Palm Garden Of Winter Haven - Winter Haven Nursing Home
General Information
UPDATEFederal Provider Number
105566
Provider Name
PALM GARDEN OF WINTER HAVEN
Provider Address
1120 CYPRESS GARDENS BLVD
WINTER HAVEN, FL 33884
WINTER HAVEN, FL 33884
Provider Phone Number
8632933100
Provider SSA County
520
Provider County Name
Polk
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
105
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PALM GARDEN OF WINTER HAVEN LLC
Date First Approved to Provide Medicare and Medicaid services
1987-07-09
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
5.17333
Reported LPN Staffing Hours per Resident per Day
1.73571
Reported RN Staffing Hours per Resident per Day
1.46810
Reported Licensed Staffing Hours per Resident per Day
3.20381
Reported Total Nurse Staffing Hours per Resident per Day
8.37714
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10333
Expected CNA Staffing Hours per Resident per Day
2.39065
Expected LPN Staffing Hours per Resident per Day
0.67972
Expected RN Staffing Hours per Resident per Day
1.17761
Expected Total Nurse Staffing Hours per Resident per Day
4.24798
Adjusted CNA Staffing Hours per Resident per Day
5.30977
Adjusted LPN Staffing Hours per Resident per Day
2.11945
Adjusted RN Staffing Hours per Resident per Day
0.93152
Adjusted Total Nurse Staffing Hours per Resident per Day
7.94905
Cycle 1 Total Number of Health Deficiencies
23
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
15
Cycle 1 Health Deficiency Score
851
Cycle 1 Standard Survey Health Date
2015-05-01
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
851
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-03-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-12-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
438.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
12
Number of Fines
1
Total Amount of Fines in Dollars
159575
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
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Brandywyne Health Care Center
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WINTER HAVEN FL 33884 | 2 miles away
Spring Lake Rehabilitation Center
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WINTER HAVEN FL 33881 | 2.6 miles away
Consulate Health Care Of Winter Haven
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Haines City Health Care
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HAINES CITY FL 33844 | 8.5 miles away
Grace Healthcare Of Lake Wales
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Rohr Home, The
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Crossroads, The
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