Astoria Health and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 701 Overlook Dr SE, Winter Haven, FL 33884
- CCN
- 106086
- Ownership type
- For-profit, corporation
- Certified beds
- 132
- Chain
- TLC Management
- Residents per day
- 126
- CMS flags
- No standard survey in more than 2 years
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Astoria Health and Rehabilitation Center an overall rating of 3 of 5 stars. The last standard survey was on 26 Mar 2024. The latest survey cycle has 10 health citations. The median for nursing homes in Florida is 6. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Polk County median | Florida median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 5 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 25 homes in the county, 694 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Florida median |
|---|---|---|---|
| Cycle 1 (latest) | 26 Mar 2024 | 10 | 6 |
| Cycle 2 | 4 Feb 2022 | 7 | 6 |
| Cycle 3 | No date | 9 | 5 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 10 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Mar 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Standard survey | 28 Apr 2024 |
| 26 Mar 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 28 Apr 2024 |
| 26 Mar 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 28 Apr 2024 |
| 26 Mar 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 28 Apr 2024 |
| 26 Mar 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 28 Apr 2024 |
| 26 Mar 2024 | F0758 | 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. | D | Standard survey | 28 Apr 2024 |
| 26 Mar 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 28 Apr 2024 |
| 26 Mar 2024 | F0761 | 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. | E | Standard survey | 28 Apr 2024 |
| 26 Mar 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 28 Apr 2024 |
| 26 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 28 Apr 2024 |
Survey cycle 2: 7 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 4 Feb 2022 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Standard survey | 4 Mar 2022 |
| 4 Feb 2022 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | F | Standard survey | 4 Mar 2022 |
| 4 Feb 2022 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | F | Standard survey | 4 Mar 2022 |
| 4 Feb 2022 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 4 Mar 2022 |
| 4 Feb 2022 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 4 Mar 2022 |
| 4 Feb 2022 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 4 Mar 2022 |
| 4 Feb 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 4 Mar 2022 |
Survey cycle 3: 9 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Oct 2020 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 3 Dec 2020 |
| 30 Oct 2020 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 3 Dec 2020 |
| 30 Oct 2020 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 3 Dec 2020 |
| 30 Oct 2020 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 3 Dec 2020 |
| 30 Oct 2020 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 3 Dec 2020 |
| 30 Oct 2020 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 3 Dec 2020 |
| 30 Oct 2020 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 3 Dec 2020 |
| 30 Oct 2020 | F0761 | 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. | D | Standard survey | 3 Dec 2020 |
| 30 Oct 2020 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 3 Dec 2020 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Florida median | Florida average (CMS) |
|---|---|---|---|
| All nurse staff | 4.20 | 3.60 | 3.82 |
| Registered nurses (RN) | 0.57 | 0.60 | 0.73 |
| Licensed practical nurses (LPN) | 1.14 | 0.78 | |
| Nurse aides | 2.49 | 2.31 | |
| All nurse staff, weekends | 3.86 | 3.30 | 3.49 |
- Nurse staff turnover in a year
- 40.6%
- Nurse staff turnover, Florida median
- 41.8%
- RN turnover in a year
- 40.0%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Florida median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.7% | 7.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.9% | 0.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.2% | 2.2% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.7% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.0% | 7.7% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.2% | 4.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 2.9% | 7.0% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Lake Wales Health Care Operations Company LLC
- Chain
- TLC Management (20 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Tender Loving Care Management Inc | Operational/managerial control | 5 Sep 2005 | |
| Tender Loving Care Management Inc | Adp of the snf | 10 Mar 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Polk County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Lake Mariam Health and Rehabilitation CenterSpecial Focus candidate | Winter Haven | 2 of 5 | 40 | $321,520 | 25 Jan 2024 | |
| Palm Garden of Winter Haven | Winter Haven | 4 of 5 | 8 | $24,395 | 20 Jun 2024 | |
| Life Care Center of Winter Haven | Winter Haven | 4 of 5 | 10 | $0 | 20 Feb 2025 | |
| Winter Haven Health and Rehabilitation Center | Winter Haven | 2 of 5 | 12 | $4,190 | 24 Jan 2024 | |
| Spring Lake Rehabilitation Center | Winter Haven | 5 of 5 | 7 | $0 | 13 Feb 2025 | |
| Vivo Healthcare Winter Haven | Winter Haven | 1 of 5 | 21 | $0 | 10 Apr 2025 | |
| Oak Haven Rehab and Nursing Center | Auburndale | 1 of 5 | 16 | $12,051 | 18 Jul 2024 | |
| Haines City Rehabilitation and Nursing Center | Haines City | 2 of 5 | 11 | $13,380 | 21 Nov 2024 | |
| Lake Wales Health and Rehabilitation Center | Lake Wales | 1 of 5 | 10 | $46,800 | 24 Jun 2024 | |
| Groves CenterSpecial Focus Facility | Lake Wales | Not rated | 19 | $291,478 | 4 Feb 2026 | |
| Davenport Nursing and Rehab Center | Davenport | 4 of 5 | 5 | $8,172 | 29 Jan 2026 | |
| Bartow Center | Bartow | 2 of 5 | 9 | $8,034 | 30 Jul 2024 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Astoria Health and Rehabilitation Center (CCN 106086). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/astoria-health-and-rehabilitation-center-winter-haven-fl-106086/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Astoria Health and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 26 Mar 2024. It was a standard survey. It gave 10 citations. The standard survey before the last one was on 4 Feb 2022. CMS marks the last health inspection of this home as more than 2 years old.
- Who operates Astoria Health and Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain TLC Management. The CMS ownership file names Tender Loving Care Management Inc for operational or managerial control. This site does not show the names of persons.
- Is Astoria Health and Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in Florida as Special Focus Facilities and 15 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.