Tag 0847 · Severity E
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration Deficiencies · Deficient, Provider has date of correction 2024-12-06For-profit
Palm Garden of Orlando
654 N Econlockhatchee Trail, Orlando, FL 32825
(407) 273-6158 · Palm Garden Health and Rehabilitation
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Limited Liability company | Certified beds | 132 |
|---|---|---|---|
| Estimated occupancy | 94.4% | Latest inspection | 2024-11-07 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 4 of 5
Health-inspection score
Facility: 41.8 points
Total nurse staffing
Facility: 3.81 hours/day
RN staffing
Facility: 0.69 hours/day
Staff turnover
Facility: 38.1%
Latest health deficiencies
Facility: 3 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 4 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 41.8 points | 50.9 points | 38.5 points |
| Total nurse staffing | 3.81 hours/day | 3.66 hours/day | 3.63 hours/day |
| RN staffing | 0.69 hours/day | 0.66 hours/day | 0.62 hours/day |
| Staff turnover | 38.1% | 41.7% | 41.8% |
| Latest health deficiencies | 3 deficiencies | 4.5 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2024-11-07
3 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0644 · Severity D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-12-06Tag 0867 · Severity D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Deficient, Provider has date of correction 2024-12-062023-02-16
7 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
Tag 0578 · Severity D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-03-13Tag 0604 · Severity D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2023-03-13Tag 0644 · Severity D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-03-13Tag 0645 · Severity D
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-03-132021-03-25
6 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0694 · Severity E
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-04-23Tag 0812 · Severity E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2021-04-23Tag 0584 · Severity D
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 · Deficient, Provider has date of correction 2021-04-23Tag 0677 · Severity D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-04-23Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2021-04-23Staffing composition
2.31 hours/dayNurse aide
0.81 hours/dayLPN
0.69 hours/dayRN
- Total staffing
- 3.81 hours/day
- County median
- 3.66 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.56 hours/day
- Staff turnover
- 38.1%
- RN turnover
- 40.9%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
2.9 per 1,000 daysworseFlorida: 2.1 per 1,000 days · County: 2.4 per 1,000 days20250101-20251231
Emergency-department visits
0.6 per 1,000 daysbetterFlorida: 1.0 per 1,000 days · County: 0.9 per 1,000 days20250101-20251231
Falls with major injury
2.5%worseFlorida: 2.2% · County: 2.1%2025Q2-2026Q1
Pressure ulcers
4.0%similarFlorida: 4.2% · County: 4.4%2025Q2-2026Q1
Urinary tract infections
1.1%unavailableFlorida: 0.0% · County: 0.3%2025Q2-2026Q1
Antipsychotic medication use
5.3%betterFlorida: 7.0% · County: 7.4%2025Q2-2026Q1
These group measures do not predict an individual resident’s experience.
Questions to ask
Use these prompts during a tour or phone call
What fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryWhat operational changes followed the facility's most recent penalty?
Suggested because of: penaltiesHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning
Facility Details
- County
- Orange County
- Certified beds
- 132
- Average daily residents
- 124.6
- Ownership
- For profit - Limited Liability company
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1987-09-21
- CCN
- 105577
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.30672 |
| Lpn hours | 0.814 |
| Rn hours | 0.68692 |
| Reported total hours | 3.80763 |
| Weekend total hours | 3.55765 |
| Weekend rn hours | 0.48626 |
| Adjusted total hours | 4.18999 |
| Total turnover percent | 38.1 |
| Rn turnover percent | 40.9 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$73,226.00Total fines
2Number of fines
0Payment denials
| Date | Type | Amount |
|---|---|---|
| 2024-09-30 | Fine | $62,381.00 |
| 2024-07-25 | Fine | $10,845.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
3Health citations
3Fire safety citations
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
Serious Deficiencies
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
2
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| PALM GARDEN HEALTHCARE HOLDINGS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% |
| JAMES O. MCCARVER QTIP BUSINESS MARITAL TRUST U/A DATED JUNE 22, 2001, | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| JAMES O. MCCARVER RESIDUARY TRUST SHARE U/A DATED 06/22/2001 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| PATSY E. MCCARVER TRUST U/A DATED JUNE 22, 2001 AS AMENDED, PATSY E | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| MCCARVER, PATSY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| REGIONS BANK | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| PGORL RE, LLC | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE |
| REGIONS BANK | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE |
| BOMBERGER, JEFFREY | CORPORATE OFFICER | NOT APPLICABLE |
| CHALMERS, JAMES | CORPORATE OFFICER | NOT APPLICABLE |
| GREENE, ROBERT | CORPORATE OFFICER | NOT APPLICABLE |
| HOVEY, GREG | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| NURIEL, GABRIEL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| JAMES O. MCCARVER QTIP BUSINESS MARITAL TRUST U/A DATED JUNE 22, 2001, | ADP OF THE SNF | NOT APPLICABLE |
| PALM HEALTHCARE MANAGEMENT, LLC | ADP OF THE SNF | NOT APPLICABLE |
| PATSY E. MCCARVER TRUST U/A DATED JUNE 22, 2001 AS AMENDED, PATSY E | ADP OF THE SNF | NOT APPLICABLE |
| PGORL RE, LLC | ADP OF THE SNF | NOT APPLICABLE |
| HOVEY, GREG | ADP OF THE SNF | NOT APPLICABLE |
| NURIEL, GABRIEL | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology