Lake Mariam Health and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 1801 N Lake Mariam Dr, Winter Haven, FL 33884
- CCN
- 105428
- Ownership type
- For-profit, limited liability company
- Certified beds
- 120
- Chain
- Chain name not shown
- Residents per day
- 100
- CMS flags
- Special Focus Facility candidate
- No standard survey in more than 2 years
Open the watch listCare Compare record (Medicare.gov)
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 Lake Mariam Health and Rehabilitation Center an overall rating of 2 of 5 stars. The last standard survey was on 25 Jan 2024. The latest survey cycle has 40 health citations. The median for nursing homes in Florida is 6. CMS lists 3 fines with a total of $321,520 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 | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 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) | 25 Jan 2024 | 40 | 6 |
| Cycle 2 | 8 Oct 2021 | 10 | 6 |
| Cycle 3 | No date | 15 | 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 | L0 | ||
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 40 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 29 Apr 2026 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Complaint investigation | 1 May 2026 |
| 12 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 6 Apr 2026 |
| 12 Mar 2026 | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | J | Complaint investigation | 6 Apr 2026 |
| 12 Mar 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 6 Apr 2026 |
| 25 Jan 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 25 Feb 2024 |
| 25 Jan 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 25 Feb 2024 |
| 25 Jan 2024 | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Standard survey | 25 Feb 2024 |
| 25 Jan 2024 | 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. | E | Complaint investigation | 6 Jun 2024 |
| 25 Jan 2024 | 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 | 25 Feb 2024 |
| 25 Jan 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 | 6 Jun 2024 |
| 25 Jan 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 25 Feb 2024 |
| 25 Jan 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 25 Feb 2024 |
| 25 Jan 2024 | F0687 | Provide appropriate foot care. | D | Standard survey | 25 Feb 2024 |
| 25 Jan 2024 | F0688 | Provide 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. | D | Standard survey | 25 Feb 2024 |
| 25 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Standard survey | 6 Jun 2024 |
| 25 Jan 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 25 Feb 2024 |
| 25 Jan 2024 | 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 | 25 Feb 2024 |
| 25 Jan 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 25 Feb 2024 |
| 25 Jan 2024 | 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 | 25 Apr 2024 |
| 25 Jan 2024 | F0732 | Post nurse staffing information every day. | D | Standard survey | 25 Feb 2024 |
| 25 Jan 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 | 25 Apr 2024 |
| 25 Jan 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard survey | 25 Apr 2024 |
| 25 Jan 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 25 Feb 2024 |
| 25 Jan 2024 | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | Complaint investigation | 25 Feb 2024 |
| 25 Jan 2024 | F0808 | Ensure 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. | D | Standard survey | 25 Feb 2024 |
| 25 Jan 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 | 25 Feb 2024 |
| 25 Jan 2024 | F0814 | Dispose of garbage and refuse properly. | E | Standard survey | 25 Feb 2024 |
| 25 Jan 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Standard survey | 25 Feb 2024 |
| 25 Jan 2024 | F0837 | Establish 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. | D | Complaint investigation | 25 Feb 2024 |
| 25 Jan 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 6 Jun 2024 |
| 25 Jan 2024 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 25 Feb 2024 |
| 25 Jan 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard survey | 6 Jun 2024 |
| 25 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 25 Feb 2024 |
| 25 Jan 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 25 Feb 2024 |
| 25 Jan 2024 | F0909 | Regularly 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. | D | Standard survey | 25 Feb 2024 |
| 25 Jan 2024 | F0918 | Provide a bathroom in or located near each resident’s room. | D | Standard survey | 25 Feb 2024 |
| 25 Jan 2024 | F0920 | Provide 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. | D | Standard survey | 25 Feb 2024 |
| 25 Jan 2024 | F0924 | Put firmly secured handrails on each side of hallways. | D | Standard survey | 25 Feb 2024 |
| 25 Jan 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 25 Feb 2024 |
| 25 Jan 2024 | F0926 | Have policies on smoking. | D | Standard survey | 25 Feb 2024 |
Survey cycle 2: 10 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 17 Oct 2024 | 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. | E | Complaint investigation | 15 Nov 2024 |
| 17 Oct 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 15 Nov 2024 |
| 17 Oct 2024 | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | G | Complaint investigation | 15 Nov 2024 |
| 8 Oct 2021 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard survey | 8 Nov 2021 |
| 8 Oct 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 | 8 Nov 2021 |
| 8 Oct 2021 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 8 Nov 2021 |
| 8 Oct 2021 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 30 Dec 2021 |
| 8 Oct 2021 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard survey | 30 Dec 2021 |
| 8 Oct 2021 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 8 Nov 2021 |
| 8 Oct 2021 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Standard survey | 8 Nov 2021 |
Survey cycle 3: 15 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 |
|---|---|---|---|---|---|
| 17 May 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 6 Jun 2024 |
| 18 Aug 2023 | 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. | E | Complaint investigation | 15 Sep 2023 |
| 18 Aug 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 15 Sep 2023 |
| 18 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 15 Sep 2023 |
| 18 Aug 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 15 Sep 2023 |
| 15 Nov 2019 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 15 Dec 2019 |
| 15 Nov 2019 | 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. | E | Standard survey | 15 Dec 2019 |
| 15 Nov 2019 | F0585 | Honor 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. | D | Standard survey | 15 Dec 2019 |
| 15 Nov 2019 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 15 Dec 2019 |
| 15 Nov 2019 | 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 | 15 Dec 2019 |
| 15 Nov 2019 | 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 | 15 Dec 2019 |
| 15 Nov 2019 | 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. | E | Standard survey | 15 Dec 2019 |
| 15 Nov 2019 | 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 | 15 Dec 2019 |
| 15 Nov 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 15 Dec 2019 |
| 15 Nov 2019 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard survey | 15 Dec 2019 |
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.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 17 Oct 2024 | Fine | $12,529 | |
| 25 Jan 2024 | Fine | $296,449 | |
| 25 Jan 2024 | Fine | $12,542 |
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 | 4.18 | 3.60 | 3.82 |
| Registered nurses (RN) | 0.39 | 0.60 | 0.73 |
| Licensed practical nurses (LPN) | 1.08 | 0.78 | |
| Nurse aides | 2.71 | 2.31 | |
| All nurse staff, weekends | 3.69 | 3.30 | 3.49 |
- Nurse staff turnover in a year
- 46.7%
- 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 | 5.2% | 7.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | 0.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.6% | 2.2% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.0% | 7.7% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.1% | 4.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.4% | 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
- Lake Mariam FL Opco LLC
- Chain
- Chain name not shown
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Lake Mariam FL Holdco LLC | 5% or greater direct ownership interest | 100% | 11 Aug 2023 |
| FL HC Opco LLC | Operational/managerial control | 1 Apr 2023 | |
| FL HC Opco LLC | Adp of the snf | 1 Apr 2023 |
The site shows organisations only. It does not show the names of persons. CMS lists this home in a chain that has the name of a person, so the site shows no chain name and no chain page.
Other homes in Polk County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| 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 | |
| Astoria Health and Rehabilitation Center | Winter Haven | 3 of 5 | 10 | $0 | 26 Mar 2024 | |
| 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 | |
| Bartow Center | Bartow | 2 of 5 | 9 | $8,034 | 30 Jul 2024 | |
| Davenport Nursing and Rehab Center | Davenport | 4 of 5 | 5 | $8,172 | 29 Jan 2026 |
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 Lake Mariam Health and Rehabilitation Center (CCN 105428). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/lake-mariam-health-and-rehabilitation-center-winter-haven-fl-105428/
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 Lake Mariam Health and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 29 Apr 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 8 Oct 2021. CMS marks the last health inspection of this home as more than 2 years old.
- Who operates Lake Mariam Health and Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in a chain that has the name of a person. This site does not show that name. The CMS ownership file names FL HC Opco LLC for operational or managerial control. This site does not show the names of persons.
- What does the Special Focus status mean for Lake Mariam Health and Rehabilitation Center?
- CMS lists the home as a Special Focus Facility candidate. The state selects its next Special Focus Facility from the candidates. 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.