Palm Garden of Jacksonville
5725 Spring Park Road, Jacksonville, FL 32216 · Duval County · 120 certified beds · avg 111 residents/day · certified since Mar 14, 1990
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: ★★★☆☆3/5 · CMS overall rating: 3/5
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 19, 2021 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
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 21, 2021 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Nov 19, 2021 · F-0726
The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Why it matters: Undertrained caregivers are more likely to miss warning signs and make care mistakes.
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: Feb 25, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (23)
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 |
|---|---|---|
| Aug 28, 2025 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Aug 28, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 28, 2025 | D · Potential for harm, one-off | The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. |
| Aug 28, 2025 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Aug 28, 2025 | 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. |
| Aug 28, 2025 | D · Potential for harm, one-off | The facility did not provide routine dental care and 24-hour emergency dental care for residents. |
| Sep 4, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Sep 4, 2024 | D · Potential for harm, one-off | The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit. · from a complaint |
| Sep 14, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Sep 14, 2023 | F · Potential for harm, facility-wide | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Sep 14, 2023 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Sep 14, 2023 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Sep 14, 2023 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Sep 14, 2023 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Sep 14, 2023 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Sep 14, 2023 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Sep 14, 2023 | 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 19, 2021 | ▲ J · Immediate jeopardy, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Nov 19, 2021 | ▲ J · Immediate jeopardy, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Nov 19, 2021 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Nov 19, 2021 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Nov 19, 2021 | D · Potential for harm, one-off | The facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD). |
| Nov 19, 2021 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (9 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 6 | 2 | J ▲ |
| 2023 | 9 | 0 | F |
| 2024 | 2 | 0 | D |
| 2025 | 6 | 0 | E |
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)
No fines or payment denials in the published 3-year window.
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) | 4.11 | 4.03 | 3.95 | top 31% in Florida; top 35% in the U.S. |
| Registered Nurse hours | 0.48 | 0.76 | 0.69 | bottom 20% in Florida; bottom 35% in the U.S. |
| Weekend total nurse staffing | 3.91 | 3.68 | 3.50 | top 22% in Florida; top 26% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.28 | 0.53 | 0.48 | bottom 18% in Florida; bottom 27% in the U.S. |
| Total nursing staff turnover (%) | 47.0 | 41.4 | 45.8 | bottom 36% in Florida; bottom 44% in the U.S. |
| RN turnover (%) | 46.2 | 46.0 | 42.9 | bottom 50% in Florida; bottom 42% 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 3.43, RN 0.40, weekend 3.26. Staffing rating: 3/5.
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: 3/5 · 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 |
| Demps, Kenyonn | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/14/2021 |
| Demps, Kenyonn | Individual | ADP of the SNF | NOT APPLICABLE | 04/04/2025 |
| Elramady, Dalia | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/20/2024 |
| Elramady, Dalia | Individual | ADP of the SNF | NOT APPLICABLE | 08/20/2024 |
| 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 | 04/04/2025 |
| Patsy E. McCarver Trust U/A Dated June 22, 2001 as Amended, Patsy E | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2013 |
| Pgjax Re,llc | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 07/29/2024 |
| Pgjax Re,llc | Organization | ADP of the SNF | NOT APPLICABLE | 07/29/2024 |
| 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 make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do residents get routine dental care, and what happens if someone has a dental emergency at night?"
- "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 |
|---|---|---|---|---|---|
| Vivo Healthcare Taylor | 1.0 mi | Jacksonville, FL | ★★★★★ | 5/5 | |
| Riverwood Center | 1.1 mi | Jacksonville, FL | ★★☆☆☆ | 2/5 | |
| Life Care Center of Jacksonville | 1.3 mi | Jacksonville, FL | ★★★★★ | 5/5 | |
| Aviata at Jacksonville | 1.5 mi | Jacksonville, FL | ★★★☆☆ | 3/5 | |
| Woodland Grove Healthcare & Rehabilitation Center | 1.5 mi | Jacksonville, FL | ★★★★★ | 5/5 | |
| Vivo Healthcare University | 1.6 mi | Jacksonville, FL | ★★★★☆ | 3/5 | |
| University Crossing | 1.9 mi | Jacksonville, FL | ★★★★☆ | 4/5 | |
| Regents Park of Jacksonville | 3.2 mi | Jacksonville, FL | ★★★★☆ | 4/5 | |
| Aviata at San Jose | 4.0 mi | Jacksonville, FL | ★★★☆☆ | 3/5 | |
| First Coast Health and Rehabilitation Center | 4.3 mi | Jacksonville, FL | ★★★★☆ | 4/5 | |
| Dolphin Pointe Health Care Center | 4.7 mi | Jacksonville, FL | ★★★☆☆ | 3/5 | |
| North Bank Center for Rehabilitation and Healing | 5.2 mi | Jacksonville, FL | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 105682.