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Complaint Investigation

Palm Garden Of Vero Beach

September 17, 2025 · Vero Beach, FL · 1755 37th Street
Citations 1
CMS Rating 4/5
Beds 189
Provider ID 105592
Healthcare Facility
Palm Garden Of Vero Beach
Vero Beach, FL  ·  View full profile →
Inspection Summary

PALM GARDEN OF VERO BEACH in VERO BEACH, FL — inspection on September 17, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0584
Resident Rights Deficiencies
Potential for More Than Minimal Harm

The surveyor requested copies of the checks.

Review of the Monthly AC [Air Conditioner] Vent Cleaning & Dusting Checklist documented the weekly checks.

The Checklist noted instructions which is included:*Clean and dust all vents listed below once each week.*Initial in the correct box for each week ending date.*Report damaged, loose, or excessively dirty vents to Maintenance Supervisor.

Review of the Monthly vent checklist sheets documented the facility has checked that the weekly checks were completed.

Review of the September checks revealed that the staff documented that they have performed the weekly checks for week 1 and week 2 and noted the areas completed included Nursing Stations, Therapy Gym, and Hallway/Common Area Vents.Interview with the Maintenance Director on 09/17/25 in the afternoon, revealed the checks are done on Wednesdays, thus the check for week 2 would have been completed on 9/12/25.

However, the surveyor conducted an observation on 09/17/25 and noted the above disparities, 5 days after the facility allegedly conducted the checks and had cleaned the vents. An interview was conducted on 09/17/25 at 11:25 AM with the Reflections Unit Manager, who expressed that there was a leak on the 100-wing, it was reported, and maintenance fixed the leak the same day. It should be noted that the above noted large water damage on the ceiling is from the Reflection Hallway.

Review of the maintenance log revealed the following:A 05/16/25 - Work Order # 16784, which documented the PT gym under sink looks like termite pellets and mold.

The maintenance staff documented that this was completed on 05/17/25 at 9:11 AM.

There is no notation of what was found or done. It should be noted that during the surveyor's tour on 09/17/25, the above noted condition of the cabinet beneath the sink remained the same.A 06/23/25 work order # 17144, which documented, please paint the areas around our duct areas in the gym? Black spots/Stains.

Both therapy gyms.' The work order documented a close-out date on 06/23/25 at 1:30 PM. It should be noted that the during the tour on 09/17/25, the conditions remained.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in VERO BEACH, FL, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from PALM GARDEN OF VERO BEACH or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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