Federal inspection record · CMS data as of October 1, 2026
Palm Garden Of Aventura
21251 E Dixie Highway, North Miami Beach, FL · (305) 935-4827
- Certified beds
- 120
- Residents per day
- 113
- Ownership
- For-Profit
- Chain
- Palm Garden Health And Rehabilitation
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 13, 1988
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Florida.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Florida homes
Palm Garden Of Aventura carries 27.5 inspection points. That is fewer than 64% of Florida's 691 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Florida: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–8 pts
- 4★ 8–25 pts
- 3★ 25–46 pts
- 2★ 46–85 pts
- 1★ over 85 pts
Bars show every rated home in Florida by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
20 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
J
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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G
Provide enough food/fluids to maintain a resident's health.
Everything else, by area of care
Quality of Life and Care4D
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Pharmacy Service4D
- D
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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.
Resident Rights3D
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Keep residents' personal and medical records private and confidential.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Nursing and Physician Services1D
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nutrition and Dietary1D
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Resident Assessment and Care Planning1D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Administration1D
- D
Have a plan that describes the process for conducting QAPI and QAA activities.
Inspection history
2025-04-17
4 health deficiencies · 3 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2023-11-16
3 health deficiencies · 5 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2022-10-28
13 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 39 min of nursing staff time a day, 50 min of it from a registered nurse.
This home
3 h 39 min
Florida average
3 h 51 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 24% of nursing staff and 30% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$25,310 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-11-21 | Fine | $25,310 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.8 pts worse | 2.8 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better | 0.4 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.6 pts better | 100.0% | 98.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.6 pts better | 100.0% | 99.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts better | 0.8% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.1 pts better | 0.3% | 5.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.2 pts better | 5.3% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.2 pts better | 5.7% | 13.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.9 pts better | 1.8% | 8.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.5 pts better | 6.9% | 8.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.4 pts better | 5.9% | 8.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.6 pts better | 0.0% | 0.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.1 pts better | 5.4% | 9.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts worse | 5.6% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4 pts better | 99.6% | 95.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.8 pts worse | 11.7% | 8.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better | 1.1% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.9 pts better | 99.2% | 96.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.5 pts worse | 30.3% | 25.8% | 23.4% |
·
Who owns and runs it
18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Mccarver, Patsy | 5% Or Greater Direct Ownership Interest · Individual | 50% | 14 facilities |
| Palm Garden Healthcare Holdings, LLC | 5% Or Greater Direct Ownership Interest · Organization | 50% | 14 facilities |
| Patsy E. Mccarver Trust U/A Dated June 22, 2001 As Amended, Patsy E | 5% Or Greater Indirect Ownership Interest · Organization | 48% | 14 facilities |
| James O. Mccarver Qtip Business Marital Trust U/A Dated June 22, 2001, | 5% Or Greater Indirect Ownership Interest · Organization | 38% | 14 facilities |
| James O. Mccarver Residuary Trust Share U/A Dated 06/22/2001 | 5% Or Greater Indirect Ownership Interest · Organization | 8% | 14 facilities |
| Bomberger, Jeffrey | Corporate Officer · Individual | 0% | 14 facilities |
| Chalmers, James | Corporate Officer · Individual | 0% | 14 facilities |
| Greene, Robert | Corporate Officer · Individual | 0% | 15 facilities |
| James O. Mccarver Qtip Business Marital Trust U/A Dated June 22, 2001, | Adp Of The SNF · Organization | 0% | 14 facilities |
| Palm Healthcare Management, LLC | Adp Of The SNF · Organization | 0% | 14 facilities |
| Patsy E. Mccarver Trust U/A Dated June 22, 2001 As Amended, Patsy E | Adp Of The SNF · Organization | 0% | 14 facilities |
| Pgave Re, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Pianko, Leonard | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Pianko, Leonard | Adp Of The SNF · Individual | 0% | 2 facilities |
| Pierre, Kadia | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Pierre, Kadia | Adp Of The SNF · Individual | 0% | 1 facilities |
| Regions Bank | 5% Or Greater Mortgage Interest · Organization | 0% | 51 facilities |
| Regions Bank | 5% Or Greater Security Interest · Organization | 0% | 51 facilities |
·
Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4D
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
Egress3E
- D
Meet other general requirements that are deficient.
- E
Meet other general requirements.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Gas, Vacuum, and Electrical Systems3E
- D
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
- D
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Emergency Preparedness2D
- D
Establish staff and initial training requirements.
- D
Develop and maintain an Emergency Preparedness Program (EP).
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Other homes nearby
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Vi At Aventura
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★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 57 min
- Fines
- $0
-
Regents Park At Aventura
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★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 31 min
- Fines
- $64,981
-
Kindred Hospital South Florida Hollywood
Hollywood, FL · Kindred Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 48 min
- Fines
- $19,600