CCN 105562 · Marion County, Florida

Palm Garden of Ocala

2700 SW 34th St, Ocala, FL 34474

Palm Garden of Ocala is a 180-bed for-profit nursing home in Ocala, Florida, first certified for Medicare or Medicaid in 1987. CMS rates it 4 out of 5 stars overall in its September 2026 data, and it averaged 176.3 residents a day, about 98% of its certified beds. It has an active FHA-insured Section 232 loan: $10 million originally, at 6.30%, with $9.8 million outstanding as of September 30, 2026 and maturity in August 2059.

Facility facts

Certified beds
180
Average residents per day
176.3 (97.9% of beds)
Ownership type
For profit - Limited Liability company
Certification
Medicare and Medicaid
Legal business name
Palm Garden of Ocala LLC
Certified since
Jun 23, 1987
Chain or affiliated group
Palm Garden Health and Rehabilitation (14 facilities, chain average 2.9 stars)
Location
Urban

Ratings and staffing

Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.

MeasureThis facilityFlorida medianUS median
Overall rating4 of 5State spread: 89 at 1, 143 at 2, 125 at 3, 156 at 4, 178 at 5
Health inspections3 of 5
Quality measures5 of 5
Staffing3 of 5
Total nurse hours per resident per day3.453.633.68
RN hours per resident per day0.320.620.58
Weekend nurse hours per resident per day3.13
Nursing staff turnover51.9%41.9%44.9%
Occupancy (residents / beds)97.9%92.2%85.7%
Fines reported by CMS1 totaling $8,512
Health deficiencies, latest standard survey7 (Jun 12, 2025)

HUD 223(f) Express Lane: the CMS part

HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Palm Garden of Ocala meets that part today: 4 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.

Who owns and operates it

These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.

NameRoleShareSince
Palm Garden Healthcare Holdings, LLCOrganizationDirect Ownership Interest50%11/01/2013
James O. McCarver Qtip Business Marital Trust U/a Dated June 22, 2001OrganizationIndirect Ownership Interestn/a12/23/2014
James O. McCarver Residuary Trust Share U/a Dated 06/22/2001OrganizationIndirect Ownership Interestn/a12/23/2014
Patsy E. McCarver Trust U/a Dated June 22, 2001 As Amended, Patsy EOrganizationIndirect Ownership Interestn/a11/01/2013
McCarver, PatsyIndividualIndirect Ownership Interestn/a11/01/2013
Regions BankOrganizationMortgage Interestn/a11/01/2013
Palm Garden of Ocala LLCOrganizationSecurity Interestn/a07/29/2024
Regions BankOrganizationSecurity Interestn/a11/01/2013
Martinez Irizarry, AlfonsoIndividualOperational / Managerial Controln/a02/19/2020
Walker, MichaelIndividualOperational / Managerial Controln/a03/28/2022

Holders of a 5% or greater mortgage interest reported in the enrollment record: Regions Bank.

Changes of ownership

No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.

HUD Section 232 loans

HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.

EndorsedProgramOriginal amountStatusFHA number
Jul 29, 2024223(f) refinance or purchaseHUD project name: Palm Garden of Ocala, 180 beds. Lender at endorsement: Regions Bank$10,011,400Active: 6.30%, $9,836,769 balanceMatures Aug 1, 2059. Servicer: Berkadia Commercial Mortgage06322126

Watch this facility

Get one email when the monthly CMS or HUD files show a change at Palm Garden of Ocala: a new owner, operator or lender of record, a change of ownership, a new overall star rating, or a change to its HUD loan.

Alert emails have not started on this site yet. Your alert is saved now; the first email will ask you to confirm it.

Sources and dates

Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.

SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.