SFF Candidate Inspection > 2 years ago

Overview

Address
1801 N LAKE MARIAM DR, WINTER HAVEN, FL 33884
Phone
8632931989
Certified beds
120
Avg daily residents
93 (77% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1983-02-07
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.
4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
4/5
Quality Measures breakdown
Long-Stay Quality Measures 4/5
Short-Stay Quality Measures 3/5

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
4.60 3.16 5.62 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.55 0.55 0.68 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.94 0.70 1.15
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
3.10 1.90 3.80
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.49
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.01

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)
4.13
hrs / resident / day
RN (weekend)
0.30
hrs / resident / day
Total nurse (adjusted, weekend)
5.05
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
52.0%
annual
RN turnover
47.1%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.12
near national average
Case-Mix Index Ratio
0.81
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) 2024-01-25 36 36 5 305 3 519
Cycle 2/3 (prior) 2021-10-08 15 7 8 355 2 533
Total weighted health score
522.5
lower is better
Infection-control citations
0
last cycle

Deficiencies (61)

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).

56 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
4 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
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 2024-10-17 2024-11-15
0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. D 2024-10-17 2024-11-15
0624 Prepare residents for a safe transfer or discharge from the nursing home. G 2024-10-17 2024-11-15
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. K 2024-05-17 2024-06-06
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2024-01-25 2024-02-25
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 2024-01-25 2024-02-25
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2024-01-25 2024-02-25
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2024-01-25 2024-06-06
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. E 2024-01-25 2024-02-25
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-01-25 2024-02-25
0687 Provide appropriate foot care. D 2024-01-25 2024-02-25
0688 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 2024-01-25 2024-02-25
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. K 2024-01-25 2024-06-06
0692 Provide enough food/fluids to maintain a resident's health. D 2024-01-25 2024-02-25
0693 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 2024-01-25 2024-02-25
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-01-25 2024-02-25
0700 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 2024-01-25 2024-04-25
0732 Post nurse staffing information every day. D 2024-01-25 2024-02-25
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2024-01-25 2024-04-25
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. E 2024-01-25 2024-04-25
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. D 2024-01-25 2024-02-25
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 2024-01-25 2024-02-25
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. D 2024-01-25 2024-02-25
0814 Dispose of garbage and refuse properly. E 2024-01-25 2024-02-25
0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently. D 2024-01-25 2024-02-25
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. E 2024-01-25 2024-06-06
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 2024-01-25 2024-02-25
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. E 2024-01-25 2024-06-06
0880 Provide and implement an infection prevention and control program. E 2024-01-25 2024-02-25
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. E 2024-01-25 2024-02-25
0909 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 2024-01-25 2024-02-25
0918 Provide a bathroom in or located near each resident’s room. D 2024-01-25 2024-02-25
0920 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 2024-01-25 2024-02-25
0924 Put firmly secured handrails on each side of hallways. D 2024-01-25 2024-02-25
0926 Have policies on smoking. D 2024-01-25 2024-02-25
0558 Reasonably accommodate the needs and preferences of each resident. D 2024-01-25 2024-02-25
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 2024-01-25 2024-06-06
0807 Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. D 2024-01-25 2024-02-25
0837 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 2024-01-25 2024-02-25
0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. E 2024-01-25 2024-02-25
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 2023-08-18 2023-09-15
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. J 2023-08-18 2023-09-15
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2023-08-18 2023-09-15
0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. E 2023-08-18 2023-09-15
0557 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. D 2021-10-08 2021-11-08
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2021-10-08 2021-11-08
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2021-10-08 2021-11-08
0759 Ensure medication error rates are not 5 percent or greater. D 2021-10-08 2021-12-30
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. D 2021-10-08 2021-12-30
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. E 2021-10-08 2021-11-08

Showing 50 most recent of 61. See the All Data CSV for the full list.

Penalties (4)

Fines issued
4
last 3 years
Total fines
$353,123
Date Type Fine amount
2024-10-17 Fine $12,529
2024-01-25 Fine $12,542
2023-08-18 Fine $31,603
2024-01-25 Fine $296,449

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 7.1% Medicaid 65.0% Other 27.9%

Operating performance

Operating Margin
-1.1%
Total Margin
0.0%
Occupancy Rate
88.7%
Cost per Resident Day
$20

Revenue & costs

Net Patient Revenue
$4.4M
Total Costs
$310K
Net Income
$2K

Balance sheet

Total Assets
$530K
Total Liabilities
$519K
Fund Balance
$10K
Current Ratio
0.24

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

Ownership & Corporate Structure

Chain: ROBERT SCHOENFELD

Chain ID
716
Facilities in chain
8
Legal business name
LAKE MARIAM FL OPCO LLC
Chain-average star ratings (for peer context)
Overall
3.3
Health
3.0
Staffing
3.5
QM
3.9

Owner / manager organizations (2)

Organization Role Association
LAKE MARIAM FL HOLDCO LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 08/11/2023
FL HC OPCO LLC OPERATIONAL/MANAGERIAL CONTROL since 04/01/2023

Owner / manager individuals (3)

Name Role Association
SCHOENFELD, ROBERT 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 08/11/2023
SCHOENFELD, ROBERT OPERATIONAL/MANAGERIAL CONTROL since 04/01/2023
SCHOENFELD, ROBERT CORPORATE OFFICER since 08/11/2023

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
Resident
Sprinkler systems
Yes
Special focus status
SFF Candidate
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.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $20 metrics.cost_per_resident_day
Cost Report Current Ratio 0.24 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 65.0% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 7.1% metrics.medicare_day_share
Cost Report Net Income ($) $1,825 metrics.net_income
Cost Report Net Patient Revenue ($) $4,362,704 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 88.7% metrics.occupancy_rate
Cost Report Operating Margin (%) -1.1% metrics.operating_margin
Cost Report Total Assets ($) $529,695 metrics.total_assets
Cost Report Total Costs ($) $309,790 metrics.total_costs
Cost Report Total Fund Balances ($) $10,339 metrics.fund_balance
Cost Report Total Liabilities ($) $519,356 metrics.total_liabilities
Cost Report Total Margin (%) 0.0% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.15104 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 3.79513 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.67532 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 5.62149 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 5.04614 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 92.9 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 0.70054 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 1.90391 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.55218 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.15664 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 2.78224 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 3.0 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.3 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.9 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 3.5 Chain Average Staffing Rating
Provider Information Chain ID 716 Chain ID
Provider Information Chain Name ROBERT SCHOENFELD Chain Name
Provider Information City/Town WINTER HAVEN City/Town
Provider Information CMS Certification Number (CCN) 105428 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 1983-02-07 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 28.0109 Latitude
Provider Information Legal Business Name LAKE MARIAM FL OPCO LLC Legal Business Name
Provider Information Location 1801 N LAKE MARIAM DR,WINTER HAVEN,FL,33884 Location
Provider Information Long-Stay QM Rating 4 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -81.697 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 0 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 4 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.11825 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.81171 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 - Limited Liability company 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 1801 N LAKE MARIAM 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 MARIAM HEALTH AND REHABILITATION 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 4 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 305 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 214 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 5 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 3 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 36 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-01-25 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 519 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 36 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 7 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2021-10-08 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 355 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 178 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 8 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 2 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 533 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 15 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.29601 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 47.1 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.49321 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.94108 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 3.10284 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.00612 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.55213 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 4.59604 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 3 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status SFF Candidate Special Focus Status
Provider Information Staffing Rating 4 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State FL State
Provider Information Telephone Number 8632931989 Telephone Number
Provider Information Total Amount of Fines in Dollars 353123.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 4.12565 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 4 Total Number of Penalties
Provider Information Total nursing staff turnover 52.0 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 522.500 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 33884 ZIP Code