Palm Garden of Port Saint Lucie
1751 Se Hillmoor Drive, Port Saint Lucie, FL 34952


Palm Garden of Port Saint Lucie is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 105600. The address is 1751 Se Hillmoor Drive, Port Saint Lucie, FL 34952. The zip code is 34952. The phone number is 7723358844.


Palm Garden of Port Saint Lucie · 1751 Se Hillmoor Drive, Port Saint Lucie, FL 34952

Federal Provider Number 105600
Provider Name PALM GARDEN OF PORT SAINT LUCIE
Address 1751 SE HILLMOOR DRIVE
PORT SAINT LUCIE, FL 34952
Phone Number 7723358844
SSA County Code 550
County Name St. Lucie
Ownership Type For profit - Corporation
Certified Beds 120
Certified Beds Residents 104
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name PALM GARDEN OF PORT ST LUCIE LLC
Date First Approved to Provide Medicare Medicaid Services 02/25/1988
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 3
Health Inspection Rating 2
Quality Measure Rating 4
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.70962
Reported LPN Staffing Hours per Resident per Day 0.78654
Reported RN Staffing Hours per Resident per Day 0.94183
Reported Licensed Staffing Hours per Resident per Day 1.72837
Reported Total Nurse Staffing Hours per Resident per Day 4.43799
Reported Physical Therapist Staffing Hours per Resident Per Day 0.13558
Expected CNA Staffing Hours per Resident per Day 2.26701
Expected LPN Staffing Hours per Resident per Day 0.6153
Expected RN Staffing Hours per Resident per Day 1.0397
Expected Total Nurse Staffing Hours per Resident per Day 3.92202
Adjusted CNA Staffing Hours per Resident per Day 2.93275
Adjusted LPN Staffing Hours per Resident per Day 1.06099
Adjusted RN Staffing Hours per Resident per Day 0.67686
Adjusted Total Nurse Staffing Hours per Resident per Day 4.5612
Cycle 1 Total Number of Health Deficiencies 3
Cycle 1 Number of Standard Health Deficiencies 3
Cycle 1 Health Deficiency Score 16
Cycle 1 Standard Survey Health Date 04/13/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 16
Cycle 2 Total Number of Health Deficiencies 11
Cycle 2 Number of Standard Health Deficiencies 11
Cycle 2 Health Deficiency Score 52
Cycle 2 Standard Health Survey Date 03/18/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 52
Cycle 3 Total Number of Health Deficiencies 16
Cycle 3 Number of Standard Health Deficiencies 7
Cycle 3 Number of Complaint Health Deficiencies 9
Cycle 3 Health Deficiency Score 72
Cycle 3 Standard Health Survey Date 01/08/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 72
Total Weighted Health Survey Score 37.333
Number of Substantiated Complaints 5
Number of Fines 1
Total Amount of Fines in Dollars $4030.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Palm Garden of Port Saint Lucie

Owner Name Role Association Date
BOMBERGER, JEFFREY (Individual) OPERATIONAL/MANAGERIAL CONTROL since 10/01/2014
CAPITAL ONE NATIONAL ASSOCIATION (Organization) 5% OR GREATER MORTGAGE INTEREST since 11/01/2013
CAPITAL ONE NATIONAL ASSOCIATION (Organization) 5% OR GREATER SECURITY INTEREST since 11/01/2013
CHALMERS, JAMES (Individual) OFFICER since 01/01/2015
GREENE, ROBERT (Individual) OFFICER since 01/01/2015
JAMES O. MCCARVER TRUST U/A DATED JUNE 22, 2001 AS AMENDED, PATSY E. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
since 11/01/2013
MCCARVER, PATSY (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2013
PALM GARDEN HEALTHCARE HOLDINGS, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 11/01/2013
PALM HEALTHCARE MANAGEMENT, LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 11/01/2013
PATSY E. MCCARVER TRUST U/A DATED JUNE 22, 2001 AS AMENDED, PATSY E (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
48%
since 11/01/2013
REGIONS BANK (Organization) 5% OR GREATER MORTGAGE INTEREST since 11/01/2013
REGIONS BANK (Organization) 5% OR GREATER SECURITY INTEREST since 11/01/2013
SHOMAN, EDWIN (Individual) MANAGING EMPLOYEE since 11/01/2013

street_number: 1751
route: Southeast Hillmoor Drive (SE Hillmoor Dr)
locality, political: Port St. Lucie (Port St Lucie)
admin_level_2, political: St. Lucie County (St Lucie County)
admin_level_1, political: Florida (FL)
country, political: United States (US)
postal_code: 34952
postal_code_suffix: 7535
types : premise
latitude: 27.2861704
longitude: -80.2935704
latlng: (27.2861704, -80.2935704)


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