Palm Garden of Orlando
654 N Econlockhatchee Trail, Orlando, FL 32825 · Orange County · 132 certified beds · avg 125 residents/day · certified since Sep 21, 1987
Part of chain: PALM GARDEN HEALTH AND REHABILITATION (14 facilities, chain avg rating 3.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jul 25, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jul 25, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Sep 30, 2024 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 24, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (16)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 7, 2024 | E · Potential for harm, repeated | The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign. |
| Nov 7, 2024 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Nov 7, 2024 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Sep 30, 2024 | ▲ G · Actual harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Sep 30, 2024 | D · Potential for harm, one-off | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint |
| Sep 30, 2024 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. · from a complaint |
| Jul 25, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Feb 16, 2023 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Feb 16, 2023 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Feb 16, 2023 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Feb 16, 2023 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Mar 25, 2021 | E · Potential for harm, repeated | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| Mar 25, 2021 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 25, 2021 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Mar 25, 2021 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Mar 25, 2021 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 5 | 0 | E |
| 2023 | 4 | 0 | D |
| 2024 | 7 | 2 | J ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
2 fines totaling $73,226.
| Date | Type | Amount / length |
|---|---|---|
| Sep 30, 2024 | Fine | $62,381 |
| Jul 25, 2024 | Fine | $10,845 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Florida avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.19 | 4.03 | 3.95 | top 27% in Florida; top 32% in the U.S. |
| Registered Nurse hours | 0.76 | 0.76 | 0.69 | top 39% in Florida; top 31% in the U.S. |
| Weekend total nurse staffing | 3.91 | 3.68 | 3.50 | top 21% in Florida; top 25% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.49 | 0.53 | 0.48 | top 44% in Florida; top 34% in the U.S. |
| Total nursing staff turnover (%) | 38.1 | 41.4 | 45.8 | top 40% in Florida; top 31% in the U.S. |
| RN turnover (%) | 40.9 | 46.0 | 42.9 | top 41% in Florida; top 49% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.81, RN 0.69, weekend 3.56. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| James O. McCarver Qtip Business Marital Trust U/A Dated June 22, 2001, | Organization | 5% or Greater Indirect Ownership Interest | — | 12/23/2014 |
| James O. McCarver Residuary Trust Share U/A Dated 06/22/2001 | Organization | 5% or Greater Indirect Ownership Interest | — | 12/23/2014 |
| McCarver, Patsy | Individual | 5% or Greater Indirect Ownership Interest | — | 11/01/2013 |
| Palm Garden Healthcare Holdings, LLC | Organization | 5% or Greater Direct Ownership Interest | 50% | 11/01/2013 |
| Patsy E. McCarver Trust U/A Dated June 22, 2001 as Amended, Patsy E | Organization | 5% or Greater Indirect Ownership Interest | — | 11/01/2013 |
| Bomberger, Jeffrey | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2014 |
| Chalmers, James | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2015 |
| Greene, Robert | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2014 |
| Hovey, Greg | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/05/2022 |
| Hovey, Greg | Individual | ADP of the SNF | NOT APPLICABLE | 03/21/2025 |
| James O. McCarver Qtip Business Marital Trust U/A Dated June 22, 2001, | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2013 |
| Nuriel, Gabriel | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2021 |
| Nuriel, Gabriel | Individual | ADP of the SNF | NOT APPLICABLE | 03/21/2025 |
| Palm Healthcare Management, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/21/2025 |
| Patsy E. McCarver Trust U/A Dated June 22, 2001 as Amended, Patsy E | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2013 |
| Pgorl Re, LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 07/29/2024 |
| Pgorl Re, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/29/2024 |
| Regions Bank | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 11/01/2013 |
| Regions Bank | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 11/01/2013 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Is signing an arbitration agreement required for admission, and can we refuse it without affecting my family member's care?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "How do you coordinate hospice care, and can residents stay here while receiving it?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Solaris Healthcare East Orlando | 1.6 mi | Orlando, FL | ★★★★★ | 4/5 | |
| Lotus Nursing and Rehabilitation Center | 1.8 mi | Orlando, FL | ★★☆☆☆ | 2/5 | |
| Life Care Center of Orlando | 3.4 mi | Orlando, FL | ★★★★★ | 4/5 | |
| Avante at Orlando INC | 3.8 mi | Orlando, FL | ★★★☆☆ | 3/5 | |
| Winter Park Care and Rehabilitation | 4.3 mi | Winter Park, FL | ★☆☆☆☆ | 2/5 | |
| Westminster Baldwin Park | 4.5 mi | Orlando, FL | ★★★★★ | 4/5 | |
| Alwyn C Cashe State Veterans Nursing Home | 4.5 mi | Orlando, FL | ★☆☆☆☆ | 2/5 | abuse |
| Conway Lakes Health & Rehabilitation Center | 4.6 mi | Orlando, FL | ★★☆☆☆ | 2/5 | |
| Regents Park of Winter Park | 4.7 mi | Winter Park, FL | ★☆☆☆☆ | 1/5 | |
| Westminster Winter Park | 5.0 mi | Winter Park, FL | ★★★★★ | 4/5 | |
| Parkview Rehabilitation Center at Winter Park | 5.3 mi | Winter Park, FL | ★★★★★ | 4/5 | |
| Mayflower Healthcare Center | 5.4 mi | Winter Park, FL | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 105577.