Florida ›Fort Pierce

Sandgate Gardens Rehab and Nursing Center

703 S 29th St, Fort Pierce, FL 34947 · St. Lucie County · 107 certified beds · avg 103 residents/day · certified since Mar 17, 1981

Part of chain: ASTON HEALTH (38 facilities, chain avg rating 2.7★)

2/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
3.82
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

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 (45)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

DateSeverityWhat the facility was cited for
Nov 3, 2025D · Potential for harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Apr 18, 2025E · Potential for harm, repeatedThe 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.
Apr 18, 2025E · Potential for harm, repeatedThe facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Apr 18, 2025D · Potential for harm, one-offThe 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.
Apr 18, 2025D · Potential for harm, one-offThe 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.
Apr 18, 2025D · Potential for harm, one-offThe facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.
Apr 18, 2025D · Potential for harm, one-offThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Apr 18, 2025D · Potential for harm, one-offThe facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Apr 18, 2025D · Potential for harm, one-offThe 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.
Apr 18, 2025D · Potential for harm, one-offThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Apr 18, 2025D · Potential for harm, one-offThe 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 18, 2025D · Potential for harm, one-offThe facility did not provide safe and appropriate pain management for a resident who needed it.
Apr 18, 2025D · Potential for harm, one-offThe 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.
Apr 18, 2025D · Potential for harm, one-offThe facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Apr 18, 2025D · Potential for harm, one-offThe 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.
Apr 18, 2025D · Potential for harm, one-offThe 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.
Apr 18, 2025D · Potential for harm, one-offThe 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.
Apr 18, 2025D · Potential for harm, one-offThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Jan 15, 2025E · Potential for harm, repeatedThe 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
Dec 21, 2023E · Potential for harm, repeatedThe 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.
Dec 21, 2023E · Potential for harm, repeatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Dec 21, 2023E · Potential for harm, repeatedThe facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Dec 21, 2023D · Potential for harm, one-offThe 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.
Dec 21, 2023D · Potential for harm, one-offThe 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.
Dec 21, 2023D · Potential for harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Dec 21, 2023D · Potential for harm, one-offThe facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Dec 21, 2023D · Potential for harm, one-offThe facility did not provide safe and appropriate pain management for a resident who needed it.
Dec 21, 2023D · Potential for harm, one-offThe facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Dec 21, 2023D · Potential for harm, one-offThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Dec 21, 2023D · Potential for harm, one-offThe 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.
Dec 21, 2023D · Potential for harm, one-offThe 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.
Dec 21, 2023D · Potential for harm, one-offThe facility did not provide timely, quality laboratory tests to meet residents' needs.
Dec 21, 2023D · Potential for harm, one-offThe facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames.
Aug 31, 2023D · Potential for harm, one-offThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Aug 25, 2022E · Potential for harm, repeatedThe 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.
Aug 25, 2022E · Potential for harm, repeatedThe 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.
Aug 25, 2022E · Potential for harm, repeatedThe facility did not perform required COVID-19 testing on residents and staff.
Aug 25, 2022D · Potential for harm, one-offThe 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.
Aug 25, 2022D · Potential for harm, one-offThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Aug 25, 2022D · Potential for harm, one-offThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Aug 25, 2022D · Potential for harm, one-offThe 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.
Aug 25, 2022D · Potential for harm, one-offThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Aug 25, 2022D · Potential for harm, one-offThe 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.
Aug 25, 2022D · Potential for harm, one-offThe facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Aug 25, 2022D · Potential for harm, one-offThe facility did not provide timely, quality laboratory tests to meet residents' needs.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (14 → 17).

YearCitationsSerious (G–L)Worst severity that year
2022110E
2023150E
2025190E

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)

MeasureThis facilityFlorida avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.824.033.95bottom 46% in Florida; top 47% in the U.S.
Registered Nurse hours0.530.760.69bottom 27% in Florida; bottom 42% in the U.S.
Weekend total nurse staffing3.463.683.50bottom 41% in Florida; top 44% in the U.S.
Weekend RN hours (not acuity-adjusted)0.270.530.48bottom 17% in Florida; bottom 27% in the U.S.
Total nursing staff turnover (%)57.641.445.8bottom 12% in Florida; bottom 20% in the U.S.
RN turnover (%)67.746.042.9bottom 13% in Florida; bottom 13% 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 3.52, RN 0.49, weekend 3.19. Staffing rating: 2/5.

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: 2/5

Who owns this facility

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Citadel Care Group LLCOrganization5% or Greater Indirect Ownership Interest100%05/07/2018
Gutman, SamuelIndividualIndirect Ownership InterestNOT APPLICABLE05/07/2018
LP Care Holdings LLCOrganization5% or Greater Direct Ownership Interest100%05/07/2018
Aston Healthcare LLCOrganizationADP of the SNFNOT APPLICABLE01/01/2022
Bannister, GerriIndividualOperational/Managerial ControlNOT APPLICABLE08/12/2025
Culberth, BrittneyIndividualOperational/Managerial ControlNOT APPLICABLE12/11/2022
Johnson, DesIndividualOperational/Managerial ControlNOT APPLICABLE05/13/2025
Johnson, DesIndividualADP of the SNFNOT APPLICABLE10/14/2025
Wildes, DonnaIndividualOperational/Managerial ControlNOT APPLICABLE08/28/2025
Wildes, DonnaIndividualADP of the SNFNOT APPLICABLE08/28/2025
Zimmer, SuzanIndividualOperational/Managerial ControlNOT APPLICABLE06/27/2018
Zimmer, SuzanIndividualADP of the SNFNOT APPLICABLE10/14/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Vivo Healthcare Fort Pierce0.0 miFort Pierce, FL★★★☆☆2/5
Aviata at Saint Lucie1.0 miFort Pierce, FL★☆☆☆☆1/5
Port St Lucie Rehabilitation and Healthcare6.9 miPort Saint Lucie, FL★★★★☆4/5
Savannas Park Health and Rehabilitation Center10.8 miPort Saint Lucie, FL★★★★☆3/5
Palm Garden of Port Saint Lucie11.2 miPort Saint Lucie, FL★★★★★4/5
Tiffany Hall Nursing and Rehab Center11.4 miPort Saint Lucie, FL★★★☆☆2/5
Life Care Center of Port Saint Lucie12.0 miPort Saint Lucie, FL★★★☆☆2/5
Ardie R Copas State Veterans Nursing Home13.7 miPort Saint Lucie, FL★★★★★4/5
Garden View Health and Rehabilitation Center14.0 miVero Beach, FL★☆☆☆☆1/5
Hidden Lakes Senior Living Community14.8 miVero Beach, FL★★★☆☆2/5
Sea Breeze Rehab and Nursing Center15.3 miVero Beach, FL★★☆☆☆3/5
Vero Beach Care Center15.4 miVero Beach, FL★☆☆☆☆1/5

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Facility data as of CMS processing date 2026-08-01. CCN 105382.