Palm Garden of Orlando
654 N Econlockhatchee Trail, Orlando, FL 32825 · Orange County · (407) 273-6158
132 certified beds, about 125 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1987
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105577 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on November 7, 2024, inspectors cited 3 health deficiencies (the Florida average is 7.1, the national average 9.2).
Of 16 health citations since March 2021, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 2 fines totaling $73,226 in the last three years; the largest was $62,381, and the latest is dated September 30, 2024.
Nurses and nurse aides worked 3.81 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.69 of those hours.
38.1% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Palm Garden Health and Rehabilitation, an affiliated group of 14 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
503/21
402/23
107/24
309/24
311/24
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 16 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
11D
3E
0F
Potential for minimal harm
0A
0B
0C
November 7, 2024Standard inspection · 3 citations
- E Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Inspectors wroteBased on interview, and record review, the facility failed to ensure the binding arbitration agreement explicitly granted the resident or their representative the right to rescind the agreement within 30 calendar days of signing it for 76 of 76 residents who signed the arbitration agreement during the time of the survey.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on interview, and record review, the facility failed to refer a resident with a newly evident mental disorder for Level II Preadmission Screening and Resident Review (PASARR) evaluation and determination for 1 of 3 residents reviewed for PASARR, of a total sample of 45 residents, (#72).
- D Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on interview, and record review, the facility failed to ensure the Quality Assessment & Assurance (QAA) /Quality Assurance and Performance Improvement (QAPI) committee conducted performance improvement activities to ensure prior improvement measures were sustained for accuracy of Preadmission Screening and Resident Review (PASARR).
September 30, 2024Complaint inspection · 3 citations
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review, the facility failed to ensure effective communication and collaboration between members of the interdisciplinary team and hospice to provide the necessary care and services to attain the highest practicable well-being before and after a fall for 1 of 5 residents reviewed for falls, of a total sample of 9 residents, (#1). The facility's failure to follow the physician's orders and treat pain and discomfort after a change in condition resulted in actual harm.
- D Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on interview and record review, the facility failed to maintain sufficient nursing staff to provide the necessary care and services for 1 of 5 residents reviewed for falls, of a total sample of 9 residents, (#1).
- D Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspectors wroteBased on interview and record review, the facility failed to communicate with the hospice provider when a change in condition was identified to provide the necessary care and services for 1 of 2 residents reviewed for hospice services, of a total sample of 9 residents, (#1).
July 25, 2024Complaint inspection · 1 citation
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement appropriate interventions to mitigate elopement risk and failed to provide adequate supervision to maintain a secure environment to ensure vulnerable residents did not exit the facility without supervision for 1 of 9 residents reviewed for elopement, out of a total sample of 9 residents, (#1). These failures contributed to the elopement of resident #1 and placed him at risk for serious injury/impairment/death. While resident #1 was out of the facility unsupervised, there was reasonable likelihood he could have fallen, become lost, been accosted/harmed by a stranger or been hit by a car. On 7/12/24 at approximately 8:40 PM, the facility failed to prevent a resident with severe cognitive impairment from exiting the facility unsupervised. [...]
February 16, 2023Standard inspection · 4 citations
- 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.
Inspectors wroteBased on interview and record review, the facility failed to ensure the required Florida Do Not Resuscitate Order (FL DNRO) form was obtained and maintained in the resident's clinical record for 1 of 1 resident reviewed for Advance Directives of a total sample of # residents (#422).
- D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide ongoing monitoring and re-evaluation of physical restraints for 1 of 1 resident reviewed for physical restraints from a total sample of 42 residents. (#48)
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on interview and record review, the facility failed to refer residents with a newly evident mental disorder for Level II Preadmission Screening and Resident Review (PASRR) evaluation and determination for 2 of 3 residents reviewed for PASRR, out of a total sample of 42 residents (#62 & #103).
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on interview and record review, the facility failed to request a Preadmission Screening and Resident Review (PASRR) level 2 evaluation for 1 of 3 residents reviewed for PASARR from a total sample of 42 residents (#48).
March 25, 2021Standard inspection · 5 citations
- E Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide dressing changes for a midline intravenous (IV) catheter according to current professional standards of practice for 2 of 3 residents with midline IV's, of a total sample of 45 residents, (#416 and #415).
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review the facility failed to discard expired food in the kitchen and in 2 of 3 nourishment rooms, (100 Hall, 200 Hall) and failed to wear a beard restraint during the food handling process.
- 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide maintenance services to repair broken floor tiles and replace missing doorway transition strips for three resident bathrooms (rooms 201, 203, 206) on 1 of 2 nursing units (200 Unit), and failed to provide maintenance services to wheelchairs for 3 of 45 sampled residents, (#469, #10, and #32) on 1 of 2 nursing units (200 Unit).
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide shaving and nail care for 2 of 3 sampled residents who required staff assistance with personal hygiene and grooming, of a total sample of 45 residents, (#80 and #27).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review the facility failed to implement a system for infection prevention and control to conduct required screenings upon entrance for symptoms of Coronavirus Disease 2019 (COVID 19), risk factors for transmitting the disease and recent exposure to the virus, prior to permitting vendors to enter the facility for 1 of 1 vendors observed entering the facility.
Fire safety inspections
3 fire safety citations on file: 1 on November 7, 2024, 2 on March 25, 2021.
Every fire safety citation3 citations
- D Inspect, test, and maintain automatic sprinkler systems.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| September 30, 2024 | Fine | $62,381 |
| July 25, 2024 | Fine | $10,845 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Florida | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.81 | 3.82 | 3.86 |
| Registered nurses | 0.69 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.56 | 3.49 | 3.42 |
| Nurse aides | 2.31 | ||
| Licensed practical nurses | 0.81 | ||
| Nursing staff turnover (share who left in a year) | 38.1% | 41.4% | 45.8% |
| Registered nurse turnover | 40.9% | 46.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.48 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.91 on weekdays and 3.56 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.68 in April to June 2025 to 3.81 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.81 | 0.69 | 3.91 | 3.56 | 0.0% | 0 of 90 | 125 |
| Oct to Dec 2025 | 3.86 | 0.71 | 3.95 | 3.62 | 0.0% | 0 of 92 | 123 |
| Jul to Sep 2025 | 3.69 | 0.66 | 3.80 | 3.40 | 0.0% | 0 of 92 | 125 |
| Apr to Jun 2025 | 3.68 | 0.63 | 3.79 | 3.42 | 0.0% | 0 of 91 | 127 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Florida, Jan to Mar 2026 | 3.76 | 0.70 | 3.90 | 3.44 | 1.1% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Florida | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 8.3 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.8 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.1 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.5 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.6 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.0 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.3 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.9 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.3 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.9 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 1.1 | 1.8 |
Owners and operators
Legal business name: PALM GARDEN OF ORLANDO LLC. CMS links this home to Palm Garden Health and Rehabilitation, a group of 14 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Palm Garden Healthcare Holdings, LLC | 5% or greater direct ownership interest | Organization | 50% | 11/01/2013 |
| James O. McCarver Qtip Business Marital Trust U/a Dated June 22, 2001, | 5% or greater indirect ownership interest | Organization | 12/23/2014 | |
| James O. McCarver Residuary Trust Share U/a Dated 06/22/2001 | 5% or greater indirect ownership interest | Organization | 12/23/2014 | |
| Patsy E. McCarver Trust U/a Dated June 22, 2001 As Amended, Patsy E | 5% or greater indirect ownership interest | Organization | 11/01/2013 | |
| McCarver, Patsy | 5% or greater indirect ownership interest | Individual | 11/01/2013 | |
| Regions Bank | 5% or greater mortgage interest | Organization | 11/01/2013 | |
| Pgorl Re, LLC | 5% or greater security interest | Organization | 07/29/2024 | |
| Regions Bank | 5% or greater security interest | Organization | 11/01/2013 | |
| Bomberger, Jeffrey | Corporate officer | Individual | 10/01/2014 | |
| Chalmers, James | Corporate officer | Individual | 01/01/2015 | |
| Greene, Robert | Corporate officer | Individual | 10/01/2014 | |
| Hovey, Greg | Operational/managerial control | Individual | 05/05/2022 | |
| Nuriel, Gabriel | Operational/managerial control | Individual | 09/01/2021 | |
| James O. McCarver Qtip Business Marital Trust U/a Dated June 22, 2001, | Adp of the SNF | Organization | 11/01/2013 | |
| Palm Healthcare Management, LLC | Adp of the SNF | Organization | 03/21/2025 | |
| Patsy E. McCarver Trust U/a Dated June 22, 2001 As Amended, Patsy E | Adp of the SNF | Organization | 11/01/2013 | |
| Pgorl Re, LLC | Adp of the SNF | Organization | 07/29/2024 | |
| Hovey, Greg | Adp of the SNF | Individual | 03/21/2025 | |
| Nuriel, Gabriel | Adp of the SNF | Individual | 03/21/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on September 30, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 3 problems in this area, most recently on November 7, 2024: "Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on November 7, 2024: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on February 16, 2023: "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."
Other nursing homes nearby
- Solaris Healthcare East Orlando Orlando, 1.6 mi · 5 of 5 stars · 10 citations
- Lotus Nursing and Rehabilitation Center Orlando, 1.8 mi · 2 of 5 stars · 32 citations
- Life Care Center of Orlando Orlando, 3.4 mi · 5 of 5 stars · 14 citations
- Avante at Orlando Inc Orlando, 3.8 mi · 3 of 5 stars · 10 citations
- Winter Park Care and Rehabilitation Winter Park, 4.3 mi · 1 of 5 stars · 33 citations
- Westminster Baldwin Park Orlando, 4.5 mi · 5 of 5 stars · 8 citations
- Alwyn C Cashe State Veterans Nursing Home Orlando, 4.5 mi · 1 of 5 stars · 22 citations
- Conway Lakes Health & Rehabilitation Center Orlando, 4.6 mi · 2 of 5 stars · 31 citations
Florida contacts for a concern about a nursing home
These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Florida Agency for Health Care Administration, Long Term Care Services Unit, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Florida Long-Term Care Ombudsman Program, 1-888-831-0404. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: FloridaHealthFinder, where Florida publishes its own records on licensed homes.
Common questions
- What is Palm Garden of Orlando's Medicare star rating?
- CMS rates Palm Garden of Orlando 4 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Palm Garden of Orlando get at its last inspection?
- 3 health deficiencies at the standard inspection on November 7, 2024. The Florida average is 7.1.
- Has Palm Garden of Orlando been fined?
- Yes. CMS lists 2 fines totaling $73,226 in the last three years.
- Does Palm Garden of Orlando accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Palm Garden of Orlando?
- CMS lists 19 owners and managers, and links the home to Palm Garden Health and Rehabilitation. Legal business name: PALM GARDEN OF ORLANDO LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.