Cycle 1
Health 2025-02-13 · Fire 2025-02-13
7 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Winter Haven, FL
Spring Lake Rehabilitation Center
4-star overall rating with 3-star inspections with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
1540 6th St Nw, Winter Haven, FL
(863) 294-3055
Overall
4 / 5
CMS overall stars
Health inspections
3 / 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
132
Certified beds
Average residents
124
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Clear Choice Healthcare
Operator or chain grouping
Approved since
1991-05-17
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
9 facilities
Chain averages 4 overall / 3 health / 4 staffing / 4 quality stars
Changed ownership
No
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
0.82
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
1.08
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
2.69
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
4.59
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.89
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
4.03
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.60
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.13
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.88
CMS adjusted RN staffing hours
Adjusted total hours
4.94
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
35%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
35%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
614
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
66.54
Composite VBP score used to determine payment impact.
Payment multiplier
1.0204
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
9
Baseline 22.82% · Performance 17.29% · Measure score 9 · Achievement 8.93 · Improvement 9
Healthcare-associated infections
6.81
Baseline 10.28% · Performance 6.42% · Measure score 6.81 · Achievement 4.75 · Improvement 6.81
Total nurse turnover
6.38
Baseline 55.36% · Performance 37.59% · Measure score 6.38 · Achievement 6.38 · Improvement 5.32
Adjusted total nurse staffing
4.42
Baseline 4.31 hours · Performance 4.34 hours · Measure score 4.42 · Achievement 4.42 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.14% |
10.72%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 775 · Observed rate 12.26% · Lower 95% interval 10.04% |
| Discharge to community | 65.88% |
50.57%
15.3 pts better
|
Better than the National Rate · Eligible stays 777 · Observed rate 61.78% · Lower 95% interval 62.26% |
| Medicare spending per beneficiary | 1.08 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.5% |
95.27%
3.2 pts better
|
Numerator 524 · Denominator 532 |
| Falls with major injury | 0.75% |
0.77%
About the same
|
Numerator 4 · Denominator 532 |
| Discharge self-care score | 33.75% |
53.69%
19.9 pts worse
|
Numerator 135 · Denominator 400 |
| Discharge mobility score | 43.25% |
50.94%
7.7 pts worse
|
Numerator 173 · Denominator 400 |
| Pressure ulcers or injuries, new or worsened | 0.56% |
2.29%
1.7 pts better
|
Numerator 3 · Denominator 532 · Adjusted rate 0.6% |
| Healthcare-associated infections requiring hospitalization | 6.42% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 449 · Observed rate 5.57% · Lower 95% interval 4.5% |
| Staff COVID-19 vaccination coverage | 7.49% |
8.2%
0.7 pts worse
|
Numerator 17 · Denominator 227 |
| Staff flu vaccination coverage | 7.26% |
42%
34.7 pts worse
|
Numerator 17 · Denominator 234 |
| Discharge function score | 41.5% |
56.45%
15 pts worse
|
Numerator 166 · Denominator 400 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 329 · Denominator 329 |
| Transfer of health information to patient | 98.71% |
96.28%
2.4 pts better
|
Numerator 153 · Denominator 155 |
| Resident COVID-19 vaccinations up to date | 20.07% |
25.2%
5.1 pts worse
|
Numerator 58 · Denominator 289 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
2.1
0.4 pts better
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.4 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.3 |
1.2
0.9 pts better
|
1.8
1.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.3 · Observed 0.3 · Expected 1.4 · Used in QM five-star |
| 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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 1.6% |
2.6%
1 pts better
|
3.3%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 1.6% · Q3 0.0% · Q4 1.5% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
3.7%
3.7 pts better
|
11.4%
11.4 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 who lose too much weight | 2.2% |
5.9%
3.7 pts better
|
5.4%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 4.8% · Q3 2.0% · Q4 0.0% · 4Q avg 2.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.5% |
15.7%
12.8 pts worse
|
19.6%
8.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.8% · Q2 28.3% · Q3 24.0% · Q4 22.9% · 4Q avg 28.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.1% |
9.8%
1.7 pts better
|
16.7%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 5.3% · Q3 8.7% · Q4 8.3% · 4Q avg 8.1% · 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 | 9.5% |
11.7%
2.2 pts better
|
16.3%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 20.2% · Q3 11.9% · Q4 3.0% · 4Q avg 9.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.8% |
9.8%
4 pts worse
|
14.9%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 21.7% · Q3 10.0% · Q4 6.5% · 4Q avg 13.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.6% |
0.4%
1.2 pts worse
|
1.0%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 2.6% · Q3 0.9% · Q4 1.3% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.8% |
0.8%
About the same
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.4% |
12.5%
0.9 pts worse
|
19.8%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.0% · Q2 22.6% · Q3 8.9% · Q4 3.1% · 4Q avg 13.4% |
| Percentage of long-stay residents with pressure ulcers | 5.2% |
5.1%
0.1 pts worse
|
5.1%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 6.4% · Q3 3.0% · Q4 4.4% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8% |
94.3%
5.5 pts better
|
81.7%
18.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.8% · Q2 99.7% · Q3 100.0% · Q4 99.8% · 4Q avg 99.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.9% |
9.3%
4.4 pts better
|
12.0%
7.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.9% · Observed 4.6% · Expected 10.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.5%
0.3 pts better
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.1% · Q3 1.2% · Q4 1.1% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.8% |
94.7%
4.1 pts better
|
79.7%
19.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.2% |
26.2%
About the same
|
23.9%
2.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.2% · Observed 25.3% · Expected 23.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-12-22 · Fire 2022-12-22
5 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2022-01-07 · Fire 2022-01-07
3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-02-13
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 2025-03-13
D · Potential for more than minimal harm
2025-02-13
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-03-13
D · Potential for more than minimal harm
2025-02-13
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-03-13
D · Potential for more than minimal harm
2022-12-22
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-01-22
D · Potential for more than minimal harm
2022-12-22
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-01-22
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-02-13
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-03-13
E · Potential for more than minimal harm
2025-02-13
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-03-13
D · Potential for more than minimal harm
2025-02-13
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-03-13
D · Potential for more than minimal harm
2025-02-13
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2025-03-13
D · Potential for more than minimal harm
2025-02-13
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-03-13
D · Potential for more than minimal harm
2025-02-13
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 2025-03-13
D · Potential for more than minimal harm
2025-02-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-13
D · Potential for more than minimal harm
2022-12-22
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-01-22
D · Potential for more than minimal harm
2022-12-22
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-01-22
D · Potential for more than minimal harm
2022-12-22
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-01-22
D · Potential for more than minimal harm
2022-12-22
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-01-22
D · Potential for more than minimal harm
2022-12-22
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-01-22
E · Potential for more than minimal harm
2022-01-07
F885 · Infection Control Deficiencies
Health
Report COVID19 data to residents and families.
Corrected 2022-02-07
D · Potential for more than minimal harm
2022-01-07
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-02-07
D · Potential for more than minimal harm
2022-01-07
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-02-07
Penalties and ownership
What sits behind the stars
Ownership
Sbk Capital, LLC
5% Or Greater Direct Ownership Interest · Organization
Bonner, Edward
Operational/Managerial Control · Individual
Capital Funding Group, LLC
5% Or Greater Mortgage Interest · Organization
Clear Choice Health Care LLC
Operational/Managerial Control · Organization
Kennedy, Deborah
Operational/Managerial Control · Individual
Manubens, Claudio
Operational/Managerial Control · Individual
Partee, Leslie
Operational/Managerial Control · Individual
Sbk Capital, LLC
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Vivo Healthcare Winter Haven
Winter Haven, FL
1-star overall rating with 1-star inspections with 25 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Winter Haven Health And Rehabilitation Center
Winter Haven, FL
2-star overall rating with 2-star inspections with $4,190 in total fines with 12 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Life Care Center Of Winter Haven
Winter Haven, FL
4-star overall rating with 3-star inspections with 10 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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