Nursing Care Index

Lakeland Hills Center

Lakeland, Polk County, Florida · CCN 105283 · For-profit (LLC) · part of Hearthstone Senior Communities (8 facilities, chain average 1.9 stars)

CMS rates Lakeland Hills Center 2 of 5 overall as of August 2026. 120 certified beds, 114 residents a day on average. 32 citations on record from the current inspection cycles, 3 at immediate jeopardy; 1 fine totalling $139,373 and 1 payment denial.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★☆☆☆ 2 of 5
Health inspections★☆☆☆☆ 1 of 5
Staffing★☆☆☆☆ 1 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / 4 of 5

Staffing

Total nurse staffing3.21377 hours per resident per day
Registered nurses0.38533 hours per resident per day
Weekend total3.04498 hours per resident per day
Nursing staff turnover50.9% (registered nurses 80%)
Administrators who left3

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-04-16
complaint survey
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 · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-05-16
2026-03-12 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 · tag F0761
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-05-16
2026-03-12 Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · tag F0565
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-12
2026-03-12 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 · tag F0584
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-12
2026-03-12 PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · tag F0645
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-12
2026-03-12 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 · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-05-16
2026-03-12 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-12
2026-03-12 Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · tag F0679
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-12
2026-03-12 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 · tag F0693
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-12
2026-03-12 Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care Deficiencies · tag F0745
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-12
2026-03-12 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 · tag F0756
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-12
2026-03-12 Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies · tag F0770
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-12
2026-03-12 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · tag F0867
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-05-16
2026-03-12 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · tag F0925
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-05-16
2025-04-11
complaint survey
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
K Immediate jeopardy to resident health or safety; pattern Deficient, Provider has date of correction
2025-06-29
2025-04-11
complaint survey
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.
Nursing and Physician Services Deficiencies · tag F0726
K Immediate jeopardy to resident health or safety; pattern Deficient, Provider has date of correction
2025-05-29
2025-04-11
complaint survey
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
K Immediate jeopardy to resident health or safety; pattern Deficient, Provider has date of correction
2025-05-29
2025-04-11
complaint survey
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · tag F0867
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-29
2025-01-14
complaint survey
Keep all essential equipment working safely.
Environmental Deficiencies · tag F0908
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-02-14
2025-01-14
complaint survey
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 · tag F0584
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-14
2025-01-14
complaint survey
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 · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-14
2024-08-12
complaint survey
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-09-11
2023-09-28 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2023-10-28
2023-09-28 Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · tag F0565
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-10-28
2023-09-28 Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · tag F0865
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-10-28
2023-09-28 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · tag F0644
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-10-28
2023-09-28 PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · tag F0645
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-10-28
2023-09-28
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-10-28
2023-09-28 Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · tag F0692
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-10-28
2023-09-28 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 · tag F0756
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-10-28
2023-09-28 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-10-28
2021-08-19 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-09-19

Fines and payment denials

DatePenaltyAmount
2025-04-11Payment denial for 17 days from 2025-06-12
2025-04-11Fine$139,373

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Lakeland Hills Rehabilitation Center, LLC
Organization
5% or greater direct ownership interest100%2009-04-01
Hearthstone Senior Communities, Inc.
Organization
5% or greater indirect ownership interest100%2009-04-01
Consulting Support Services, LLC
Organization
adp of the snf2025-03-24
Facility Support Company, LLC
Organization
adp of the snf2025-03-24
Kane Financial Services, LLC
Organization
adp of the snf2025-03-24
Select Rehabilitation, LLC
Organization
adp of the snf2016-08-19
Themis Health Management, LLC
Organization
adp of the snf2025-03-24
Consulting Support Services, LLC
Organization
operational/managerial control2011-06-28
Facility Support Company, LLC
Organization
operational/managerial control2010-12-13
Kane Financial Services, LLC
Organization
operational/managerial control2012-06-06
Themis Health Management, LLC
Organization
operational/managerial control2009-09-01
Bowden, Destiny
Individual
adp of the snf2022-03-14
Kuhlmeyer, Richard
Individual
adp of the snf2022-04-07
Garner, Alvin
Individual
corporate officer2009-04-01
Jaffe, Howard
Individual
corporate officer2009-04-01
Rombold, Lori
Individual
corporate officer2009-04-01
Wyatt, Brian
Individual
corporate officer2009-04-01
Bowden, Destiny
Individual
operational/managerial control2022-03-14
Kuhlmeyer, Richard
Individual
operational/managerial control2022-04-07

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Polk County.