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Nursing HomeMedicaid Investigative

Palm Garden of Largo

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

10500 Starkey Rd, Largo, FL 33777140 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 254 Google reviews

5
4
3
2
1
Palm Garden of Largo Nursing Home in Largo, FL — Street View
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7/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Above-median deficiencies (18 vs median 6.0)
  • High staff turnover (51%)
  • High RN turnover (58%)

Bottom 25% in FL · Below recommended RN staffing · Worst in PALM GARDEN HEALTH AND REHABILITATION chain · $66,613 in fines · Abuse citation

Source: Medicare data

What this means for your family

Palm Garden of Largo is highly regarded for its cleanliness and effective physical therapy program, making it a strong candidate for short-term rehab. However, families should be vigilant regarding daily care; we strongly recommend visiting during off-hours and weekends to verify that call lights are answered promptly and that hygiene needs are being met consistently.

Google Reviews

Google Reviews

254 reviews on Google
Palm Garden of Largo receives high praise for its cleanliness, modern facility, and friendly staff, with many visitors noting the absence of typical nursing home odors. However, a recurring pattern of negative reviews highlights serious concerns regarding understaffing, poor medication management, and neglect of basic hygiene needs for some residents. While many families report excellent rehab outcomes, others describe distressing experiences involving lack of communication and inadequate care during off-hours.

Quality Themes

Tap a score for details
Food4.0Staff6.0Clean9.0Activities7.0Meds3.0MemoryN/AComms5.0ValueN/A

Strengths

  • Clean, modern, and odor-free facility
  • Efficient and secure visitor check-in process
  • Highly regarded physical therapy department
  • Professional and welcoming admissions staff

Concerns

  • Understaffing leading to slow response times for call lights (mentioned by 4 reviewers)
  • Poor hygiene and neglect of basic care (e.g., soiled briefs, not getting patients out of bed) (mentioned by 4 reviewers)
  • Medication management errors or lack of clarity (mentioned by 3 reviewers)
  • Lack of communication regarding care plans and patient status (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2344.62023(29)2.62024(18)4.82025(128)4.92026(33)

Distribution · 208 analyzed

5
173
4
17
3
2
2
2
1
14
14 reviews posted between Jun 7, 2023Jun 10, 2023 · 14 were 5-star

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your team is very active in responding to online feedback; how do you use that family input to adjust daily care routines?
  • 2Given the high volume of residents, what is your specific protocol for ensuring call lights are answered promptly and that basic hygiene needs are met consistently?
  • 3Could you walk me through the process for how families are updated on changes to a resident's medication regimen or overall care plan?
  • 4Since your physical therapy department is so highly regarded, how do you integrate those services into the daily schedule for residents who aren't in active rehab?
  • 5What steps does the facility take to ensure that residents are assisted with getting out of bed and socializing throughout the day?
  • 6How does your nursing team coordinate with local hospitals or emergency services if a resident experiences a sudden change in health status?

Personalized based on this facility's data


Key Review Excerpts

My brother now has the highest stage of bedsore. I had to keep calling nursing staff to give him his meds. At one point, they insisted he wasn't there when after he was transported there from the hospital the night before.

Long-term resident's family · 2025★★★★★

The food is below par. Breakfast is Cold and inedible every morning. Lunch and dinner are only so-so. Definitely not as hot as they should be and portions are small. I don't like their handling of medications.

Rehab patient · 2024☆☆☆☆

My mom has been in the facility for a week so far for rehab. Everything and everyone has been just wonderful. The rehab room and therapists are awesome.

Rehab patient's family · 2025★★★★★
Source: 254 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.61hrs
81%
Registered nurses for medical care
Total Nursing
3.74hrs
91%
All nurses + aides combined
Staff Turnover
58%
Lower is better (< 30% = good)
RN Turnover
65%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

10

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility30.9%
Worse than Avg
Here
30.9%
US
19.5%
FL
15.0%
Pinellas
18.9%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility26.7%
Worse than Avg
Here
26.7%
US
19.4%
FL
11.5%
Pinellas
11.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
FL
4.1%
Pinellas
3.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.4%
Better than Avg
Here
5.4%
US
15.4%
FL
8.7%
Pinellas
8.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility18.8%
Worse than Avg
Here
18.8%
US
15.3%
FL
10.6%
Pinellas
10.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility17.3%
Worse than Avg
Here
17.3%
US
14.4%
FL
9.1%
Pinellas
9.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.3%
Better than Avg
Here
97.3%
US
79.7%
FL
94.7%
Pinellas
93.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.0%
Better than Avg
Here
99.0%
US
81.8%
FL
94.8%
Pinellas
92.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.3%
Better than Avg
Here
1.3%
US
1.6%
FL
1.5%
Pinellas
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

18deficiencies
2penalties
Well above state avg (7.3)
6 complaint-triggered
$66,613 in fines

This facility has significant recurring issues that should raise red flags, with families filing complaints that triggered inspections revealing serious problems including abuse and neglect violations as recently as June 2025. The most persistent problems involve care planning, medication management, and abuse prevention, with care planning deficiencies appearing across multiple surveys from 2020 to 2025. While all deficiencies show correction dates, the pattern of repeated violations in critical safety areas warrants careful consideration before placement.

Jun 21, 2025Complaint
1
0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Feb 10, 2025Complaint
1
0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Feb 29, 2024Complaint
2
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0565Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

Feb 29, 2024Routine
20
0645Potential for harm · WidespreadCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0657Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0557Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0791Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0849Potential for harm · IsolatedCorrected

Administration Deficiencies

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

0919Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Aug 15, 2023Complaint
2
0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Dec 10, 2021Routine
6
0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0867Potential for harm · PatternCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

Federal Penalties

Fine

Jun 21, 2025

$33,248

Fine

Feb 29, 2024

$33,365

Ownership & Operations

Who Operates This Facility

Owner / Operator

Palm Garden of Largo

Organization Type

for profit

Chain Affiliation

Chain Name

Palm Garden Health and Rehabilitation

Chain Size

14 facilities nationwide

Chain avg rating: 3.0/5 · Rank 13 of 14 (Worst)

Ownership & Management

Owners

Palm Garden Healthcare Holdings, LLC

Owner · Organization

50%

Mccarver, Patsy

Owner

50%

James O. Mccarver Qtip Business Marital Trust U/a Dated June 22, 2001,

Owner (parent company) · Organization

38%

James O. Mccarver Residuary Trust Share U/a Dated 06/22/2001

Owner (parent company) · Organization

8%

Patsy E. Mccarver Trust U/a Dated June 22, 2001 as Amended, Patsy E

Owner (parent company) · Organization

48%

Key personnel

Pglar Re, LLC5% or Greater Mortgage InterestRegions Bank5% or Greater Mortgage InterestPglar Re, LLC5% or Greater Security InterestRegions Bank5% or Greater Security InterestBomberger, JeffreyOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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