Palm Garden of Winter Haven

Name: Palm Garden of Winter Haven
Address: 1120 CYPRESS GARDENS BLVD, Winter Haven, FL, 33884, US
Telephone: 8632933100

1120 Cypress Gardens Blvd, Winter Haven, FL 33884 · Polk County · 120 certified beds · avg 114 residents/day · certified since Jul 9, 1987

Part of chain: PALM GARDEN HEALTH AND REHABILITATION (14 facilities, chain avg rating 3.1★)

3/5

Health inspection rating (on-site)

Serious findings on record

$24,395

Fines, last 3 years

4.33

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.

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)

▲ Actual harm, one-off · Apr 4, 2024 · F-0600 · triggered by a complaint

The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

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: May 1, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Apr 4, 2024 · F-0607 · triggered by a complaint

The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.

Why it matters: Without working prevention policies, mistreatment is more likely to happen and less likely to be caught.

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: May 1, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (24)

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
Jun 20, 2024	E · Potential for harm, repeated	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.
Jun 20, 2024	E · Potential for harm, repeated	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.
Jun 20, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jun 20, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Jun 20, 2024	D · Potential for 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.
Jun 20, 2024	D · Potential for harm, one-off	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Jun 20, 2024	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Jun 20, 2024	D · Potential for harm, one-off	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.
Apr 4, 2024	▲ G · Actual harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Apr 4, 2024	▲ G · Actual harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Apr 4, 2024	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Apr 4, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Feb 11, 2024	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. · from a complaint
Mar 10, 2022	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Mar 10, 2022	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 10, 2022	D · Potential for harm, one-off	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Dec 18, 2020	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Dec 18, 2020	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Dec 18, 2020	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Dec 18, 2020	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Dec 18, 2020	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Dec 18, 2020	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Dec 18, 2020	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Dec 18, 2020	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 8).

Year	Citations	Serious (G–L)	Worst severity that year
2020	8	0	E
2022	3	0	E
2024	13	2	G ▲

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)

1 fine totaling $24,395.

Date	Type	Amount / length
Apr 4, 2024	Fine	$24,395

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)	4.33	4.03	3.95	top 21% in Florida; top 28% in the U.S.
Registered Nurse hours	0.80	0.76	0.69	top 34% in Florida; top 27% in the U.S.
Weekend total nurse staffing	3.88	3.68	3.50	top 23% in Florida; top 27% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.43	0.53	0.48	bottom 47% in Florida; top 44% in the U.S.
Total nursing staff turnover (%)	30.6	41.4	45.8	top 24% in Florida; top 15% in the U.S.
RN turnover (%)	15.8	46.0	42.9	top 6% in Florida; top 9% 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 3.76, RN 0.70, weekend 3.37. Staffing rating: 5/5.

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: 4/5 · long-stay residents: 5/5 · short-stay residents: 2/5

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
David, Waseem	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2024
David, Waseem	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2024
Greene, Robert	Individual	Corporate Officer	NOT APPLICABLE	10/01/2014
James O. McCarver Qtip Business Marital Trust U/A Dated June 22, 2001,	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2013
Palm Healthcare Management, LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/14/2025
Patsy E. McCarver Trust U/A Dated June 22, 2001 as Amended, Patsy E	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2013
Pgwin Re, LLC	Organization	5% or Greater Security Interest	NOT APPLICABLE	07/29/2024
Pgwin 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
Washington, Tunya	Individual	Operational/Managerial Control	NOT APPLICABLE	04/04/2024
Washington, Tunya	Individual	ADP of the SNF	NOT APPLICABLE	03/14/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you learn about each resident's background and history, and how does that shape their care?"
"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
Life Care Center of Winter Haven	0.2 mi	Winter Haven, FL	★★★★☆	3/5
Lake Mariam Health and Rehabilitation Center	0.6 mi	Winter Haven, FL	★★☆☆☆	1/5	SFF
Astoria Health and Rehabilitation Center	1.4 mi	Winter Haven, FL	★★★☆☆	2/5
Winter Haven Health and Rehabilitation Center	1.4 mi	Winter Haven, FL	★★☆☆☆	2/5
Spring Lake Rehabilitation Center	2.9 mi	Winter Haven, FL	★★★★★	3/5
Vivo Healthcare Winter Haven	3.8 mi	Winter Haven, FL	★☆☆☆☆	1/5
Oak Haven Rehab and Nursing Center	5.6 mi	Auburndale, FL	★☆☆☆☆	1/5
Haines City Rehabilitation and Nursing Center	8.2 mi	Haines City, FL	★★☆☆☆	2/5
Lake Wales Health and Rehabilitation Center	9.5 mi	Lake Wales, FL	★☆☆☆☆	1/5
Bartow Center	11.2 mi	Bartow, FL	★★☆☆☆	2/5
Groves Center	11.4 mi	Lake Wales, FL		—/5	abuseSFF
Davenport Nursing and Rehab Center	12.4 mi	Davenport, FL	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Winter Haven →

Facility data as of CMS processing date 2026-08-01. CCN 105566.

The Care File

Visit checklist — Palm Garden of Winter Haven

1120 Cypress Gardens Blvd, Winter Haven, FL 33884 · 8632933100

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $24,395

Most serious findings on record:

▲ Apr 4, 2024 (F-0600, Actual harm, one-off): The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
▲ Apr 4, 2024 (F-0607, Actual harm, one-off): The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.

Questions for the administrator:

☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you learn about each resident's background and history, and how does that shape their care?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 105566 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)