SNF

LAKELAND HILLS CENTER

CCN: 105283 · LAKELAND, FL 33805 · Polk County

⚠ Abuse citation flag ⚠ Inspection > 2 years ago

Overview

Address
610 E BELLA VISTA DR, LAKELAND, FL 33805
Phone
8636888591
Certified beds
120
Avg daily residents
112 (93% of beds filled)
Ownership
Non-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1974-12-01
Setting
Urban
2 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 2/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 2/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 5/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 5/5
Short-Stay Quality Measures ★★★★★ 4/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 3.28 3.66 3.46 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.49 0.64 0.52 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.68 0.81 0.72 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.11 2.21 2.22 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.18 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.06 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.08
hrs / resident / day
RN (weekend)
0.37
hrs / resident / day
Total nurse (adjusted, weekend)
3.25
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
51.5%
annual
RN turnover
78.6%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.30
higher acuity than avg
Case-Mix Index Ratio
0.94
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2023-09-28 12 8 4 406 1 406
Cycle 2/3 (prior) 2021-08-19 7 1 6 44 1 44
Total weighted health score
315.5
lower is better

Deficiencies (23)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

20 D/E/F Actual harm — potential for minor
3 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. K 2025-04-11 2025-06-29
0726 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. K 2025-04-11 2025-05-29
0760 Ensure that residents are free from significant medication errors. K 2025-04-11 2025-05-29
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. D 2025-04-11 2025-06-29
0584 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 2025-01-14 2025-02-14
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-01-14 2025-02-14
0908 Keep all essential equipment working safely. E 2025-01-14 2025-02-14
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2024-08-12 2024-09-11
0565 Honor the resident's right to organize and participate in resident/family groups in the facility. E 2023-09-28 2023-10-28
0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. D 2023-09-28 2023-10-28
0645 PASARR screening for Mental disorders or Intellectual Disabilities D 2023-09-28 2023-10-28
0692 Provide enough food/fluids to maintain a resident's health. D 2023-09-28 2023-10-28
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2023-09-28 2023-10-28
0759 Ensure medication error rates are not 5 percent or greater. D 2023-09-28 2023-10-28
0865 Have a plan that describes the process for conducting QAPI and QAA activities. E 2023-09-28 2023-10-28
0880 Provide and implement an infection prevention and control program. F 2023-09-28 2023-10-28
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2023-09-28 2023-10-28
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2023-07-18 2023-08-18
0759 Ensure medication error rates are not 5 percent or greater. D 2021-08-19 2021-09-19
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2019-11-22 2019-12-22
0583 Keep residents' personal and medical records private and confidential. D 2019-11-22 2019-12-22
0761 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 2019-11-22 2019-12-22
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. D 2019-11-22 2019-12-22

Penalties (2)

Fines issued
1
last 3 years
Total fines
$214,420
Payment denials
1
Date Type Fine amount
2025-04-11 Fine $214,420
2025-04-11 Payment Denial —

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 7.8% Medicaid 75.8% Other 16.4%

Operating performance

Operating Margin
-4.7%
Total Margin
-4.7%
Occupancy Rate
88.1%
Cost per Resident Day
$45

Revenue & costs

Net Patient Revenue
$11.9M
Total Costs
$1.8M
Net Income
-$551K

Balance sheet

Total Assets
$3.2M
Total Liabilities
$2.2M
Fund Balance
$1.0M
Current Ratio
0.45

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: HEARTHSTONE SENIOR COMMUNITIES

Chain ID
262
Facilities in chain
8
Legal business name
LAKELAND HILLS REHABILITATION CENTER, LLC
Chain-average star ratings (for peer context)
Overall
2.0
Health
1.9
Staffing
2.6
QM
3.3

Owner / manager organizations (6)

Organization Role Association
LAKELAND HILLS REHABILITATION CENTER, LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 04/01/2009
HEARTHSTONE SENIOR COMMUNITIES, INC. 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 04/01/2009
CONSULTING SUPPORT SERVICES, LLC OPERATIONAL/MANAGERIAL CONTROL since 06/28/2011
FACILITY SUPPORT COMPANY, LLC OPERATIONAL/MANAGERIAL CONTROL since 12/13/2010
KANE FINANCIAL SERVICES, LLC OPERATIONAL/MANAGERIAL CONTROL since 06/06/2012
THEMIS HEALTH MANAGEMENT, LLC OPERATIONAL/MANAGERIAL CONTROL since 09/01/2009

Owner / manager individuals (6)

Name Role Association
BOWDEN, DESTINY OPERATIONAL/MANAGERIAL CONTROL since 03/14/2022
KUHLMEYER, RICHARD OPERATIONAL/MANAGERIAL CONTROL since 04/07/2022
GARNER, ALVIN CORPORATE OFFICER since 04/01/2009
JAFFE, HOWARD CORPORATE OFFICER since 04/01/2009
ROMBOLD, LORI CORPORATE OFFICER since 04/01/2009
WYATT, BRIAN CORPORATE OFFICER since 04/01/2009

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
Yes — last 2 cycles
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $45 metrics.cost_per_resident_day
Cost Report Current Ratio 0.45 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 75.8% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 7.8% metrics.medicare_day_share
Cost Report Net Income ($) $-551,457 metrics.net_income
Cost Report Net Patient Revenue ($) $11,860,127 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 88.1% metrics.occupancy_rate
Cost Report Operating Margin (%) -4.7% metrics.operating_margin
Cost Report Total Assets ($) $3,228,826 metrics.total_assets
Cost Report Total Costs ($) $1,752,394 metrics.total_costs
Cost Report Total Fund Balances ($) $1,037,158 metrics.fund_balance
Cost Report Total Liabilities ($) $2,191,668 metrics.total_liabilities
Cost Report Total Margin (%) -4.7% metrics.total_margin
Provider Information Abuse Icon Y Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.72096 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.22014 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.51885 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.45996 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.24731 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 111.5 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.81303 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.20965 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.64085 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.66353 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.22902 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 1.9 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.0 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.3 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.6 Chain Average Staffing Rating
Provider Information Chain ID 262 Chain ID
Provider Information Chain Name HEARTHSTONE SENIOR COMMUNITIES Chain Name
Provider Information City/Town LAKELAND City/Town
Provider Information CMS Certification Number (CCN) 105283 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Polk County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1974-12-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 28.0698 Latitude
Provider Information Legal Business Name LAKELAND HILLS REHABILITATION CENTER, LLC Legal Business Name
Provider Information Location 610 E BELLA VISTA DR,LAKELAND,FL,33805 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -81.953 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago Y Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 120 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 8 Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.29782 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.94206 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type Non profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 610 E BELLA VISTA DR Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name LAKELAND HILLS CENTER Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 520 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 5 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 406 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 4 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 8 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2023-09-28 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 406 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 12 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 1 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2021-08-19 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 44 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 6 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 44 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 7 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.36582 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 78.6 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.17643 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.68410 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.10663 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.05503 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.49233 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.28306 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 4 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 2 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State FL State
Provider Information Telephone Number 8636888591 Telephone Number
Provider Information Total Amount of Fines in Dollars 214420.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.08128 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 2 Total Number of Penalties
Provider Information Total nursing staff turnover 51.5 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 315.500 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 33805 ZIP Code