Breezy Hills Rehab and Care CenterCMS ratings, inspections and fines
- Address
- 5245 N Socrum Loop Rd, Lakeland, FL 33809
- CCN
- 105482
- Ownership type
- For-profit, limited liability company
- Certified beds
- 120
- Chain
- Excelsior Care Group
- Residents per day
- 118
- CMS flags
- None in the CMS record
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 Breezy Hills Rehab and Care Center an overall rating of 2 of 5 stars. The last standard survey was on 8 May 2025. The latest survey cycle has 11 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 | 2 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 3 | 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) | 8 May 2025 | 11 | 6 |
| Cycle 2 | 8 Feb 2023 | 12 | 6 |
| Cycle 3 | No date | 11 | 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): 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 8 May 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 8 Jun 2025 |
| 8 May 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 8 Jun 2025 |
| 8 May 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 8 Jun 2025 |
| 8 May 2025 | F0693 | 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. | D | Standard survey | 8 Jun 2025 |
| 8 May 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 8 Jun 2025 |
| 8 May 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 8 Jun 2025 |
| 8 May 2025 | 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 | 8 Jun 2025 |
| 8 May 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 8 Jun 2025 |
| 8 May 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 8 Jun 2025 |
| 8 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 8 Jun 2025 |
| 8 May 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 8 Jun 2025 |
Survey cycle 2: 12 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 27 Mar 2025 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint investigation | 11 Apr 2025 |
| 8 Feb 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 10 Mar 2023 |
| 8 Feb 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Standard survey | 10 Mar 2023 |
| 8 Feb 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 10 Mar 2023 |
| 8 Feb 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 10 Mar 2023 |
| 8 Feb 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 10 Mar 2023 |
| 8 Feb 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 10 Mar 2023 |
| 8 Feb 2023 | 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 | 10 Mar 2023 |
| 8 Feb 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 10 Mar 2023 |
| 8 Feb 2023 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | F | Standard survey | 10 Mar 2023 |
| 8 Feb 2023 | F0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | F | Standard survey | 10 Mar 2023 |
| 8 Feb 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 10 Mar 2023 |
Survey cycle 3: 11 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 |
|---|---|---|---|---|---|
| 2 Jul 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 17 Jul 2024 |
| 2 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 17 Jul 2024 |
| 2 Jul 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Complaint investigation | 17 Jul 2024 |
| 27 May 2021 | F0584 | 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. | D | Standard survey | 27 Jun 2021 |
| 27 May 2021 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 27 Jun 2021 |
| 27 May 2021 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 27 Jun 2021 |
| 27 May 2021 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 26 Aug 2021 |
| 27 May 2021 | F0700 | Try 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. | D | Standard survey | 26 Aug 2021 |
| 27 May 2021 | 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 | 27 Jun 2021 |
| 27 May 2021 | 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 | 26 Aug 2021 |
| 27 May 2021 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard survey | 26 Aug 2021 |
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 | 3.47 | 3.60 | 3.82 |
| Registered nurses (RN) | 0.40 | 0.60 | 0.73 |
| Licensed practical nurses (LPN) | 0.94 | 0.78 | |
| Nurse aides | 2.14 | 2.31 | |
| All nurse staff, weekends | 3.31 | 3.30 | 3.49 |
- Nurse staff turnover in a year
- 48.4%
- Nurse staff turnover, Florida median
- 41.8%
- RN turnover in a year
- 58.8%
- 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 | 5.6% | 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 | 0.0% | 0.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.3% | 2.2% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.2% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.5% | 7.7% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.9% | 4.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.8% | 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, limited liability company
- Legal business name
- Lakeview SNF Operations LLC
- Chain
- Excelsior Care Group (33 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Lakeview SNF Operations Holdings LLC | 5% or greater direct ownership interest | 100% | 3 Sep 2021 |
| Sunshine SNF Group LLC | 5% or greater indirect ownership interest | 100% | 30 Sep 2021 |
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 | |
|---|---|---|---|---|---|---|
| Wedgewood Healthcare and Rehabilitation Center | Lakeland | 2 of 5 | 7 | $0 | 19 Dec 2024 | |
| Manor at Carpenters, The | Lakeland | 4 of 5 | 3 | $24,252 | 18 Jan 2024 | |
| The Club at Lake Gibson | Lakeland | 3 of 5 | 4 | $0 | 30 Jan 2025 | |
| Valencia Hills Health and Rehabilitation Center | Lakeland | 1 of 5 | 21 | $62,766 | 30 Apr 2026 | |
| Vivo Healthcare Lakeland | Lakeland | 1 of 5 | 12 | $152,495 | 26 Jun 2025 | |
| Charming Lakes Rehab | Lakeland | 2 of 5 | 12 | $77,880 | 21 Aug 2025 | |
| Lakeland Hills Center | Lakeland | 2 of 5 | 14 | $139,373 | 12 Mar 2026 | |
| Florida Presbyterian Homes Inc | Lakeland | 5 of 5 | 8 | $0 | 26 Feb 2024 | |
| Bridgewalk on Harden Health and Rehabilitation, LL | Lakeland | 1 of 5 | 4 | $181,400 | 25 Jan 2024 | |
| Highlands Lake Center | Lakeland | 2 of 5 | 17 | $0 | 7 Mar 2024 | |
| Scott Lake Health and Rehabilitation Center | Lakeland | 2 of 5 | 8 | $80,408 | 23 Apr 2026 | |
| Oak Haven Rehab and Nursing Center | Auburndale | 1 of 5 | 16 | $12,051 | 18 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 Breezy Hills Rehab and Care Center (CCN 105482). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/breezy-hills-rehab-and-care-center-lakeland-fl-105482/
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 Breezy Hills Rehab and Care Center last inspected?
- The latest inspection with a citation in the CMS record was on 8 May 2025. It was a standard survey. It gave 11 citations. The standard survey before the last one was on 8 Feb 2023.
- Who operates Breezy Hills Rehab and Care Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Excelsior Care Group. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Breezy Hills Rehab and Care 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.