Lake Port Square Health Center
Leesburg, Lake County, Florida · CCN 105705 · For-profit (LLC) · part of Healthpeak Properties, Inc. (15 facilities, chain average 3.5 stars)
CMS rates Lake Port Square Health Center 3 of 5 overall as of August 2026. 80 certified beds, 75 residents a day on average. 28 citations on record from the current inspection cycles; no fines on record.
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 | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 4 / 2 of 5 |
Staffing
| Total nurse staffing | 4.03319 hours per resident per day |
|---|---|
| Registered nurses | 0.81971 hours per resident per day |
| Weekend total | 3.6531 hours per resident per day |
| Nursing staff turnover | 51.2% (registered nurses 68.4%) |
| Administrators who left | 2 |
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.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-06-11 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has plan of correction 2026-07-11 |
| 2026-06-11 | 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 plan of correction 2026-07-11 |
| 2026-06-11 | 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 plan of correction 2026-07-11 |
| 2026-06-11 | 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 plan of correction 2026-07-11 |
| 2026-06-11 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has plan of correction 2026-07-11 |
| 2026-06-11 | 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has plan of correction 2026-07-11 |
| 2026-06-11 | 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has plan of correction 2026-07-11 |
| 2026-06-11 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · tag F0814 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has plan of correction 2026-07-11 |
| 2026-06-11 | 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 plan of correction 2026-07-11 |
| 2025-02-13 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-25 |
| 2025-02-13 | 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 2025-03-25 |
| 2025-02-13 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-25 |
| 2025-02-13 | 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-25 |
| 2025-02-13 | 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-25 |
| 2025-02-13 | 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 2025-03-25 |
| 2025-02-13 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-25 |
| 2024-04-11 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 2024-05-01 |
| 2023-10-25 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-25 | 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-25 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-25 | 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 2023-11-28 |
| 2023-10-25 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-25 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-25 | 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-25 | 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 2023-11-28 |
| 2023-10-25 | 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 2023-11-28 |
| 2023-10-25 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-25 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2023-11-28 |
Fines and payment denials
No fines or payment denials on record since 2023.
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.
| Name | Role | Share | Since |
|---|---|---|---|
| Ccrc Opco Ventures, LLC Organization | 5% or greater direct ownership interest | 100% | 2014-08-29 |
| Janus Living Op LLC Organization | 5% or greater security interest | — | 2026-03-19 |
| Blackrock Inc. Organization | adp of the snf | — | 2026-03-19 |
| Ccrc Propco Ventures, LLC Organization | adp of the snf | — | 2026-03-19 |
| Hcp Ma3, Lp Organization | adp of the snf | — | 2026-03-19 |
| Hcp Partners Lp Organization | adp of the snf | — | 2026-03-19 |
| Hcp S-H 2014 Member LLC Organization | adp of the snf | — | 2020-02-01 |
| Hcp Ventures II Partner LLC Organization | adp of the snf | — | 2026-03-19 |
| Hcp/Ls 2011 Reit, LLC Organization | adp of the snf | — | 2026-03-19 |
| Healthpeak Op LLC Organization | adp of the snf | — | 2023-02-10 |
| Healthpeak Properties Inc. Organization | adp of the snf | — | 2020-02-01 |
| Janus Living Op LLC Organization | adp of the snf | — | 2026-03-19 |
| Janus Living, Inc. Organization | adp of the snf | — | 2026-03-19 |
| Janus Member, LLC Organization | adp of the snf | — | 2026-03-19 |
| Life Care Services LLC Organization | adp of the snf | — | 2025-04-09 |
| Ocean Acquisition I LLC Organization | adp of the snf | — | 2026-03-19 |
| State Street Corporation Organization | adp of the snf | — | 2026-03-19 |
| Vanguard Group Inc. Organization | adp of the snf | — | 2026-03-19 |
| Hcp Ma3 Gp Holding, LLC Organization | indirect ownership interest | — | 2026-03-19 |
| Hcp Ventures II Trs LLC Organization | indirect ownership interest | — | 2026-03-19 |
| Janus Living Trs LLC Organization | indirect ownership interest | — | 2026-03-19 |
| Hcp Ma3, Lp Organization | limited partnership interest | — | 2026-03-19 |
| Hcp Partners Lp Organization | limited partnership interest | — | 2026-03-19 |
| Life Care Services LLC Organization | operational/managerial control | — | 2020-02-01 |
| Martinez Irizarry, Axel Individual | adp of the snf | — | 2025-04-10 |
| Mohadeo, Tristan Individual | adp of the snf | — | 2026-03-05 |
| Vallejo Agudelo, Andres Individual | adp of the snf | — | 2026-03-09 |
| Cheng, Patrick Individual | managing control - governing body | — | 2022-01-31 |
| Mohadeo, Tristan Individual | managing control - governing body | — | 2025-05-25 |
| Russo, Frank Individual | managing control - governing body | — | 2022-01-31 |
| Buettner, Markus Individual | operational/managerial control | — | 2025-03-31 |
| Martinez Irizarry, Axel Individual | operational/managerial control | — | 2025-01-01 |
| Mohadeo, Tristan Individual | operational/managerial control | — | 2025-05-05 |
| Vallejo Agudelo, Andres Individual | operational/managerial control | — | 2026-03-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Lake Port Square Health Center.
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 Lake County.