SNF

LAKE HAVEN NURSING AND REHAB CENTER

CCN: 105350 · DUNEDIN, FL 34698 · Pinellas County

Overview

Address
1351 SAN CHRISTOPHER DR, DUNEDIN, FL 34698
Phone
7277361421
Certified beds
104
Avg daily residents
91 (88% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1979-07-30
Setting
Urban
1 /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.
★★★★★ 1/5
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.
★★★★★ 3/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 5/5
Short-Stay Quality Measures ★★★★★ 1/5

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
 3.39 3.25 4.03 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.36 0.57 0.43 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.89 0.72 1.06 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.14 1.96 2.54 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.25 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.02 — — —

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)
3.27
hrs / resident / day
RN (weekend)
0.34
hrs / resident / day
Total nurse (adjusted, weekend)
3.88
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
72.5%
annual
RN turnover
84.2%
annual
Administrators departed
2
last 12 months

Resident acuity

Nursing Case-Mix Index
1.15
higher acuity than avg
Case-Mix Index Ratio
0.84
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) 2024-10-02 15 12 3 92 2 138
Cycle 2/3 (prior) 2022-08-10 13 2 11 258 1 258
Total weighted health score
168.0
lower is better

Deficiencies (29)

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).

23 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
5 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2025-10-13 2025-12-01
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2025-06-12 2025-07-10
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2025-06-12 2025-07-10
0808 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 2025-02-27 2025-03-12
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. G 2025-01-16 2025-02-20
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-01-16 2025-02-20
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2024-10-02 2024-11-16
0559 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 2024-10-02 2024-11-16
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. E 2024-10-02 2025-02-20
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-10-02 2024-11-16
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-10-02 2025-02-20
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2024-10-02 2025-02-20
0759 Ensure medication error rates are not 5 percent or greater. E 2024-10-02 2024-11-16
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 2024-10-02 2025-02-20
0806 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. D 2024-10-02 2024-11-16
0849 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 2024-10-02 2024-11-16
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. D 2024-10-02 2025-02-20
0880 Provide and implement an infection prevention and control program. F 2024-10-02 2024-11-16
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. J 2024-03-29 2024-04-28
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. K 2024-02-22 2024-02-06
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. K 2024-02-22 2024-02-06
0660 Plan the resident's discharge to meet the resident's goals and needs. D 2024-02-22 2024-03-23
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2024-02-22 2024-04-28
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 2024-02-22 2024-03-23
0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently. K 2024-02-22 2024-02-06
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. D 2024-02-22 2024-04-28
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 2022-08-10 2022-09-12
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2022-08-10 2022-09-12
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 2021-04-30 2021-05-31

Penalties (6)

Fines issued
5
last 3 years
Total fines
$281,689
Payment denials
1
Date Type Fine amount
2024-02-22 Fine $8,624
2024-02-22 Fine $8,624
2024-10-02 Fine $12,542
2024-10-02 Fine $59,462
2024-02-22 Fine $192,437
2024-10-02 Payment Denial —

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 5.9% Medicaid 89.2% Other 4.9%

Operating performance

Operating Margin
-9.0%
Total Margin
-9.0%
Occupancy Rate
59.9%
Cost per Resident Day
$24

Revenue & costs

Net Patient Revenue
$2.3M
Total Costs
$179K
Net Income
-$209K

Balance sheet

Total Assets
$12K
Total Liabilities
$221K
Fund Balance
-$209K
Current Ratio
2.62

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

Ownership & Corporate Structure

Chain: ELIYAHU MIRLIS

Chain ID
710
Facilities in chain
13
Legal business name
DUNEDIN OPCO LLC
Chain-average star ratings (for peer context)
Overall
2.0
Health
1.9
Staffing
2.8
QM
3.4

Owner / manager individuals (3)

Name Role Association
MIRLIS, ELIYAHU 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 09/01/2023
PAI, SURESH OPERATIONAL/MANAGERIAL CONTROL since 09/01/2023
THORNGREN, DANIEL OPERATIONAL/MANAGERIAL CONTROL since 09/01/2023

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
Both
Sprinkler systems
Yes
Abuse citation flag
No
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.

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Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $24 metrics.cost_per_resident_day
Cost Report Current Ratio 2.62 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 89.2% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 5.9% metrics.medicare_day_share
Cost Report Net Income ($) $-209,432 metrics.net_income
Cost Report Net Patient Revenue ($) $2,337,193 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 59.9% metrics.occupancy_rate
Cost Report Operating Margin (%) -9.0% metrics.operating_margin
Cost Report Total Assets ($) $11,675 metrics.total_assets
Cost Report Total Costs ($) $179,105 metrics.total_costs
Cost Report Total Fund Balances ($) $-209,432 metrics.fund_balance
Cost Report Total Liabilities ($) $221,107 metrics.total_liabilities
Cost Report Total Margin (%) -9.0% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.06114 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.54180 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.42842 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.03136 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.88170 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 91.0 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 0.72151 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 1.96091 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.56871 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.25113 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 2.86553 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 3.4 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.8 Chain Average Staffing Rating
Provider Information Chain ID 710 Chain ID
Provider Information Chain Name ELIYAHU MIRLIS Chain Name
Provider Information City/Town DUNEDIN City/Town
Provider Information CMS Certification Number (CCN) 105350 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Pinellas County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1979-07-30 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 28.0232 Latitude
Provider Information Legal Business Name DUNEDIN OPCO LLC Legal Business Name
Provider Information Location 1351 SAN CHRISTOPHER DR,DUNEDIN,FL,34698 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 -82.77 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 2 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 104 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 13 Number of Facilities in Chain
Provider Information Number of Fines 5 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.15173 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.83601 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For 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 1351 SAN CHRISTOPHER DR Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name LAKE HAVEN NURSING AND REHAB CENTER Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 510 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 3 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 92 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 46 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 3 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 2 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 12 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-10-02 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 138 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 15 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 2 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2022-08-10 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 258 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 11 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 258 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 13 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.33831 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 84.2 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.25430 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.89355 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.14034 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.01785 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.36076 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 3.39465 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 1 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 7277361421 Telephone Number
Provider Information Total Amount of Fines in Dollars 281689.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.26863 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 6 Total Number of Penalties
Provider Information Total nursing staff turnover 72.5 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 168.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Both With a Resident and Family Council
Provider Information ZIP Code 34698 ZIP Code