Lake Wales, FL

Groves Center

0-star overall rating with 0-star inspections with Special Focus status with abuse icon flag with $162,553 in total fines with 23 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

512 S 11th St, Lake Wales, FL

(863) 676-8502

Compare this facility

Overall

0 / 5

CMS overall stars

Health inspections

0 / 5

Survey and complaint cycles

Staffing

0 / 5

RN + nurse staffing

Quality measures

0 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

116

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Hearthstone Senior Communities

Operator or chain grouping

Approved since

1973-09-11

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

8 facilities

Chain averages 2 overall / 2 health / 3 staffing / 3 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.40

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.81

Licensed practical nurse staffing · state 0.79 · national 0.87

Aide hours / resident day

2.06

Nurse aide staffing · state 2.34 · national 2.35

Total nurse hours

3.26

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.21

RN + LPN hours · state 1.52 · national 1.54

Weekend hours

3.03

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.23

Weekend registered nurse coverage · state 0.53 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.43

CMS adjusted RN staffing hours

Adjusted total hours

3.54

CMS adjusted total nurse staffing hours

Case-mix index

1.26

Higher values indicate more complex resident acuity

RN turnover

75%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

60%

Annual nurse turnover · state 42% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,218

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

45.41

Composite VBP score used to determine payment impact.

Payment multiplier

0.9986

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.56

Baseline 24.11% · Performance 19.11% · Measure score 6.56 · Achievement 5.02 · Improvement 6.56

Healthcare-associated infections

7.58

Baseline 9.15% · Performance 5.80% · Measure score 7.58 · Achievement 6.82 · Improvement 7.58

Total nurse turnover

3.47

Baseline 46.73% · Performance 49.49% · Measure score 3.47 · Achievement 3.47 · Improvement 0

Adjusted total nurse staffing

0.55

Baseline 3.23 hours · Performance 3.24 hours · Measure score 0.55 · Achievement 0.55 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.58%	10.72% 0.9 pts worse	No Different than the National Rate · Eligible stays 72 · Observed rate 16.67% · Lower 95% interval 7.48%
Discharge to community	45.42%	50.57% 5.1 pts worse	No Different than the National Rate · Eligible stays 46 · Observed rate 30.43% · Lower 95% interval 31.65%
Medicare spending per beneficiary	1.27	1.02 0.2 pts worse
Drug regimen review with follow-up	96%	95.27% 0.7 pts better	Numerator 72 · Denominator 75
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 75
Discharge self-care score	27.27%	53.69% 26.4 pts worse	Numerator 15 · Denominator 55
Discharge mobility score	25.45%	50.94% 25.5 pts worse	Numerator 14 · Denominator 55
Pressure ulcers or injuries, new or worsened	2.67%	2.29% 0.4 pts worse	Numerator 2 · Denominator 75 · Adjusted rate 2.25%
Healthcare-associated infections requiring hospitalization	5.8%	7.12% 1.3 pts better	No Different than the National Rate · Eligible stays 40 · Observed rate 2.5% · Lower 95% interval 3.01%
Staff COVID-19 vaccination coverage	2.02%	8.2% 6.2 pts worse	Numerator 2 · Denominator 99
Staff flu vaccination coverage	15.53%	42% 26.5 pts worse	Numerator 16 · Denominator 103
Discharge function score	25.45%	56.45% 31 pts worse	Numerator 14 · Denominator 55
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 22 · Denominator 22
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	2.86%	25.2% 22.3 pts worse	Numerator 1 · Denominator 35

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.0	2.1 0.1 pts better	1.9 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.8 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.3	1.2 1.1 pts worse	1.8 0.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.0 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.0%	97.8% 1.2 pts better	93.4% 5.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.0% · Q2 100.0% · Q3 98.0% · Q4 100.0% · 4Q avg 99.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	99.2% 0.8 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	1.7%	2.6% 0.9 pts better	3.3% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.0% · Q3 2.9% · Q4 3.0% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.1%	3.7% 2.6 pts better	11.4% 10.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.2% · Q4 1.2% · 4Q avg 1.1%
Percentage of long-stay residents who lose too much weight	6.6%	5.9% 0.7 pts worse	5.4% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 5.9% · Q3 2.3% · Q4 5.6% · 4Q avg 6.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.9%	15.7% 5.2 pts worse	19.6% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.3% · Q2 19.3% · Q3 21.1% · Q4 20.9% · 4Q avg 20.9%
Percentage of long-stay residents who received an antipsychotic medication	6.7%	9.8% 3.1 pts better	16.7% 10 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 11.1% · Q3 3.1% · Q4 6.3% · 4Q avg 6.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	10.9%	11.7% 0.8 pts better	16.3% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 15.5% · Q3 9.2% · Q4 3.1% · 4Q avg 10.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	9.9%	9.8% 0.1 pts worse	14.9% 5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 7.7% · Q3 15.9% · Q4 10.0% · 4Q avg 9.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.5%	0.4% 0.1 pts worse	1.0% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.8% 0.8 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	7.1%	12.5% 5.4 pts better	19.8% 12.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.4% · Q3 13.8% · Q4 11.1% · 4Q avg 7.1%
Percentage of long-stay residents with pressure ulcers	2.4%	5.1% 2.7 pts better	5.1% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 1.6% · Q3 0.9% · Q4 4.7% · 4Q avg 2.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.6%	94.3% 4.3 pts better	81.7% 16.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 96.8% · Q3 98.8% · Q4 100.0% · 4Q avg 98.6%
Percentage of short-stay residents who had an outpatient emergency department visit	17.6%	9.3% 8.3 pts worse	12.0% 5.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 17.6% · Observed 21.6% · Expected 13.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.8%	1.5% 1.3 pts worse	1.6% 1.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 2.0% · Q3 0.0% · Q4 3.1% · 4Q avg 2.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	97.9%	94.7% 3.2 pts better	79.7% 18.2 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 97.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	19.7%	26.2% 6.5 pts better	23.9% 4.2 pts better	Short Stay · 20240701-20250630 · Adjusted 19.7% · Observed 27.5% · Expected 33.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-01-12 · Fire 2024-01-12

23 health deficiencies

Top issue: Quality of Life and Care (9 deficiencies)

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 2 Health 2022-01-27 · Fire 2022-01-27

15 health deficiencies

Top issue: Pharmacy Service (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2020-10-23 · Fire 2020-10-23

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-01-12

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-02-12

D · Potential for more than minimal harm 2020-10-23

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2020-11-20

D · Potential for more than minimal harm 2020-10-23

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2020-11-20

D · Potential for more than minimal harm 2020-10-23

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2020-11-20

D · Potential for more than minimal harm 2020-10-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-11-20

Inspection history

Recent health citations

G · Actual harm 2025-10-29

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-12-11

G · Actual harm 2025-10-29

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-12-11

D · Potential for more than minimal harm 2025-10-29

F585 · Resident Rights Deficiencies

Health

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.

Corrected 2025-12-11

D · Potential for more than minimal harm 2025-10-29

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-12-11

D · Potential for more than minimal harm 2025-10-29

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-12-11

D · Potential for more than minimal harm 2025-10-29

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-12-11

D · Potential for more than minimal harm 2025-10-29

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-12-12

D · Potential for more than minimal harm 2025-10-29

F777 · Administration Deficiencies

Health

Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

Corrected 2025-12-11

E · Potential for more than minimal harm 2025-05-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-23

E · Potential for more than minimal harm 2025-05-28

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-06-21

D · Potential for more than minimal harm 2025-05-28

F585 · Resident Rights Deficiencies

Health

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.

Corrected 2025-06-21

D · Potential for more than minimal harm 2025-05-28

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-06-21

D · Potential for more than minimal harm 2025-05-28

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-06-21

D · Potential for more than minimal harm 2024-10-01

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-10-01

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-10-01

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-10-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-01

L · Immediate jeopardy 2024-01-12

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-02-12

L · Immediate jeopardy 2024-01-12

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-02-12

L · Immediate jeopardy 2024-01-12

F726 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2024-02-12

L · Immediate jeopardy 2024-01-12

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2024-02-12

L · Immediate jeopardy 2024-01-12

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2024-02-12

G · Actual harm 2024-01-12

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-02-12

E · Potential for more than minimal harm 2024-01-12

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-02-12

E · Potential for more than minimal harm 2024-01-12

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2024-02-12

D · Potential for more than minimal harm 2024-01-12

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-02-12

D · Potential for more than minimal harm 2024-01-12

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-02-12

E · Potential for more than minimal harm 2023-06-15

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2023-07-15

D · Potential for more than minimal harm 2023-03-13

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-04-13

E · Potential for more than minimal harm 2022-01-27

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2022-02-26

E · Potential for more than minimal harm 2022-01-27

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2022-02-26

E · Potential for more than minimal harm 2022-01-27