Palm Garden of Aventura
21251 E Dixie Highway, North Miami Beach, FL 33180 · Miami-Dade County · 120 certified beds · avg 115 residents/day · certified since Jul 13, 1988
Part of chain: PALM GARDEN HEALTH AND REHABILITATION (14 facilities, chain avg rating 3.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Nov 25, 2024 · F-0578 · triggered by a complaint
The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Why it matters: Ignoring these rights means residents may receive treatments they refused, or miss having their end-of-life wishes respected.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Dec 17, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 28, 2022 · F-0692
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Nov 28, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (18)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 15, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Apr 17, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Apr 17, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Nov 25, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint |
| Aug 8, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Nov 16, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Oct 28, 2022 | ▲ G · Actual harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Oct 28, 2022 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Oct 28, 2022 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Oct 28, 2022 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Oct 28, 2022 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Oct 28, 2022 | D · Potential for harm, one-off | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Oct 28, 2022 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Oct 28, 2022 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Oct 28, 2022 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Oct 28, 2022 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Oct 28, 2022 | D · Potential for harm, one-off | The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. |
| Oct 28, 2022 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 12 | 1 | G ▲ |
| 2023 | 1 | 0 | D |
| 2024 | 2 | 1 | J ▲ |
| 2025 | 3 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $25,310.
| Date | Type | Amount / length |
|---|---|---|
| Nov 21, 2024 | Fine | $25,310 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Florida avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.88 | 4.03 | 3.95 | top 50% in Florida; top 45% in the U.S. |
| Registered Nurse hours | 0.91 | 0.76 | 0.69 | top 24% in Florida; top 20% in the U.S. |
| Weekend total nurse staffing | 3.58 | 3.68 | 3.50 | top 45% in Florida; top 38% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.78 | 0.53 | 0.48 | top 17% in Florida; top 12% in the U.S. |
| Total nursing staff turnover (%) | 23.7 | 41.4 | 45.8 | top 10% in Florida; top 6% in the U.S. |
| RN turnover (%) | 29.6 | 46.0 | 42.9 | top 20% in Florida; top 29% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.68, RN 0.86, weekend 3.39. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| James O. McCarver Qtip Business Marital Trust U/A Dated June 22, 2001, | Organization | 5% or Greater Indirect Ownership Interest | 38% | 12/23/2014 |
| James O. McCarver Residuary Trust Share U/A Dated 06/22/2001 | Organization | 5% or Greater Indirect Ownership Interest | 8% | 12/23/2014 |
| McCarver, Patsy | Individual | 5% or Greater Direct Ownership Interest | 50% | 11/01/2013 |
| Palm Garden Healthcare Holdings, LLC | Organization | 5% or Greater Direct Ownership Interest | 50% | 11/01/2013 |
| Patsy E. McCarver Trust U/A Dated June 22, 2001 as Amended, Patsy E | Organization | 5% or Greater Indirect Ownership Interest | 48% | 11/01/2013 |
| Bomberger, Jeffrey | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2014 |
| Chalmers, James | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2015 |
| Greene, Robert | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2015 |
| James O. McCarver Qtip Business Marital Trust U/A Dated June 22, 2001, | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2013 |
| Palm Healthcare Management, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/21/2025 |
| Patsy E. McCarver Trust U/A Dated June 22, 2001 as Amended, Patsy E | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2013 |
| Pgave Re, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/20/2024 |
| Pianko, Leonard | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/20/2023 |
| Pianko, Leonard | Individual | ADP of the SNF | NOT APPLICABLE | 02/21/2025 |
| Pierre, Kadia | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Pierre, Kadia | Individual | ADP of the SNF | NOT APPLICABLE | 02/21/2025 |
| Regions Bank | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 11/01/2013 |
| Regions Bank | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 11/01/2013 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| VI at Aventura | 1.4 mi | Aventura, FL | ★★★★★ | 5/5 | |
| Regents Park at Aventura | 1.6 mi | Aventura, FL | ★★☆☆☆ | 2/5 | |
| Kindred Hospital South Florida Hollywood | 2.6 mi | Hollywood, FL | ★★★★☆ | 3/5 | |
| North Beach Healthcare and Rehabilitation Center | 2.8 mi | North Miami Beach, FL | ★★☆☆☆ | 1/5 | |
| Serenity Bay Nursing and Rehabilitation Center | 3.0 mi | North Miami Beach, FL | ★★☆☆☆ | 2/5 | |
| Golfcrest Nursing Center | 3.1 mi | Hollywood, FL | ★★★☆☆ | 3/5 | |
| Emerald Nursing and Rehabilitation Center | 3.2 mi | Hollywood, FL | ★★☆☆☆ | 2/5 | |
| Sierra Lakes Nursing & Rehabilitation Center | 3.3 mi | Miami, FL | ★☆☆☆☆ | 1/5 | |
| Gardens Nursing and Rehab Center | 3.5 mi | Miami, FL | ★★☆☆☆ | 1/5 | abuseSFF |
| Aventura Rehab and Nursing Center | 3.8 mi | North Miami Beach, FL | ★★★☆☆ | 3/5 | |
| The Lilac at Silver Palms | 4.5 mi | North Miami, FL | ★★★★☆ | 3/5 | |
| Hampton Court Nursing and Rehabilitation Center | 4.9 mi | North Miami Beach, FL | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 105610.