Palm Garden of Winter Haven
1120 Cypress Gardens Blvd · Winter Haven, FL · 33884 · 8632933100
120 certified beds For profit - Limited Liability company Chain: Palm Garden Health and Rehabilitation
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 5 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.68 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.71 | 0.55–0.75 |
| Weekend hours / resident-day | 3.37 | ≈ weekday level |
| Nursing turnover / year | 26% | median 45% |
| Fines (3-yr window) | 1 · $24,395 |
Inspection citations (24 in the current record)
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Potential for harm · D June 20, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 20, 2024 · Resident Rights
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Potential for harm · D June 20, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 20, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 20, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected July 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 20, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 20, 2024 · Quality of Life and Care
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Potential for harm · D June 20, 2024
Provide care or services that was trauma informed and/or culturally competent.
Corrected July 20, 2024 · Quality of Life and Care
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Potential for harm · D June 20, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected July 20, 2024 · Pharmacy Service
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Potential for harm · D June 20, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 20, 2024 · Nutrition and Dietary
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Potential for harm · E June 20, 2024
Provide and implement an infection prevention and control program.
Corrected July 20, 2024 · Infection Control
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Actual harm · G April 4, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 1, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G April 4, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 1, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 4, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected May 1, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 4, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 11, 2024 · found via complaint
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.
Corrected February 27, 2024 · Resident Rights
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Potential for harm · D March 10, 2022
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 4, 2022 · Quality of Life and Care
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Potential for harm · E March 10, 2022
Ensure medication error rates are not 5 percent or greater.
Corrected April 4, 2022 · Pharmacy Service
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Potential for harm · D March 10, 2022
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.
Corrected April 4, 2022 · Nutrition and Dietary
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Potential for harm · D December 18, 2020
Ensure each resident receives an accurate assessment.
Corrected March 18, 2021 · Resident Assessment and Care Planning
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Potential for harm · D December 18, 2020
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 14, 2021 · Resident Assessment and Care Planning
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Potential for harm · D December 18, 2020
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected January 14, 2021 · Pharmacy Service
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Potential for harm · D December 18, 2020
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.
Corrected January 14, 2021 · Pharmacy Service
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Potential for harm · E December 18, 2020
Ensure medication error rates are not 5 percent or greater.
Corrected January 14, 2021 · Pharmacy Service
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Potential for harm · D December 18, 2020
Ensure that residents are free from significant medication errors.
Corrected January 14, 2021 · Pharmacy Service
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Potential for harm · D December 18, 2020
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 14, 2021 · Resident Assessment and Care Planning
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Potential for harm · D December 18, 2020
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected March 18, 2021 · Administration
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 4, 2024 | Fine | $24,395 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 105566 · certified since July 9, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.