Nursing Care Index

Palm Garden Of Winter Haven

Winter Haven, Polk County, Florida · CCN 105566 · For-profit (LLC) · part of Palm Garden Health And Rehabilitation (14 facilities, chain average 3.1 stars)

CMS rates Palm Garden Of Winter Haven 4 of 5 overall as of August 2026. 120 certified beds, 114 residents a day on average. 24 citations on record from the current inspection cycles, 2 involving actual harm; 1 fine totalling $24,395.

On record

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★☆ 4 of 5
Health inspections★★★☆☆ 3 of 5
Staffing★★★★★ 5 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay5 / 2 of 5

Staffing

Total nurse staffing3.76267 hours per resident per day
Registered nurses0.69646 hours per resident per day
Weekend total3.36919 hours per resident per day
Nursing staff turnover30.6% (registered nurses 15.8%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2024-06-20 PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · tag F0645
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-07-20
2024-06-20 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-07-20
2024-06-20 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-20
2024-06-20 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-20
2024-06-20 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-20
2024-06-20 Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · tag F0699
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-20
2024-06-20 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-20
2024-06-20 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-20
2024-04-04
complaint survey
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2024-05-01
2024-04-04
complaint survey
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2024-05-01
2024-04-04
complaint survey
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-01
2024-04-04
complaint survey
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-01
2024-02-11
complaint survey
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.
Resident Rights Deficiencies · tag F0584
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-27
2022-03-10 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-04-04
2022-03-10 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-04-04
2022-03-10 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.
Nutrition and Dietary Deficiencies · tag F0803
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-04-04
2020-12-18 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2021-01-14
2020-12-18 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-03-18
2020-12-18 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-01-14
2020-12-18 Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · tag F0757
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-01-14
2020-12-18 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.
Pharmacy Service Deficiencies · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-01-14
2020-12-18 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-01-14
2020-12-18 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-01-14
2020-12-18 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · tag F0867
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-03-18

Fines and payment denials

DatePenaltyAmount
2024-04-04Fine$24,395

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Palm Garden Healthcare Holdings, LLC
Organization
5% or greater direct ownership interest50%2013-11-01
James O. Mccarver Qtip Business Marital Trust U/A Dated June 22, 2001,
Organization
5% or greater indirect ownership interest2014-12-23
James O. Mccarver Residuary Trust Share U/A Dated 06/22/2001
Organization
5% or greater indirect ownership interest2014-12-23
Patsy E. Mccarver Trust U/A Dated June 22, 2001 As Amended, Patsy E
Organization
5% or greater indirect ownership interest2013-11-01
Regions Bank
Organization
5% or greater mortgage interest2013-11-01
Pgwin Re, LLC
Organization
5% or greater security interest2024-07-29
Regions Bank
Organization
5% or greater security interest2013-11-01
James O. Mccarver Qtip Business Marital Trust U/A Dated June 22, 2001,
Organization
adp of the snf2013-11-01
Palm Healthcare Management, LLC
Organization
adp of the snf2025-03-14
Patsy E. Mccarver Trust U/A Dated June 22, 2001 As Amended, Patsy E
Organization
adp of the snf2013-11-01
Pgwin Re, LLC
Organization
adp of the snf2024-07-29
Mccarver, Patsy
Individual
5% or greater indirect ownership interest2013-11-01
David, Waseem
Individual
adp of the snf2024-10-01
Washington, Tunya
Individual
adp of the snf2025-03-14
Bomberger, Jeffrey
Individual
corporate officer2014-10-01
Chalmers, James
Individual
corporate officer2015-01-01
Greene, Robert
Individual
corporate officer2014-10-01
David, Waseem
Individual
operational/managerial control2024-10-01
Washington, Tunya
Individual
operational/managerial control2024-04-04

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Polk County.