Below 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 Winter Haven Health And Rehabilitation Center during CMS and state inspections, most recent first.
A resident with a gastrostomy tube was not monitored according to physician orders, as the facility failed to document evaluations for drainage, cleanliness, and displacement on multiple occasions. Interviews revealed a lack of specific policy for GT maintenance, leading to misinterpretation of orders by nursing staff.
Failure to Monitor Gastrostomy Tube as Ordered
Penalty
Summary
The facility failed to provide care for gastrostomy tubes in accordance with professional standards for a resident with a diagnosis of intestinal obstruction. The resident was admitted with specific physician orders to monitor the gastrostomy tube (GT) site for drainage, cleanliness, and skin integrity every shift, and to evaluate for displacement by observing for signs such as abdominal distension, nausea, vomiting, and pain. However, the Treatment Administration Record (TAR) for August 2024 showed that these monitoring and evaluation tasks were not completed on multiple occasions across different shifts. Interviews with the Director of Nursing (DON) and a Registered Nurse (RN) revealed that the facility did not have a specific policy for the maintenance of gastrostomy tubes, and staff were expected to follow physician orders. The DON acknowledged the missing documentation in the TAR and suggested that the resident's nurse might have misinterpreted the order, thinking it did not need to be signed off if there was no drainage. The DON emphasized that it was unacceptable for nursing staff to not sign off on orders related to wound care or medication administration.
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What surveyors actually found near you
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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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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Winter Haven
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Life Care Center Of Winter Haven | 1.2 mi | ★★★★★ | 0 | 0 |
| Palm Garden Of Winter Haven | 1.4 mi | ★★★★★ | 0 | 0 |
| Lake Mariam Health And Rehabilitation Center | 1.8 mi | ★★★★★ | 4 | 2 |
| Spring Lake Rehabilitation Center | 2.1 mi | ★★★★★ | 0 | 0 |
| Astoria Health And Rehabilitation Center | 2.7 mi | ★★★★★ | 0 | 0 |
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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.