaid
In hospital
No
Date certified
1981-03-17
CCN
105382

Staffing Data

Reported measureValue
Nurse aide hours2.15906
Lpn hours0.87541
Rn hours0.48876
Reported total hours3.52322
Weekend total hours3.19337
Weekend rn hours0.27418
Adjusted total hours3.81894
Total turnover percent57.6
Rn turnover percent67.7
Administrators left2

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

18Health citations
9Fire 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

NameRoleShare
LP CARE HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
CITADEL CARE GROUP LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%
GUTMAN, SAMUELINDIRECT OWNERSHIP INTERESTNOT APPLICABLE
BANNISTER, GERRIOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CULBERTH, BRITTNEYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
JOHNSON, DESOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WILDES, DONNAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ZIMMER, SUZANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ASTON HEALTHCARE LLCADP OF THE SNFNOT APPLICABLE
JOHNSON, DESADP OF THE SNFNOT APPLICABLE
WILDES, DONNAADP OF THE SNFNOT APPLICABLE
ZIMMER, SUZANADP OF THE SNFNOT APPLICABLE

Helpful resources

Educational information, not medical or legal advice. Data & methodology