Provider Profile
PALM GARDEN OF PORT ST. LUCIE
Nursing Home
FACILITY PROFILE
Street Address
- 1751 SE HILLMOOR DRIVE
PORT SAINT LUCIE, FL 34952
County: St. Lucie - Phone: (772) 335-8844
Mailing Address
- 2033 MAIN ST STE 300
SARASOTA, FL 34237-6062
County: Sarasota - Phone: (941) 952-9411
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Facility Information:
| Facility/Provider Type: | Nursing Home | ||||||||||||||||||
| Administrator: | AMY GAGNON | ||||||||||||||||||
| Financial Officer: | JAMES CHALMERS | ||||||||||||||||||
| Owner/Licensee: | PALM GARDEN OF PORT ST LUCIE, LLC | ||||||||||||||||||
| Owner/Licensee Since: | 11/1/2013 | ||||||||||||||||||
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| Profit Status: | For-Profit | ||||||||||||||||||
| Management Company: | PALM HEALTHCARE MANAGEMENT LLC | ||||||||||||||||||
| Manager Since: | 10/1/2014 | ||||||||||||||||||
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| Licensed Beds: | 120 | ||||||||||||||||||
| Bed Types: | Total Capacity: 120 Community Beds: 120 Sheltered Beds: 0 Pediatric Beds: 0 Private Rooms: 4 2-Bed Rooms: 58 3-Bed Rooms: 0 4-Bed Rooms: 0 | ||||||||||||||||||
| AHCA Number (File Number): | 95606 | ||||||||||||||||||
| AHCA Field Office: | 09 | ||||||||||||||||||
| License Number: | 1419096 | ||||||||||||||||||
| Current License Effective: | 1/30/2024 | ||||||||||||||||||
| Current License Expires: | 1/29/2026 | ||||||||||||||||||
| License Status: | LICENSED | ||||||||||||||||||
Services/Characteristics
| Current Daily Rate: | 345.00 |
| Adult Day Care Services: | No |
| Continuing Care Retirement Community: | No |
| Languages Spoken: | CreolePolishSpanish |
| Payment Forms Accepted: | CHAMPUS/TRICAREInsurance and/or HMOMedicaidMedicareVAWorkers Compensation |
| Religious Affiliations: | Other |
| Special Programs and Services: | 24 hr Onsite RN CoverageAlzheimer'sHIV CareHospice CareJCAHO accredited Long Term Care ProgramOther Special ProgramPet TherapyRespiteTracheotomy |
Emergency Power Plan Summary
| Onsite Alternate Power Source: | Fixed Generator |
| Emergency Power Supports: | Life Safety SystemsLightsOtherRefrigeration |
| Plan Approval: | 5/1/2018 |
| Implementation Date: | 11/28/2018 |
| Implementation Extended Until: | 1/1/2019 |
| Cooling Method: | FansSpot Coolers |
| Areas Cooled: | Common AreasDining RoomLiving room |
| Square Footage Cooled: | 5328 |
| Number of People to use Cooled Space: | 150 |
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| 10/18/2017 | 2017012547 | Rule Variance/Waiver | Administrative Rule | $0.00 | 11/22/2017 |
| Change of ownership occurred 11/1/2013 | |||||
| 3/4/2013 | 2013002438 | Fine | Survey | $3,000.00 | 9/11/2013 |
| 3/4/2013 | 2013002438 | Conditional License | Survey | $0.00 | 9/11/2013 |
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.