Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Palm Garden Of Jacksonville during CMS and state inspections, most recent first.
A facility failed to consistently monitor blood glucose levels for a diabetic resident receiving insulin therapy, as per physician orders. Despite the resident's history of diabetes with complications, there were significant gaps in monitoring, with no checks documented for over a month. Interviews with staff revealed inconsistencies in following protocols, and the DON confirmed the absence of a facility policy for documenting blood sugar levels, relying solely on physician orders.
A facility failed to ensure proper review and documentation of a resident's care, including blood glucose monitoring and insulin administration. The resident, with a history of type 2 diabetes, had inconsistent blood glucose checks despite having orders for insulin therapy. Interviews with staff revealed a lack of clear policies for monitoring and documentation, contributing to the deficiency.
Failure to Monitor Blood Glucose Levels for Diabetic Resident
Penalty
Summary
The facility failed to provide necessary care and services in accordance with professional standards by not consistently monitoring blood glucose levels for a resident with diabetes. The resident, who had a history of type 2 diabetes mellitus with complications such as chronic kidney disease and polyneuropathy, was prescribed insulin therapy. However, the facility did not consistently perform blood glucose monitoring as per the physician's orders, which included Accu-checks three times a day for a specified period. The medical records revealed significant gaps in blood glucose monitoring, with no documented checks between late June and early August, despite the resident receiving insulin. Interviews with facility staff, including an LPN, the Director of Education, and the Unit Manager, highlighted inconsistencies in following protocols for blood glucose monitoring. The staff acknowledged that residents receiving insulin should have corresponding orders for blood glucose checks, and any refusals should be documented and communicated to the physician. The Director of Nursing confirmed the absence of a facility policy for documenting blood sugar levels and insulin administration, relying solely on physician orders. This lack of a structured policy contributed to the oversight in monitoring the resident's blood glucose levels, which is crucial for managing diabetes effectively. The report references guidelines from reputable sources, emphasizing the importance of regular blood glucose monitoring for patients on insulin therapy to prevent complications such as hypoglycemia.
Deficiency in Blood Glucose Monitoring and Documentation
Penalty
Summary
The facility failed to ensure that the physician or physician representative reviewed the resident's total program of care, including medications and treatments, and signed and dated all orders for a resident who was being monitored for blood glucose levels. The resident, who had a history of type 2 diabetes mellitus with diabetic chronic kidney disease and diabetic polyneuropathy, was receiving insulin therapy. However, there was a lack of consistent documentation and monitoring of blood glucose levels as per the physician's orders. The medical record review revealed that the resident had orders for Humulin N and Insulin Aspart, with specific instructions for administration. Despite these orders, there were inconsistencies in the documentation of blood glucose monitoring, with several instances where blood glucose checks were not recorded, particularly between late June and early August. Interviews with facility staff, including an LPN, the Director of Education, and the Unit Manager, highlighted a lack of clarity and adherence to policies regarding blood glucose monitoring and documentation. The Director of Nursing (DON) confirmed that there was no specific facility policy for documenting blood sugars, insulin administration, or blood glucose checks, relying instead on physician orders. This lack of a structured policy contributed to the deficiency, as regular monitoring and documentation are crucial for managing diabetes effectively, especially when insulin therapy is involved. The absence of consistent blood glucose monitoring and documentation could potentially impact the resident's diabetes management and overall health.
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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 Jacksonville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Vivo Healthcare Taylor | 1 mi | — | 2 | 0 |
| Riverwood Center | 1.1 mi | — | 0 | 0 |
| Life Care Center Of Jacksonville | 1.3 mi | — | 0 | 0 |
| Aviata At Jacksonville | 1.5 mi | — | 10 | 0 |
| Woodland Grove Healthcare & Rehabilitation Center | 1.5 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 August 2026) and official state health department websites.