Palm Garden of Ocala
2700 Sw 34th St., Ocala, FL 34474 · Marion County · (352) 854-6262
180 certified beds, about 176 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1987
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105562 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 12, 2025, inspectors cited 6 health deficiencies (the Florida average is 7.1, the national average 9.2).
Of 19 health citations since October 2022, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $8,512 in the last three years; the largest was $8,512, and the latest is dated December 19, 2024.
Nurses and nurse aides worked 3.45 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.32 of those hours.
51.9% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Palm Garden Health and Rehabilitation, an affiliated group of 14 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
510/22
603/24
112/24
606/25
112/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 19 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
14D
3E
0F
Potential for minimal harm
0A
0B
1C
December 17, 2025Complaint inspection · 1 citation
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on interview and record review, the facility failed to ensure physician ordered medication parameters were followed for adequate indications for use, resulting in the administration of unnecessary medications for 1 of 3 residents, Resident #1 reviewed for unnecessary pain medications.
June 12, 2025Standard inspection · 6 citations
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and implement a comprehensive care plan for 1 of 2 residents reviewed for accidents (Resident #70), 2 of 5 residents reviewed for insulin administration (Residents #82 and #167), and 1 of 8 residents reviewed for oxygen therapy (Resident #166).
- E Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents received respiratory care as ordered by physician for 4 of 8 residents reviewed for respiratory services (Residents #19, #66, #166 and #51).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure Minimum Data Set (MDS) assessments accurately reflected the resident's status for 2 of 8 residents reviewed for oxygen therapy (Resident #19 and #99).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents were free of accident hazards for 1 of 5 residents reviewed for dining (Resident #70).
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on record review and interview, the facility failed to ensure residents' medication regimens were free from unnecessary antibiotic use for 1 of 3 residents reviewed for active infections (Resident #165).
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure foods were stored in a safe and sanitary manner in the main kitchen and in 1 of 3 nourishment rooms of the facility.
December 19, 2024Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and record review the facility failed to ensure adequate supervision during toileting to prevent an accident resulting in head injury and transferred to a higher level of care for 1 of 3 residents reviewed for accident prevention (Resident #1).
March 7, 2024Standard inspection · 6 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review the facility failed to prevent the possible spread of infection for residents on contact isolation, during hydration pass, and medication administration.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure medications were administered according to professional standards of practice and quality for 4 of 5 observations for medication administration, Residents #603, #138, #36, and #17.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents who are unable to carry out activities of grooming and personal hygiene receive these necessary services for 1 of 4 residents, Resident #12.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interview the facility failed to ensure medications were managed in accordance with professional standards for 1 of 5 residents, Resident #111, reviewed for medications.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide appropriate treatment and services to prevent possible urinary tract infections for 1 of 3 residents, Resident #67 reviewed for indwelling urinary catheters.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, the facility failed to ensure the kitchen environment was kept clean and sanitary in accordance with professional standards. (Photographic evidence obtained).
October 28, 2022Standard inspection · 5 citations
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure the assessment accurately reflected the resident's status for 1 of 3 residents sampled for discharge review, Resident #147.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that a resident who needed respiratory care received such care consistent with professional standards of practice for 1 sampled resident, Resident #130, out of 28 residents who needed respiratory care.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medical records were accurately documented in accordance with accepted professional standards and practices for 1 of 3 residents reviewed, Resident #76.
- C Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on interview and record review the facility failed to ensure minimum data set assessments were completed and transmitted in a timely manner for 38 residents (Resident #2, 3, 4, 5, 6, 9, 8, 10, 11, 12,13, 14, 15, 23, 24, 25, 26, 27, 28, 29, 32, 33, 35, 36, 37, 39, 40, 41, 42, 43, 48, 49, 50, 51, 59, 109, 111) of 38 residents reviewed for resident assessment.
Fire safety inspections
6 fire safety citations on file: 3 on March 7, 2024, 3 on October 28, 2022.
Every fire safety citation6 citations
- E Have approved installation, maintenance and testing program for fire alarm systems.
- E Inspect, test, and maintain automatic sprinkler systems.
- D Ensure proper usage of power strips and extension cords.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| December 19, 2024 | Fine | $8,512 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Florida | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.45 | 3.82 | 3.86 |
| Registered nurses | 0.32 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.13 | 3.49 | 3.42 |
| Nurse aides | 2.13 | ||
| Licensed practical nurses | 0.99 | ||
| Nursing staff turnover (share who left in a year) | 51.9% | 41.4% | 45.8% |
| Registered nurse turnover | 18.2% | 46.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.47 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.57 on weekdays and 3.13 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.62 in April to June 2025 to 3.45 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.45 | 0.32 | 3.57 | 3.13 | 4.0% | 0 of 90 | 176 |
| Oct to Dec 2025 | 3.52 | 0.30 | 3.64 | 3.20 | 4.6% | 1 of 92 | 171 |
| Jul to Sep 2025 | 3.53 | 0.32 | 3.67 | 3.20 | 3.4% | 0 of 92 | 173 |
| Apr to Jun 2025 | 3.62 | 0.32 | 3.75 | 3.28 | 4.8% | 1 of 91 | 171 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Florida, Jan to Mar 2026 | 3.76 | 0.70 | 3.90 | 3.44 | 1.1% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Florida | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 6.5 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.1 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.2 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.4 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.5 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.6 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 4.3 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.8 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.3 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.7 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.1 | 1.8 |
Owners and operators
Legal business name: PALM GARDEN OF OCALA LLC. CMS links this home to Palm Garden Health and Rehabilitation, a group of 14 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Palm Garden Healthcare Holdings, LLC | 5% or greater direct ownership interest | Organization | 50% | 11/01/2013 |
| James O. McCarver Qtip Business Marital Trust U/a Dated June 22, 2001, | 5% or greater indirect ownership interest | Organization | 12/23/2014 | |
| James O. McCarver Residuary Trust Share U/a Dated 06/22/2001 | 5% or greater indirect ownership interest | Organization | 12/23/2014 | |
| Patsy E. McCarver Trust U/a Dated June 22, 2001 As Amended, Patsy E | 5% or greater indirect ownership interest | Organization | 11/01/2013 | |
| McCarver, Patsy | 5% or greater indirect ownership interest | Individual | 11/01/2013 | |
| Regions Bank | 5% or greater mortgage interest | Organization | 11/01/2013 | |
| Palm Garden of Ocala LLC | 5% or greater security interest | Organization | 07/29/2024 | |
| Regions Bank | 5% or greater security interest | Organization | 11/01/2013 | |
| Bomberger, Jeffrey | Corporate officer | Individual | 10/01/2014 | |
| Chalmers, James | Corporate officer | Individual | 01/01/2015 | |
| Greene, Robert | Corporate officer | Individual | 10/01/2014 | |
| Martinez Irizarry, Alfonso | Operational/managerial control | Individual | 02/19/2020 | |
| Walker, Michael | Operational/managerial control | Individual | 03/28/2022 | |
| James O. McCarver Qtip Business Marital Trust U/a Dated June 22, 2001, | Adp of the SNF | Organization | 11/01/2021 | |
| Palm Garden of Ocala LLC | Adp of the SNF | Organization | 07/29/2024 | |
| Palm Healthcare Management, LLC | Adp of the SNF | Organization | 03/31/2025 | |
| Patsy E. McCarver Trust U/a Dated June 22, 2001 As Amended, Patsy E | Adp of the SNF | Organization | 11/01/2013 | |
| Martinez Irizarry, Alfonso | Adp of the SNF | Individual | 02/19/2020 | |
| Walker, Michael | Adp of the SNF | Individual | 03/31/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on June 12, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
- When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on June 12, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on December 17, 2025: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on June 12, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.13 hours per resident per day, below the Florida average of 3.49.
Other nursing homes nearby
- Life Care Center of Ocala Ocala, 0.4 mi · 5 of 5 stars · 12 citations
- Hawthorne Center for Rehabilitation and Healing of Ocala, 0.6 mi · 1 of 5 stars · 24 citations
- Avante at Ocala, Inc Ocala, 2.2 mi · 1 of 5 stars · 33 citations
- The Lodge Healthcare and Rehabilitation Center Ocala, 2.7 mi · 4 of 5 stars · 21 citations
- Ocala Health and Rehabilitation Center Ocala, 2.9 mi · 4 of 5 stars · 20 citations
- Aviata at Arbor Springs Ocala, 3 mi · 2 of 5 stars · 42 citations
- Ocala Oaks Rehabilitation Center Ocala, 6.3 mi · 4 of 5 stars · 19 citations
- Timberridge Nursing & Rehabilitation Center Ocala, 9.3 mi · 3 of 5 stars · 24 citations
Florida contacts for a concern about a nursing home
These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Florida Agency for Health Care Administration, Long Term Care Services Unit, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Florida Long-Term Care Ombudsman Program, 1-888-831-0404. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: FloridaHealthFinder, where Florida publishes its own records on licensed homes.
Common questions
- What is Palm Garden of Ocala's Medicare star rating?
- CMS rates Palm Garden of Ocala 4 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Palm Garden of Ocala get at its last inspection?
- 6 health deficiencies at the standard inspection on June 12, 2025. The Florida average is 7.1.
- Has Palm Garden of Ocala been fined?
- Yes. CMS lists 1 fine totaling $8,512 in the last three years.
- Does Palm Garden of Ocala accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Palm Garden of Ocala?
- CMS lists 19 owners and managers, and links the home to Palm Garden Health and Rehabilitation. Legal business name: PALM GARDEN OF OCALA LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.