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Part of chain: PALM GARDEN HEALTH AND REHABILITATION (14 facilities, chain avg rating 3.1★)
3/5
Health inspection rating (on-site)
inspected Apr 18, 2024
1
Serious findings on record
most recent Apr 24, 2025
$16,153
Fines, last 3 years
3.88
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
⚠ 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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, isolated · Apr 24, 2025 · F-0578 · triggered by a complaint
The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Why it matters: Ignoring these rights means residents may receive treatments they refused, or miss having their end-of-life wishes respected.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Apr 25, 2025 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 20 inspection findings. Open the full record below to read every finding.
D · Potential for more than minimal harm, isolated
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. · from a complaintF-0686
J · Immediate jeopardy, isolated
The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaintF-0578
D · Potential for more than minimal harm, isolated
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641
View all 20 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
Date
Severity
What the facility was cited for
Dec 29, 2025
D · Potential for more than minimal harm, isolated
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. · from a complaint · F-0686
Apr 24, 2025
▲ J · Immediate jeopardy, isolated
The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint · F-0578
Apr 18, 2024
D · Potential for more than minimal harm, isolated
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Apr 18, 2024
D · Potential for more than minimal harm, isolated
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. · F-0656
Apr 18, 2024
D · Potential for more than minimal harm, isolated
The facility did not provide timely, quality laboratory tests to meet residents' needs. · F-0770
Apr 18, 2024
D · Potential for more than minimal harm, isolated
The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Jan 26, 2023
D · Potential for more than minimal harm, isolated
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. · F-0558
Jan 26, 2023
D · Potential for more than minimal harm, isolated
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Jan 26, 2023
D · Potential for more than minimal harm, isolated
The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698
Jan 26, 2023
D · Potential for more than minimal harm, isolated
The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Jan 26, 2023
D · Potential for more than minimal harm, isolated
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. · F-0756
Jan 26, 2023
D · Potential for more than minimal harm, isolated
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. · F-0759
Jan 26, 2023
D · Potential for more than minimal harm, isolated
The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Oct 7, 2021
D · Potential for more than minimal harm, isolated
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. · F-0644
Oct 7, 2021
D · Potential for more than minimal harm, isolated
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Oct 7, 2021
D · Potential for more than minimal harm, isolated
The facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697
Oct 7, 2021
D · Potential for more than minimal harm, isolated
The facility did not observe each nurse aide's job performance or provide regular training as required. · F-0730
Oct 7, 2021
D · Potential for more than minimal harm, isolated
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. · F-0761
Oct 7, 2021
D · Potential for more than minimal harm, isolated
The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. · F-0791
Oct 7, 2021
D · Potential for more than minimal harm, isolated
The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (7 → 4).
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2021
All citations:
7
Serious citations (G–L):
0
2023
All citations:
7
Serious citations (G–L):
0
2024
All citations:
4
Serious citations (G–L):
0
2025
All citations:
2
Serious citations (G–L):
1
All bars start at zero. Exact values and supporting details remain below.
Year
Citations
Serious (G–L)
Worst severity that year
2021
7
0
D
2023
7
0
D
2024
4
0
D
2025
2
1
J ▲
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.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
Date
Type
Amount / length
Apr 24, 2025
Fine
$16,153
Nurse staffing (from payroll records, adjusted for how much care residents need)
Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityFlorida averageU.S. average
Total nurse staffing (hours per resident per day)
This facility:
3.88
Florida average:
4.03
U.S. average:
3.95
Registered Nurse hours
This facility:
0.61
Florida average:
0.76
U.S. average:
0.69
Weekend total nurse staffing
This facility:
3.55
Florida average:
3.68
U.S. average:
3.50
All bars start at zero. Exact values and supporting details remain below.
Measure
This facility
Florida avg
U.S. avg
Where it stands
Total nurse staffing (hours per resident per day)
3.88
4.03
3.95
top 50% in Florida; top 45% in the U.S.
Registered Nurse hours
0.61
0.76
0.69
bottom 43% in Florida; top 47% in the U.S.
Weekend total nurse staffing
3.55
3.68
3.50
top 49% in Florida; top 40% in the U.S.
Weekend RN hours (not acuity-adjusted)
0.44
0.53
0.48
bottom 49% in Florida; top 42% in the U.S.
Total nursing staff turnover (%)
38.0
41.4
45.8
top 40% in Florida; top 31% in the U.S.
RN turnover (%)
55.2
46.0
42.9
bottom 31% in Florida; bottom 28% in the U.S.
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.53, RN 0.56, weekend 3.22.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.53 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
No verified facility-specific private-pay price is available in our data for Palm Garden of West Palm Beach. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
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
Gil, Walter
Individual
Operational/Managerial Control
NOT APPLICABLE
04/20/2022
Gil, Walter
Individual
ADP of the SNF
NOT APPLICABLE
04/20/2022
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
11/01/2013
Palm Healthcare Management, LLC
Organization
ADP of the SNF
NOT APPLICABLE
04/11/2025
Patsy E. McCarver Trust U/A Dated June 22, 2001 as Amended, Patsy E
Organization
ADP of the SNF
NOT APPLICABLE
11/01/2013
PGWPB Re, LLC
Organization
5% or Greater Security Interest
NOT APPLICABLE
03/14/2024
PGWPB Re, LLC
Organization
ADP of the SNF
NOT APPLICABLE
03/14/2024
Regions Bank
Organization
5% or Greater Security Interest
NOT APPLICABLE
11/01/2013
Vaneges, Carlos
Individual
Operational/Managerial Control
NOT APPLICABLE
04/04/2025
Vaneges, Carlos
Individual
ADP of the SNF
NOT APPLICABLE
04/11/2025
All 18 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Palm Garden Health and Rehabilitation — 14 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
CMS records place this facility in Palm Beach, FL — 54 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Facility data as of CMS processing date 2026-08-01. CCN 105607.
This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).
The Care File
Visit checklist — Palm Garden of West Palm Beach
300 Executive Center Drive, West Palm Beach, FL 33401 · (561) 471-5566
Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $16,153
Most serious findings on record:
▲ Apr 24, 2025 (F-0578, Immediate jeopardy, isolated): The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Questions for the administrator:
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How quickly are lab tests done and results acted on when a resident's doctor orders them?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 38% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 18 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"
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 105607 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)