PALM GARDEN OF VERO BEACH

The information listed below provides an in-depth look into the type and quality of care offered at Palm Garden of Vero Beach. 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 VERO BEACH
1755 37TH STREET
VERO BEACH, FL 32960
(772) 567-2443

Nursing Home Ratings

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

Percent of Beds Occupied

94%

Number of Residents and Certified Beds

  • Residents: 169
  • Certified Beds: 180

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Individual
  • Offers Both Resident and Family Counseling Services
  • This Facility is Not Part of a Chain or Franchise

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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 Vero Beach. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent 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: 11-161.4%
Total Percent:1.4%
 

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five 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: 2-100.2%
Total Percent:0.2%
 

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: 11-1621.3%
ADL Index Range: 6-1036.4%
ADL Index Range: 0-522.1%
Total Percent:79.8%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.1%
ADL Index Range: 6-103.9%
ADL Index Range: 0-54.1%
Total Percent:10.1%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.4%
ADL Index Range: 6-100.3%
ADL Index Range: 0-50.6%
Total Percent:2.3%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-162.2%
ADL Index Range: 6-100.9%
ADL Index Range: 0-50.3%
Total Percent:3.3%
 

Extensive Services

  • 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: 2-16
- Isolation for active infectious disease
0.6%
Total Percent:0.6%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
0.5%
ADL Index Range: 6-10
- No Signs of depression
0.4%
Total Percent:0.8%
 

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: 6-10
- No Signs of depression
0.8%
Total Percent:0.8%
 

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
0.5%
ADL Index Range: 2-5
- Less restorative nursing
0.2%
Total Percent:0.7%
 

Rating Details For Palm Garden of Vero Beach

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 DayReportedExpected
Registered Nurse (RN) Hours28 Minutes1 Hour and 2 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 2 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 8 Minutes2 Hours and 25 Minutes
Total Licensed Nurse Hours1 Hour and 30 Minutes1 Hour and 40 Minutes
Total Nurse Hours4 Hours and 38 Minutes4 Hours and 5 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 FacilityFlorida Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90%86%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season88%87%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse11%9%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased21%12%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain4%3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection12%11%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores5%12%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious11%10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair11%5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder61%54%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%5%
Percent of Long-Stay Residents Who Were Physically Restrained5%5%
Percent of Long-Stay Residents Who Lose Too Much Weight9%8%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination80%81%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season77%80%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores11%14%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain12%17%
Percent of Short-Stay Residents Who Have Delirium-2%

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 11/05/2010.

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 InspectorsDegree of HarmResidents Affected

Administration

Post Nurse Staffing Information.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/23/2008
Choose a Doctor to Be the Medical Director.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/23/2008
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/23/2008

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/23/2008
Get Rid of Garbage Properly.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/23/2008
Make Sure Each Resident Has 1) at Least One Window to the Outside in a Room; 2) a Room at or Above Ground Level; 3) an Adequate Bed; 4) Furniture That Meets the Resident's Needs; or 5) Enough Closet Space.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/23/2008
Provide at Least One Room to Use As a Dining Room and for Activities, That is a Good Size, with Good Lighting, Airflow and Furniture.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/23/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 09/18/2009
  • Correction Date: 10/30/2009
Provide at Least One Room to Use As a Dining Room and for Activities, That is a Good Size, with Good Lighting, Airflow and Furniture.
  • Inspection Date: 09/18/2009
  • Correction Date: 10/30/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 11/05/2010
  • Correction Date: 12/12/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 11/05/2010
  • Correction Date: 12/12/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 11/05/2010
  • Correction Date: 12/12/2010

Nutrition and Dietary

Make Sure That Residents Are Well Nourished.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/23/2008
Make Sure That the Attending Doctor Orders Special Diets.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/23/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/23/2008
Make Sure That Residents Are Well Nourished.
  • Inspection Date: 09/18/2009
  • Correction Date: 10/30/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 09/18/2009
  • Correction Date: 10/30/2009
Make Sure That the Attending Doctor Orders Special Diets.
  • Inspection Date: 09/18/2009
  • Correction Date: 10/30/2009
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.
  • Inspection Date: 09/18/2009
  • Correction Date: 10/30/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 09/18/2009
  • Correction Date: 10/30/2009
Make Sure That Residents Are Well Nourished.
  • Inspection Date: 11/05/2010
  • Correction Date: 12/12/2010
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 11/05/2010
  • Correction Date: 12/12/2010
Provide Food in a Way That Meets a Resident's Needs.
  • Inspection Date: 11/05/2010
  • Correction Date: 12/12/2010
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served.
  • Inspection Date: 11/05/2010
  • Correction Date: 12/12/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 11/05/2010
  • Correction Date: 12/12/2010

Pharmacy Service

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: 09/11/2008
  • Correction Date: 10/23/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/23/2008
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: 09/18/2009
  • Correction Date: 10/30/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 09/18/2009
  • Correction Date: 10/30/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 09/18/2009
  • Correction Date: 10/30/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 11/05/2010
  • Correction Date: 12/12/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 11/05/2010
  • Correction Date: 12/12/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/23/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/23/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/23/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/23/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/23/2008
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/23/2008
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/23/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 09/18/2009
  • Correction Date: 10/30/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 09/18/2009
  • Correction Date: 10/30/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 11/05/2010
  • Correction Date: 12/12/2010
Give or Get Dental Care for Each Resident.
  • Inspection Date: 11/05/2010
  • Correction Date: 12/12/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/23/2008
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: 09/11/2008
  • Correction Date: 10/23/2008
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/23/2008

Resident Rights

Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/23/2008
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/23/2008
Let Residents Give Themselves Their Drugs if They Are Able.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/23/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 09/18/2009
  • Correction Date: 10/30/2009
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Inspection Date: 11/05/2010
  • Correction Date: 12/12/2010
Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 11/05/2010
  • Correction Date: 12/12/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 11/05/2010
  • Correction Date: 12/12/2010
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Inspection Date: 11/05/2010
  • Correction Date: 12/12/2010
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 11/05/2010
  • Correction Date: 12/12/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Palm Garden of Vero Beach, 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 ComplaintsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 06/23/2008
  • Correction Date: 07/28/2008

Environmental

Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 01/28/2009
  • Correction Date: 03/12/2009

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 04/15/2008
  • Correction Date: 05/15/2008
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 09/08/2008
  • Correction Date: 10/23/2008

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Complaint Filed: 06/23/2008
  • Correction Date: 07/28/2008

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 06/23/2008
  • Correction Date: 07/28/2008

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 03/08/2011
  • Correction Date: 04/08/2011

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Palm Garden of Vero Beach had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 11/09/2010.

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 11/09/2010
  • Correction Date: 12/22/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 11/09/2010
  • Correction Date: 12/22/2010
Portable Fire Extinguishers.
  • Inspection Date: 11/09/2010
  • Correction Date: 12/22/2010

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 11/09/2010
  • Correction Date: 12/22/2010

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 09/15/2009
  • Correction Date: 11/06/2009
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 11/09/2010
  • Correction Date: 12/22/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 11/09/2010
  • Correction Date: 12/22/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 09/15/2009
  • Correction Date: 11/06/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 11/09/2010
  • Correction Date: 12/22/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 09/09/2008
  • Correction Date: 10/11/2008
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 09/15/2009
  • Correction Date: 11/06/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 11/09/2010
  • Correction Date: 12/22/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 11/09/2010
  • Correction Date: 12/22/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 11/09/2010
  • Correction Date: 12/22/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 11/09/2010
  • Correction Date: 12/22/2010
Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 11/09/2010
  • Correction Date: 12/22/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 11/09/2010
  • Correction Date: 12/22/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 09/15/2009
  • Correction Date: 11/06/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 11/09/2010
  • Correction Date: 12/22/2010
Source: Medicare Nursing Home Compare; Agency for Health Care Administration of Florida - Retrieved 2011