Starfile / Florida

LAKE MARIAM HEALTH AND REHABILITATION CENTER

1801 N LAKE MARIAM DR, WINTER HAVEN, FL 33884 · CCN 105428

SFF Candidate

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

$353,123

Number of fines

4

Number of penalties

4

Payment denials

0

Chain

Chain

ROBERT SCHOENFELD

Facilities in chain

8

Chain avg overall

3.30 / 5

Inspection citations (61)4 immediate jeopardy1 actual harm

1. EF0584Honor 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.2024-10-17 · Health · corrected 2024-11-15

   Potential for more than minimal harm

2. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-10-17 · Health · corrected 2024-11-15

   Potential for more than minimal harm

3. GF0624Prepare residents for a safe transfer or discharge from the nursing home.2024-10-17 · Health · corrected 2024-11-15

   Actual harm

4. KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-05-17 · Health · corrected 2024-06-06

   Immediate jeopardy

5. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-01-25 · Health · corrected 2024-02-25

   Potential for more than minimal harm

6. DF0558Reasonably accommodate the needs and preferences of each resident.2024-01-25 · Health · corrected 2024-02-25

   Potential for more than minimal harm

7. DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2024-01-25 · Health · corrected 2024-02-25

   Potential for more than minimal harm

8. EF0584Honor 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.2024-01-25 · Health · corrected 2024-06-06

   Potential for more than minimal harm

9. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-01-25 · Health · corrected 2024-02-25

   Potential for more than minimal harm

10. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-25 · Health · corrected 2024-06-06

    Potential for more than minimal harm

11. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-01-25 · Health · corrected 2024-02-25

    Potential for more than minimal harm

12. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-01-25 · Health · corrected 2024-02-25

    Potential for more than minimal harm

13. DF0687Provide appropriate foot care.2024-01-25 · Health · corrected 2024-02-25

    Potential for more than minimal harm

14. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-01-25 · Health · corrected 2024-02-25

    Potential for more than minimal harm

15. KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-25 · Health · corrected 2024-06-06

    Immediate jeopardy

16. DF0692Provide enough food/fluids to maintain a resident's health.2024-01-25 · Health · corrected 2024-02-25

    Potential for more than minimal harm

17. 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.2024-01-25 · Health · corrected 2024-02-25

    Potential for more than minimal harm

18. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-01-25 · Health · corrected 2024-02-25

    Potential for more than minimal harm

19. 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.2024-01-25 · Health · corrected 2024-04-25

    Potential for more than minimal harm

20. DF0732Post nurse staffing information every day.2024-01-25 · Health · corrected 2024-02-25

    Potential for more than minimal harm

21. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-01-25 · Health · corrected 2024-04-25

    Potential for more than minimal harm

22. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-01-25 · Health · corrected 2024-04-25

    Potential for more than minimal harm

23. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-01-25 · Health · corrected 2024-02-25

    Potential for more than minimal harm

24. DF0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.2024-01-25 · Health · corrected 2024-02-25

    Potential for more than minimal harm

25. DF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2024-01-25 · Health · corrected 2024-02-25

    Potential for more than minimal harm

26. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-01-25 · Health · corrected 2024-02-25

    Potential for more than minimal harm

27. EF0814Dispose of garbage and refuse properly.2024-01-25 · Health · corrected 2024-02-25

    Potential for more than minimal harm

28. DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-01-25 · Health · corrected 2024-02-25

    Potential for more than minimal harm

29. DF0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.2024-01-25 · Health · corrected 2024-02-25

    Potential for more than minimal harm

30. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-01-25 · Health · corrected 2024-06-06

    Potential for more than minimal harm

31. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-01-25 · Health · corrected 2024-02-25

    Potential for more than minimal harm

32. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-01-25 · Health · corrected 2024-06-06

    Potential for more than minimal harm

33. EF0880Provide and implement an infection prevention and control program.2024-01-25 · Health · corrected 2024-02-25

    Potential for more than minimal harm

34. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-01-25 · Health · corrected 2024-02-25

    Potential for more than minimal harm

35. DF0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.2024-01-25 · Health · corrected 2024-02-25

    Potential for more than minimal harm

36. DF0918Provide a bathroom in or located near each resident’s room.2024-01-25 · Health · corrected 2024-02-25

    Potential for more than minimal harm

37. DF0920Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.2024-01-25 · Health · corrected 2024-02-25

    Potential for more than minimal harm

38. DF0924Put firmly secured handrails on each side of hallways.2024-01-25 · Health · corrected 2024-02-25

    Potential for more than minimal harm

39. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-01-25 · Health · corrected 2024-02-25

    Potential for more than minimal harm

40. DF0926Have policies on smoking.2024-01-25 · Health · corrected 2024-02-25

    Potential for more than minimal harm

41. EF0584Honor 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.2023-08-18 · Health · corrected 2023-09-15

    Potential for more than minimal harm

42. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-08-18 · Health · corrected 2023-09-15

    Immediate jeopardy

43. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-18 · Health · corrected 2023-09-15

    Immediate jeopardy

44. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-08-18 · Health · corrected 2023-09-15

    Potential for more than minimal harm

45. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2021-10-08 · Health · corrected 2021-11-08

    Potential for more than minimal harm

46. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-10-08 · Health · corrected 2021-11-08

    Potential for more than minimal harm

47. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-10-08 · Health · corrected 2021-11-08

    Potential for more than minimal harm

48. DF0759Ensure medication error rates are not 5 percent or greater.2021-10-08 · Health · corrected 2021-12-30

    Potential for more than minimal harm

49. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2021-10-08 · Health · corrected 2021-12-30

    Potential for more than minimal harm

50. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2021-10-08 · Health · corrected 2021-11-08

    Potential for more than minimal harm

51. DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2021-10-08 · Health · corrected 2021-11-08

    Potential for more than minimal harm

52. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2019-11-15 · Health · corrected 2019-12-15

    Potential for more than minimal harm

53. EF0584Honor 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.2019-11-15 · Health · corrected 2019-12-15

    Potential for more than minimal harm

54. DF0585Honor 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.2019-11-15 · Health · corrected 2019-12-15

    Potential for more than minimal harm

55. DF0641Ensure each resident receives an accurate assessment.2019-11-15 · Health · corrected 2019-12-15

    Potential for more than minimal harm

56. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-11-15 · Health · corrected 2019-12-15

    Potential for more than minimal harm

57. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2019-11-15 · Health · corrected 2019-12-15

    Potential for more than minimal harm

58. EF0758Implement 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.2019-11-15 · Health · corrected 2019-12-15

    Potential for more than minimal harm

59. 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.2019-11-15 · Health · corrected 2019-12-15

    Potential for more than minimal harm

60. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-11-15 · Health · corrected 2019-12-15

    Potential for more than minimal harm

61. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2019-11-15 · Health · corrected 2019-12-15

    Potential for more than minimal harm

Ownership

Other facilities in WINTER HAVEN

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