Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Parkview Rehabilitation Center At Winter Park during CMS and state inspections, most recent first.
A resident with a midline IV for antibiotics did not receive appropriate care as the dressing was not changed for nine days, contrary to the facility's policy of weekly changes. Staff confirmed the oversight, and there was no documentation of IV site assessments or dressing changes in the medical record. The facility's protocol for IV care was not followed, leading to a deficiency in providing safe IV care.
A facility failed to assess, monitor, and document the condition of a resident with End Stage Renal Disease after dialysis treatments. The resident had scheduled dialysis sessions, but there was no post-dialysis documentation for several dates, indicating a lack of care or assessment. The facility's process involved taking the resident's blood pressure before dialysis and expecting the dialysis center to fill out their section of the communication form, which often did not happen. The Medical Records Coordinator revealed a delay in receiving records due to a switch to monthly requests. The facility's policy required monitoring for complications post-dialysis, but this was not adhered to, as evidenced by the lack of documentation.
A facility failed to meet a resident's nutritional needs by not honoring menu preferences, leading to uneaten meals. The resident, with multiple health conditions, required a therapeutic diet and staff assistance. Despite requests for specific food items, the facility provided unwanted items like cranberry juice and spaghetti with marinara sauce, which the resident did not consume. The facility lacked a written policy for managing menu preferences, contributing to the deficiency.
The facility failed to administer scheduled medications on time for five residents, with an LPN observed giving morning medications past the designated timeframe. The facility's policy required medications to be administered between 6:00 AM and 10:00 AM, but the LPN was still administering them after 12:00 PM. The delay affected residents receiving medications for various conditions, and the required physician notification and documentation were not completed until after surveyor intervention.
Failure to Adhere to IV Care Protocols
Penalty
Summary
The facility failed to provide appropriate intravenous (IV) care and services for a resident who was readmitted with a midline IV for antibiotic administration. The resident's IV dressing, dated from the hospital admission, was not changed for nine days, despite facility policy requiring changes every seven days to prevent infection. The Registered Nurse (RN) and other staff confirmed the oversight and acknowledged the importance of timely dressing changes to prevent infection. Additionally, there was no documentation of IV site assessments or dressing changes in the resident's medical record, nor were there physician orders for these assessments. The facility's Infection Preventionist and Director of Nursing (DON) confirmed that the protocol for IV dressing changes was not followed, as the dressing should have been changed weekly and the site monitored for infection. The care plan for the resident's IV therapy did not include necessary interventions for site assessment, and the facility's policy required an initial dressing change upon admission if needed. The lack of adherence to these protocols and documentation requirements led to the deficiency in providing safe IV care for the resident.
Failure to Document Post-Dialysis Care
Penalty
Summary
The facility failed to properly assess, monitor, and document the condition of a resident who required dialysis services. The resident, diagnosed with End Stage Renal Disease and dependent on renal dialysis, had scheduled dialysis sessions on Tuesdays, Thursdays, and Saturdays. However, there was no post-dialysis documentation in the nursing Progress Notes for several dates, indicating a lack of post-dialysis care or assessment. The Director of Nursing (DON) acknowledged that the facility's process involved taking the resident's blood pressure before dialysis and expecting the dialysis center to fill out their section of the communication form, which often did not happen. The facility's staff nurse was supposed to assess and monitor the resident upon their return from dialysis, but this was not documented. The Medical Records Coordinator revealed that the facility had switched to requesting dialysis treatment information monthly, which led to a delay in receiving records. The DON and Regional Nurse confirmed that there was no documentation to verify the resident's dialysis treatments or their condition upon return on specific dates. The facility's policy required monitoring for bleeding and other complications post-dialysis, but this was not adhered to, as evidenced by the lack of documentation. The Regional Nurse and DON agreed that nursing staff needed to document the resident's return from dialysis and monitor for any complications, but this was not done for the resident in question.
Failure to Honor Resident's Menu Preferences
Penalty
Summary
The facility failed to ensure that menu choices were met for a resident, leading to a deficiency in meeting the nutritional needs of the resident. The resident, a female with multiple diagnoses including chronic heart failure, hypertension, type 2 diabetes mellitus with chronic kidney disease, Alzheimer's Disease, and moderate protein-calorie malnutrition, required a therapeutic diet and staff assistance with meals. Despite these needs, the facility did not provide the requested menu choices, as evidenced by the resident's daughter who reported that the facility often provided food items that her mother did not like, such as sandwiches and cranberry juice, which were left uneaten on the bedside table. The resident's care plan included interventions to monitor diet tolerance and intake, provide food preferences and substitutions, and encourage fluid intake. However, the facility did not honor the resident's menu preferences, as observed when a lunch tray was delivered with spaghetti covered in marinara sauce, despite an advance request for no tomato sauce. The resident's daughter confirmed that she had made the request, but it was ignored, leading to the resident not eating the meal. The Certified Dietary Manager (CDM) acknowledged that the kitchen should have omitted the sauce and confirmed that the facility had apple juice available, which was preferred by the resident over cranberry juice. The facility lacked a written policy and procedure for obtaining and updating resident menu preferences, contributing to the deficiency. The newly hired CDM, who was on her fourth day on the job, did not have computer access to verify how previous menu preferences were managed. The Nursing Home Administrator expected the Dietary Department to meet with residents and family representatives to obtain and update menu choices regularly, but this process was not effectively implemented, resulting in the failure to meet the resident's dietary needs.
Medication Administration Delays
Penalty
Summary
The facility failed to ensure that scheduled medications were administered as per physician's orders and according to accepted professional standards of practice for five residents. On the specified date, an LPN was observed administering morning medications past the designated time frame, with the Unit Manager and RN Supervisor aware of the delay. The facility's medication administration schedule indicated a four-hour window for morning medications, from 6:00 AM to 10:00 AM, but the LPN was still administering these medications after 12:00 PM. The Assistant Director of Nursing confirmed that medications given after 11:00 AM were considered late, and the facility's protocol required notifying the physician and documenting the communication in the resident's electronic medical record, which was not done until after the surveyor's intervention. The residents affected by the late administration included those receiving medications for high blood pressure, clot prevention, seizures, anxiety, pain, congestive heart failure, and mood disorders. Specific medications administered late included Carvedilol, Eliquis, Apixaban, Amlodipine, Phenytoin, Buspirone, Folic acid, Furosemide, Diltiazem, Losartan Potassium, Metoprolol, Acetaminophen, Depakote, Lisinopril, and Celebrex. The delay in medication administration was acknowledged by a resident who reported that only two nurses consistently administered medications on time. The facility's policy, revised shortly before the survey, stated that medications should be administered according to established schedules, which was not adhered to in this instance.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Winter Park
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mayflower Healthcare Center | 0.6 mi | ★★★★★ | 0 | 0 |
| Westminster Winter Park | 1 mi | ★★★★★ | 1 | 0 |
| Regents Park Of Winter Park | 1.1 mi | ★★★★★ | 0 | 0 |
| Winter Park Care And Rehabilitation | 1.2 mi | ★★★★★ | 2 | 0 |
| Alwyn C Cashe State Veterans Nursing Home | 1.2 mi | ★★★★★ | 6 | 2 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.