Federal inspection record · CMS data as of October 1, 2026
Lake Port Square Health Center
701 Lake Port Blvd, Leesburg, FL · (352) 728-3366
- Certified beds
- 80
- Residents per day
- 73
- Ownership
- For-Profit
- Chain
- Healthpeak Properties, Inc.
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 27, 1990
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Florida.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Florida homes
Lake Port Square Health Center carries 35 inspection points. That is fewer than 54% of Florida's 691 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Florida: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–8 pts
- 4★ 8–25 pts
- 3★ 25–46 pts
- 2★ 46–85 pts
- 1★ over 85 pts
Bars show every rated home in Florida by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
28 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning9D
- D
Ensure each resident receives an accurate assessment.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Quality of Life and Care8E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service4E
- D
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
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.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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.
Nutrition and Dietary3D
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Dispose of garbage and refuse properly.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Administration1D
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Inspection history
2026-06-11
9 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2025-02-13
7 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2023-10-25
12 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 3 min of nursing staff time a day, 52 min of it from a registered nurse.
This home
4 h 3 min
Florida average
3 h 51 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 55% of nursing staff and 72% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts worse | 2.3 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 0.8 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.6 pts better | 99.0% | 98.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.6 pts better | 100.0% | 99.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts worse | 4.1% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.2 pts worse | 9.6% | 5.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight5 pts worse | 10.5% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.4 pts better | 12.5% | 13.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.2 pts better | 5.5% | 8.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased13.3 pts worse | 21.6% | 8.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.6 pts better | 0.0% | 0.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence20 pts worse | 29.5% | 9.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts worse | 5.2% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.9 pts better | 98.5% | 95.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.9 pts worse | 13.8% | 8.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts worse | 1.7% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.1 pts better | 96.4% | 96.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.3 pts worse | 29.1% | 25.8% | 23.4% |
·
Who owns and runs it
34 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Ccrc Opco Ventures, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 2 facilities |
| Blackrock Inc | Adp Of The SNF · Organization | 0% | 85 facilities |
| Buettner, Markus | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ccrc Propco Ventures, LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Cheng, Patrick | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Hcp Ma3 Gp Holding, LLC | Indirect Ownership Interest · Organization | 0% | 11 facilities |
| Hcp Ma3, LP | Limited Partnership Interest · Organization | 0% | 12 facilities |
| Hcp Ma3, LP | Adp Of The SNF · Organization | 0% | 12 facilities |
| Hcp Partners LP | Limited Partnership Interest · Organization | 0% | 12 facilities |
| Hcp Partners LP | Adp Of The SNF · Organization | 0% | 12 facilities |
| Hcp S-H 2014 Member LLC | Adp Of The SNF · Organization | 0% | 13 facilities |
| Hcp Ventures Ii Partner LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Hcp Ventures Ii Trs LLC | Indirect Ownership Interest · Organization | 0% | 11 facilities |
| Hcp/Ls 2011 Reit, LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Healthpeak Op LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Healthpeak Properties Inc | Adp Of The SNF · Organization | 0% | 13 facilities |
| Janus Living Op LLC | 5% Or Greater Security Interest · Organization | 0% | 12 facilities |
| Janus Living Op LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Janus Living Trs LLC | Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Janus Living, Inc. | Adp Of The SNF · Organization | 0% | 12 facilities |
| Janus Member, LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Life Care Services LLC | Operational/Managerial Control · Organization | 0% | 57 facilities |
| Life Care Services LLC | Adp Of The SNF · Organization | 0% | 57 facilities |
| Martinez Irizarry, Axel | Operational/Managerial Control · Individual | 0% | 17 facilities |
| Martinez Irizarry, Axel | Adp Of The SNF · Individual | 0% | 17 facilities |
| Mohadeo, Tristan | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Mohadeo, Tristan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mohadeo, Tristan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ocean Acquisition I LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Russo, Frank | Managing Control - Governing Body · Individual | 0% | 13 facilities |
| State Street Corporation | Adp Of The SNF · Organization | 0% | 15 facilities |
| Vallejo Agudelo, Andres | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Vallejo Agudelo, Andres | Adp Of The SNF · Individual | 0% | 2 facilities |
| Vanguard Group Inc | Adp Of The SNF · Organization | 0% | 84 facilities |
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Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems4F
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
Smoke3F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous1D
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
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Other homes nearby
-
South Campus Care Center And Rehab
Leesburg, FL · Gold Fl Trust Ii
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 42 min
- Fines
- $0
-
North Campus Rehabilitation And Nursing Center
Leesburg, FL
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 53 min
- Fines
- $0
-
Avante At Leesburg, Inc
Leesburg, FL · Avante Centers
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 32 min
- Fines
- $0