Lakeland, FL

Manor At Carpenters, The

3-star overall rating with 2-star inspections with abuse icon flag with $24,252 in total fines with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

1001 Carpenters Way, Lakeland, FL

(863) 858-3847

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

72

Certified beds

Average residents

61

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1989-07-06

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.12

Registered nurse staffing

LPN hours / resident day

0.35

Licensed practical nurse staffing

Aide hours / resident day

2.56

Nurse aide staffing

Weekend hours

3.61

Weekend nurse staffing

RN turnover

33%

Annual RN turnover

Total nurse turnover

48%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.8
2.1
0.7 pts worse
1.9
0.9 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.6
1.2
0.6 pts better
1.8
1.2 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
97.8%
2.2 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents experiencing one or more falls with major injury 3.3%
2.6%
0.7 pts worse
3.3%
About the same
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 1.6%
3.7%
2.1 pts better
11.4%
9.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 2.5%
5.9%
3.4 pts better
5.4%
2.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 16.9%
15.7%
1.2 pts worse
19.6%
2.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 3.4%
9.8%
6.4 pts better
16.7%
13.3 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 22.9%
11.7%
11.2 pts worse
16.3%
6.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 12.2%
9.8%
2.4 pts worse
14.9%
2.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.6%
0.4%
0.2 pts worse
1.0%
0.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 1.4%
0.8%
0.6 pts worse
1.7%
0.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 14.6%
12.5%
2.1 pts worse
19.8%
5.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 5.3%
5.1%
0.2 pts worse
5.1%
0.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
94.3%
5.7 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 9.5%
9.3%
0.2 pts worse
12.0%
2.5 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.6%
1.5%
0.1 pts worse
1.6%
About the same
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100.0%
94.7%
5.3 pts better
79.7%
20.3 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 18.4%
26.2%
7.8 pts better
23.9%
5.5 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-01-18 · Fire 2024-01-18

5 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 2 Health 2022-02-11 · Fire 2022-02-11

5 health deficiencies

Top issue: Infection Control (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2020-12-04 · Fire 2020-12-04

5 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

C · Minimal harm 2024-01-18

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2024-02-17

D · Potential for more than minimal harm 2020-12-04

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2021-01-04

D · Potential for more than minimal harm 2020-12-04

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2021-01-04

D · Potential for more than minimal harm 2020-12-04

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2021-01-04

D · Potential for more than minimal harm 2020-12-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-01-04

D · Potential for more than minimal harm 2020-12-04

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2021-01-04

D · Potential for more than minimal harm 2020-12-04

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2021-01-04

D · Potential for more than minimal harm 2020-12-04

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2021-01-04

D · Potential for more than minimal harm 2020-12-04

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2021-01-04

Inspection history

Recent health citations

G · Actual harm 2025-03-17

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 2025-04-07

G · Actual harm 2025-03-17

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-04-07

D · Potential for more than minimal harm 2024-01-18

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-02-17

D · Potential for more than minimal harm 2024-01-18

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-02-17

D · Potential for more than minimal harm 2024-01-18

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-02-17

E · Potential for more than minimal harm 2022-02-11

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-03-11

D · Potential for more than minimal harm 2022-02-11

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-03-11

D · Potential for more than minimal harm 2022-02-11

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2022-03-11

D · Potential for more than minimal harm 2022-02-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-03-11

D · Potential for more than minimal harm 2022-02-11

F886 · Infection Control Deficiencies

Health

Perform COVID19 testing on residents and staff.

Corrected 2022-03-11

D · Potential for more than minimal harm 2020-12-04

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2021-01-04

D · Potential for more than minimal harm 2020-12-04

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-01-04

D · Potential for more than minimal harm 2020-12-04

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-01-04

D · Potential for more than minimal harm 2020-12-04

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2021-01-04

D · Potential for more than minimal harm 2020-12-04

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2021-01-04

Penalties and ownership

What sits behind the stars

$24,252 2025-03-17

Fine

Fine · fine $24,252

Fine

Ownership

Carpenters Home Estates Inc

Operational/Managerial Control · Organization

0% 1 facilities 1989-07-06
Chappel, Christopher

Operational/Managerial Control · Individual

0% 3 facilities 2016-01-01
Gillman, Leo

Corporate Officer · Individual

0% 1 facilities 1995-01-15
Goss, Joseph

Corporate Director · Individual

0% 1 facilities 2025-01-27
Laidler, Walter

Corporate Director · Individual

0% 1 facilities 2015-01-26
Layfield, Angela

Operational/Managerial Control · Individual

0% 1 facilities 2024-04-02
Mabe, Beauford

Corporate Director · Individual

0% 1 facilities 2014-01-27
Mccraney, S Lou

Corporate Officer · Individual

0% 1 facilities 2005-01-05
Robare, Brian

Operational/Managerial Control · Individual

0% 1 facilities 2024-01-01
Robare, Brian

Corporate Officer · Individual

0% 1 facilities 2024-01-01
Scruggs, David

Corporate Director · Individual

0% 1 facilities 2022-03-29
Strozier, Jeffrey

Operational/Managerial Control · Individual

0% 1 facilities 2025-05-05
Vespa, David

Corporate Officer · Individual

0% 1 facilities 2014-01-27

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Overall
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Health
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Staffing
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Fines
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#3

Valencia Hills Health And Rehabilitation Center

Lakeland, FL

1-star overall rating with 1-star inspections with $24,236 in total fines with 12 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
3 / 5
Fines
$24,236

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