Starfile / Florida

BREEZY HILLS REHAB AND CARE CENTER

5245 N SOCRUM LOOP RD, LAKELAND, FL 33809 · CCN 105482

Inspection history vs Florida & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$6,351

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

EXCELSIOR CARE GROUP

Facilities in chain

33

Chain avg overall

2.60 / 5

Inspection citations (34)

1. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-05-08 · Health · corrected 2025-06-08

   Potential for more than minimal harm

2. EF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-05-08 · Health · corrected 2025-06-08

   Potential for more than minimal harm

3. DF0692Provide enough food/fluids to maintain a resident's health.2025-05-08 · Health · corrected 2025-06-08

   Potential for more than minimal harm

4. DF0693Ensure 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.2025-05-08 · Health · corrected 2025-06-08

   Potential for more than minimal harm

5. EF0695Provide safe and appropriate respiratory care for a resident when needed.2025-05-08 · Health · corrected 2025-06-08

   Potential for more than minimal harm

6. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-05-08 · Health · corrected 2025-06-08

   Potential for more than minimal harm

7. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-05-08 · Health · corrected 2025-06-08

   Potential for more than minimal harm

8. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-05-08 · Health · corrected 2025-06-08

   Potential for more than minimal harm

9. DF0759Ensure medication error rates are not 5 percent or greater.2025-05-08 · Health · corrected 2025-06-08

   Potential for more than minimal harm

10. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-08 · Health · corrected 2025-06-08

    Potential for more than minimal harm

11. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-05-08 · Health · corrected 2025-06-08

    Potential for more than minimal harm

12. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2025-03-27 · Health · corrected 2025-04-11

    Potential for more than minimal harm

13. DF0610Respond appropriately to all alleged violations.2024-07-02 · Health · corrected 2024-07-17

    Potential for more than minimal harm

14. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-02 · Health · corrected 2024-07-17

    Potential for more than minimal harm

15. DF0699Provide care or services that was trauma informed and/or culturally competent.2024-07-02 · Health · corrected 2024-07-17

    Potential for more than minimal harm

16. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-02-08 · Health · corrected 2023-03-10

    Potential for more than minimal harm

17. EF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-02-08 · Health · corrected 2023-03-10

    Potential for more than minimal harm

18. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-02-08 · Health · corrected 2023-03-10

    Potential for more than minimal harm

19. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-02-08 · Health · corrected 2023-03-10

    Potential for more than minimal harm

20. DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-02-08 · Health · corrected 2023-03-10

    Potential for more than minimal harm

21. DF0759Ensure medication error rates are not 5 percent or greater.2023-02-08 · Health · corrected 2023-03-10

    Potential for more than minimal harm

22. DF0761Ensure 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.2023-02-08 · Health · corrected 2023-03-10

    Potential for more than minimal harm

23. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-02-08 · Health · corrected 2023-03-10

    Potential for more than minimal harm

24. FF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2023-02-08 · Health · corrected 2023-03-10

    Potential for more than minimal harm

25. FF0848Provide a neutral and fair arbitration process and agree to arbitrator and venue.2023-02-08 · Health · corrected 2023-03-10

    Potential for more than minimal harm

26. EF0880Provide and implement an infection prevention and control program.2023-02-08 · Health · corrected 2023-03-10

    Potential for more than minimal harm

27. DF0584Honor 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.2021-05-27 · Health · corrected 2021-06-27

    Potential for more than minimal harm

28. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-05-27 · Health · corrected 2021-06-27

    Potential for more than minimal harm

29. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2021-05-27 · Health · corrected 2021-06-27

    Potential for more than minimal harm

30. DF0695Provide safe and appropriate respiratory care for a resident when needed.2021-05-27 · Health · corrected 2021-08-26

    Potential for more than minimal harm

31. DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2021-05-27 · Health · corrected 2021-08-26

    Potential for more than minimal harm

32. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2021-05-27 · Health · corrected 2021-06-27

    Potential for more than minimal harm

33. EF0761Ensure 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.2021-05-27 · Health · corrected 2021-08-26

    Potential for more than minimal harm

34. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2021-05-27 · Health · corrected 2021-08-26

    Potential for more than minimal harm

Ownership

Other facilities in LAKELAND

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.