Cycle 1
Health 2025-06-26 · Fire 2025-06-26
13 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Lakeland, FL
Vivo Healthcare Lakeland
1-star overall rating with 1-star inspections with abuse icon flag with $181,077 in total fines with 13 recent health deficiencies
1919 Lakeland Hills Blvd, Lakeland, FL
(863) 688-5612
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
185
Certified beds
Average residents
164
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Vivo Healthcare
Operator or chain grouping
Approved since
1979-05-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
11 facilities
Chain averages 3 overall / 2 health / 2 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
0.45
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.96
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
2.21
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
3.62
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.41
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
3.19
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.27
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.16
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.45
CMS adjusted RN staffing hours
Adjusted total hours
3.62
CMS adjusted total nurse staffing hours
Case-mix index
1.37
Higher values indicate more complex resident acuity
RN turnover
72%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
43%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,723
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
22.73
Composite VBP score used to determine payment impact.
Payment multiplier
0.9830
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 21.38% · Performance 21.72% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
1.08
Baseline 6.53% · Performance 7.51% · Measure score 1.08 · Achievement 1.08 · Improvement 0
Total nurse turnover
6.64
Baseline 86.84% · Performance 42.55% · Measure score 6.64 · Achievement 5.17 · Improvement 6.64
Adjusted total nurse staffing
1.37
Baseline 3.65 hours · Performance 3.47 hours · Measure score 1.37 · Achievement 1.37 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.24% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 68 · Observed rate 13.24% · Lower 95% interval 8.1% |
| Discharge to community | 41.37% |
50.57%
9.2 pts worse
|
No Different than the National Rate · Eligible stays 67 · Observed rate 32.84% · Lower 95% interval 30.87% |
| Medicare spending per beneficiary | 1.18 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 98.64% |
95.27%
3.4 pts better
|
Numerator 218 · Denominator 221 |
| Falls with major injury | 0.9% |
0.77%
0.1 pts worse
|
Numerator 2 · Denominator 221 |
| Discharge self-care score | 48.39% |
53.69%
5.3 pts worse
|
Numerator 60 · Denominator 124 |
| Discharge mobility score | 40.32% |
50.94%
10.6 pts worse
|
Numerator 50 · Denominator 124 |
| Pressure ulcers or injuries, new or worsened | 3.17% |
2.29%
0.9 pts worse
|
Numerator 7 · Denominator 221 · Adjusted rate 2.82% |
| Healthcare-associated infections requiring hospitalization | 7.51% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 48 · Observed rate 10.42% · Lower 95% interval 3.71% |
| Staff COVID-19 vaccination coverage | 31.52% |
8.2%
23.3 pts better
|
Numerator 87 · Denominator 276 |
| Staff flu vaccination coverage | 20.44% |
42%
21.6 pts worse
|
Numerator 56 · Denominator 274 |
| Discharge function score | 50.81% |
56.45%
5.6 pts worse
|
Numerator 63 · Denominator 124 |
| Transfer of health information to provider | 79.78% |
95.95%
16.2 pts worse
|
Numerator 71 · Denominator 89 |
| Transfer of health information to patient | 81.69% |
96.28%
14.6 pts worse
|
Numerator 58 · Denominator 71 |
| Resident COVID-19 vaccinations up to date | 3.05% |
25.2%
22.1 pts worse
|
Numerator 4 · Denominator 131 |
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 · Adjusted 2.8 · Observed 3.6 · Expected 2.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.2
0.1 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.3 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
97.8%
1.5 pts better
|
93.4%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.3% · Q2 98.6% · Q3 100.0% · Q4 99.3% · 4Q avg 99.3% |
| 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 | 2.8% |
2.6%
0.2 pts worse
|
3.3%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.9% · Q3 2.2% · Q4 3.7% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.5% |
3.7%
3.8 pts worse
|
11.4%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.5% · Q3 11.9% · Q4 13.0% · 4Q avg 7.5% |
| Percentage of long-stay residents who lose too much weight | 9.3% |
5.9%
3.4 pts worse
|
5.4%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 10.5% · Q3 8.1% · Q4 13.2% · 4Q avg 9.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.4% |
15.7%
6.7 pts worse
|
19.6%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 20.9% · Q3 22.1% · Q4 22.6% · 4Q avg 22.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 2.8% |
9.8%
7 pts better
|
16.7%
13.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 1.0% · Q3 3.0% · Q4 5.1% · 4Q avg 2.8% · 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 | 7.8% |
11.7%
3.9 pts better
|
16.3%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 9.9% · Q3 5.9% · Q4 6.3% · 4Q avg 7.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.2% |
9.8%
2.6 pts better
|
14.9%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 10.2% · Q3 10.1% · Q4 4.1% · 4Q avg 7.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.4%
0.2 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.6% · Q4 0.0% · 4Q avg 0.2% · 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 | 11.7% |
12.5%
0.8 pts better
|
19.8%
8.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 12.6% · Q3 13.0% · Q4 10.2% · 4Q avg 11.7% |
| Percentage of long-stay residents with pressure ulcers | 6.6% |
5.1%
1.5 pts worse
|
5.1%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 8.5% · Q3 7.6% · Q4 6.3% · 4Q avg 6.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.9% |
94.3%
2.6 pts better
|
81.7%
15.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.9% · Q2 97.9% · Q3 96.2% · Q4 95.1% · 4Q avg 96.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.2% |
9.3%
2.1 pts better
|
12.0%
4.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.2% · Observed 8.6% · Expected 13.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.5%
0.7 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 0.8% · Q4 0.9% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.8% |
94.7%
0.1 pts better
|
79.7%
15.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.1% |
26.2%
5.1 pts better
|
23.9%
2.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.1% · Observed 23.8% · Expected 26.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-03-02 · Fire 2023-03-02
14 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Cycle 3
Health 2021-06-11 · Fire 2021-06-11
6 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Fire safety
Fire-safety citations
C · Minimal harm
2023-03-02
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-03-20
F · Potential for more than minimal harm
2021-06-11
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-07-11
D · Potential for more than minimal harm
2021-06-11
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2021-07-11
D · Potential for more than minimal harm
2021-06-11
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2021-07-11
D · Potential for more than minimal harm
2021-06-11
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2021-07-11
D · Potential for more than minimal harm
2021-06-11
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2021-07-11
D · Potential for more than minimal harm
2021-06-11
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-07-11
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-06-26
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-26
D · Potential for more than minimal harm
2025-06-26
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 2025-07-26
D · Potential for more than minimal harm
2025-06-26
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 2025-07-26
D · Potential for more than minimal harm
2025-06-26
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 2025-07-26
D · Potential for more than minimal harm
2025-06-26
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-07-26
D · Potential for more than minimal harm
2025-06-26
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 2025-07-26
D · Potential for more than minimal harm
2025-06-26
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-07-26
D · Potential for more than minimal harm
2025-06-26
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-26
D · Potential for more than minimal harm
2025-06-26
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-07-26
D · Potential for more than minimal harm
2025-06-26
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-07-26
D · Potential for more than minimal harm
2025-06-26
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 2025-07-26
J · Immediate jeopardy
2025-04-30
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 2025-05-21
E · Potential for more than minimal harm
2025-04-30
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2025-05-21
J · Immediate jeopardy
2025-02-28
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 2025-05-21
J · Immediate jeopardy
2025-02-28
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-03-30
F · Potential for more than minimal harm
2025-02-28
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-03-30
D · Potential for more than minimal harm
2025-02-28
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 2025-03-30
D · Potential for more than minimal harm
2025-02-28
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 2025-03-30
E · Potential for more than minimal harm
2024-06-05
F573 · Resident Rights Deficiencies
Health
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2024-07-05
D · Potential for more than minimal harm
2024-06-05
F770 · Administration Deficiencies
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2024-07-05
F · Potential for more than minimal harm
2023-03-02
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-04-02
E · Potential for more than minimal harm
2023-03-02
F809 · Nutrition and Dietary Deficiencies
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2023-04-02
D · Potential for more than minimal harm
2023-03-02
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-04-02
D · Potential for more than minimal harm
2023-03-02
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-04-02
D · Potential for more than minimal harm
2023-03-02
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-04-02
D · Potential for more than minimal harm
2023-03-02
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-04-02
D · Potential for more than minimal harm
2023-03-02
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 2023-04-02
D · Potential for more than minimal harm
2021-06-11
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 2021-07-11
D · Potential for more than minimal harm
2021-06-11
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-07-11
D · Potential for more than minimal harm
2021-06-11
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 2021-07-11
D · Potential for more than minimal harm
2021-06-11
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 2021-07-11
D · Potential for more than minimal harm
2021-06-11
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 2021-07-11
D · Potential for more than minimal harm
2021-06-11
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2021-07-11
Penalties and ownership
What sits behind the stars
$8,672
2025-02-28
Fine
Fine · fine $8,672
Fine
$8,673
2025-02-28
Fine
Fine · fine $8,673
Fine
$84,692
2025-02-28
Fine
Fine · fine $84,692
Fine
$0
2025-02-28
Payment Denial
Payment Denial · denial start 2025-04-05 · 46 days
46 day denial
$4,587
2023-11-13
Fine
Fine · fine $4,587
Fine
$4,587
2023-11-06
Fine
Fine · fine $4,587
Fine
$4,587
2023-10-30
Fine
Fine · fine $4,587
Fine
$4,587
2023-10-23
Fine
Fine · fine $4,587
Fine
$4,587
2023-10-10
Fine
Fine · fine $4,587
Fine
$4,587
2023-10-02
Fine
Fine · fine $4,587
Fine
$13,762
2023-09-11
Fine
Fine · fine $13,762
Fine
$4,587
2023-08-28
Fine
Fine · fine $4,587
Fine
$4,587
2023-08-21
Fine
Fine · fine $4,587
Fine
$4,587
2023-08-14
Fine
Fine · fine $4,587
Fine
$4,235
2023-08-07
Fine
Fine · fine $4,235
Fine
$10,586
2023-07-17
Fine
Fine · fine $10,586
Fine
$2,823
2023-06-26
Fine
Fine · fine $2,823
Fine
$6,351
2023-06-05
Fine
Fine · fine $6,351
Fine
Ownership
Palm Terrace J Dek Operations LLC
5% Or Greater Direct Ownership Interest · Organization
Allegiant Healthcare Of Florida LLC
5% Or Greater Indirect Ownership Interest · Organization
Asmsy LLC
5% Or Greater Indirect Ownership Interest · Organization
Bentz, Brian
W-2 Managing Employee · Individual
Fein, Ariel
5% Or Greater Indirect Ownership Interest · Individual
Goldner, Samuel
5% Or Greater Indirect Ownership Interest · Individual
Irving Langer 2014 Family Trust U/T/A
5% Or Greater Indirect Ownership Interest · Organization
Karmel, Jacob
5% Or Greater Indirect Ownership Interest · Individual
Solomon Vizcaya Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Zaidys LLC
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Lakeland Hills Center
Lakeland, FL
2-star overall rating with 1-star inspections with abuse icon flag with $214,420 in total fines with 12 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Charming Lakes Rehab
Lakeland, FL
1-star overall rating with 1-star inspections with $136,136 in total fines with 12 recent health deficiencies
#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
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