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Complaint Investigation

Palm Garden Of Vero Beach

September 17, 2025 · Vero Beach, FL · 1755 37th Street
Citations 1
CMS Rating 3/5
Beds 189
Provider ID 105592
Healthcare Facility
Palm Garden Of Vero Beach
Vero Beach, FL  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
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.

Inspection Findings

FF0584
Resident Rights Deficiencies

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

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.

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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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.