B83

PALM GARDEN OF WINTER HAVEN

Grade B 83/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
4/5
Health Insp.
3/5
Quality
4/5
Staffing
5/5
RN Staffing
Not rated

Certified Beds

120

Ownership

For profit - Limited Liability company

Total Fines

$24,395

Last Survey

N/A

1120 CYPRESS GARDENS BLVD, WINTER HAVEN, FL 33884
8632933100

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.86h
LPN
0.87h
CNA
2.46h
Total
4.19h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

PALM GARDEN HEALTHCARE HOLDINGS, LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Nov 2013

50%

JAMES O. MCCARVER QTIP BUSINESS MARITAL TRUST U/A DATED JUNE 22, 2001,

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2014

JAMES O. MCCARVER RESIDUARY TRUST SHARE U/A DATED 06/22/2001

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2014

PATSY E. MCCARVER TRUST U/A DATED JUNE 22, 2001 AS AMENDED, PATSY E

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2013

MCCARVER, PATSY

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2013

DAVID, WASEEM

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2024

WASHINGTON, TUNYA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2024

BOMBERGER, JEFFREY

IndividualCORPORATE OFFICERSince Oct 2014

CHALMERS, JAMES

IndividualCORPORATE OFFICERSince Jan 2015

GREENE, ROBERT

IndividualCORPORATE OFFICERSince Oct 2014

PGWIN RE, LLC

Organization5% OR GREATER SECURITY INTERESTSince Jul 2024

REGIONS BANK

Organization5% OR GREATER SECURITY INTERESTSince Nov 2013

REGIONS BANK

Organization5% OR GREATER MORTGAGE INTERESTSince Nov 2013

Penalties & Fines (1)

$24,395total fines
DateTypeDescriptionAmount
Apr 4, 2024Fine$24,395

Health Inspection Deficiencies (24)

June 20, 2024Health8 deficiencies
0550DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Jul 20, 2024
0609DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jul 20, 2024
0645EMinimal harm, Pattern

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies

Corrected Jul 20, 2024
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jul 20, 2024
0699DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jul 20, 2024
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Jul 20, 2024
0812DMinimal harm, Isolated

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

Nutrition and Dietary Deficiencies

Corrected Jul 20, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jul 20, 2024
April 4, 2024Health4 deficiencies2 severe
0600GActual harm, Isolated

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

Corrected May 1, 2024
0607GActual harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected May 1, 2024
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected May 1, 2024
0656DMinimal harm, Isolated

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

Corrected May 1, 2024
February 11, 2024Health1 deficiency
0584DMinimal harm, Isolated

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

Corrected Feb 27, 2024
March 10, 2022Health3 deficiencies
0677DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Apr 4, 2022
0759EMinimal harm, Pattern

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Apr 4, 2022
0803DMinimal harm, Isolated

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

Corrected Apr 4, 2022
December 18, 2020Health8 deficiencies
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 18, 2021
0657DMinimal harm, Isolated

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

Corrected Jan 14, 2021
0757DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Jan 14, 2021
0758DMinimal harm, Isolated

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

Corrected Jan 14, 2021
0759EMinimal harm, Pattern

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Jan 14, 2021
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Jan 14, 2021
0842DMinimal harm, Isolated

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

Corrected Jan 14, 2021
0867DMinimal harm, Isolated

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

Administration Deficiencies

Corrected Mar 18, 2021

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Frequently Asked Questions

What is the CareGrader rating for PALM GARDEN OF WINTER HAVEN?

PALM GARDEN OF WINTER HAVEN in WINTER HAVEN, Florida has a CareGrader grade of B (Good), with a composite score of 82.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for PALM GARDEN OF WINTER HAVEN?

PALM GARDEN OF WINTER HAVEN has an overall CMS star rating of 4 out of 5, a health inspection rating of 3/5, and a staffing rating of 5/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does PALM GARDEN OF WINTER HAVEN have?

PALM GARDEN OF WINTER HAVEN has 24 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has PALM GARDEN OF WINTER HAVEN been fined?

Yes. PALM GARDEN OF WINTER HAVEN has $24,395 in total fines from CMS enforcement actions across 1 penalty.

How many beds does PALM GARDEN OF WINTER HAVEN have?

PALM GARDEN OF WINTER HAVEN has 120 certified beds with approximately 111 current residents (93% occupancy). The facility is located at 1120 CYPRESS GARDENS BLVD, WINTER HAVEN, Florida 33884. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.