Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-03-01855 Carpenters Way, Lakeland, FL 33809
(863) 213-3335 · Gold Fl Trust II
| Ownership | For profit - Limited Liability company | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 99.8% | Latest inspection | 2025-01-30 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 3 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 78.0 points | 74.0 points | 38.5 points |
| Total nurse staffing | 3.54 hours/day | 3.52 hours/day | 3.63 hours/day |
| RN staffing | 0.53 hours/day | 0.52 hours/day | 0.62 hours/day |
| Staff turnover | 54.7% | 45.5% | 41.8% |
| Latest health deficiencies | 4 deficiencies | 10 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-03-01Ensure 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 2025-03-01Immediate-jeopardy citations: 0
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 2022-12-31Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2022-12-31Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2022-12-31Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-02-22Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2022-12-31Develop 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 2022-12-31Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-12-31Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-12-31Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-12-31Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-12-31Ensure 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 2022-12-31Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-12-31Set 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 2023-02-22Immediate-jeopardy citations: 0
No matching citation detail was published.
Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
What changes were made after inspectors reported actual harm during the 2026-05-08 inspection?
Suggested because of: latest actual harmHow 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 turnoverHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.1548 |
| Lpn hours | 0.85556 |
| Rn hours | 0.5309 |
| Reported total hours | 3.54126 |
| Weekend total hours | 3.18214 |
| Weekend rn hours | 0.47222 |
| Adjusted total hours | 3.43012 |
| Total turnover percent | 54.7 |
| Rn turnover percent | 56.5 |
| Administrators left | 1 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
No matching penalties in the supplied CMS records.
Totals reflect the supplied CMS records, not a lifetime total.
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
3
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Name | Role | Share |
|---|---|---|
| LAKE GIBSON SNF HOLDCO LLC | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| KATZ, AHARON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% |
| BUAH MD TRUST | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| COPPER FL TRUST II | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| GOLD FL TRUST II | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| SILVER FL TRUST II | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| BANK HAPOALIM B.M. | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| KAMARA, MARIE | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| MCDANIEL, CLAY | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| WILLIS, ANGELA | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| LAKE GIBSON SNF HOLDCO LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KAMARA, MARIE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| RIOS, JOLIAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| APEX GLOBAL SOLUTIONS LLC | ADP OF THE SNF | NOT APPLICABLE |
| ASURE WOUND SOLUTIONS LLC | ADP OF THE SNF | NOT APPLICABLE |
| BANK HAPOALIM B.M. | ADP OF THE SNF | NOT APPLICABLE |
| CHAIM GITELIS DO PC | ADP OF THE SNF | NOT APPLICABLE |
| FORVIS MAZARS LLP | ADP OF THE SNF | NOT APPLICABLE |
| HEALTHLINK DIAGNOSTIC LABORATORIES INC | ADP OF THE SNF | NOT APPLICABLE |
| LION CARE SERVICES LLC | ADP OF THE SNF | NOT APPLICABLE |
| ELLENBOGEN, MOSS | ADP OF THE SNF | NOT APPLICABLE |
| KAMARA, MARIE | ADP OF THE SNF | NOT APPLICABLE |
| KATZ, AHARON | ADP OF THE SNF | NOT APPLICABLE |
| MCDANIEL, CLAY | ADP OF THE SNF | NOT APPLICABLE |
| RIOS, JOLIAN | ADP OF THE SNF | NOT APPLICABLE |
| WILLIS, ANGELA | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology