PALM GARDEN OF AVENTURA

The information listed below provides an in-depth look into the type and quality of care offered at Palm Garden of Aventura. 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 AVENTURA
21251 E DIXIE HIGHWAY
NORTH MIAMI BEACH, FL 33180
(305) 935-4827

Nursing Home Ratings

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

Percent of Beds Occupied

88%

Number of Residents and Certified Beds

  • Residents: 105
  • Certified Beds: 120

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Aventura | Hollywood | Miami

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 Aventura. 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: 11-164.9%
ADL Index Range: 2-100.3%
Total Percent:5.1%
 

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: 11-160.7%
Total Percent:0.7%
 

High Rehabilitation Plus Extensive Services

Rehabilitation 325 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: 11-161.8%
Total Percent:1.8%
 

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: 11-1618.0%
ADL Index Range: 6-1054.1%
ADL Index Range: 0-57.3%
Total Percent:79.5%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.4%
ADL Index Range: 6-101.8%
Total Percent:4.2%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.9%
ADL Index Range: 6-100.8%
Total Percent:2.7%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-160.5%
ADL Index Range: 6-101.1%
ADL Index Range: 0-50.04%
Total Percent:1.6%
 

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
- Tracheostomy care or ventilator/respirator
0.3%
Total Percent:0.3%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
1.2%
ADL Index Range: 6-10
- No Signs of depression
0.6%
ADL Index Range: 2-5
- No Signs of depression
0.2%
Total Percent:1.9%
 

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
0.6%
ADL Index Range: 11-14
- No Signs of depression
1.5%
Total Percent:2.1%
 

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
0.1%
Total Percent:0.1%
 

Rating Details For Palm Garden of Aventura

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) Hours43 Minutes1 Hour and 18 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 24 Minutes45 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 12 Minutes2 Hours and 30 Minutes
Total Licensed Nurse Hours2 Hours and 7 Minutes2 Hours and 2 Minutes
Total Nurse Hours5 Hours and 19 Minutes4 Hours and 32 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 Given Influenza Vaccination During the Flu Season90-100%87%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%86%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have Moderate to Severe Pain4%3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%5%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores11%12%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection11%11%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse16%9%
Percent of Long-Stay Residents Who Are More Depressed or Anxious8%10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair6%5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder76%54%
Percent of Long-Stay Residents Who Were Physically Restrained-5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased13%12%
Percent of Long-Stay Residents Who Lose Too Much Weight6%8%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%80%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination88%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain30%17%
Percent of Short-Stay Residents Who Have Pressure Sores17%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 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

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 01/08/2009
  • Correction Date: 02/26/2009

Environmental

Get Rid of Garbage Properly.
  • Inspection Date: 12/17/2009
  • Correction Date: 01/19/2010
Keep All Essential Equipment Working Safely.
  • Inspection Date: 12/17/2009
  • Correction Date: 03/01/2010
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 12/17/2009
  • Correction Date: 01/19/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 12/17/2009
  • Correction Date: 03/01/2010

Nutrition and Dietary

Hire a Qualified Dietician.
  • Inspection Date: 12/17/2009
  • Correction Date: 01/19/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 12/17/2009
  • Correction Date: 01/19/2010

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 11/05/2010
  • Correction Date: 12/05/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 12/17/2009
  • Correction Date: 01/19/2010

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: 01/08/2009
  • Correction Date: 02/26/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 12/17/2009
  • Correction Date: 01/19/2010

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)12/17/2009$9,100

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Palm Garden of Aventura, 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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 09/30/2009
  • Correction Date: 11/09/2009

Resident Rights

Try to Resolve Each Resident's Complaints Quickly.
  • Complaint Filed: 08/12/2009
  • Correction Date: 09/22/2009

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 Aventura 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 11/02/2010.

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

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 12/15/2009
  • Correction Date: 01/20/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 12/15/2009
  • Correction Date: 01/20/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 01/12/2009
  • Correction Date: 02/19/2009
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 12/15/2009
  • Correction Date: 01/20/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 12/15/2009
  • Correction Date: 01/20/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 12/15/2009
  • Correction Date: 03/01/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 12/15/2009
  • Correction Date: 03/01/2010

Hazardous Area

Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub.
  • Inspection Date: 11/02/2010
  • Correction Date: 12/10/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 12/15/2009
  • Correction Date: 01/20/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 11/02/2010
  • Correction Date: 12/10/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 12/15/2009
  • Correction Date: 01/20/2010
Source: Medicare Nursing Home Compare; Agency for Health Care Administration of Florida - Retrieved 2011