Palm Garden of Pinellas
200 16th Ave SE, Largo, FL 34641 · Pinellas County · 120 certified beds · avg 113 residents/day · certified since Jun 24, 1991
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: ★☆☆☆☆1/5 · CMS overall rating: 1/5
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 · Apr 10, 2024 · 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 (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: Apr 11, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Apr 10, 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 (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: Apr 11, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · May 12, 2026 · F-0684 · triggered by a complaint
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 (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 2, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (31)
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 12, 2026 | ▲ G · Actual 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 |
| May 12, 2026 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| May 15, 2025 | 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. |
| May 15, 2025 | F · Potential for harm, facility-wide | 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. |
| May 15, 2025 | 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. |
| May 15, 2025 | E · Potential for harm, repeated | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| May 15, 2025 | E · Potential for harm, repeated | 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. |
| May 15, 2025 | 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. |
| May 15, 2025 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| May 15, 2025 | E · Potential for harm, repeated | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. |
| May 15, 2025 | E · Potential for harm, repeated | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| May 15, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| May 15, 2025 | D · Potential for harm, one-off | 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. |
| May 15, 2025 | 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. · from a complaint |
| May 15, 2025 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| May 15, 2025 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| May 15, 2025 | D · Potential for harm, one-off | 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. |
| Apr 10, 2024 | ▲ J · Immediate jeopardy, 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 |
| Apr 10, 2024 | ▲ J · Immediate jeopardy, 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 |
| Mar 30, 2023 | E · Potential for harm, repeated | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Mar 30, 2023 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Mar 30, 2023 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Mar 30, 2023 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| Mar 30, 2023 | 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. |
| Mar 30, 2023 | D · Potential for harm, one-off | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Jul 1, 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. |
| Jul 1, 2021 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jul 1, 2021 | 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. |
| Jul 1, 2021 | D · Potential for harm, one-off | 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. |
| Jul 1, 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. |
| Jul 1, 2021 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (6 → 15).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 6 | 0 | D |
| 2023 | 6 | 0 | E |
| 2024 | 2 | 2 | J ▲ |
| 2025 | 15 | 0 | F |
| 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 $10,039.
| Date | Type | Amount / length |
|---|---|---|
| Apr 10, 2024 | Fine | $5,019 |
| Apr 10, 2024 | Fine | $5,020 |
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) | 3.93 | 4.03 | 3.95 | top 46% in Florida; top 43% in the U.S. |
| Registered Nurse hours | 0.63 | 0.76 | 0.69 | bottom 45% in Florida; top 44% in the U.S. |
| Weekend total nurse staffing | 3.61 | 3.68 | 3.50 | top 43% in Florida; top 37% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.52 | 0.53 | 0.48 | top 40% in Florida; top 31% in the U.S. |
| Total nursing staff turnover (%) | 57.9 | 41.4 | 45.8 | bottom 12% in Florida; bottom 20% in the U.S. |
| RN turnover (%) | 37.5 | 46.0 | 42.9 | top 33% in Florida; top 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 3.60, RN 0.58, weekend 3.31. 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: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Individual
| 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 |
| Bacha, Mouna | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2020 |
| Bacha, Mouna | Individual | ADP of the SNF | NOT APPLICABLE | 04/04/2025 |
| 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 | 01/01/2014 |
| James O. McCarver Qtip Business Marital Trust U/A Dated June 22, 2001, | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2013 |
| Mitchell, Sandra | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/02/2016 |
| Mitchell, Sandra | Individual | ADP of the SNF | NOT APPLICABLE | 04/04/2025 |
| 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 |
| Pgpin Re LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 07/29/2024 |
| Pgpin Re LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/29/2024 |
| 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.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Does your facility have an active resident council, and how does management respond to its concerns?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "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 |
|---|---|---|---|---|---|
| Sabal Palms Health & Rehabilitation | 1.9 mi | Largo, FL | ★★☆☆☆ | 2/5 | |
| Wrights Healthcare and Rehabilitation Center | 2.1 mi | Seminole, FL | ★★★★☆ | 3/5 | |
| Belleair Health Care Center | 2.4 mi | Clearwater, FL | ★★★★☆ | 4/5 | |
| Aviata at Bryan Dairy | 2.5 mi | Largo, FL | ★☆☆☆☆ | 1/5 | abuse |
| Oak Manor Healthcare & Rehabilitation Center | 2.6 mi | Largo, FL | ★★★★☆ | 3/5 | |
| Palm Garden of Largo | 2.8 mi | Largo, FL | ★★☆☆☆ | 1/5 | abuse |
| Tierra Pines Center | 2.9 mi | Largo, FL | ★★☆☆☆ | 3/5 | |
| East Bay Rehabilitation Center | 3.1 mi | Clearwater, FL | ★★★★☆ | 3/5 | |
| Morton Plant Rehabilitation Center | 3.4 mi | Belleair, FL | ★★★★★ | 3/5 | |
| Highland Pines Rehabilitation Center | 3.7 mi | Clearwater, FL | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 105733.