SNF

PALM GARDEN OF LARGO

CCN: 105574 · LARGO, FL 33777 · Pinellas County

⚠ Abuse citation flag

Overview

Address
10500 STARKEY RD, LARGO, FL 33777
Phone
7273978166
Certified beds
140
Avg daily residents
128 (92% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1987-07-31
Setting
Urban
1 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 3/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 4/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 5/5
Short-Stay Quality Measures ★★★★★ 3/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 3.75 3.68 3.93 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.63 0.64 0.67 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.88 0.82 0.92 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.24 2.22 2.35 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.51 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.12 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.40
hrs / resident / day
RN (weekend)
0.41
hrs / resident / day
Total nurse (adjusted, weekend)
3.56
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
50.7%
annual
RN turnover
57.9%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.30
higher acuity than avg
Case-Mix Index Ratio
0.95
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2024-02-29 18 17 3 140 1 140
Cycle 2/3 (prior) 2021-12-10 8 5 3 44 2 66
Total weighted health score
121.5
lower is better

Deficiencies (28)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

26 D/E/F Actual harm — potential for minor
2 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. G 2025-06-21 2025-07-21
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2025-02-10 2025-03-07
0557 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. D 2024-02-29 2024-03-29
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2024-02-29 2024-03-29
0610 Respond appropriately to all alleged violations. D 2024-02-29 2024-03-29
0645 PASARR screening for Mental disorders or Intellectual Disabilities F 2024-02-29 2024-03-29
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2024-02-29 2024-03-29
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. E 2024-02-29 2024-03-29
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-02-29 2024-03-29
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2024-02-29 2024-03-29
0758 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. D 2024-02-29 2024-03-29
0759 Ensure medication error rates are not 5 percent or greater. E 2024-02-29 2024-03-29
0761 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. E 2024-02-29 2024-03-29
0791 Provide or obtain dental services for each resident. D 2024-02-29 2024-03-29
0849 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. D 2024-02-29 2024-03-29
0880 Provide and implement an infection prevention and control program. E 2024-02-29 2024-03-29
0919 Make sure that a working call system is available in each resident's bathroom and bathing area. D 2024-02-29 2024-03-29
0565 Honor the resident's right to organize and participate in resident/family groups in the facility. E 2024-02-29 2024-03-29
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2024-02-29 2024-03-29
0585 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. D 2023-08-15 2023-09-11
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2023-08-15 2023-09-11
0558 Reasonably accommodate the needs and preferences of each resident. D 2021-12-10 2022-01-10
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2021-12-10 2022-01-10
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2021-12-10 2022-03-07
0761 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 2021-12-10 2022-01-10
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. E 2021-12-10 2022-03-07
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2020-09-11 2020-10-11
0761 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. E 2020-09-11 2020-10-11

Penalties (2)

Fines issued
2
last 3 years
Total fines
$66,613
Date Type Fine amount
2025-06-21 Fine $33,248
2024-02-29 Fine $33,365

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 18.2% Medicaid 55.8% Other 26.0%

Operating performance

Operating Margin
-4.3%
Total Margin
-2.4%
Occupancy Rate
92.0%
Cost per Resident Day
$63

Revenue & costs

Net Patient Revenue
$17.4M
Total Costs
$2.9M
Net Income
-$419K

Balance sheet

Total Assets
$7.2M
Total Liabilities
$983K
Fund Balance
$6.2M
Current Ratio
1.55

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: PALM GARDEN HEALTH AND REHABILITATION

Chain ID
394
Facilities in chain
14
Legal business name
PALM GARDEN OF LARGO LLC
Chain-average star ratings (for peer context)
Overall
3.0
Health
2.4
Staffing
3.3
QM
4.3

Owner / manager organizations (8)

Organization Role Association
PALM GARDEN HEALTHCARE HOLDINGS, LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 11/01/2013
JAMES O. MCCARVER QTIP BUSINESS MARITAL TRUST U/A DATED JUNE 22, 2001, 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 12/23/2014
JAMES O. MCCARVER RESIDUARY TRUST SHARE U/A DATED 06/22/2001 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 12/23/2014
PATSY E. MCCARVER TRUST U/A DATED JUNE 22, 2001 AS AMENDED, PATSY E 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/01/2013
PGLAR RE, LLC 5% OR GREATER SECURITY INTEREST since 06/20/2024
REGIONS BANK 5% OR GREATER SECURITY INTEREST since 11/01/2013
PGLAR RE, LLC 5% OR GREATER MORTGAGE INTEREST since 06/20/2024
REGIONS BANK 5% OR GREATER MORTGAGE INTEREST since 11/01/2013

Owner / manager individuals (6)

Name Role Association
MCCARVER, PATSY 5% OR GREATER DIRECT OWNERSHIP INTEREST since 11/01/2013
FITTS, JOHN OPERATIONAL/MANAGERIAL CONTROL since 04/07/2025
KORBAJ, RABEE OPERATIONAL/MANAGERIAL CONTROL since 08/15/2024
BOMBERGER, JEFFREY CORPORATE OFFICER since 10/01/2024
CHALMERS, JAMES CORPORATE OFFICER since 01/01/2015
GREENE, ROBERT CORPORATE OFFICER since 01/01/2015

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
Yes — last 2 cycles
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

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Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $63 metrics.cost_per_resident_day
Cost Report Current Ratio 1.55 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 55.8% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 18.2% metrics.medicare_day_share
Cost Report Net Income ($) $-419,374 metrics.net_income
Cost Report Net Patient Revenue ($) $17,364,359 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 92.0% metrics.occupancy_rate
Cost Report Operating Margin (%) -4.3% metrics.operating_margin
Cost Report Total Assets ($) $7,160,744 metrics.total_assets
Cost Report Total Costs ($) $2,946,714 metrics.total_costs
Cost Report Total Fund Balances ($) $6,178,058 metrics.fund_balance
Cost Report Total Liabilities ($) $982,686 metrics.total_liabilities
Cost Report Total Margin (%) -2.4% metrics.total_margin
Provider Information Abuse Icon Y Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.92079 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.34766 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.66540 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.93385 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.56068 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 128.4 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.81727 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.22115 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.64419 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.68260 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.24582 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.4 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.0 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.3 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 3.3 Chain Average Staffing Rating
Provider Information Chain ID 394 Chain ID
Provider Information Chain Name PALM GARDEN HEALTH AND REHABILITATION Chain Name
Provider Information City/Town LARGO City/Town
Provider Information CMS Certification Number (CCN) 105574 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Pinellas County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1987-07-31 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 27.8678 Latitude
Provider Information Legal Business Name PALM GARDEN OF LARGO LLC Legal Business Name
Provider Information Location 10500 STARKEY RD,LARGO,FL,33777 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -82.762 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 140 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 14 Number of Facilities in Chain
Provider Information Number of Fines 2 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.30458 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.94696 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 10500 STARKEY RD Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name PALM GARDEN OF LARGO Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 510 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 4 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 140 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 3 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 17 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-02-29 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 140 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 18 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 5 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2021-12-10 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 44 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 22 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 3 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 2 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 66 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 8 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.40998 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 57.9 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.51293 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.87827 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.23923 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.11505 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.63466 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.75216 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 3 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 3 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State FL State
Provider Information Telephone Number 7273978166 Telephone Number
Provider Information Total Amount of Fines in Dollars 66613.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.39622 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 2 Total Number of Penalties
Provider Information Total nursing staff turnover 50.7 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 121.500 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 33777 ZIP Code