Health inspection·September 17, 2025

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Based on observation, review of administrative records and interview, the facility failed to ensure that the facility's vents, other equipment, and areas were maintained, as evidenced by the appearance of multiple air vents having Black colored substances or rust-like staining on them; several ceiling tile and surfaces surrounding the vents having notable water staining around them; and sink cabinets with an offensive odor, black colored and water staining in them.The findings included:A tour of the facility was conducted on 09/17/25 beginning at 10:00 AM revealed multiple air vents with black colored substances or rust-like staining on them and several ceiling tile and surfaces surrounding the vents had notable water stains around them throughout the therapy area and on the Reflection Hallway.In the general therapy area, there was an air vent upon entry into the therapy area, as follows: 2 of three front vents outside the door; and 1 of 2 back vents in the therapy gym had noted black colored substance visible on them. In the general therapy room, there was a hand washing sink and below the sink was a cabinet. Upon opening the cabinet, there was an immediate noticeable offensive musty, moldy smell emitting from the cabinet. Further observation of the cabinet noted black colored substances in the bottom of the cabinet and water stains and cobwebs on the inside bottom side of the cabinet. The restroom in the therapy area also had an air vent with a black colored substance on it. In the Occupational Therapy side of the therapy area, there were several vents in this area which had black colored substances on them. In the Speech Therapy office, the air vent and around the sprinkler head, there was noted water stains on the ceiling and dark colored substances on them. In the Physical Therapy charting room, there was a vent with black colored substance on it.In the Rehabilitation (Rehab) Director's office, the air vent had rust-like staining on it. In the entrance to the Reflection Hallway, there was a large water staining on the ceiling. At the Reflection Nursing Station, the vent was noted to have rust-like spots on it.(Picture evidence available) A random interview with a resident receiving therapy was conducted on 09/17/25 at approximately 1:50 PM. The resident voluntarily said that she noticed that the vents needed to be cleaned. An interview was conducted with one of the therapy staff, Staff A, on 09/17/25 in the morning, revealed that the staff has experienced multiple respiratory illnesses in the last few months and was informed that it was from environmental issues. The staff also expressed that the air quality in the therapy room smells musty and moldy at times, especially when the air conditioner has been off. The staff expressed that the therapy gym air vents have black colored substances on them as well as in some of the smaller rooms in the therapy area. The staff was unaware if any testing for mold had been done but expressed that he/she has been experiencing respiratory issues lately. An interview with another therapy staff, Staff B, on 09/17/25 in the afternoon, expressed they have experienced respiratory illness in the last few months and have noticed the discoloration of the air vents in the therapy area. The staff expressed that they are wearing mask more now. An interview was conducted with the Rehab Director on 09/17/25 at 10:15 AM, who stated (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 105592 Printed: 05/28/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 105592 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/17/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Palm Garden of Vero Beach 1755 37th Street Vero Beach, FL 32960 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)