For-profit

Winter Garden Rehabilitation and Nursing Center

12751 W Colonial Drive, Winter Garden, FL 34787

(407) 877-6636 · Aston Health

2CMS overall rating · out of 5

At a glance

CMS data snapshot: 2026-08-01 · Sources and limitations
2 of 5Overall
2 of 5Health inspections
3 of 5Staffing
4 of 5Resident quality
OwnershipFor profit - Limited Liability companyCertified beds120
Estimated occupancy91.0%Latest inspection2025-02-07

County and Florida comparison

Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 2 of 5
worse
Health-inspection score
Facility: 59.0 points
worse
Total nurse staffing
Facility: 3.46 hours/day
similar
RN staffing
Facility: 0.42 hours/day
worse
Staff turnover
Facility: 45.7%
worse
Latest health deficiencies
Facility: 13 deficiencies
worse
View data table
MetricFacilityCountyFlorida
Overall rating2 of 53 of 53 of 5
Health-inspection score59.0 points50.9 points38.5 points
Total nurse staffing3.46 hours/day3.66 hours/day3.63 hours/day
RN staffing0.42 hours/day0.66 hours/day0.62 hours/day
Staff turnover45.7%41.7%41.8%
Latest health deficiencies13 deficiencies4.5 deficiencies6 deficiencies

Comparisons describe CMS data; they are not recommendations.

Inspection history

2025-02-07
13 deficiencies
Highest severity: E

Immediate-jeopardy citations: 0

Tag 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 2025-03-07

Tag 0835 · Severity E

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Administration Deficiencies · Deficient, Provider has date of correction 2025-03-07

Tag 0921 · Severity E

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Environmental Deficiencies · Deficient, Provider has date of correction 2025-03-07

Tag 0554 · Severity D

Allow residents to self-administer drugs if determined clinically appropriate.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-03-07

Tag 0657 · Severity D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-03-07

Tag 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 2025-03-07

Tag 0684 · Severity D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-03-07

Tag 0880 · Severity D

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · Deficient, Provider has date of correction 2025-03-07
2023-06-02
6 deficiencies
Highest severity: E

Immediate-jeopardy citations: 0

Tag 0732 · Severity E

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2023-07-18

Tag 0623 · Severity D

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-07-18

Tag 0656 · Severity D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-07-18

Tag 0695 · Severity D

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-07-18

Tag 0726 · Severity D

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2023-07-18

Tag 0757 · Severity D

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-07-18
2021-11-04
5 deficiencies
Highest severity: F

Immediate-jeopardy citations: 0

Tag 0812 · Severity F

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 2021-12-04

Tag 0802 · Severity E

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2021-12-04

Tag 0655 · Severity D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2021-12-04

Tag 0695 · Severity D

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-12-04

Staffing composition

2.08 hours/dayNurse aide
0.96 hours/dayLPN
0.42 hours/dayRN
Total staffing
3.46 hours/day
County median
3.66 hours/day
Florida median
3.63 hours/day
Weekend total
3.18 hours/day
Staff turnover
45.7%
RN turnover
60.0%

Reported averages, not a real-time staffing schedule.

Resident outcomes

Lower is generally better

Hospitalizations

2.4 per 1,000 daysworseFlorida: 2.1 per 1,000 days · County: 2.4 per 1,000 days
20250101-20251231

Emergency-department visits

0.3 per 1,000 daysbetterFlorida: 1.0 per 1,000 days · County: 0.9 per 1,000 days
20250101-20251231

Falls with major injury

3.0%worseFlorida: 2.2% · County: 2.1%
2025Q2-2026Q1

Pressure ulcers

4.8%worseFlorida: 4.2% · County: 4.4%
2025Q2-2026Q1

Urinary tract infections

0.0%unavailableFlorida: 0.0% · County: 0.3%
2025Q2-2026Q1

Antipsychotic medication use

7.4%worseFlorida: 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
  1. How many RNs are typically on site during days, nights, and weekends?

    Suggested because of: rn staffing
  2. What is driving staff turnover, and what is being done to retain nurses and aides?

    Suggested because of: staff turnover
  3. What fall-prevention program is used, and how are families notified after a fall?

    Suggested because of: falls major injury
  4. How does the care team prevent and treat pressure injuries?

    Suggested because of: pressure ulcers
  5. How are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?

    Suggested because of: antipsychotic use

Facility Details

County
Orange County
Certified beds
120
Average daily residents
109.2
Ownership
For profit - Limited Liability company
Provider type
Medicare and Medicaid
In hospital
No
Date certified
1985-12-09
CCN
105518

Staffing Data

Reported measureValue
Nurse aide hours2.0787
Lpn hours0.9565
Rn hours0.42278
Reported total hours3.45797
Weekend total hours3.17505
Weekend rn hours0.28723
Adjusted total hours3.787
Total turnover percent45.7
Rn turnover percent60
Administrators left1

Hours are per resident per day; turnover values are percentages. Missing values are not zero.

Penalties & Enforcement

$0.00Total fines
0Number of fines
0Payment denials

No matching penalties in the supplied CMS records.

Totals reflect the supplied CMS records, not a lifetime total.

Citations

13Health citations
1Fire 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.

0

Ownership & Operators

NameRoleShare
WG REHAB HOLDINGS, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
QUALITY REHAB PARTNERS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%
WILDES, DONNACORPORATE OFFICERNOT APPLICABLE
BRITTON, MARKOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
JACK, ALECIAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
RICHARDSON, NEEMAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
THOMAS, CHANAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WILDES, DONNAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ASTON HEALTHCARE LLCADP OF THE SNFNOT APPLICABLE
BRITTON, MARKADP OF THE SNFNOT APPLICABLE
JACK, ALECIAADP OF THE SNFNOT APPLICABLE
WILDES, DONNAADP OF THE SNFNOT APPLICABLE

Helpful resources

Educational information, not medical or legal advice. Data & methodology