Tag 0689 · Severity K
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 2024-06-06For-profit
Lake Mariam Health and Rehabilitation Center
1801 N Lake Mariam Dr, Winter Haven, FL 33884
(863) 293-1989 · Robert Schoenfeld
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Limited Liability company | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 82.9% | Latest inspection | 2024-01-25 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 2 of 5
Health-inspection score
Facility: 701.8 points
Total nurse staffing
Facility: 4.18 hours/day
RN staffing
Facility: 0.39 hours/day
Staff turnover
Facility: 46.7%
Latest health deficiencies
Facility: 40 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 2 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 701.8 points | 74.0 points | 38.5 points |
| Total nurse staffing | 4.18 hours/day | 3.52 hours/day | 3.63 hours/day |
| RN staffing | 0.39 hours/day | 0.52 hours/day | 0.62 hours/day |
| Staff turnover | 46.7% | 45.5% | 41.8% |
| Latest health deficiencies | 40 deficiencies | 10 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2024-01-25
40 deficiencies
Highest severity: K
Immediate-jeopardy citations: 1
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 2024-06-06Tag 0656 · Severity E
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 2024-06-06Tag 0657 · Severity E
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 2024-02-25Tag 0757 · Severity E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-04-25Tag 0814 · Severity E
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2024-02-25Tag 0842 · Severity E
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 2024-06-06Tag 0867 · Severity E
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 2024-06-06Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-02-25Tag 0883 · Severity E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-02-25Tag 0925 · Severity E
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 2024-02-25Tag 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 2024-02-25Tag 0558 · Severity D
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-02-25Tag 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 2024-02-25Tag 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 2024-02-25Tag 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 2024-02-25Tag 0687 · Severity D
Provide appropriate foot care.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-02-25Tag 0688 · Severity D
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 2024-02-25Tag 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 2024-02-25Tag 0693 · Severity D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-02-25Tag 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 2024-02-25Tag 0700 · Severity D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-04-25Tag 0732 · Severity D
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2024-02-25Tag 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 2024-04-25Tag 0804 · Severity D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2024-02-25Tag 0807 · Severity D
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2024-02-25Tag 0808 · Severity D
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2024-02-25Tag 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 2024-02-25Tag 0835 · Severity D
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Deficient, Provider has date of correction 2024-02-25Tag 0837 · Severity D
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Administration Deficiencies · Deficient, Provider has date of correction 2024-02-25Tag 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 2024-02-25Tag 0909 · Severity D
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Environmental Deficiencies · Deficient, Provider has date of correction 2024-02-25Tag 0918 · Severity D
Provide a bathroom in or located near each resident’s room.
Environmental Deficiencies · Deficient, Provider has date of correction 2024-02-25Tag 0920 · Severity D
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.
Environmental Deficiencies · Deficient, Provider has date of correction 2024-02-25Tag 0924 · Severity D
Put firmly secured handrails on each side of hallways.
Environmental Deficiencies · Deficient, Provider has date of correction 2024-02-25Tag 0926 · Severity D
Have policies on smoking.
Environmental Deficiencies · Deficient, Provider has date of correction 2024-02-252021-10-08
10 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0921 · Severity E
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 2021-11-08Tag 0557 · Severity D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2021-11-08Tag 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 2021-11-08Tag 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 2021-11-08Tag 0759 · Severity D
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2021-12-30Tag 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 2021-12-30Tag 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 2021-11-082019-11-15
15 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0565 · Severity E
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2019-12-15Tag 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 2019-12-15Tag 0758 · Severity E
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 2019-12-15Tag 0919 · Severity E
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 2019-12-15Tag 0585 · Severity D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2019-12-15Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2019-12-15Tag 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 2019-12-15Tag 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 2019-12-15Tag 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 2019-12-15Tag 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 2019-12-15Staffing composition
2.71 hours/dayNurse aide
1.08 hours/dayLPN
0.39 hours/dayRN
- Total staffing
- 4.18 hours/day
- County median
- 3.52 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.69 hours/day
- Staff turnover
- 46.7%
- RN turnover
- 58.8%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
2.3 per 1,000 daysworseFlorida: 2.1 per 1,000 days · County: 2.3 per 1,000 days20250101-20251231
Emergency-department visits
0.6 per 1,000 daysbetterFlorida: 1.0 per 1,000 days · County: 0.9 per 1,000 days20250101-20251231
Falls with major injury
2.6%worseFlorida: 2.2% · County: 2.3%2025Q2-2026Q1
Pressure ulcers
2.1%betterFlorida: 4.2% · County: 4.6%2025Q2-2026Q1
Urinary tract infections
0.6%unavailableFlorida: 0.0% · County: 0.0%2025Q2-2026Q1
Antipsychotic medication use
7.4%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 improvements is the facility making in response to its Special Focus status?
Suggested because of: special focusHow 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 are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic use
Facility Details
- County
- Polk County
- Certified beds
- 120
- Average daily residents
- 99.5
- Ownership
- For profit - Limited Liability company
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1983-02-07
- CCN
- 105428
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.71042 |
| Lpn hours | 1.07626 |
| Rn hours | 0.39105 |
| Reported total hours | 4.17773 |
| Weekend total hours | 3.6916 |
| Weekend rn hours | 0.31 |
| Adjusted total hours | 5.03102 |
| Total turnover percent | 46.7 |
| Rn turnover percent | 58.8 |
| Administrators left | 1 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$321,520.00Total fines
3Number of fines
0Payment denials
| Date | Type | Amount |
|---|---|---|
| 2024-10-17 | Fine | $12,529.00 |
| 2024-01-25 | Fine | $12,542.00 |
| 2024-01-25 | Fine | $296,449.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
40Health citations
18Fire 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
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Prepare residents for a safe transfer or discharge from the nursing home.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| LAKE MARIAM FL HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| SCHOENFELD, ROBERT | CORPORATE OFFICER | NOT APPLICABLE |
| FL HC OPCO LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SCHOENFELD, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FL HC OPCO LLC | ADP OF THE SNF | NOT APPLICABLE |
| DEAN, BYRON | ADP OF THE SNF | NOT APPLICABLE |
| SCHOENFELD, ROBERT | ADP OF THE SNF | NOT APPLICABLE |
| TAPLIN, CYNTHIA | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology