Palm Garden of Vero Beach
1755 37th Street, Vero Beach, FL 32960 · Indian River County · (772) 567-2443
189 certified beds, about 178 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1987
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105592 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 24, 2025, inspectors cited 5 health deficiencies (the Florida average is 7.1, the national average 9.2).
None of its 25 health citations since September 2022 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.81 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.56 of those hours.
51.6% 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.
209/22
1501/24
504/25
109/25
204/26
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 25 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
19D
6E
0F
Potential for minimal harm
0A
0B
0C
April 30, 2026Complaint inspection · 2 citations
- D Give residents a notice of rights, rules, services and charges.
Inspectors wroteBased on record review and interview, the facility failed to ensure provision of their admission Agreement, that included a written notice of resident rights along with services, for 1 of 3 sampled residents, Resident #2.
- 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 timely and appropriate care and services for 4 of 5 sampled residents as evidenced by the failure to ensure a timely orthopedic follow up appointment for Resident #2, and failure to thoroughly monitor and assess for a change in condition for Residents #4, #6, and #9, all who were transferred to the hospital with shortness of breath.
September 17, 2025Complaint inspection · 1 citation
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, review of administrative records and interview, the facility failed to ensure that the facility's vents, other equipment, and areas were maintained, as evidenced by the appearance of multiple air vents having Black colored substances or rust-like staining on them; several ceiling tile and surfaces surrounding the vents having notable water staining around them; and sink cabinets with an offensive odor, black colored and water staining in them.
April 24, 2025Standard inspection · 5 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure timely and appropriate quality of care for 3 of 11 sampled residents reviewed for medications and wounds, as evidenced by the failure to timely obtain and administer eye drops and antibiotics for Resident #24, failure to treat a wound per physician order for Resident#102, and failure to obtain a physician order for wound care prior to treatment for Resident #517.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to physicians' order were followed to avoid wearing socks to allow the wound to air dry; failed to provide guidance and education regarding the risk of using socks in the affected area; and failed to follow infection control practices, as evidenced by using items placed on the floor, for 1 of 5 sampled residents reviewed for wound care and management, Resident #100.
- 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 ensure appropriate care and services for 2 of 3 sampled residents, Residents #162 and #11, who had indwelling catheters and a history of Urinary Tract Infections (UTIs).
- 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 they followed physicians' orders that were recommended by the pharmacy, as evidenced by not discontinuing orders for Resident #48.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on policy review, observation, interview, and record review, the facility failed to implement effective infection control practices by failing to promptly initiate Enhanced Barrier Precautions (EBP) and Transmission-Based Precautions (TBP); and failed to provide appropriate education or ensure competency following facility-acquired urinary tract infections (UTIs) for 4 of 9 sampled residents who should have been on EBP and TBP, involving Residents #129, #80, #31, and #6.
January 12, 2024Standard inspection, Complaint inspection · 15 citations
- E Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on interviews and record review, the facility failed to act to ensure prompt and effective resolution of grievances voiced by the members of the Resident Council regarding food and staffing concerns during Resident Council Meetings.
- E Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure accurate Minimum Data Set (MDS) assessments for 6 of 49 sampled residents, related to dental status, falls with major injury, anticoagulant use, discharge, and range of motion (Resident #31, #137, #89, #3, #170, and #129).
- E 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 provision of Activities of Daily Living (ADL) care, to include nail care and incontinence care, for 7 of 9 sampled residents (Resident #89, #100, #111, #114, #24, #34, and #83).
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review, the facility failed to timely identify a change in condition and provide timely care and services for 2 of 4 sampled residents reviewed for respiratory care (Residents #5 and #44); failed to identify a change in skin condition and provide treatment for 1 of 2 sampled residents (Resident #34); and failed to properly monitor weights for 1 of 1 sampled resident reviewed with congestive heart failure (Resident #84).
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on observation, interview and record review the facility failed to provide sufficient staffing to ensure care and services to meet the needs of showers for 3 (#112, #114 and #375) of 10 sampled residents reviewed for choices; to provide ADL care (nail and incontinence) for 7 (#24, #34, #83 #89, #100, #111 and #114) of 9 sampled residents; to follow dietary recommendations for and orders for obtaining weights for 1 (#95) of 8 sampled residents; Interviews from random residents, families, and staff voiced concerns about a lack of staff; and Interviews from Resident Council Members during Resident Council Meeting and review of Resident Council Minutes.
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, record review, interviews, and test tray the facility failed to ensure palatable food as per voiced concerns from Resident #23, #140, #155, #95, #31, #70, #114, #76, #124, #131, #167, #374, #108, #29, #326, #98, #149, & #373.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on record review and interview, the facility failed to ensure a resident was treated in dignified manner related to failure to provide assistance as requested, for 1 of 3 residents reviewed for dignity (Resident #152).
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, interview, record review, and policy review, the facility failed provide adaptive rails to assist with bed mobility for 2 of 5 sampled residents (Resident #97 and #111). The facility also failed to ensure the accommodation of need for viewing of the TV for 1 of 1 sampled resident, Resident #97, who needed to turn on her right side to prevent and then subsequently assist with offloading to heal pressure injuries.
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on interview and record review, the facility failed to ensure showers as per resident choices and schedule for 3 (# 112, #114, and # 375) of 10 sampled residents reviewed for choices.
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased upon observations, interviews and record review the facility failed to provide housekeeping and maintenance services necessary to provide a clean, comfortable and home like environment for 8 out 111 resident rooms and for 2 of 2 community shower rooms, in the 100 and 300 hallways. Additionally, there were 2 hallways out of 3, the 100 and the 300 hallways, where insufficient linens and towels were noted.
- D 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 a care plan related to hand contracture for 1 of 1 resident reviewed for contracture (Resident #129).
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the completion of weekly weights and a reweigh for accuracy, for 1 of 8 sampled residents who were reviewed for nutrition. Resident #95 was under her usual body weight (UBW) and ideal weight (IBW), and policy along with Registered Dietitian recommendations were not followed.
- D Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on observation, interview, record review, and policy review, the facility failed to ensure care and services of intravenous (IV) access devices for 2 of 3 sampled residents (Residents #133 and #98).
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on record review and interview, the facility failed to follow physician ordered blood pressure (BP) and heart rate parameters for 2 of 5 sampled residents (Residents #122 and #325).
- 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, record review, interview, and policy review, the facility failed to properly store medications for 3 of 3 sampled residents (Residents # 5, #95 and #327).
September 1, 2022Standard inspection · 2 citations
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on facility policy review, record review and interview, the facility failed to provide showers per residents' request and preference, for 1 of 2 sampled residents reviewed for preferences (Resident #94).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on facility policy review, record review and interview, the facility failed to follow physicians' orders for monitoring residents' blood glucose, for 1 of 1 sampled resident, reviewed for diabetic management, Resident #94.
Fire safety inspections
12 fire safety citations on file: 8 on April 24, 2025, 2 on January 12, 2024, 2 on September 1, 2022.
Every fire safety citation12 citations
- F Establish policies and procedures for volunteers.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.81 | 3.82 | 3.86 |
| Registered nurses | 0.56 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.51 | 3.49 | 3.42 |
| Nurse aides | 2.31 | ||
| Licensed practical nurses | 0.95 | ||
| Nursing staff turnover (share who left in a year) | 51.6% | 41.4% | 45.8% |
| Registered nurse turnover | 69.4% | 46.0% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.63 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 3.93 on weekdays and 3.51 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.93 in April to June 2025 to 3.81 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 | 3.81 | 0.56 | 3.93 | 3.51 | 3.3% | 0 of 90 | 178 |
| Oct to Dec 2025 | 3.71 | 0.52 | 3.80 | 3.50 | 1.8% | 0 of 92 | 176 |
| Jul to Sep 2025 | 3.78 | 0.59 | 3.92 | 3.44 | 0.1% | 0 of 92 | 153 |
| Apr to Jun 2025 | 3.93 | 0.62 | 3.99 | 3.77 | 10.2% | 0 of 91 | 155 |
| 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 | 10.5 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.8 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.2 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.4 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.1 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.1 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.3 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 2.2 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.1 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.3 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.1 | 1.8 |
Owners and operators
Legal business name: PALM GARDEN OF VERO BEACH 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 | |
| Pgver Re, LLC | 5% or greater security interest | Organization | 06/20/2024 | |
| 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 | |
| Jordan, Nicole | Operational/managerial control | Individual | 08/31/2020 | |
| Malone, Marcus | Operational/managerial control | Individual | 09/01/2024 | |
| James O. McCarver Qtip Business Marital Trust U/a Dated June 22, 2001, | Adp of the SNF | Organization | 11/01/2021 | |
| Palm Healthcare Management, LLC | Adp of the SNF | Organization | 04/22/2025 | |
| Patsy E. McCarver Trust U/a Dated June 22, 2001 As Amended, Patsy E | Adp of the SNF | Organization | 11/01/2013 | |
| Pgver Re, LLC | Adp of the SNF | Organization | 06/20/2024 | |
| Jordan, Nicole | Adp of the SNF | Individual | 04/22/2025 | |
| Malone, Marcus | Adp of the SNF | Individual | 09/01/2024 |
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 9 problems in this area, most recently on April 30, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 8 problems in this area, most recently on April 30, 2026: "Give residents a notice of rights, rules, services and charges."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on April 24, 2025: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on January 12, 2024: "Ensure each resident receives an accurate assessment."
Other nursing homes nearby
- Vero Beach Care Center Vero Beach, 0.1 mi · 2 of 5 stars · 50 citations
- Sea Breeze Rehab and Nursing Center Vero Beach, 0.1 mi · 1 of 5 stars · 30 citations
- Hidden Lakes Senior Living Community Vero Beach, 0.8 mi · 3 of 5 stars · 27 citations
- Garden View Health and Rehabilitation Center Vero Beach, 1.4 mi · 1 of 5 stars · 30 citations
- Willowbrooke Court at Indian River Estates Vero Beach, 5.4 mi · 5 of 5 stars · 3 citations
- Sandgate Gardens Rehab and Nursing Center Fort Pierce, 15.4 mi · 2 of 5 stars · 44 citations
- Vivo Healthcare Fort Pierce Fort Pierce, 15.4 mi · 3 of 5 stars · 26 citations
- Aviata at Saint Lucie Fort Pierce, 15.6 mi · 1 of 5 stars · 66 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 Vero Beach's Medicare star rating?
- CMS rates Palm Garden of Vero Beach 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Palm Garden of Vero Beach get at its last inspection?
- 5 health deficiencies at the standard inspection on April 24, 2025. The Florida average is 7.1.
- Has Palm Garden of Vero Beach been fined?
- CMS lists no fines in the last three years.
- Does Palm Garden of Vero Beach 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 Vero Beach?
- CMS lists 19 owners and managers, and links the home to Palm Garden Health and Rehabilitation. Legal business name: PALM GARDEN OF VERO BEACH 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.