Facility details
| CCN | 106126 |
| Ownership type | For profit - Limited Liability company |
| Legal business name | LAKE CITY OPERATING INVESTMENTS LLC |
| Chain | EXCELSIOR CARE GROUP |
| Certified beds | 113 |
| Average residents per day | 109.1 |
| Provider type | Medicare and Medicaid |
| Located in hospital | No |
| First certified | 2019-08-20 |
| Resident & family council | Resident |
| Sprinklers in all required areas | Yes |
| Changed ownership in last 12 months | No |
| Continuing care retirement community | No |
| County | Columbia County |
Staffing
Florida requires a weekly average of 3.6 hours of direct care per resident per day. This facility reports 3.38 total nurse staffing hours per resident per day — below that benchmark by 0.22 hours. CMS reported hours are an annual average and are not a compliance finding.
| Nurse aide hours | 2.14 |
| LPN hours | 0.85 |
| RN hours | 0.36 |
| Total nurse hours | 3.36 |
| Weekend total nurse hours | 3.34 |
| Total nursing staff turnover | 62.7% |
| RN turnover | 52.9% |
| Administrators who left | Not reported |
Penalties & enforcement
No federal penalties on record in the current CMS release.
Health inspection citations
Most recent citations (up to 40 shown):
| Date | Tag | Category | Scope |
|---|---|---|---|
| 2025-04-10 | 0641 | Resident Assessment and Care Planning Deficiencies | D |
| 2025-04-10 | 0645 | Resident Assessment and Care Planning Deficiencies | D |
| 2025-04-10 | 0656 | Resident Assessment and Care Planning Deficiencies | D |
| 2025-04-10 | 0684 | Quality of Life and Care Deficiencies | E |
| 2025-04-10 | 0756 | Pharmacy Service Deficiencies | D |
| 2025-04-10 | 0757 | Pharmacy Service Deficiencies | D |
| 2025-04-10 | 0761 | Pharmacy Service Deficiencies | D |
| 2025-04-10 | 0791 | Quality of Life and Care Deficiencies | D |
| 2025-04-10 | 0812 | Nutrition and Dietary Deficiencies | D |
| 2025-04-10 | 0825 | Quality of Life and Care Deficiencies | D |
| 2025-04-10 | 0842 | Resident Assessment and Care Planning Deficiencies | D |
| 2025-04-10 | 0865 | Administration Deficiencies | D |
| 2025-04-10 | 0880 | Infection Control Deficiencies | E |
| 2025-04-10 | 0881 | Infection Control Deficiencies | D |
| 2024-01-19 | 0677 | Quality of Life and Care Deficiencies | D |
| 2024-01-19 | 0761 | Pharmacy Service Deficiencies | D |
| 2024-01-19 | 0812 | Nutrition and Dietary Deficiencies | E |
| 2024-01-19 | 0880 | Infection Control Deficiencies | D |
| 2022-07-27 | 0550 | Resident Rights Deficiencies | D |
| 2022-07-27 | 0640 | Resident Assessment and Care Planning Deficiencies | D |
| 2022-07-27 | 0655 | Resident Assessment and Care Planning Deficiencies | D |
| 2022-07-27 | 0677 | Quality of Life and Care Deficiencies | D |
| 2022-07-27 | 0692 | Quality of Life and Care Deficiencies | E |
| 2022-07-27 | 0695 | Quality of Life and Care Deficiencies | D |
| 2022-07-27 | 0756 | Pharmacy Service Deficiencies | E |
| 2022-07-27 | 0758 | Pharmacy Service Deficiencies | D |
| 2022-07-27 | 0761 | Pharmacy Service Deficiencies | D |
| 2022-07-27 | 0812 | Nutrition and Dietary Deficiencies | F |
Scope/severity: A–F no actual harm · G–I actual harm · J–L immediate jeopardy.
Ownership
| 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 |
Concerned about care at LAKE CITY HEALTHCARE AND REHABILITATION CENTER?
If you believe a resident has been harmed by neglect or abuse, a Florida elder law attorney can review the situation at no cost. Florida's statute of limitations for most negligence claims is two years, so time matters.
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Ratings and inspection data come from the federal CMS Nursing Home Compare dataset (July 2026 release) and reflect conditions at the time of the last survey. Conditions change. This page is published for informational purposes only, is not legal advice, and does not create an attorney-client relationship. No outcome is promised or predicted.