Inspection > 2 years ago CCRC

Overview

Address
909 LAKESIDE AVE, LAKELAND, FL 33803
Phone
8636885521
Certified beds
68
Avg daily residents
63 (92% of beds filled)
Ownership
Non-profit (church-affiliated)
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1997-04-03
Setting
Urban
5 /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.
5/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
3/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
5/5
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 5/5

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
3.81 3.55 4.14 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
1.05 0.62 1.14 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.57 0.79 0.62
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.19 2.14 2.38
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.62
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.11

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)
3.53
hrs / resident / day
RN (weekend)
0.92
hrs / resident / day
Total nurse (adjusted, weekend)
3.84
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
31.5%
annual
RN turnover
25.0%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.26
higher acuity than avg
Case-Mix Index Ratio
0.91
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) 2024-02-26 8 8 0 44 1 44
Cycle 2/3 (prior) 2022-03-03 5 5 0 40 1 40
Total weighted health score
43.0
lower is better

Deficiencies (16)

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).

16 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2024-02-26 2024-03-18
0641 Ensure each resident receives an accurate assessment. D 2024-02-26 2024-03-15
0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. E 2024-02-26 2024-03-15
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted E 2024-02-26 2024-03-15
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-02-26 2024-03-15
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 2024-02-26 2024-03-15
0758 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. D 2024-02-26 2024-03-15
0759 Ensure medication error rates are not 5 percent or greater. E 2024-02-26 2024-03-15
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2022-03-03 2022-04-02
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 2022-03-03 2022-04-02
0882 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F 2022-03-03 2022-04-02
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. E 2022-03-03 2022-04-02
0886 Perform COVID19 testing on residents and staff. E 2022-03-03 2022-04-02
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2021-01-08 2021-02-04
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. D 2021-01-08 2021-02-04
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. D 2021-01-08 2021-02-04

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 24.1% Medicaid 46.6% Other 29.3%

Operating performance

Total Margin
-5.5%
Occupancy Rate
63.2%
Cost per Resident Day
$64

Revenue & costs

Net Patient Revenue
$7.0M
Total Costs
$1.0M
Net Income
-$911K

Balance sheet

Total Assets
$43.0M
Total Liabilities
$31.1M
Fund Balance
$11.9M
Current Ratio
0.09

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

Ownership & Corporate Structure

Chain: WESTMINSTER COMMUNITIES OF FLORIDA

Chain ID
563
Facilities in chain
8
Legal business name
FLORIDA PRESBYTERIAN HOMES, INC.
Chain-average star ratings (for peer context)
Overall
4.4
Health
3.6
Staffing
4.5
QM
4.9

Owner / manager individuals (10)

Name Role Association
ABUAITA, ALA OPERATIONAL/MANAGERIAL CONTROL since 04/08/2025
DURRANT, ELLISA OPERATIONAL/MANAGERIAL CONTROL since 05/15/2024
DODDRIDGE, DONALD CORPORATE DIRECTOR since 01/01/2025
HENNIS, GARRY CORPORATE DIRECTOR since 04/01/2024
KEITH, HENRY CORPORATE DIRECTOR since 04/01/2024
DODDRIDGE, DONALD CORPORATE OFFICER since 01/01/2025
FAUBEL, MEGAN CORPORATE OFFICER since 01/01/2025
HENNIS, GARRY CORPORATE OFFICER since 04/01/2024
KEITH, HENRY CORPORATE OFFICER since 04/01/2024
TAMNEY, MICHAEL CORPORATE OFFICER since 04/18/2017

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

Facility Features

CCRC
Yes
Hospital-based
No
Resident / family council
Resident
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.

Download CSV

Show 112 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $64 metrics.cost_per_resident_day
Cost Report Current Ratio 0.09 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 46.6% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 24.1% metrics.medicare_day_share
Cost Report Net Income ($) $-910,738 metrics.net_income
Cost Report Net Patient Revenue ($) $7,011,042 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 63.2% metrics.occupancy_rate
Cost Report Total Assets ($) $43,014,353 metrics.total_assets
Cost Report Total Costs ($) $1,002,679 metrics.total_costs
Cost Report Total Fund Balances ($) $11,947,375 metrics.fund_balance
Cost Report Total Liabilities ($) $31,066,978 metrics.total_liabilities
Cost Report Total Margin (%) -5.5% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.61957 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.37897 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 1.14224 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.14078 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.83661 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 62.7 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 0.78855 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.14309 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.62155 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.55319 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.13176 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 3.6 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 4.4 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.9 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 4.5 Chain Average Staffing Rating
Provider Information Chain ID 563 Chain ID
Provider Information Chain Name WESTMINSTER COMMUNITIES OF FLORIDA Chain Name
Provider Information City/Town LAKELAND City/Town
Provider Information CMS Certification Number (CCN) 105949 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community Y Continuing Care Retirement Community
Provider Information County/Parish Polk County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1997-04-03 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 3 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 28.0322 Latitude
Provider Information Legal Business Name FLORIDA PRESBYTERIAN HOMES, INC. Legal Business Name
Provider Information Location 909 LAKESIDE AVE,LAKELAND,FL,33803 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 -81.961 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 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 68 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 0 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.25874 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.91368 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 5 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type Non profit - Church related 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 909 LAKESIDE AVE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name FLORIDA PRESBYTERIAN HOMES INC 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 44 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 0 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 2024-02-26 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 44 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 8 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 5 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2022-03-03 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 40 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 0 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 40 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 5 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.92105 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 25.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.62138 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.57018 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.18935 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.10966 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 1.05120 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 3.81073 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 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 5 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State FL State
Provider Information Telephone Number 8636885521 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.53080 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 0 Total Number of Penalties
Provider Information Total nursing staff turnover 31.5 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 43.000 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 33803 ZIP Code