Federal inspection record · CMS data as of October 1, 2026
Lakeland Hills Center
610 E Bella Vista Dr, Lakeland, FL · (863) 688-8591
- Certified beds
- 120
- Residents per day
- 114
- Ownership
- For-Profit
- Chain
- Hearthstone Senior Communities
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 1, 1974
1
How this home got 1 star
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.
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Staffing
★★★★★no change (already 1)
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.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Florida homes
Lakeland Hills Center carries 177 inspection points. That is fewer than 6% 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
31 health citations on record since 2021. 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.
Harm and immediate-jeopardy citations (3)
-
K
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
K
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.
-
K
Ensure that residents are free from significant medication errors.
Everything else, by area of care
Resident Assessment and Care Planning6D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Pharmacy Service5E
- E
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 a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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 medication error rates are not 5 percent or greater.
- D
Ensure medication error rates are not 5 percent or greater.
Quality of Life and Care5D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide activities to meet all resident's needs.
- D
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
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- D
Provide enough food/fluids to maintain a resident's health.
Resident Rights4E
- D
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
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
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
Honor the resident's right to organize and participate in resident/family groups in the facility.
Administration4E
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- E
Have a plan that describes the process for conducting QAPI and QAA activities.
Environmental2E
- D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E
Keep all essential equipment working safely.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control1F
- F
Provide and implement an infection prevention and control program.
Inspection history
2026-03-12
14 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2023-09-28
15 health deficiencies · 2 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2021-08-19
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 17 min of nursing staff time a day, 20 min of it from a registered nurse.
This home
3 h 17 min
Florida average
3 h 51 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 52% of nursing staff and 85% of registered nurses left in the past year, along with 3 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$176,108 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-12 | Fine | $36,735 |
| 2025-04-11 | Fine | $139,373 |
| 2025-04-11 | Payment Denial · 17 day denial | $0 |
6
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 days0.5 pts worse | 2.5 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse | 1.2 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.6 pts better | 100.0% | 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 pts better | 1.5% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.1 pts worse | 9.5% | 5.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.6 pts better | 4.9% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.4 pts worse | 15.3% | 13.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.5 pts better | 7.2% | 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 ability to walk independently worsened2.1 pts better | 6.3% | 8.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.2 pts better | 7.1% | 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 incontinence3.7 pts better | 5.8% | 9.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.1 pts worse | 5.5% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.4 pts better | 100.0% | 95.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.9 pts better | 8.0% | 8.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better | 0.8% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.8 pts better | 99.1% | 96.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.5 pts better | 18.3% | 25.8% | 23.4% |
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Who owns and runs it
19 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 |
|---|---|---|---|
| Hearthstone Senior Communities, Inc. | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 8 facilities |
| Lakeland Hills Rehabilitation Center, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Bowden, Destiny | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bowden, Destiny | Adp Of The SNF · Individual | 0% | 1 facilities |
| Consulting Support Services, LLC | Operational/Managerial Control · Organization | 0% | 37 facilities |
| Consulting Support Services, LLC | Adp Of The SNF · Organization | 0% | 37 facilities |
| Facility Support Company, LLC | Operational/Managerial Control · Organization | 0% | 37 facilities |
| Facility Support Company, LLC | Adp Of The SNF · Organization | 0% | 37 facilities |
| Garner, Alvin | Corporate Officer · Individual | 0% | 11 facilities |
| Jaffe, Howard | Corporate Officer · Individual | 0% | 37 facilities |
| Kane Financial Services, LLC | Operational/Managerial Control · Organization | 0% | 37 facilities |
| Kane Financial Services, LLC | Adp Of The SNF · Organization | 0% | 37 facilities |
| Kuhlmeyer, Richard | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kuhlmeyer, Richard | Adp Of The SNF · Individual | 0% | 1 facilities |
| Rombold, Lori | Corporate Officer · Individual | 0% | 11 facilities |
| Select Rehabilitation, LLC | Adp Of The SNF · Organization | 0% | 59 facilities |
| Themis Health Management, LLC | Operational/Managerial Control · Organization | 0% | 9 facilities |
| Themis Health Management, LLC | Adp Of The SNF · Organization | 0% | 9 facilities |
| Wyatt, Brian | Corporate Officer · Individual | 0% | 8 facilities |
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Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4D
- D
Install an approved automatic sprinkler system.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems2D
- D
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
Services1D
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Egress1D
- D
Have properly located and lighted "Exit" signs.
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Other homes nearby
-
Vivo Healthcare Lakeland
Lakeland, FL · Vivo Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 25 min
- Fines
- $120,385
-
Charming Lakes Rehab
Lakeland, FL · Excelsior Care Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 30 min
- Fines
- $77,880
-
Valencia Hills Health And Rehabilitation Center
Lakeland, FL · Summit Care · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 50 min
- Fines
- $62,766