Provider Profile

PALM GARDEN OF SUN CITY

Nursing Home

FACILITY PROFILE

Street Address
  • 3850 UPPER CREEK DR
    SUN CITY CENTER, FL 33573
    County: Hillsborough
  • Phone: (813) 633-2875
Mailing Address
  • 3850 UPPER CREEK DR
    SUN CITY CENTER, FL 33573
    County: Hillsborough
  • Phone: (813) 633-2875
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Facility Information:
Facility/Provider Type:Nursing Home
Administrator:DANIEL JOSE SALINAS
Financial Officer:JAMES CHALMERS
Owner/Licensee:PALM GARDEN OF SUN CITY CENTER LLC
Owner/Licensee Since:11/1/2013

NamePositionOwnership
PALM GARDEN HEALTHCARE HOLDINGS, LLC100%
ROBERT D. GREENEBOARD MEMBER/OFFICER0%
Profit Status:For-Profit
Management Company:PALM HEALTHCARE MANAGEMENT LLC
Manager Since:10/1/2014

NamePositionOwnership
PALM GARDEN HEALTHCARE HOLDINGS, LLC100%
JAMES CHALMERSBOARD MEMBER/OFFICER0%
JEFFREY D. BOMBERGERBOARD MEMBER/OFFICER0%
PATSY E MCCARVER TRUSTBOARD MEMBER/OFFICER0%
ROBERT D. GREENEBOARD MEMBER/OFFICER0%
Licensed Beds:132
Bed Types:Total Capacity: 132
Community Beds: 132
Sheltered Beds: 0
Pediatric Beds: 0
Private Rooms: 20
2-Bed Rooms: 56
3-Bed Rooms: 0
4-Bed Rooms: 0
AHCA Number (File Number):62925
AHCA Field Office:06
License Number:1421096
Current License Effective:10/10/2024
Current License Expires:1/29/2026
License Status:LICENSED
Services/Characteristics
Current Daily Rate:375.00
Adult Day Care Services:No
Continuing Care Retirement Community:No
Languages Spoken:Spanish
Payment Forms Accepted:CHAMPUS/TRICAREInsurance and/or HMOMedicaidMedicareVAWorkers Compensation
Religious Affiliations:Other
Special Programs and Services:24 hr Onsite RN CoverageHIV 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:11/7/2017
Implementation Date:5/28/2018
Cooling Method:FansSpot Coolers
Areas Cooled:Common AreasDining Room
Areas Cooled Location:Within Facility
Square Footage Cooled:5200
Number of People to use Cooled Space:150
Legal Actions
Please note the legal actions above may have been issued to a prior owner. The Final Order displays the name of the licensee responsible for the legal action that was taken.
Date Initiated Case # Case Type Violation Fine Amount Date Imposed
1/5/20252025000119Conditional LicenseSurvey$0.009/10/2024
1/5/20252025000119FineSurvey$5,000.003/24/2025
7/27/20202020015617FineSurvey$3,000.008/17/2021
7/2/20202020011405Conditional LicenseSurvey$0.006/16/2020
7/2/20202020011405FineSurvey$7,500.008/17/2021
11/14/20192019017733Conditional LicenseSurvey$0.008/26/2019
11/14/20192019017733FineSurvey$1,000.001/2/2020
1/5/20182018009236FineReporting$500.007/24/2018
10/18/20172017012637Rule Variance/WaiverAdministrative Rule$0.0011/22/2017
Change of ownership occurred 11/1/2013
6/16/20112011006456FineSurvey$2,000.002/20/2012
6/16/20112011006459Conditional LicenseSurvey$0.002/20/2012

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.