Palm Garden of Largo
10500 Starkey Rd · Largo, FL · 33777 · 7273978166
140 certified beds For profit - Limited Liability company Chain: Palm Garden Health and Rehabilitation
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
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Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.74 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.61 | 0.55–0.75 |
| Weekend hours / resident-day | 3.45 | ≈ weekday level |
| Nursing turnover / year | 58% | median 45% |
| Fines (3-yr window) | 2 · $66,613 |
Inspection citations (28 in the current record)
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Actual harm · G June 21, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 10, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 7, 2025 · Resident Assessment and Care Planning
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Actual harm · G February 29, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 29, 2024 · Quality of Life and Care
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Potential for harm · D February 29, 2024
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected March 29, 2024 · Resident Rights
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Potential for harm · D February 29, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 29, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 29, 2024
Respond appropriately to all alleged violations.
Corrected March 29, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F February 29, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected March 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · E February 29, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · E February 29, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 29, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 29, 2024 · Quality of Life and Care
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Potential for harm · D February 29, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected March 29, 2024 · Pharmacy Service
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Potential for harm · D February 29, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected March 29, 2024 · Pharmacy Service
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Potential for harm · E February 29, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected March 29, 2024 · Pharmacy Service
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Potential for harm · E February 29, 2024
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.
Corrected March 29, 2024 · Pharmacy Service
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Potential for harm · D February 29, 2024
Provide or obtain dental services for each resident.
Corrected March 29, 2024 · Quality of Life and Care
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Potential for harm · D February 29, 2024
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected March 29, 2024 · Administration
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Potential for harm · E February 29, 2024
Provide and implement an infection prevention and control program.
Corrected March 29, 2024 · Infection Control
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Potential for harm · D February 29, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected March 29, 2024 · Environmental
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Potential for harm · E February 29, 2024 · found via complaint
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected March 29, 2024 · Resident Rights
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Potential for harm · D August 15, 2023 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected September 11, 2023 · Resident Rights
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Potential for harm · D August 15, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 11, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 10, 2021
Reasonably accommodate the needs and preferences of each resident.
Corrected January 10, 2022 · Resident Rights
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Potential for harm · D December 10, 2021
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 10, 2022 · Resident Assessment and Care Planning
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Potential for harm · E December 10, 2021
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 7, 2022 · Quality of Life and Care
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Potential for harm · D December 10, 2021
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.
Corrected January 10, 2022 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 21, 2025 | Fine | $33,248 |
| February 29, 2024 | Fine | $33,365 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 105574 · certified since July 31, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.