Palm Garden of Largo
10500 Starkey Rd, Largo, FL 33777 · Pinellas County · 140 certified beds · avg 136 residents/day · certified since Jul 31, 1987
Abuse citation flag (CMS)
Part of chain: PALM GARDEN HEALTH AND REHABILITATION (14 facilities, chain avg rating 3.1★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 2/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
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)
▲ Actual harm, one-off · May 20, 2026 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Jun 10, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jun 21, 2025 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
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: Jul 21, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Feb 29, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Mar 29, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (30)
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 |
|---|---|---|
| May 20, 2026 | ▲ G · Actual 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 |
| May 20, 2026 | E · Potential for harm, repeated | 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 |
| Jun 21, 2025 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Feb 10, 2025 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Feb 29, 2024 | ▲ G · Actual 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 |
| Feb 29, 2024 | F · Potential for harm, facility-wide | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Feb 29, 2024 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · from a complaint |
| Feb 29, 2024 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Feb 29, 2024 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Feb 29, 2024 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Feb 29, 2024 | E · Potential for harm, repeated | 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. |
| Feb 29, 2024 | E · Potential for harm, repeated | 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. |
| Feb 29, 2024 | D · Potential for harm, one-off | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. |
| Feb 29, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Feb 29, 2024 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Feb 29, 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. |
| Feb 29, 2024 | 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. |
| Feb 29, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Feb 29, 2024 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Feb 29, 2024 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| Feb 29, 2024 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| Aug 15, 2023 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint |
| Aug 15, 2023 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Dec 10, 2021 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Dec 10, 2021 | E · Potential for harm, repeated | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Dec 10, 2021 | 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. |
| Dec 10, 2021 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Dec 10, 2021 | 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. |
| Sep 11, 2020 | E · Potential for harm, repeated | 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. |
| Sep 11, 2020 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (5 → 17).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 2 | 0 | E |
| 2021 | 5 | 0 | E |
| 2023 | 2 | 0 | D |
| 2024 | 17 | 1 | G ▲ |
| 2025 | 2 | 1 | G ▲ |
| 2026 | 2 | 1 | G ▲ |
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)
2 fines totaling $66,613.
| Date | Type | Amount / length |
|---|---|---|
| Jun 21, 2025 | Fine | $33,248 |
| Feb 29, 2024 | Fine | $33,365 |
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) | 4.02 | 4.03 | 3.95 | top 37% in Florida; top 39% in the U.S. |
| Registered Nurse hours | 0.62 | 0.76 | 0.69 | bottom 43% in Florida; top 45% in the U.S. |
| Weekend total nurse staffing | 3.67 | 3.68 | 3.50 | top 38% in Florida; top 35% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.44 | 0.53 | 0.48 | bottom 50% in Florida; top 41% in the U.S. |
| Total nursing staff turnover (%) | 54.5 | 41.4 | 45.8 | bottom 18% in Florida; bottom 26% in the U.S. |
| RN turnover (%) | 52.2 | 46.0 | 42.9 | bottom 37% in Florida; bottom 32% 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 3.64, RN 0.56, weekend 3.32. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| 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 | 10/01/2024 |
| Chalmers, James | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2015 |
| Fitts, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/07/2025 |
| Fitts, John | Individual | ADP of the SNF | NOT APPLICABLE | 04/08/2025 |
| 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 |
| Korbaj, Rabee | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/15/2024 |
| Korbaj, Rabee | Individual | ADP of the SNF | NOT APPLICABLE | 08/15/2024 |
| Palm Healthcare Management, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/08/2025 |
| Patsy E. McCarver Trust U/A Dated June 22, 2001 as Amended, Patsy E | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2013 |
| Pglar Re, LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 06/20/2024 |
| Pglar Re, LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 06/20/2024 |
| Pglar Re, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/20/2024 |
| 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.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "Does your facility have an active resident council, and how does management respond to its concerns?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "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 |
|---|---|---|---|---|---|
| Aviata at Bryan Dairy | 0.3 mi | Largo, FL | ★☆☆☆☆ | 1/5 | abuse |
| Aviata at Seminole | 2.0 mi | Seminole, FL | ★☆☆☆☆ | 1/5 | |
| Wrights Healthcare and Rehabilitation Center | 2.0 mi | Seminole, FL | ★★★★☆ | 3/5 | |
| Gulf Shore Care Center | 2.1 mi | Pinellas Park, FL | ★★★☆☆ | 3/5 | |
| Tierra Pines Center | 2.3 mi | Largo, FL | ★★☆☆☆ | 3/5 | |
| Sabal Palms Health & Rehabilitation | 2.3 mi | Largo, FL | ★★☆☆☆ | 2/5 | |
| Freedom Square Health Care Center | 2.4 mi | Seminole, FL | ★★★☆☆ | 3/5 | |
| Palm Garden of Pinellas | 2.8 mi | Largo, FL | ★☆☆☆☆ | 1/5 | |
| East Bay Rehabilitation Center | 3.6 mi | Clearwater, FL | ★★★★☆ | 3/5 | |
| Pinellas Park FL Opco, LLC | 4.0 mi | Pinellas Park, FL | ★☆☆☆☆ | 1/5 | abuse |
| Alhambra Healthcare & Rehabilitation Center | 4.4 mi | Saint Petersburg, FL | ★☆☆☆☆ | 1/5 | |
| Lexington Healthcare and Rehabilitation Center | 4.4 mi | Saint Petersburg, FL | ★★★☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 105574.