Lake Wales Health and Rehabilitation Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

53.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 36 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 29.3% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 41 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.25 therapist hours per resident per day in 2026Q1 — more than 33% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 100 beds and averages 83.1 residents a day — about 83% occupied, or roughly 17 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.51 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.49 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.18 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.37 hrs/resident/day on weekends vs 3.56 on weekdays — 5% thinner on weekends. RN hours go from 0.54 to 0.40 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 44% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

34 citations, most serious first. The 13 most serious are shown; the remaining 21 are one tap away and print in full.

• Actual harm · G2025-06-24 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews and interviews, the facility failed to ensure safe and comfortable temperatures were maintained in residents' bedrooms by failing to repair one of eight rooftop air-conditioning (A/C) units resulting in temperature readings between 89.8- and 90.0-degrees Fahrenheit (F) on 06/23/2025, for one resident (#5) of twenty sampled residents. These failures resulted in physical discomfort for a dependent resident and the likelihood of significant harm due to unsafe temperatures exceeding 81-degrees Fahrenheit. Findings included: During the tour of the facility on 06/23/2025 at 8:32 a.m. Resident #5 was observed in a private bedroom. Upon entering the room, noticeable uncomfortable room air temperature was identified due to excessive warmth with palpable humidity present. A fan, approximately 18 inches, was observed operating on an over the bed table. Resident #5 was observed in a low bed, in a curled position, eyes open, observed to be watching the television in the corner of the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2025-04-30 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 2. On 4/29/25 at 9:17 a.m., Resident #7 was observed lying in bed. The resident's bottom teeth were covered with a yellow/tan colored substance and a watery, tan colored liquid was observed in the resident's mouth. An intravenous (IV) pole was standing between the bed and window and hanging from the pole was an empty IV medication bag, labeled with the residents name, name of the medication Zerbaxa, and tubing wrapped around the wings of the pole. The IV medication was dated 4/28/25 and not running. Review of Resident #7s medical record showed a medication list from an acute care facility, printed on 4/17/25 at 10:46 a.m., revealing the resident was to receive ceftolozane-tazobactam 1.5-gram (g) in sodium chloride 0.9%, 100 milliliter (mL) IV piggyback (IVPB) - Infuse 1.5g into a venous catheter every 8 (eight) hours for 35 doses. Last time this was given: April 17, 2025, at 6:05 a.m. Review of Resident #7s Admit/Readmit Assessment, effective 4/17/25 at 5:15 p.m. revealed a temperature reading of 98.5 degrees…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2022-08-11 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility did not ensure pain management was provided consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences for one resident (#35) out of three residents sampled for pain. Findings included: An interview was conducted with Resident #35 on 8/8/22 at 1:09 p.m. He stated he was in so much pain last night (8/7/22) at 11:00 p.m. He described his pain as 10/10 on the pain scale. Resident #35 stated he was not able to get his pain medication, because there wasn't any available. He stated this has happened to him four or five times. The resident began to get upset and cry explaining this and stated when this happens it hurts so bad, he feels like he could die. The resident stated he was given Tylenol and it doesn't do anything for his pain. He stated he was not able to get pain medication until lunchtime today (8/8/22). He stated at lunch the nurse was able to give him two tablets to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-04-30 · tag F0732 — widespread
  Post nurse staffing information every day.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and interviews, the facility did not ensure the posted nurse staffing data was up-to-date and current from 4/18/25 to 4/30/25. Findings included: An observation was conducted on 4/29/25 at 6:15 a.m. of the Daily Nurse Staffing sheet posted in the front lobby of the facility. The posting was dated 4/17/25. The 4/17/25 posting remained in place on 4/29/25 at 1:28 p.m. An interview was conducted on 4/30/25 at 6:13 p.m. with the Staffing Coordinator. She stated she was the person responsible for posting the Daily Nurse Staffing data. She said she prints them out and hangs them or sometimes gives them to the front office to hang. She said she had been coming in later than usual and had not been ensuring it was done. She said she had not realized until 4/30/25 that it had not been updated since 4/17/25 and that is on her. An interview was conducted on 4/30/25 at 6:44 p.m. with the Nursing Home Administrator (NHA). She said she usually checked to ensure the nurse staffing information was posted but she had been slacking off on that. She confirmed it should have been…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-30 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews, the facility failed to thoroughly investigate and provide staff with education following a medication error incident for one resident (#4) of one resident incident involving medication errors. Findings included: Review of Resident #4's admission Record revealed the resident was admitted on [DATE] and 3/7/25. The record included diagnoses not limited to intraspinal abscess and granuloma, unspecified local infection of the skin and subcutaneous tissue, unspecified organism sepsis, unspecified disorder involving the immune mechanism, osteomyelitis of vertebra lumbar region, and chronic myeloproliferative disease. The resident was transferred to the hospital on 4/19/25 for uncontrolled pain. Review of the facility's Incident Log revealed a medication error occurred on 3/28/25 at 5:50 p.m. with Resident #4. Review of Resident #4's progress notes revealed the following: - 3/27/25 at 2:58 p.m.: an order was entered for Daptomycin Intravenous Solution Reconstituted…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-30 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility did not ensure oxygen therapy was provided as ordered for one resident (#6) out of three residents reviewed with continuous oxygen. Findings included: An observation and interview were conducted on 4/29/25 at 9:50 a.m. of Resident #6 sitting in a wheelchair in her room. The resident had a nasal cannula in place with oxygen tubing attached to a portable oxygen tank on her wheelchair. The oxygen tank was observed to be empty. The resident said she wore oxygen due to asthma and sometimes she wheezed when she was breathing. Review of admission Records showed Resident #6 was admitted on [DATE] with diagnoses including chronic obstructive pulmonary disease (COPD). Review of Resident #6's care plan showed a focus area of risk for shortness of breath and/or respiratory distress related to diagnosis of COPD. Interventions included oxygen 2 liters (L) via nasal cannula continuous. Review of Resident #6's physician orders showed Oxygen 2L continuous every…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-30 · tag F0726 — failed to have competent, trained nursing staff — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews, the facility failed to provide staff with the appropriate competencies and skill sets to assure three residents (#4, #7, and #9) received medications as ordered by the physician. Findings included: 1. Review of Resident #4's admission Record revealed the resident was admitted on [DATE] and 3/7/25. The record included diagnoses not limited to intraspinal abscess and granuloma, unspecified local infection of the skin and subcutaneous tissue, unspecified organism sepsis, unspecified disorder involving the immune mechanism, osteomyelitis of vertebra lumbar region, and chronic myeloproliferative disease. The resident was transferred to the hospital on 4/19/25 for uncontrolled pain. Review of the facility's Incident Log revealed a medication error occurred on 3/28/25 at 5:50 p.m. with Resident #4. Review of Resident #4's progress notes revealed the following: - 3/27/25 at 2:58 p.m.: an order was entered for Daptomycin Intravenous Solution Reconstituted 500 mg. -…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-30 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews, the facility did not ensure routine physician-ordered medications were acquired and provided upon admission for two residents (#3 and #8) of two residents reviewed. Findings included: 1. A review of Resident #3's admission Record revealed an admission date of 1/24/25, and a discharge date of 1/27/25, with diagnoses to include displaced intertrochanteric fracture of right femur, subsequent encounter for closed fracture with routine healing, acute pain due to trauma, chronic pain syndrome, unspecified asthma, uncomplicated, fibromyalgia, and migraine without aura, not intractable, with status migrainosus. A review of Resident #3's admission Assessment, dated 1/24/25, revealed she came to the facility at approximately 6:30 p.m. A review of the admission Assessment revealed it was completed by Staff K, Licensed Practical Nurse (LPN). Further review of the assessment revealed no documentation related to medications or communicating with the physician. A review of Resident #3's progress notes revealed the following: - On 1/25/25 at 11:52 p.m., meds…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-30 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review, and interviews, the facility failed to ensure a medication administration error rate of less than 5.00%. Twelve medication administration opportunities were observed, and three errors were identified for one resident (#9) of one residents observed. These errors constituted a 25% medication error rate. Findings included: On 4/30/25 at 9:37 a.m., an observation of medication administration with Staff G, Licensed Practical Nurse (LPN) was conducted with Resident #9. The staff member dispensed the following medications for administration to Resident #9: - alprazolam 0.25 milligram (mg) tablet - dicyclomine 10 mg capsule - Aspirin 81mg enteric coated over-the-counter (otc) tablet - bupropion 75 mg tablet - gabapentin 300 mg capsule - Multi vitamin otc tablet - senna 8.6 mg otc tablet - sucralfate 1 gram (gm) tablet - timolol 0.5% eye drops - latanoprost 0.005% eye drops The staff member confirmed dispensing 8 oral medications and 2 eye drops. Staff G, LPN returned to the resident room and handed the medication cup to the resident, who swallowed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-06-24 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review and observation, the facility failed to ensure the reach-in cooler was maintained in a sanitary manner in one of one kitchen. Findings included: During an observation of the kitchen on 06/23/2024 at 9:38 a.m. the reach-in cooler was observed with a variety of food items to include: a container of prepared food covered with plastic wrap, an open carton of eggs, container of turkey, half a head of lettuce with plastic wrap, a cucumber with plastic wrap, a package of meat, a silver pan of corn with plastic wrap. In addition, the multiple white racks, in the reach-in cooler holding the food and containers, were observed to have the white coating peeling and exposing the brown rusted individual bars on each rack. There was also a brownish yellow staining collected on each rack. (Photographic Evidence Obtained) During an interview with the Dietary Director on 6/23/2024 at 11:11 a.m., she stated she knew the racks needed to be replaced and would like to replace the whole cooler. Additionally, she stated they use an on-line system for work orders but did…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-06-24 · tag F0882 — widespread
  Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure the facility had an Infection Control Preventionist (ICP), who had specialized training in Infection Control and Prevention. Findings included: An interview was conducted on 06/24/2024 at 11:29 PM with the Director of Nursing (DON). The DON stated she was in training to be the facility's ICP as well as Staff C, Licensed Practical Nurse (LPN), who was also in training. The DON confirmed neither herself nor Staff C had completed specialized training related to infection control and prevention. The DON also stated she and Staff C were assisted in their training by the Regional Nurse Consultant (RNC), who comes to the facility once a month. During an interview on 06/24/2024 at 1:53 PM, the Nursing Home Administrator (NHA) confirmed the previous ICP left in May 2024 and currently Staff C, LPN and the DON are in training with assistance from the RNC. Review of the policy titled, Infection Preventionist, dated 10/18/2022, showed: The facility will employ one or more qualified individuals with responsibility for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-06-24 · tag F0908 — failed to keep essential equipment working — widespread
  Keep all essential equipment working safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, and observation, the facility failed to ensure essential kitchen equipment was maintained in a safe operating condition in one of one kitchen. Findings included: During an observation of the kitchen on 06/22/2024 at 9:44 a.m. the reach-in cooler had a wet towel under it and puddles of water were pooling from underneath and into the floor. In addition, the steam table was observed with wet towels and buckets on the lower shelf catching water dripping from the upper shelf that contained the food storage compartments. (Photographic Evidence Obtained) During an interview with Staff E, Dietary [NAME] on 6/22/2024 at 10:00 a.m., she stated, Yes, it leaks. I am not gonna lie. It has been a while. We put in a maintenance request. She also stated the drain was missing on the steam table, so they used buckets to catch the water. During an interview with the Dietary Director on 6/23/2024 at 9:40 a.m. she stated, The reach-in has been temporarily fixed by on-site maintenance, he is trying to fix it first. The steam table does not leak all the time. Maintenance…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-06-24 · tag F0645 — pattern
  PASARR screening for Mental disorders or Intellectual Disabilities
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure the accuracy of admission diagnoses on the Level I Preadmission Screening and Resident Review (PASRR) and failed to update the Level I PASRR upon the addition of new diagnoses for thirteen (#43, #40, #6, #59, #37, #11, #12, #14, #64, #29, #42, #38 and #36) of sixteen residents reviewed for PASRR. Findings included: 1. Review of the admission Record for Resident #43 revealed an admission to the facility on [DATE] with diagnoses to include vascular dementia (02/20/2024), adjustment disorder with mixed anxiety and depressed mood (02/20/2024), and dementia (03/15/2024). Review of the June 2024 Medication Administration Record (MAR) for Resident #43 revealed: -Alprazolam Tablet 0.25 MG (milligrams) - Give 1 tablet by mouth one time a day for anxiety; start date 02/16/2024. -Aricept Tablet 10 MG - Give 1 tablet by mouth at bedtime for dementia; start date 11/18/2023. -Mirtazapine Tablet 7.5 MG - Give 1 tablet by mouth at bedtime related to major…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$46,800 in federal fines across 1 penalty.

• $46,800 — penalty dated 2025-04-30

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to AHAVA HEALTHCARE — 16 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 13 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.

3 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.1M paid to related parties — landlords or management companies under common ownership — equal to about 12% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in FL