For-profit

Villages Healthcare and Rehabilitation Center, the

900 Highway 466, Lady Lake, FL 32159

(352) 430-0017 · Gold Fl Trust II

2CMS overall rating · out of 5

At a glance

CMS data snapshot: 2026-08-01 · Sources and limitations
2 of 5Overall
2 of 5Health inspections
2 of 5Staffing
4 of 5Resident quality
OwnershipFor profit - Limited Liability companyCertified beds120
Estimated occupancy94.1%Latest inspection2025-05-08

County and Florida comparison

Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 2 of 5
worse
Health-inspection score
Facility: 47.0 points
worse
Total nurse staffing
Facility: 4.39 hours/day
better
RN staffing
Facility: 0.53 hours/day
worse
Staff turnover
Facility: 51.0%
worse
Latest health deficiencies
Facility: 13 deficiencies
worse
View data table
MetricFacilityCountyFlorida
Overall rating2 of 54 of 53 of 5
Health-inspection score47.0 points35.0 points38.5 points
Total nurse staffing4.39 hours/day3.66 hours/day3.63 hours/day
RN staffing0.53 hours/day0.51 hours/day0.62 hours/day
Staff turnover51.0%46.0%41.8%
Latest health deficiencies13 deficiencies7 deficiencies6 deficiencies

Comparisons describe CMS data; they are not recommendations.

Inspection history

2025-05-08
13 deficiencies
Highest severity: D

Immediate-jeopardy citations: 0

Tag 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 2025-06-13

Tag 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 2025-06-13

Tag 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 2025-06-13

Tag 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 2025-06-13

Tag 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 2025-06-13

Tag 0880 · Severity D

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · Deficient, Provider has date of correction 2025-06-13
2024-02-15
5 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 2024-03-16

Tag 0636 · Severity D

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-03-16

Tag 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 2024-03-16
2022-09-09
5 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 2022-10-09

Tag 0761 · Severity E

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 2022-10-09

Tag 0880 · Severity E

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · Deficient, Provider has date of correction 2022-10-17

Tag 0690 · Severity D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-10-09

Tag 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 2022-10-09

Staffing composition

2.45 hours/dayNurse aide
1.41 hours/dayLPN
0.53 hours/dayRN
Total staffing
4.39 hours/day
County median
3.66 hours/day
Florida median
3.63 hours/day
Weekend total
4.02 hours/day
Staff turnover
51.0%
RN turnover
60.0%

Reported averages, not a real-time staffing schedule.

Resident outcomes

Lower is generally better

Hospitalizations

Not reported: cms footnoteunavailableFlorida: 2.1 per 1,000 days · County: 1.8 per 1,000 days
20250101-20251231

Emergency-department visits

Not reported: cms footnoteunavailableFlorida: 1.0 per 1,000 days · County: 1.3 per 1,000 days
20250101-20251231

Falls with major injury

4.3%worseFlorida: 2.2% · County: 1.8%
2025Q2-2026Q1

Pressure ulcers

13.3%worseFlorida: 4.2% · County: 4.6%
2025Q2-2026Q1

Urinary tract infections

0.0%unavailableFlorida: 0.0% · County: 0.0%
2025Q2-2026Q1

Antipsychotic medication use

0.0%betterFlorida: 7.0% · County: 5.1%
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
  1. How many RNs are typically on site during days, nights, and weekends?

    Suggested because of: rn staffing
  2. What is driving staff turnover, and what is being done to retain nurses and aides?

    Suggested because of: staff turnover
  3. What fall-prevention program is used, and how are families notified after a fall?

    Suggested because of: falls major injury
  4. How does the care team prevent and treat pressure injuries?

    Suggested because of: pressure ulcers
  5. How will the care plan be developed, reviewed, and shared with our family?

    Suggested because of: general care planning

Facility Details

County
Lake County
Certified beds
120
Average daily residents
112.9
Ownership
For profit - Limited Liability company
Provider type
Medicare and Medicaid
In hospital
No
Date certified
2013-04-12
CCN
106099

Staffing Data

Reported measureValue
Nurse aide hours2.44704
Lpn hours1.41399
Rn hours0.52795
Reported total hours4.38898
Weekend total hours4.0163
Weekend rn hours0.42152
Adjusted total hours3.42372
Total turnover percent51
Rn turnover percent60
Administrators left1

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

13Health citations
12Fire 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

NameRoleShare
THE VILLAGES NURSING AND REHAB HOLDCO LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
FL MASTER OPCO HOLDCO LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST90%
FLANDERS, JANEEW-2 MANAGING EMPLOYEENOT APPLICABLE
MANELA, ROBERTCORPORATE OFFICERNOT APPLICABLE

Helpful resources

Educational information, not medical or legal advice. Data & methodology