Tag 0582 · Severity E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-04-07For-profit
Highlands Lake Center
4240 Lakeland Highlands Rd, Lakeland, FL 33813
(863) 646-8699 · Aston Health
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Corporation | Certified beds | 179 |
|---|---|---|---|
| Estimated occupancy | 93.5% | Latest inspection | 2024-03-07 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 2 of 5
Health-inspection score
Facility: 78.0 points
Total nurse staffing
Facility: 3.32 hours/day
RN staffing
Facility: 0.70 hours/day
Staff turnover
Facility: 53.5%
Latest health deficiencies
Facility: 17 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 2 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 78.0 points | 74.0 points | 38.5 points |
| Total nurse staffing | 3.32 hours/day | 3.52 hours/day | 3.63 hours/day |
| RN staffing | 0.70 hours/day | 0.52 hours/day | 0.62 hours/day |
| Staff turnover | 53.5% | 45.5% | 41.8% |
| Latest health deficiencies | 17 deficiencies | 10 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2024-03-07
17 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0641 · Severity E
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-04-07Tag 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 2024-04-07Tag 0675 · Severity D
Honor each resident's preferences, choices, values and beliefs.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-04-07Tag 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 2024-04-07Tag 0690 · Severity D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-04-07Tag 0694 · Severity D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-04-07Tag 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 2024-04-07Tag 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 2024-04-07Tag 0759 · Severity D
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-04-07Tag 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 2024-04-07Tag 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 2024-04-07Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-04-07Tag 0921 · Severity D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Deficient, Provider has date of correction 2024-04-07Tag 0925 · Severity D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Deficient, Provider has date of correction 2024-04-072021-11-18
13 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0806 · Severity E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2021-12-16Tag 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 2021-12-16Tag 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 2021-12-16Tag 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 2021-12-16Tag 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 2021-12-16Tag 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 2021-12-16Tag 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 2021-12-16Tag 0759 · Severity D
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2021-12-162020-02-28
2 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 2020-03-28Tag 0759 · Severity D
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2020-03-28Staffing composition
2.01 hours/dayNurse aide
0.61 hours/dayLPN
0.70 hours/dayRN
- Total staffing
- 3.32 hours/day
- County median
- 3.52 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.09 hours/day
- Staff turnover
- 53.5%
- RN turnover
- 46.9%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
2.0 per 1,000 dayssimilarFlorida: 2.1 per 1,000 days · County: 2.3 per 1,000 days20250101-20251231
Emergency-department visits
0.7 per 1,000 daysbetterFlorida: 1.0 per 1,000 days · County: 0.9 per 1,000 days20250101-20251231
Falls with major injury
3.9%worseFlorida: 2.2% · County: 2.3%2025Q2-2026Q1
Pressure ulcers
3.1%betterFlorida: 4.2% · County: 4.6%2025Q2-2026Q1
Urinary tract infections
0.0%unavailableFlorida: 0.0% · County: 0.0%2025Q2-2026Q1
Antipsychotic medication use
11.4%worseFlorida: 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 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 are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic useHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning
Facility Details
- County
- Polk County
- Certified beds
- 179
- Average daily residents
- 167.3
- Ownership
- For profit - Corporation
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1988-09-29
- CCN
- 105620
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.0103 |
| Lpn hours | 0.60573 |
| Rn hours | 0.7001 |
| Reported total hours | 3.31613 |
| Weekend total hours | 3.09464 |
| Weekend rn hours | 0.65819 |
| Adjusted total hours | 3.4923 |
| Total turnover percent | 53.5 |
| Rn turnover percent | 46.9 |
| Administrators left | 1 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$0.00Total fines
0Number of fines
0Payment denials
No matching penalties in the supplied CMS records.
Totals reflect the supplied CMS records, not a lifetime total.
Citations
17Health citations
3Fire 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.
0
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| GABRIEL LIVING CENTER, LLC | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| HIGHLANDS LAKE HOLDCO LLC | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| LCE PARTNERS LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| FRIEDMAN, LEOPOLD | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| GUTMAN, SAMUEL | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| BURGESS, TAMMIE | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| BURGESS, TAMMIE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PRASHAD, SHALIZA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| REINOSO, JOSE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| THACKER, TRICIA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WILLIAMS, ELLIS | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ASTON HEALTHCARE LLC | ADP OF THE SNF | NOT APPLICABLE |
| REINOSO, JOSE | ADP OF THE SNF | NOT APPLICABLE |
| WILLIAMS, ELLIS | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology