3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Spend your golden years with Palm Beach Elder Care, a trusted community based in Palm Beach, FL. With a wide range of care options, including nursing care, house calls, and concierge medicine services, older adults can rest assured of receiving the highest quality of care tailored to their unique needs. Older adults can maintain their independence with the community’s dedicated services.
Older adults are also accompanied by cheerful companions to ease their loneliness and encourage an active lifestyle. The community also works closely with exceptional healthcare providers to meet residents’ healthcare needs. With exceptional care and genuine companionship, older adults are guaranteed to have the finest retirement experience in the comforts of their homes.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 40m per day | |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 36m per day | |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 2m per day | |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 7m per day | |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 34m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 27 RN Staff are full-time employees. No contractors work on this role.
27
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursAssists with medical care and medications.
All 22 LPN Staff are full-time employees. No contractors work on this role.
22
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursHelps with daily care and mobility.
All 74 CNA Staff are full-time employees. No contractors work on this role.
74
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,522 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 74 | 0 | 74 | 19,828 | 92 | 100% | 8 |
| Registered Nurse | 27 | 0 | 27 | 5,501 | 92 | 100% | 9.2 |
| Licensed Practical Nurse | 22 | 0 | 22 | 5,413 | 92 | 100% | 9.4 |
| Physical Therapy Aide | 0 | 12 | 12 | 1,627 | 85 | 92% | 6.9 |
| Speech Language Pathologist | 0 | 10 | 10 | 1,208 | 78 | 85% | 7.2 |
| Respiratory Therapy Technician | 0 | 10 | 10 | 699 | 80 | 87% | 7.7 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 611 | 63 | 68% | 5.9 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Physical Therapy Assistant | 0 | 7 | 7 | 517 | 64 | 70% | 7.4 |
| Other Dietary Services Staff | 3 | 0 | 3 | 505 | 66 | 72% | 7.7 |
| Dietitian | 1 | 0 | 1 | 503 | 64 | 70% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 437 | 61 | 66% | 7.2 |
| Dental Services Staff | 1 | 0 | 1 | 432 | 61 | 66% | 7.1 |
| RN Director of Nursing | 2 | 0 | 2 | 430 | 55 | 60% | 7.5 |
| Qualified Social Worker | 0 | 8 | 8 | 406 | 72 | 78% | 5 |
| Mental Health Service Worker | 1 | 0 | 1 | 390 | 60 | 65% | 6.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 34 | 7 | 8% | 4.9 |
| Medical Director | 0 | 1 | 1 | 33 | 13 | 14% | 2.5 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
94% lower than State averageState average: $72K
62% fewer fines than State averageState average: 2.6
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than State averageState average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Feb 8, 2024 · $4K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 8, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
3.7
51% better than State averageState average: 7.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
5.8
53% better than State averageState average: 12.4
Percent of long-stay residents whose need for help with daily activities has increased
6.1%
42% better than State averageState average: 10.5%
Percent of long-stay residents whose ability to move independently worsened
0.8%
94% better than State averageState average: 12.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
10.7%
21% better than State averageState average: 13.5%
Percent of long-stay residents experiencing one or more falls with major injury
0.6%
77% better than State averageState average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
4.2%
22% better than State averageState average: 5.4%
Percent of long-stay residents with a urinary tract infection
1.0%
11% worse than State averageState average: 0.9%
Percent of long-stay residents who lose too much weight
6.6%
10% worse than State averageState average: 6.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than State averageState average: 3.3%
Percent of long-stay residents who received an antipsychotic medication
17.2%
114% worse than State averageState average: 8.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
In line with State averageState average: 97.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with State averageState average: 99.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
6% better than State averageState average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
48% better than State averageState average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.9%
In line with State averageState average: 94.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
24% of new residents, usually for short-term rehab.
57% of new residents, often for short stays.
20% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
90Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Palm Beach Elder Care from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #217 / 257Payroll — State benchmarkedThis home is ranked 217th out of 257 homes in Florida. Shows total annual staff payroll benchmarked to the Florida average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #140 / 257Payroll % — State benchmarkedThis home is ranked 140th out of 257 homes in Florida. Shows payroll as a percentage of revenue versus the Florida average. Well-run Florida facilities typically land around 49–56% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (57% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
Royal Palm Beach, FL 33411
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The information below is reported by the Florida Agency for Health Care Administration (AHCA).
| Palm Beach Elder Care | NH HC MC RC | Royal Palm Beach | - | 120 | - | 56 | - |
| Westminster Woods on Julington Creek | NH AL IL MC | Fruit Cove (Saint Johns) | - | 80 | C- | 47 | - |
Palm Beach Elder Care has a walk score of 56. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Palm Beach Elder Care's occupancy is 80.5%.
Palm Beach Elder Care is registered as a for-profit in FL.
Palm Beach Elder Care is located at Royal Palm Beach, FL 33411.
(561) 685-1522 will put you in contact with the team at Palm Beach Elder Care.
Yes — Palm Beach Elder Care is a CMS-certified provider of Medicare and Medicaid.
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