PALM GARDEN OF CLEARWATER

The information listed below provides an in-depth look into the type and quality of care offered at Palm Garden of Clearwater. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

PALM GARDEN OF CLEARWATER
3480 MCMULLEN BOOTH RD
CLEARWATER, FL 33761
(727) 786-6697

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only

Overall Rating

Percent of Beds Occupied

89%

Number of Residents and Certified Beds

Residents: 107
Certified Beds: 120

This Facility Accepts

Medicare
Medicaid

Operational Details

Operated By For Profit - Corporation
Offers Both Resident and Family Counseling Services
This Facility is Part of a Chain or Franchise

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Nearby Cities:

Tampa | Belleair | Largo

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Palm Garden of Clearwater. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident Services

Resident Conditions

Percent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week
A second rehabilitation discipline three days/week
Tracheostomy care
Ventilator or respirator
Isolation for active infectious disease while a resident
Activities of Daily Living (ADL) score of 2 or more

ADL Index Range: 11-16	1.0%
ADL Index Range: 2-10	0.5%
Total Percent:	1.5%

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week
A second rehabilitation discipline three days/week

ADL Index Range: 11-16	34.4%
ADL Index Range: 6-10	50.2%
ADL Index Range: 0-5	7.6%
Total Percent:	92.3%

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	2.6%
ADL Index Range: 6-10	0.1%
Total Percent:	2.8%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	1.5%
ADL Index Range: 6-10	1.6%
Total Percent:	3.1%

Clinically Complex

Pneumonia, hemiplegia with ADL score >=5
Surgical wounds or open lesions with treatment
Burns
Chemotherapy while a resident
Oxygen therapy while a resident
IV medications or transfusions while a resident
Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1

ADL Index Range: 11-14 - No Signs of depression	0.05%
Total Percent:	0.05%

Reduced Physical Function

Urinary and/or bowel training program
Passive and/or active range of motion (ROM)
Amputation/prosthesis training
Dressing or grooming training
Eating or swallowing training
Transfer training
Splint or brace assistance
Bed mobility and/or walking training
Communication training

ADL Index Range: 6-10 - Less restorative nursing	0.2%
Total Percent:	0.2%

Rating Details For Palm Garden of Clearwater

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per Day	Reported	Expected
Registered Nurse (RN) Hours	32 Minutes	1 Hour and 17 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	1 Hour and 3 Minutes	42 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 54 Minutes	2 Hours and 35 Minutes
Total Licensed Nurse Hours	1 Hour and 36 Minutes	1 Hour and 59 Minutes
Total Nurse Hours	4 Hours and 30 Minutes	4 Hours and 34 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Florida are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This Facility

Florida Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	87%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	86%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	10%	9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	6%	12%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	9%	5%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	2%	5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	75%	54%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	11%	10%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	14%	11%
Percent of Long-Stay Residents Who Were Physically Restrained	6%	5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	5%	12%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	1%	3%
Percent of Long-Stay Residents Who Lose Too Much Weight	12%	8%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	81%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	80%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain	12%	17%
Percent of Short-Stay Residents Who Have Delirium	-	2%
Percent of Short-Stay Residents Who Have Pressure Sores	6%	14%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 03/31/2011.

Degree of Harm

- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health

Residents Affected

- Isolated
- Some Residents
- Many Residents

Deficiencies Found By Inspectors

Degree of Harm

Residents Affected

Administration

Quickly Tell the Resident's Doctor the Results of Lab Tests. Inspection Date: 01/23/2009 Correction Date: 02/23/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 01/23/2009 Correction Date: 02/23/2009

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 01/23/2009 Correction Date: 02/23/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/23/2009 Correction Date: 02/23/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 01/23/2009 Correction Date: 02/23/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 02/19/2010 Correction Date: 03/19/2010
Keep All Essential Equipment Working Safely. Inspection Date: 02/19/2010 Correction Date: 03/19/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/23/2009 Correction Date: 02/23/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 02/19/2010 Correction Date: 03/19/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/31/2011 Correction Date: 05/01/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 01/23/2009 Correction Date: 02/23/2009
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 02/19/2010 Correction Date: 03/19/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/23/2009 Correction Date: 02/23/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 01/23/2009 Correction Date: 02/23/2009
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible. Inspection Date: 01/23/2009 Correction Date: 02/23/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 01/23/2009 Correction Date: 02/23/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 01/23/2009 Correction Date: 02/23/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 02/19/2010 Correction Date: 03/19/2010

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 01/23/2009 Correction Date: 02/23/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 01/23/2009 Correction Date: 02/23/2009

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 01/23/2009 Correction Date: 02/23/2009
Give Enough Notice to the Resident Before Changing the Resident's Room or Roommate. Inspection Date: 02/19/2010 Correction Date: 03/19/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Palm Garden of Clearwater, as well as complaints by residents or their family in the previous three years.

Degree of Harm

- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health

Residents Affected

- Isolated
- Some Residents
- Many Residents

Formal Complaints

Degree of Harm

Residents Affected