Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Palm Garden Of Largo during CMS and state inspections, most recent first.
A resident with MS, paraplegia, and total dependence for care fell during a shower after a CNA transferred her alone despite a care plan requiring a Hoyer Lift and 2-person assist. The resident reported the shower chair felt unstable and that she warned the CNA she was slipping before falling to the bathroom floor. Staff later confirmed the care plan was not followed, the shower chair appeared damaged, and the resident sustained a left hip fracture requiring hospital transfer and surgery.
Failure to Follow Contact Precaution PPE Requirements: Staff on the 100 and 200 units were observed entering contact precaution rooms without the required PPE, and one CNA exited a room without hand hygiene before entering another resident room. Staff, including an LPN, CNAs, a housekeeper, and a van driver, stated they only used PPE for direct care or certain tasks, despite the facility policy requiring gown and gloves for all interactions that may involve contact with the resident or contaminated areas of the resident environment.
Surveyors found that staff failed to provide timely toileting assistance to a resident with significant care needs, resulting in a wait of over 1.5 hours and emotional distress. Other residents reported rough handling, negative attitudes, and fear of retaliation from CNAs, with some experiencing visible bruising. Staff interviews revealed inconsistent grievance investigations and a lack of customer service training, despite facility policies requiring prompt action and reporting.
The facility failed to follow comprehensive care plans for three residents, leading to deficiencies in bed mobility and transfer assistance. Despite care plans requiring two-person assistance, documentation showed frequent one-person assistance. Incidents included a resident rolling off a mattress due to inadequate assistance. The DON confirmed these discrepancies, highlighting a failure to adhere to person-centered care plans.
Failure to Follow Two-Person Shower Transfer Care Plan
Penalty
Summary
The facility failed to ensure that one resident’s transfer and shower care plan was followed, resulting in a fall with major injury. Resident #2 was cognitively intact with a BIMS score of 14 and had diagnoses including active primary progressive multiple sclerosis, paraplegia, contractures, narcolepsy, and a displaced intertrochanteric fracture of the left femur. Her care plan required a Hoyer Lift and two-person assistance for transfers and showers because of her ADL self-care deficits and poor trunk control. On the morning of the incident, the resident was transferred into a shower chair by one CNA without the required second person. The resident stated she told the CNA she felt like she was going to fall out of the chair and that the chair felt like it was falling apart. She stated the CNA left her alone in the bathroom, and she fell out of the shower chair. Staff later found her on the bathroom floor with the CNA bracing her head and neck, and the shower seat grip was noted on the floor. The resident reported severe left hip pain, rated 9 out of 10, and the physician ordered hospital transfer because of concern for an acute fracture. Record review showed the resident was admitted to the hospital for the fall and left hip pain and underwent operative treatment for a left intertrochanteric fracture with intramedullary implant placement of a gamma nail. Staff interviews confirmed the care plan was not followed. The RN stated the CNA did not follow the resident’s plan of care requiring two-person assistance during bathing, and the CNA stated she transferred the resident alone, that the shower chair started to come apart, and that she left the resident in the bathroom to get help. The Risk Manager stated the shower chair’s silicone nonslip pad looked ripped and that the resident should have had two people assisting her during the shower. The resident’s PCP stated the resident was totally dependent on others for all care and that the one-person shower transfer was a total violation due to safety.
Failure to Follow Contact Precaution PPE Requirements
Penalty
Summary
The facility failed to ensure proper infection control practices were used for residents on contact precautions on the 100 and 200 units. During multiple observations, staff entered rooms with contact precaution signs without wearing the required PPE, including a staff member entering a room and not using PPE, another staff member entering and reentering a room without PPE and without hand hygiene, and a LPN entering a contact precaution room without donning PPE. On the 100 unit, a CNA entered a contact precaution room without PPE and then entered another resident room without performing hand hygiene, another CNA entered a contact precaution room wearing only gloves and no gown, and other staff were observed in contact precaution rooms with no PPE on. Additional observations showed a housekeeper cleaning a contact precaution room without PPE and a van driver in a contact precaution room without PPE. When interviewed, staff stated they only wore PPE for direct care or dressing changes and did not wear PPE when dropping off trays, passing medications, talking to residents, or entering rooms to do small maintenance tasks. The DON and Infection Preventionist stated residents had been placed on contact precautions during a GI outbreak, with 14 residents and 3 staff members having GI symptoms in the prior week, and the facility policy required gown and gloves for all interactions that may involve contact with the resident or contaminated areas of the resident environment.
Failure to Protect Residents from Neglect and Unsympathetic Staff Attitudes
Penalty
Summary
Surveyors identified multiple failures by facility staff to protect residents from neglect and unsympathetic or negative staff attitudes, resulting in emotional and psychological distress. One resident, with moderate cognitive impairment and significant physical care needs, was observed waiting over 1.5 hours for toileting assistance despite repeated requests for help. The resident expressed fear of staff retaliation if her needs were reported, and staff members failed to respond to her call light in a timely manner, even after being made aware of her request. Documentation confirmed the resident required total assistance for toileting, and staff interviews acknowledged that the wait time was excessive and unacceptable. Additional residents reported negative interactions with staff, including a CNA who was described as rude, rushed, and rough during care. One resident recounted an incident where a CNA was on the phone during care and became snappy when questioned, leading the resident to feel uncomfortable and fearful of future interactions. Another resident described being handled roughly by the same CNA, resulting in visible bruising, and expressed fear of retaliation if she reported the behavior. These residents had not filed formal grievances, often citing fear of staff reprisal. Interviews with staff and facility leadership revealed gaps in the investigation and resolution of grievances. The Risk Manager stated that grievances were not pursued if residents denied explicit abuse, without considering fear of retaliation or psychological impact. The Staff Development Coordinator acknowledged ongoing issues with staff attitudes and bedside manner, and some CNAs reported not receiving customer service training. Facility policies required prompt investigation and resolution of grievances and mandated reporting of suspected abuse or neglect, but these procedures were not consistently followed, contributing to the ongoing deficiencies.
Inconsistent Adherence to Care Plans for Resident Assistance
Penalty
Summary
The facility failed to adhere to the comprehensive person-centered care plans for three residents, leading to deficiencies in bed mobility and transfer assistance. Resident #2, who had a complex medical history including traumatic subarachnoid hemorrhage, dementia, and chronic kidney disease, was care planned to require total assistance of two persons for bed mobility and transfers. However, documentation revealed inconsistencies in the level of assistance provided, with instances of only one-person assistance being recorded. An incident occurred where a CNA attempted to turn the resident alone, resulting in the resident rolling off the mattress. Resident #4, diagnosed with conditions such as spinal stenosis and a history of traumatic brain injury, was also care planned for total assistance of two persons for bed mobility and transfers. Despite this, the documentation showed that the staff frequently provided only one-person assistance. The Director of Nursing confirmed these discrepancies, acknowledging that the care plan was not being followed as expected. Similarly, Resident #5, with a history of a displaced intertrochanteric fracture and dementia, was care planned for limited assistance of two persons for bed mobility and transfers. The records indicated that the resident often received only one-person assistance, contrary to the care plan. The DON verified these findings and noted the need for a re-evaluation of the resident's transfer status. The facility's policy emphasized the importance of developing and implementing a person-centered comprehensive care plan, yet the execution of these plans was inconsistent, leading to the identified deficiencies.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Largo
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Aviata At Bryan Dairy | 0.3 mi | ★★★★★ | 4 | 4 |
| Aviata At Seminole | 2 mi | ★★★★★ | 6 | 0 |
| Wrights Healthcare And Rehabilitation Center | 2 mi | ★★★★★ | 8 | 0 |
| Gulf Shore Care Center | 2.1 mi | ★★★★★ | 10 | 0 |
| Tierra Pines Center | 2.3 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.