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PALM GARDEN OF WINTER HAVEN

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PALM GARDEN OF WINTER HAVEN is a for profit - limited liability company facility in WINTER HAVEN, FL with 120 certified beds and a 4-star overall CMS rating. The facility has 24 deficiency records on file. Total penalties: $24K.

1120 CYPRESS GARDENS BLVD, WINTER HAVEN, FL 33884

Phone: 8632933100

Overall Rating

4/5

Health Inspection

3/5

Staffing

5/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
105566
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
120
Residents
112
In Hospital
No
County
Polk
Last Inspection
Jun 20, 2024

Staffing Data

RN Hours
0.77 (nat'l avg: 0.68)
LPN Hours
0.78
CNA Hours
2.21
Total Nursing Hours
3.76 (nat'l avg: 3.89)
PT Hours
0.08
Nursing Turnover
22.8%
RN Turnover
6.3%

What the CMS Record Reveals About PALM GARDEN OF WINTER HAVEN

PALM GARDEN OF WINTER HAVEN operates 120 certified beds in WINTER HAVEN, FL with approximately 112 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (5★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 24 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $24K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.76 total nursing hours per resident day (national average 3.89), with RN coverage at 0.77 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, PALM GARDEN OF WINTER HAVEN falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 22.8%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (24 most recent)

E — Pattern - Minimal harm Jun 20, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 20, 2024

D — Isolated - Minimal harm Jun 20, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 20, 2024

D — Isolated - Minimal harm Jun 20, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Jul 20, 2024

D — Isolated - Minimal harm Jun 20, 2024 Tag: 0699

Provide care or services that was trauma informed and/or culturally competent.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 20, 2024

D — Isolated - Minimal harm Jun 20, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 20, 2024

E — Pattern - Minimal harm Jun 20, 2024 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 20, 2024

D — Isolated - Minimal harm Jun 20, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 20, 2024

D — Isolated - Minimal harm Jun 20, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Jul 20, 2024

D — Isolated - Minimal harm Apr 4, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 1, 2024

D — Isolated - Minimal harm Apr 4, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 1, 2024

G — Isolated - Actual harm Apr 4, 2024 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 1, 2024

G — Isolated - Actual harm Apr 4, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 1, 2024

D — Isolated - Minimal harm Feb 11, 2024 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Feb 27, 2024

D — Isolated - Minimal harm Mar 10, 2022 Tag: 0803

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 4, 2022

E — Pattern - Minimal harm Mar 10, 2022 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Apr 4, 2022

D — Isolated - Minimal harm Mar 10, 2022 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 4, 2022

D — Isolated - Minimal harm Dec 18, 2020 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Mar 18, 2021

D — Isolated - Minimal harm Dec 18, 2020 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 14, 2021

D — Isolated - Minimal harm Dec 18, 2020 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Jan 14, 2021

E — Pattern - Minimal harm Dec 18, 2020 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Jan 14, 2021

D — Isolated - Minimal harm Dec 18, 2020 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Jan 14, 2021

D — Isolated - Minimal harm Dec 18, 2020 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Jan 14, 2021

D — Isolated - Minimal harm Dec 18, 2020 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 14, 2021

D — Isolated - Minimal harm Dec 18, 2020 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 18, 2021

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 8.7% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.7% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.3% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.7% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 1.6% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 98.4% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 7.0% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 15.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 96.3% No
Percentage of long-stay residents with pressure ulcers Long Stay 4.8% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 19.3% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 4.8% Yes

Penalty History 1 penalties totaling $24K

Date Type Amount
Apr 4, 2024 Fine $24K

Frequently Asked Questions

What is the overall CMS rating for PALM GARDEN OF WINTER HAVEN?
PALM GARDEN OF WINTER HAVEN has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (3★), staffing levels (5★), and quality measures (4★).
What are the staffing levels at PALM GARDEN OF WINTER HAVEN?
PALM GARDEN OF WINTER HAVEN reports 3.76 total nursing hours per resident day (national average: 3.89). RN hours are 0.77 per resident day (national average: 0.68). Nursing staff turnover is 22.8%.
How many beds does PALM GARDEN OF WINTER HAVEN have?
PALM GARDEN OF WINTER HAVEN has 120 certified beds with approximately 112 residents. The facility is located at 1120 CYPRESS GARDENS BLVD, WINTER HAVEN, FL 33884.
Does PALM GARDEN OF WINTER HAVEN have any deficiencies on record?
Yes, PALM GARDEN OF WINTER HAVEN has 24 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has PALM GARDEN OF WINTER HAVEN received any fines or penalties?
Yes, PALM GARDEN OF WINTER HAVEN has received 1 penalties totaling $24K.
Who owns PALM GARDEN OF WINTER HAVEN?
PALM GARDEN OF WINTER HAVEN is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was PALM GARDEN OF WINTER HAVEN last inspected?
The most recent health inspection for PALM GARDEN OF WINTER HAVEN was on Jun 20, 2024. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for PALM GARDEN OF WINTER HAVEN?
PALM GARDEN OF WINTER HAVEN is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial