Tag 0677 · Severity G
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-09-14For-profit
Charming Lakes Rehab
2020 W Lake Parker Dr, Lakeland, FL 33805
(863) 682-7580 · Excelsior Care Group
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Limited Liability company | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 95.0% | Latest inspection | 2025-08-21 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 2 of 5
Health-inspection score
Facility: 72.0 points
Total nurse staffing
Facility: 3.44 hours/day
RN staffing
Facility: 0.47 hours/day
Staff turnover
Facility: 59.8%
Latest health deficiencies
Facility: 12 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 2 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 72.0 points | 74.0 points | 38.5 points |
| Total nurse staffing | 3.44 hours/day | 3.52 hours/day | 3.63 hours/day |
| RN staffing | 0.47 hours/day | 0.52 hours/day | 0.62 hours/day |
| Staff turnover | 59.8% | 45.5% | 41.8% |
| Latest health deficiencies | 12 deficiencies | 10 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2025-08-21
12 deficiencies
Highest severity: G
Immediate-jeopardy citations: 0
Tag 0550 · Severity D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-09-14Tag 0692 · Severity D
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-09-14Tag 0693 · Severity 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.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-09-14Tag 0695 · Severity D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-09-14Tag 0755 · Severity D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-09-14Tag 0757 · Severity D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-09-14Tag 0761 · Severity 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.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-09-14Tag 0805 · Severity D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2025-09-14Tag 0812 · Severity D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2025-09-14Tag 0814 · Severity C
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2025-09-142023-05-25
10 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0584 · Severity E
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.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-06-24Tag 0644 · Severity E
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-06-24Tag 0567 · Severity D
Honor the resident's right to manage his or her financial affairs.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-06-24Tag 0684 · Severity D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-06-24Tag 0692 · Severity D
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-09-05Tag 0697 · Severity D
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-06-24Tag 0757 · Severity D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-06-24Tag 0759 · Severity D
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-06-24Tag 0842 · Severity D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-06-24Tag 0867 · Severity D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Deficient, Provider has date of correction 2023-09-052021-08-13
12 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0761 · Severity 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.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2021-09-17Tag 0584 · Severity 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.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2021-09-17Tag 0645 · Severity D
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2021-09-17Tag 0656 · Severity D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2021-09-17Tag 0677 · Severity D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-09-17Tag 0684 · Severity D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-09-17Tag 0695 · Severity D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-09-17Tag 0732 · Severity D
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2021-09-17Tag 0759 · Severity D
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2021-09-17Tag 0808 · Severity D
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2021-09-17Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2021-09-17Tag 0908 · Severity D
Keep all essential equipment working safely.
Environmental Deficiencies · Deficient, Provider has date of correction 2021-09-17Staffing composition
2.12 hours/dayNurse aide
0.86 hours/dayLPN
0.47 hours/dayRN
- Total staffing
- 3.44 hours/day
- County median
- 3.52 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.30 hours/day
- Staff turnover
- 59.8%
- RN turnover
- 64.3%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
2.9 per 1,000 daysworseFlorida: 2.1 per 1,000 days · County: 2.3 per 1,000 days20250101-20251231
Emergency-department visits
1.0 per 1,000 daysworseFlorida: 1.0 per 1,000 days · County: 0.9 per 1,000 days20250101-20251231
Falls with major injury
2.9%worseFlorida: 2.2% · County: 2.3%2025Q2-2026Q1
Pressure ulcers
9.4%worseFlorida: 4.2% · County: 4.6%2025Q2-2026Q1
Urinary tract infections
0.0%unavailableFlorida: 0.0% · County: 0.0%2025Q2-2026Q1
Antipsychotic medication use
5.4%betterFlorida: 7.0% · County: 5.9%2025Q2-2026Q1
These group measures do not predict an individual resident’s experience.
Questions to ask
Use these prompts during a tour or phone call
What changes were made after inspectors reported actual harm during the 2025-08-21 inspection?
Suggested because of: latest actual harmHow many RNs are typically on site during days, nights, and weekends?
Suggested because of: rn staffingWhat is driving staff turnover, and what is being done to retain nurses and aides?
Suggested because of: staff turnoverWhat fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryHow does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcers
Facility Details
- County
- Polk County
- Certified beds
- 120
- Average daily residents
- 114
- Ownership
- For profit - Limited Liability company
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1990-05-14
- CCN
- 105693
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.11585 |
| Lpn hours | 0.85954 |
| Rn hours | 0.46753 |
| Reported total hours | 3.44292 |
| Weekend total hours | 3.29825 |
| Weekend rn hours | 0.44993 |
| Adjusted total hours | 3.43905 |
| Total turnover percent | 59.8 |
| Rn turnover percent | 64.3 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$77,880.00Total fines
1Number of fines
0Payment denials
| Date | Type | Amount |
|---|---|---|
| 2025-08-07 | Fine | $77,880.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
12Health citations
11Fire safety citations
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
Serious Deficiencies
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
1
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| LAKE PARKER SNF OPERATIONS HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| SUNSHINE SNF GROUP LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% |
| LEIFER, JOEL | CORPORATE OFFICER | NOT APPLICABLE |
| BUTLER, DAVID | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GANT, AMBER | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BUTLER, DAVID | ADP OF THE SNF | NOT APPLICABLE |
| GANT, AMBER | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology