Sabal Palms Health & Rehabilitation
499 Alternate Keene Rd NE, Largo, FL 33771 · Pinellas County · 244 certified beds · avg 199 residents/day · certified since May 18, 1990
Part of chain: THE GOODMAN GROUP (9 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · 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)
▲ Immediate jeopardy, one-off · Jun 8, 2022 · F-0689
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: Nov 12, 2022 (Deficient, Provider has date of correction)
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 |
|---|---|---|
| Sep 23, 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. · from a complaint |
| Sep 23, 2025 | 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 |
| Apr 22, 2025 | 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 |
| Apr 22, 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. · from a complaint |
| Jul 25, 2024 | E · Potential for harm, repeated | 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. |
| 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. |
| Jul 25, 2024 | 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. |
| Apr 23, 2024 | F · Potential for harm, facility-wide | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint |
| Apr 23, 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 |
| Jun 8, 2022 | ▲ 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. |
| Jun 8, 2022 | 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. |
| Jun 8, 2022 | 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. |
| Jun 8, 2022 | 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. |
| Jun 8, 2022 | 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. |
| Jun 8, 2022 | 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. |
| Jun 8, 2022 | 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. |
| Jun 8, 2022 | 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. |
| Jun 8, 2022 | D · Potential for harm, one-off | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. |
| Feb 18, 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. |
| Feb 18, 2021 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (9 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 2 | 0 | D |
| 2022 | 9 | 1 | J ▲ |
| 2024 | 5 | 0 | F |
| 2025 | 4 | 0 | E |
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) | 3.45 | 4.03 | 3.95 | bottom 12% in Florida; bottom 34% in the U.S. |
| Registered Nurse hours | 0.67 | 0.76 | 0.69 | top 49% in Florida; top 39% in the U.S. |
| Weekend total nurse staffing | 3.20 | 3.68 | 3.50 | bottom 13% in Florida; bottom 41% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.61 | 0.53 | 0.48 | top 29% in Florida; top 22% in the U.S. |
| Total nursing staff turnover (%) | 39.8 | 41.4 | 45.8 | top 44% in Florida; top 36% in the U.S. |
| RN turnover (%) | 40.9 | 46.0 | 42.9 | top 41% in Florida; top 49% 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 4.00, RN 0.78, weekend 3.71. 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: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Benson, Randall | Individual | 5% or Greater Indirect Ownership Interest | 17% | 02/28/2017 |
| John B. Goodman 2006 Irrv Grantor Tr | Organization | 5% or Greater Direct Ownership Interest | — | 02/28/2017 |
| John B. Goodman 2006 Irrv Grantor Tr | Organization | 5% or Greater Indirect Ownership Interest | 11% | 02/28/2017 |
| Medinvest Company Limited Partnership | Organization | 5% or Greater Direct Ownership Interest | — | 07/27/1990 |
| Salmen, Thomas | Individual | 5% or Greater Indirect Ownership Interest | 17% | 02/28/2017 |
| South Dakota Trust Company, LLC | Organization | 5% or Greater Indirect Ownership Interest | 17% | 02/28/2017 |
| The Goodman Group Properties LLC | Organization | 5% or Greater Direct Ownership Interest | — | 01/01/2007 |
| Weichert, James | Individual | 5% or Greater Indirect Ownership Interest | 17% | 02/28/2017 |
| Wilson, Mark | Individual | 5% or Greater Indirect Ownership Interest | 17% | 02/28/2017 |
| Benson, Randall | Individual | Corporate Officer | NOT APPLICABLE | 06/26/2016 |
| Benson, Randall | Individual | General Partnership Interest | NOT APPLICABLE | 02/28/2017 |
| Benson, Randall | Individual | Limited Partnership Interest | NOT APPLICABLE | 02/28/2017 |
| Edinger, Craig | Individual | Corporate Officer | NOT APPLICABLE | 10/11/2016 |
| Felicione, Theresa | Individual | W-2 Managing Employee | NOT APPLICABLE | 05/19/2022 |
| James, Gregory | Individual | Contracted Managing Employee | NOT APPLICABLE | 08/09/2002 |
| Jbge Medinvest INC | Organization | General Partnership Interest | NOT APPLICABLE | 01/01/2007 |
| John B. Goodman 2006 Irrv Grantor Tr | Organization | General Partnership Interest | NOT APPLICABLE | 02/28/2017 |
| John B. Goodman 2006 Irrv Grantor Tr | Organization | Limited Partnership Interest | NOT APPLICABLE | 02/28/2017 |
| Knacke, Clinton | Individual | Corporate Officer | NOT APPLICABLE | 10/12/2022 |
| Olson, Denise | Individual | Corporate Officer | NOT APPLICABLE | 09/16/2013 |
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?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "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 do you coordinate and monitor care for residents who receive dialysis?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "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 |
|---|---|---|---|---|---|
| Tierra Pines Center | 1.1 mi | Largo, FL | ★★☆☆☆ | 3/5 | |
| East Bay Rehabilitation Center | 1.5 mi | Clearwater, FL | ★★★★☆ | 3/5 | |
| Palm Garden of Pinellas | 1.9 mi | Largo, FL | ★☆☆☆☆ | 1/5 | |
| Aviata at Bryan Dairy | 2.0 mi | Largo, FL | ★☆☆☆☆ | 1/5 | abuse |
| Palm Garden of Largo | 2.3 mi | Largo, FL | ★★☆☆☆ | 1/5 | abuse |
| Wrights Healthcare and Rehabilitation Center | 3.1 mi | Seminole, FL | ★★★★☆ | 3/5 | |
| Belleair Health Care Center | 3.5 mi | Clearwater, FL | ★★★★☆ | 4/5 | |
| Gulf Shore Care Center | 3.8 mi | Pinellas Park, FL | ★★★☆☆ | 3/5 | |
| Highland Pines Rehabilitation Center | 3.8 mi | Clearwater, FL | ★☆☆☆☆ | 1/5 | |
| Morton Plant Rehabilitation Center | 4.3 mi | Belleair, FL | ★★★★★ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 105694.