Federal inspection record · CMS data as of October 1, 2026
Palm Garden Of Winter Haven
1120 Cypress Gardens Blvd, Winter Haven, FL · (863) 293-3100
- Certified beds
- 120
- Residents per day
- 113
- Ownership
- For-Profit
- Chain
- Palm Garden Health And Rehabilitation
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 9, 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
★★★★★+1 star
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
★★★★★no change
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 Winter Haven carries 47 inspection points. That is fewer than 42% 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
24 health citations on record since 2020. 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)
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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G
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Everything else, by area of care
Pharmacy Service6E
- D
Ensure medication error rates are not 5 percent or greater.
- E
Ensure medication error rates are not 5 percent or greater.
- E
Ensure medication error rates are not 5 percent or greater.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- D
Ensure that residents are free from significant medication errors.
Resident Assessment and Care Planning5E
- E
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Quality of Life and Care3D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Rights2D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 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.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Nutrition and Dietary2D
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Administration1D
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspection history
2024-06-20
8 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2022-03-10
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2020-12-18
13 health deficiencies · 3 fire-safety deficiencies
Top issue: Pharmacy Service (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 44 min of nursing staff time a day, 43 min of it from a registered nurse.
This home
3 h 44 min
Florida average
3 h 51 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 32% of nursing staff and 25% 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
$24,395 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-04-04 | Fine | $24,395 |
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 days0.9 pts worse | 2.9 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts better | 0.2 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.6 pts better | 100.0% | 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 injury0.9 pts better | 1.6% | 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 weight2.1 pts better | 3.4% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.8 pts worse | 20.7% | 13.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.2 pts better | 2.5% | 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 worsened0.5 pts worse | 8.9% | 8.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.4 pts worse | 9.7% | 8.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts worse | 0.8% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts better | 0.5% | 0.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.6 pts worse | 13.1% | 9.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.1 pts better | 4.3% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.3 pts better | 98.9% | 95.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.4 pts better | 3.5% | 8.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts worse | 1.9% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.9 pts better | 97.2% | 96.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.8 pts worse | 27.6% | 25.8% | 23.4% |
·
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 |
| David, Waseem | Operational/Managerial Control · Individual | 0% | 1 facilities |
| David, Waseem | Adp Of The SNF · Individual | 0% | 1 facilities |
| Greene, Robert | Corporate Officer · Individual | 0% | 15 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 |
| 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 |
| Pgwin Re, LLC | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Pgwin 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 |
| Washington, Tunya | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Washington, Tunya | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3D
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
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Other homes nearby
-
Life Care Center Of Winter Haven
Winter Haven, FL · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 58 min
- Fines
- $0
-
Lake Mariam Health And Rehabilitation Center
Winter Haven, FL · Robert Schoenfeld · Special Focus
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 4 h 36 min
- Fines
- $321,520
-
Astoria Health And Rehabilitation Center
Winter Haven, FL · Tlc Management
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 16 min
- Fines
- $0