Federal inspection record · CMS data as of October 1, 2026
Palm Garden Of Orlando
654 N Econlockhatchee Trail, Orlando, FL · (407) 273-6158
- Certified beds
- 132
- Residents per day
- 122
- Ownership
- For-Profit
- Chain
- Palm Garden Health And Rehabilitation
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 21, 1987
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Florida.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Florida homes
Palm Garden Of Orlando carries 41.75 inspection points. That is fewer than 47% of Florida's 691 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Florida: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–8 pts
- 4★ 8–25 pts
- 3★ 25–46 pts
- 2★ 46–85 pts
- 1★ over 85 pts
Bars show every rated home in Florida by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
16 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
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G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Administration3E
- E
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Resident Assessment and Care Planning3D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Rights2D
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
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.
Quality of Life and Care2E
- E
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nursing and Physician Services1D
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2024-11-07
3 health deficiencies · 1 fire-safety deficiencies
Top issue: Administration (2 deficiencies)
2023-02-16
4 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2021-03-25
9 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 54 min of nursing staff time a day, 30 min of it from a registered nurse.
This home
3 h 54 min
Florida average
3 h 51 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 37% of nursing staff and 43% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$73,226 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-09-30 | Fine | $62,381 |
| 2024-07-25 | Fine | $10,845 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1 pts worse | 3.0 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 0.7 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better | 99.7% | 98.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.6 pts better | 100.0% | 99.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts worse | 3.0% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.1 pts better | 0.3% | 5.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.6 pts better | 4.9% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.2 pts worse | 15.1% | 13.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.8 pts better | 4.9% | 8.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.3 pts worse | 8.7% | 8.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.1 pts better | 7.2% | 8.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts worse | 0.7% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts worse | 1.7% | 0.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.5 pts better | 6.0% | 9.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.3 pts worse | 4.7% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.3 pts better | 99.9% | 95.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.8 pts better | 5.1% | 8.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts worse | 1.5% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.3 pts better | 99.6% | 96.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.2 pts worse | 28.0% | 25.8% | 23.4% |
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Who owns and runs it
19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Palm Garden Healthcare Holdings, LLC | 5% Or Greater Direct Ownership Interest · Organization | 50% | 14 facilities |
| Bomberger, Jeffrey | Corporate Officer · Individual | 0% | 14 facilities |
| Chalmers, James | Corporate Officer · Individual | 0% | 14 facilities |
| Greene, Robert | Corporate Officer · Individual | 0% | 15 facilities |
| Hovey, Greg | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hovey, Greg | Adp Of The SNF · Individual | 0% | 1 facilities |
| James O. Mccarver Qtip Business Marital Trust U/A Dated June 22, 2001, | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 14 facilities |
| James O. Mccarver Qtip Business Marital Trust U/A Dated June 22, 2001, | Adp Of The SNF · Organization | 0% | 14 facilities |
| James O. Mccarver Residuary Trust Share U/A Dated 06/22/2001 | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 14 facilities |
| Mccarver, Patsy | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 14 facilities |
| Nuriel, Gabriel | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Nuriel, Gabriel | Adp Of The SNF · Individual | 0% | 5 facilities |
| Palm Healthcare Management, LLC | Adp Of The SNF · Organization | 0% | 14 facilities |
| Patsy E. Mccarver Trust U/A Dated June 22, 2001 As Amended, Patsy E | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 14 facilities |
| Patsy E. Mccarver Trust U/A Dated June 22, 2001 As Amended, Patsy E | Adp Of The SNF · Organization | 0% | 14 facilities |
| Pgorl Re, LLC | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Pgorl Re, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Regions Bank | 5% Or Greater Mortgage Interest · Organization | 0% | 51 facilities |
| Regions Bank | 5% Or Greater Security Interest · Organization | 0% | 51 facilities |
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Fire safety
3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke1D
- D
Inspect, test, and maintain automatic sprinkler systems.
Egress1E
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Services1E
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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Lotus Nursing And Rehabilitation Center
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Life Care Center Of Orlando
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