Tag 0880 · Severity F
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-11-16For-profit
Lake Haven Nursing and Rehab Center
1351 San Christopher Dr, Dunedin, FL 34698
(727) 736-1421 · Eliyahu Mirlis
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Corporation | Certified beds | 104 |
|---|---|---|---|
| Estimated occupancy | 83.0% | Latest inspection | 2024-10-02 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 1 of 5
Health-inspection score
Facility: 229.5 points
Total nurse staffing
Facility: 3.56 hours/day
RN staffing
Facility: 0.53 hours/day
Staff turnover
Facility: 62.4%
Latest health deficiencies
Facility: 21 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 1 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 229.5 points | 74.0 points | 38.5 points |
| Total nurse staffing | 3.56 hours/day | 3.51 hours/day | 3.63 hours/day |
| RN staffing | 0.53 hours/day | 0.56 hours/day | 0.62 hours/day |
| Staff turnover | 62.4% | 50.7% | 41.8% |
| Latest health deficiencies | 21 deficiencies | 11 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2024-10-02
21 deficiencies
Highest severity: F
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 2025-02-20Tag 0755 · Severity E
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 2025-02-20Tag 0759 · Severity E
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-11-16Tag 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 2024-11-16Tag 0559 · Severity D
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-11-16Tag 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 2024-11-16Tag 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 2025-02-20Tag 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 2025-02-20Tag 0806 · Severity D
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 2024-11-16Tag 0849 · Severity D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration Deficiencies · Deficient, Provider has date of correction 2024-11-16Tag 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 2025-02-202022-08-10
7 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
Tag 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 2022-09-12Tag 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 2022-09-122021-04-30
9 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
Tag 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 2021-05-31Staffing composition
2.25 hours/dayNurse aide
0.79 hours/dayLPN
0.53 hours/dayRN
- Total staffing
- 3.56 hours/day
- County median
- 3.51 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.35 hours/day
- Staff turnover
- 62.4%
- RN turnover
- 85.7%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
2.8 per 1,000 daysworseFlorida: 2.1 per 1,000 days · County: 2.3 per 1,000 days20250101-20251231
Emergency-department visits
0.9 per 1,000 dayssimilarFlorida: 1.0 per 1,000 days · County: 1.1 per 1,000 days20250101-20251231
Falls with major injury
3.1%worseFlorida: 2.2% · County: 2.3%2025Q2-2026Q1
Pressure ulcers
6.9%worseFlorida: 4.2% · County: 4.6%2025Q2-2026Q1
Urinary tract infections
1.3%unavailableFlorida: 0.0% · County: 0.2%2025Q2-2026Q1
Antipsychotic medication use
11.1%worseFlorida: 7.0% · County: 7.0%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
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 are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic use
Facility Details
- County
- Pinellas County
- Certified beds
- 104
- Average daily residents
- 86.3
- Ownership
- For profit - Corporation
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1979-07-30
- CCN
- 105350
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.24505 |
| Lpn hours | 0.79046 |
| Rn hours | 0.52759 |
| Reported total hours | 3.5631 |
| Weekend total hours | 3.34995 |
| Weekend rn hours | 0.36371 |
| Adjusted total hours | 4.57349 |
| Total turnover percent | 62.4 |
| Rn turnover percent | 85.7 |
| Administrators left | 3 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$281,689.00Total fines
5Number of fines
1Payment denials
| Date | Type | Amount |
|---|---|---|
| 2024-10-02 | Fine | $12,542.00 |
| 2024-10-02 | Fine | $59,462.00 |
| 2024-10-02 | Payment Denial | Not reported |
| 2024-02-22 | Fine | $8,624.00 |
| 2024-02-22 | Fine | $8,624.00 |
| 2024-02-22 | Fine | $192,437.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
21Health citations
7Fire 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.
7
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| 1351 SAN CHRISTOPHER DRIVE DUNEDIN HOLDCO LLC | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| MIRLIS, ELIYAHU | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% |
| VRD 10 HLDCO LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| BECHER, SARAH | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| PAI, SURESH | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| THORNGREN III, DANIEL | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| PAI, SURESH | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| THORNGREN III, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PAI, SURESH | ADP OF THE SNF | NOT APPLICABLE |
| THORNGREN III, DANIEL | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology