Palm Garden of Vero Beach

Name: Palm Garden of Vero Beach
Address: 1755 37TH STREET, Vero Beach, FL, 32960, US
Telephone: 7725672443

1755 37th Street, Vero Beach, FL 32960 · Indian River County · 189 certified beds · avg 178 residents/day · certified since Nov 25, 1987

Part of chain: PALM GARDEN HEALTH AND REHABILITATION (14 facilities, chain avg rating 3.1★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.02

Nurse hours/resident/day (adjusted)

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.

All citations in the current public record (25)

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
Apr 30, 2026	D · Potential for harm, one-off	The facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost. · from a complaint
Apr 30, 2026	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 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. · from a complaint
Apr 24, 2025	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.
Apr 24, 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.
Apr 24, 2025	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.
Apr 24, 2025	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Apr 24, 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.
Jan 12, 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
Jan 12, 2024	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jan 12, 2024	E · Potential for harm, repeated	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
Jan 12, 2024	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. · from a complaint
Jan 12, 2024	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 12, 2024	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Jan 12, 2024	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.
Jan 12, 2024	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.
Jan 12, 2024	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Jan 12, 2024	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.
Jan 12, 2024	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.
Jan 12, 2024	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 12, 2024	D · Potential for harm, one-off	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
Jan 12, 2024	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Jan 12, 2024	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 1, 2022	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Sep 1, 2022	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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (15 → 5).

Year	Citations	Worst severity that year
2022	2	D
2024	15	E
2025	6	D
2026	2	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)	4.02	4.03	3.95	top 36% in Florida; top 39% in the U.S.
Registered Nurse hours	0.59	0.76	0.69	bottom 37% in Florida; top 50% in the U.S.
Weekend total nurse staffing	3.71	3.68	3.50	top 35% in Florida; top 33% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.29	0.53	0.48	bottom 21% in Florida; bottom 31% in the U.S.
Total nursing staff turnover (%)	51.6	41.4	45.8	bottom 24% in Florida; bottom 33% in the U.S.
RN turnover (%)	69.4	46.0	42.9	bottom 12% in Florida; bottom 12% 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 3.81, RN 0.56, weekend 3.51. 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 - 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	—	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
Greene, Robert	Individual	Corporate Officer	NOT APPLICABLE	10/01/2014
James O. McCarver Qtip Business Marital Trust U/A Dated June 22, 2001,	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2021
Jordan, Nicole	Individual	Operational/Managerial Control	NOT APPLICABLE	08/31/2020
Jordan, Nicole	Individual	ADP of the SNF	NOT APPLICABLE	04/22/2025
Malone, Marcus	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2024
Malone, Marcus	Individual	ADP of the SNF	NOT APPLICABLE	09/01/2024
Palm Healthcare Management, LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/22/2025
Patsy E. McCarver Trust U/A Dated June 22, 2001 as Amended, Patsy E	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2013
Pgver Re, LLC	Organization	5% or Greater Security Interest	NOT APPLICABLE	06/20/2024
Pgver 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.

"Can I get a written copy of resident rights, house rules, and a full list of services and charges today?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"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?"
"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
Vero Beach Care Center	0.1 mi	Vero Beach, FL	★☆☆☆☆	1/5
Sea Breeze Rehab and Nursing Center	0.1 mi	Vero Beach, FL	★★☆☆☆	3/5
Hidden Lakes Senior Living Community	0.8 mi	Vero Beach, FL	★★★☆☆	2/5
Garden View Health and Rehabilitation Center	1.4 mi	Vero Beach, FL	★☆☆☆☆	1/5
Willowbrooke Court at Indian River Estates	5.4 mi	Vero Beach, FL	★★★★★	5/5
Sandgate Gardens Rehab and Nursing Center	15.4 mi	Fort Pierce, FL	★★☆☆☆	2/5
Vivo Healthcare Fort Pierce	15.4 mi	Fort Pierce, FL	★★★☆☆	2/5
Aviata at Saint Lucie	15.6 mi	Fort Pierce, FL	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Vero Beach →

Facility data as of CMS processing date 2026-08-01. CCN 105592.

The Care File

Visit checklist — Palm Garden of Vero Beach

1755 37th Street, Vero Beach, FL 32960 · 7725672443

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "Can I get a written copy of resident rights, house rules, and a full list of services and charges today?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "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?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 105592 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)