Palm Garden of Gainesville

In the surveyor’s words

From the most serious findings on record at Palm Garden of Gainesville, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Oct 7, 2022

  Based on observation, interview, and record review, the facility failed to ensure food was safely stored in the kitchen and dry storage areas, and the food was distributed in accordance with professional standards. Findings include: 1. On 10/4/2022 at 9:16 AM, a walk-through tour of the kitchen with the Certified Dietary Manager (CDM) revealed containers that were labeled as cornstarch, flour, regular sugar, brown sugar, and rice on a shelf that was approximately two inches from the floor. The containers had numerous specks of debris on the exterior of the containers and were not stored at least six inches off the floor or on a surface that was clean or protected from contamination or splash. […]

• No harm, potential for more than minimal, widespreadF880Oct 7, 2022

  Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program to prevent the possible development and transmission of communicable diseases and infections. The facility failed to ensure the staff performed hand hygiene during medication administration, failed to ensure the resident care equipment was clean, and failed to ensure the staff followed transmission-based precautions. Findings include: 1. Review of Resident #290's physician order dated 9/16/2022 reads, Contact Precautions: C. Diff [Clostridioides difficile] every shift for C. […]

• No harm, potential for more than minimal, patternF842May 30, 2025

  Based on observation, interview, and record review the facility failed to maintain complete and accurately documented medical records for 5 of 8 residents, Residents #28, #32, #62, #97, and #119 reviewed for medication management, 2 of 6 residents, Residents #99 and #111 reviewed for mood and behavior, 1 of 3 residents, Resident #103 reviewed for intravenous therapy, and 1 of 3 residents, Resident #136, reviewed for discharge. Findings include: 1) Review of Resident #97's physician order dated 5/5/2025 read, Basaglar Kwikpen Solution Pen-Injector 100 UNIT/ML [milliliter] [insulin Glargine] inject 10 unit subcutaneously in the morning for diabetes. […]

• No harm, potential for more than minimal, patternF812Feb 29, 2024

  Based on observation, interview, and record review, the facility failed to ensure food was safely stored, covered, labeled, and failed to ensure the equipment was cleaned in the areas of the kitchen and nourishment rooms. Findings include: A walk-through tour of the kitchen was conducted on 2/26/2024 at 9:16 AM with the Certified Dietary Manager (CDM). There were twelve large containers in the walk-in cooler that did not have identifying labels. There were eleven sandwiches and fourteen swirl cups in the reach-in cooler with no identifying labels. […]

• No harm, potential for more than minimal, isolatedF628May 30, 2025

  Based on record review and interview the facility failed to ensure a recapitulation summary was documented for 1 of 3 residents, Resident #136, reviewed for discharge. Findings include: Review of resident #136's medical record did not contain documentation of the recapitulation of stay for the resident. During an interview on 5/30/25 at approximately 10:00 AM Staff L, LPN (Licensed Practical Nurse) on the Short Term Rehabilitation hall stated, Once an order is obtained in the chart for discharge, Social Services starts the process of filling out a Discharge Summary/Recapitulation packet for the resident's discharge. This packet goes home with the resident/representative and a copy goes to medical records. The packet is signed and dated by the resident/responsible party and staff member. […]