Tag 0684 · Severity E
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 2025-05-22For-profit
Lake City Healthcare and Rehabilitation Center
298 Sw Prosperity Place, Lake City, FL 32024
(386) 269-3900 · Excelsior Care Group
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Limited Liability company | Certified beds | 113 |
|---|---|---|---|
| Estimated occupancy | 96.5% | Latest inspection | 2025-04-10 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
County comparison unavailable — fewer than 5 reporting facilities or missing measure
Facility: 2 of 5
Health-inspection score
County comparison unavailable — fewer than 5 reporting facilities or missing measure
Facility: 53.0 points
Total nurse staffing
County comparison unavailable — fewer than 5 reporting facilities or missing measure
Facility: 3.36 hours/day
RN staffing
County comparison unavailable — fewer than 5 reporting facilities or missing measure
Facility: 0.36 hours/day
Staff turnover
County comparison unavailable — fewer than 5 reporting facilities or missing measure
Facility: 62.7%
Latest health deficiencies
County comparison unavailable — fewer than 5 reporting facilities or missing measure
Facility: 14 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 2 of 5 | Unavailable | 3 of 5 |
| Health-inspection score | 53.0 points | Unavailable | 38.5 points |
| Total nurse staffing | 3.36 hours/day | Unavailable | 3.63 hours/day |
| RN staffing | 0.36 hours/day | Unavailable | 0.62 hours/day |
| Staff turnover | 62.7% | Unavailable | 41.8% |
| Latest health deficiencies | 14 deficiencies | Unavailable | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2025-04-10
14 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-05-22Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-05-22Tag 0645 · Severity D
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-05-22Tag 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 2025-05-22Tag 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 2025-05-22Tag 0757 · Severity D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-05-22Tag 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 2025-05-22Tag 0791 · Severity D
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-05-22Tag 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 2025-05-22Tag 0825 · Severity D
Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-05-22Tag 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 2025-05-22Tag 0865 · Severity D
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Deficient, Provider has date of correction 2025-05-22Tag 0881 · Severity D
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-05-222024-01-19
4 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0812 · Severity E
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 2024-02-20Tag 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 2024-02-19Tag 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 2024-02-19Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-02-192022-07-27
10 deficiencies
Highest severity: F
Immediate-jeopardy citations: 0
Tag 0812 · Severity F
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 2022-08-24Tag 0692 · Severity E
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-08-24Tag 0756 · Severity E
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 2022-08-24Tag 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 2022-08-24Tag 0640 · Severity D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2022-08-24Tag 0655 · Severity D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2022-08-24Tag 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 2022-08-24Tag 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 2022-08-24Tag 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 2022-08-24Tag 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 2022-08-24Staffing composition
2.14 hours/dayNurse aide
0.85 hours/dayLPN
0.36 hours/dayRN
- Total staffing
- 3.36 hours/day
- County median
- Unavailable
- Florida median
- 3.63 hours/day
- Weekend total
- 3.34 hours/day
- Staff turnover
- 62.7%
- RN turnover
- 52.9%
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: Unavailable20250101-20251231
Emergency-department visits
1.5 per 1,000 daysworseFlorida: 1.0 per 1,000 days · County: Unavailable20250101-20251231
Falls with major injury
3.7%worseFlorida: 2.2% · County: Unavailable2025Q2-2026Q1
Pressure ulcers
5.5%worseFlorida: 4.2% · County: Unavailable2025Q2-2026Q1
Urinary tract infections
0.0%unavailableFlorida: 0.0% · County: Unavailable2025Q2-2026Q1
Antipsychotic medication use
2.9%betterFlorida: 7.0% · County: Unavailable2025Q2-2026Q1
These group measures do not predict an individual resident’s experience.
Questions to ask
Use these prompts during a tour or phone call
How 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 ulcersHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning
Facility Details
- County
- Columbia County
- Certified beds
- 113
- Average daily residents
- 109.1
- Ownership
- For profit - Limited Liability company
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 2019-08-20
- CCN
- 106126
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.13971 |
| Lpn hours | 0.85277 |
| Rn hours | 0.36482 |
| Reported total hours | 3.35729 |
| Weekend total hours | 3.33601 |
| Weekend rn hours | 0.33851 |
| Adjusted total hours | 3.50226 |
| Total turnover percent | 62.7 |
| Rn turnover percent | 52.9 |
| Administrators left | Not reported by CMS |
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
14Health citations
15Fire 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 |
|---|---|---|
| LAKE CITY OPERATING HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| BDCC CONSUTKING GROUP LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| FDZ CONSULTING LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| JZ CONSULTING LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| RUBIWEB FLORIDA SERVICES GROUP USA LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| POWERS, BRIAN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| RUBENSTEIN, DAVID | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| WEBER, ARON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| ZAHLER, JACOB | CORPORATE OFFICER | NOT APPLICABLE |
| ZAHLER, JACOB | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology