Winter Haven Health and Rehabilitation Center
202 Ave O Ne · Winter Haven, FL · 33880 · 8632933103
140 certified beds Non profit - Corporation Chain: Senior Health South
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.26 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.52 | 0.55–0.75 |
| Weekend hours / resident-day | 3.18 | ≈ weekday level |
| Nursing turnover / year | 36% | median 45% |
| Fines (3-yr window) | 1 · $4,190 |
Inspection citations (25 in the current record)
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Potential for harm · D October 28, 2024 · found via complaint
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected November 28, 2024 · Quality of Life and Care
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Potential for harm · D January 24, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 24, 2024 · Resident Rights
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Potential for harm · E January 24, 2024
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.
Corrected February 24, 2024 · Resident Rights
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Potential for harm · E January 24, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected February 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 24, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected February 24, 2024 · Quality of Life and Care
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Potential for harm · D January 24, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected February 24, 2024 · Pharmacy Service
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Potential for harm · D January 24, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected February 24, 2024 · Pharmacy Service
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Potential for harm · E January 24, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 24, 2024 · Nutrition and Dietary
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Potential for harm · D January 24, 2024
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected February 24, 2024 · Administration
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Potential for harm · E January 24, 2024 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected February 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 24, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 24, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 24, 2024 · Quality of Life and Care
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Potential for harm · E January 24, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 24, 2024 · Quality of Life and Care
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Potential for harm · E October 22, 2021
Reasonably accommodate the needs and preferences of each resident.
Corrected November 21, 2021 · Resident Rights
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Potential for harm · E October 22, 2021
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.
Corrected November 21, 2021 · Resident Rights
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Potential for harm · E October 22, 2021
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected November 21, 2021 · Resident Rights
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Potential for harm · D October 22, 2021
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected November 21, 2021 · Pharmacy Service
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Potential for harm · D October 22, 2021
Ensure medication error rates are not 5 percent or greater.
Corrected November 21, 2021 · Pharmacy Service
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Potential for harm · D October 22, 2021
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected November 21, 2021 · Pharmacy Service
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Potential for harm · D October 22, 2021
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected November 21, 2021 · Nutrition and Dietary
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Potential for harm · D February 7, 2020
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 7, 2020 · Quality of Life and Care
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Potential for harm · D February 7, 2020
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 7, 2020 · Quality of Life and Care
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Potential for harm · D February 7, 2020
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected March 7, 2020 · Quality of Life and Care
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Potential for harm · D February 7, 2020
Ensure medication error rates are not 5 percent or greater.
Corrected March 7, 2020 · Pharmacy Service
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Potential for harm · D February 7, 2020
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected March 7, 2020 · Administration
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 24, 2024 | Fine | $4,190 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 105176 · certified since June 1, 1982. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.