Palm Garden of Port Saint Lucie
1751 SE Hillmoor Drive, Port Saint Lucie, FL 34952 · St. Lucie County · 120 certified beds · avg 112 residents/day · certified since Feb 25, 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: 5/5
⚠ 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.
All citations in the current public record (20)
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 25, 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 |
| Jul 25, 2024 | 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. · from a complaint |
| Jul 25, 2024 | 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. |
| Jul 25, 2024 | D · Potential for harm, one-off | The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. |
| Jul 25, 2024 | 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. · from a complaint |
| Jul 25, 2024 | 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. |
| May 4, 2023 | 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. |
| May 4, 2023 | 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. |
| May 4, 2023 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| May 4, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| May 4, 2023 | 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 4, 2023 | C · Minimal risk, facility-wide | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Jan 21, 2022 | E · Potential for harm, repeated | The facility did not honor residents' right to receive the visitors they choose, at the times they choose. |
| Jan 21, 2022 | E · Potential for harm, repeated | 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. |
| Jan 21, 2022 | 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. |
| Jan 21, 2022 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Jan 21, 2022 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. |
| Jan 21, 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. |
| Jan 21, 2022 | D · Potential for harm, one-off | The facility did not perform required COVID-19 testing on residents and staff. |
| Jan 21, 2022 | B · Minimal risk, 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 8 | 0 | E |
| 2023 | 6 | 0 | D |
| 2024 | 6 | 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)
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) | 4.17 | 4.03 | 3.95 | top 28% in Florida; top 33% in the U.S. |
| Registered Nurse hours | 0.73 | 0.76 | 0.69 | top 42% in Florida; top 33% in the U.S. |
| Weekend total nurse staffing | 3.70 | 3.68 | 3.50 | top 36% in Florida; top 33% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.48 | 0.53 | 0.48 | top 45% in Florida; top 35% 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 (%) | 27.8 | 46.0 | 42.9 | top 17% in Florida; top 25% 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 3.62, RN 0.63, weekend 3.21. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
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 | — | 12/23/2014 |
| James O. McCarver Residuary Trust Share U/A Dated 06/22/2001 | Organization | 5% or Greater Indirect Ownership Interest | — | 12/23/2014 |
| McCarver, Patsy | Individual | 5% or Greater Indirect Ownership Interest | — | 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 | — | 11/01/2013 |
| Bomberger, Jeffrey | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2014 |
| Chalmers, James | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2015 |
| Gagnon, Amy | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/14/1966 |
| Gagnon, Amy | Individual | ADP of the SNF | NOT APPLICABLE | 03/06/2025 |
| 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 |
| Palm Healthcare Management, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/06/2025 |
| Patsy E. McCarver Trust U/A Dated June 22, 2001 as Amended, Patsy E | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2013 |
| PGPSL Re LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 07/29/2024 |
| PGPSL 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 |
| Shah, Chintan | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/13/2024 |
| Shah, Chintan | Individual | ADP of the SNF | NOT APPLICABLE | 03/06/2025 |
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 many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "How are therapy services provided here, and how quickly does therapy start after a doctor orders it?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "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 monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "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 |
|---|---|---|---|---|---|
| Tiffany Hall Nursing and Rehab Center | 0.2 mi | Port Saint Lucie, FL | ★★★☆☆ | 2/5 | |
| Life Care Center of Port Saint Lucie | 0.9 mi | Port Saint Lucie, FL | ★★★☆☆ | 2/5 | |
| Savannas Park Health and Rehabilitation Center | 1.1 mi | Port Saint Lucie, FL | ★★★★☆ | 3/5 | |
| Port St Lucie Rehabilitation and Healthcare | 4.5 mi | Port Saint Lucie, FL | ★★★★☆ | 4/5 | |
| Waters Edge Health and Rehabilitation | 7.0 mi | Palm City, FL | ★★★★★ | 5/5 | |
| Stuart Rehabilitation and Healthcare | 7.9 mi | Stuart, FL | ★★★★☆ | 4/5 | |
| Solaris Healthcare Parkway | 8.1 mi | Stuart, FL | ★★★★☆ | 4/5 | |
| Palm City Nursing & Rehab Center | 8.8 mi | Palm City, FL | ★★★★★ | 4/5 | |
| Ardie R Copas State Veterans Nursing Home | 9.9 mi | Port Saint Lucie, FL | ★★★★★ | 4/5 | |
| Aviata at Saint Lucie | 10.9 mi | Fort Pierce, FL | ★☆☆☆☆ | 1/5 | |
| Sandgate Gardens Rehab and Nursing Center | 11.2 mi | Fort Pierce, FL | ★★☆☆☆ | 2/5 | |
| Vivo Healthcare Fort Pierce | 11.2 mi | Fort Pierce, FL | ★★★☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 105600.