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Complaint Investigation

Palm Garden Of Vero Beach

Inspection Date: September 17, 2025
Total Violations 1
Facility ID 105592
Location VERO BEACH, FL
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Inspection Findings

F-Tag F0584

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

that he had noticed the black colored substances around the vents and that he reported this in the electronic system designated for maintenance. He stated they came that same day. He denied being aware of any staff experiencing respiratory issues. An interview was conducted on 09/17/25 at 10:50 AM with the Maintenance Director, who stated the facility is in the process of having a new roof put on and stated there is debris and dust coming down. He denied having testing done on the black colored substances visualized

on the air vents. He stated that housekeeping will dust the vents, but the maintenance staff need to take down the vents and clean on the inside. He stated the facility conducts routine vent checks. 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.

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📋 Inspection Summary

PALM GARDEN OF VERO BEACH in VERO BEACH, FL inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

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

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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