Tag 0880 · Severity F
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2026-03-06For-profit
Groves Center
512 S 11Th St, Lake Wales, FL 33853
(863) 676-8502 · Hearthstone Senior Communities
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Corporation | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 90.5% | Latest inspection | 2026-02-04 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: Not reported by CMS
Health-inspection score
Facility: 432.0 points
Total nurse staffing
Facility: 3.52 hours/day
RN staffing
Facility: 0.54 hours/day
Staff turnover
Facility: 58.2%
Latest health deficiencies
Facility: 19 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | Not reported by CMS | 2 of 5 | 3 of 5 |
| Health-inspection score | 432.0 points | 74.0 points | 38.5 points |
| Total nurse staffing | 3.52 hours/day | 3.52 hours/day | 3.63 hours/day |
| RN staffing | 0.54 hours/day | 0.52 hours/day | 0.62 hours/day |
| Staff turnover | 58.2% | 45.5% | 41.8% |
| Latest health deficiencies | 19 deficiencies | 10 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2026-02-04
19 deficiencies
Highest severity: F
Immediate-jeopardy citations: 0
Tag 0881 · Severity F
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Deficient, Provider has date of correction 2026-03-06Tag 0554 · Severity D
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2026-03-06Tag 0605 · Severity D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2026-03-06Tag 0644 · Severity D
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 2026-03-06Tag 0645 · Severity D
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2026-03-06Tag 0657 · Severity D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2026-03-06Tag 0689 · Severity D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-03-06Tag 0756 · Severity D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2026-03-06Tag 0759 · Severity D
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2026-03-06Tag 0760 · Severity D
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2026-03-062024-01-12
19 deficiencies
Highest severity: L
Immediate-jeopardy citations: 5
Tag 0600 · Severity L
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2024-02-12Tag 0610 · Severity L
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2024-02-12Tag 0726 · Severity L
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.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2024-02-12Tag 0835 · Severity L
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Deficient, Provider has date of correction 2024-02-12Tag 0867 · Severity L
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 2024-02-12Tag 0686 · Severity G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-02-12Tag 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 2024-02-12Tag 0688 · Severity E
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-02-12Tag 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 2024-02-12Tag 0698 · Severity D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-02-122022-01-27
11 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0698 · Severity E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-02-26Tag 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 2022-02-26Tag 0886 · Severity E
Perform COVID19 testing on residents and staff.
Infection Control Deficiencies · Deficient, Provider has date of correction 2022-02-26Tag 0604 · Severity D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2022-02-26Tag 0623 · Severity D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-02-26Tag 0625 · Severity D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-02-26Tag 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 2022-02-26Tag 0756 · Severity D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2022-02-26Tag 0758 · Severity D
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.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2022-02-26Tag 0759 · Severity D
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2022-02-26Tag 0919 · Severity D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Deficient, Provider has date of correction 2022-02-26Staffing composition
2.21 hours/dayNurse aide
0.77 hours/dayLPN
0.54 hours/dayRN
- Total staffing
- 3.52 hours/day
- County median
- 3.52 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.19 hours/day
- Staff turnover
- 58.2%
- RN turnover
- 88.9%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
1.7 per 1,000 daysbetterFlorida: 2.1 per 1,000 days · County: 2.3 per 1,000 days20250101-20251231
Emergency-department visits
1.7 per 1,000 daysworseFlorida: 1.0 per 1,000 days · County: 0.9 per 1,000 days20250101-20251231
Falls with major injury
2.8%worseFlorida: 2.2% · County: 2.3%2025Q2-2026Q1
Pressure ulcers
5.1%worseFlorida: 4.2% · County: 4.6%2025Q2-2026Q1
Urinary tract infections
0.0%unavailableFlorida: 0.0% · County: 0.0%2025Q2-2026Q1
Antipsychotic medication use
5.6%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 improvements is the facility making in response to its Special Focus status?
Suggested because of: special focusWhat corrective actions and resident protections were put in place after the issue associated with the CMS abuse flag?
Suggested because of: abuse iconHow 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 injury
Facility Details
- County
- Polk County
- Certified beds
- 120
- Average daily residents
- 108.6
- Ownership
- For profit - Corporation
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1973-09-11
- CCN
- 105269
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.20821 |
| Lpn hours | 0.77093 |
| Rn hours | 0.53672 |
| Reported total hours | 3.51586 |
| Weekend total hours | 3.19244 |
| Weekend rn hours | 0.31219 |
| Adjusted total hours | 3.89508 |
| Total turnover percent | 58.2 |
| Rn turnover percent | 88.9 |
| Administrators left | 2 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$291,478.00Total fines
2Number of fines
0Payment denials
| Date | Type | Amount |
|---|---|---|
| 2025-10-29 | Fine | $128,925.00 |
| 2024-01-12 | Fine | $162,553.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
19Health citations
1Fire 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.
8
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Respond appropriately to all alleged violations.
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.
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| HEARTHSTONE SENIOR COMMUNITIES, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% |
| GARNER, ALVIN | CORPORATE OFFICER | NOT APPLICABLE |
| JAFFE, HOWARD | CORPORATE OFFICER | NOT APPLICABLE |
| ROMBOLD, LORI | CORPORATE OFFICER | NOT APPLICABLE |
| WYATT, BRIAN | CORPORATE OFFICER | NOT APPLICABLE |
| CONSULTING SUPPORT SERVICES, LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FACILITY SUPPORT COMPANY, LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KANE FINANCIAL SERVICES, LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| THEMIS HEALTH MANAGEMENT, LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| LEBRON, ARLEEN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SPADOLA, CARA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CONSULTING SUPPORT SERVICES, LLC | ADP OF THE SNF | NOT APPLICABLE |
| FACILITY SUPPORT COMPANY, LLC | ADP OF THE SNF | NOT APPLICABLE |
| KANE FINANCIAL SERVICES, LLC | ADP OF THE SNF | NOT APPLICABLE |
| SELECT REHABILITATION, LLC | ADP OF THE SNF | NOT APPLICABLE |
| THEMIS HEALTH MANAGEMENT, LLC | ADP OF THE SNF | NOT APPLICABLE |
| LEBRON, ARLEEN | ADP OF THE SNF | NOT APPLICABLE |
| SPADOLA, CARA | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology