F

LAKE MARIAM HEALTH AND REHABILITATION CENTER

1801 N LAKE MARIAM DR, WINTER HAVEN, FL 33884
Score: 16 / 100
⚠️ SFF Candidate

With a score of 16/100, Lake Mariam Health And Rehabilitation Center ranks in the bottom tier of Florida nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing levels at Lake Mariam Health And Rehabilitation Center exceed national averages, with 4.60 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.55 hours per resident per day is near the national average of 0.7 hours.

Recent CMS inspections identified 61 deficiencies at Lake Mariam Health And Rehabilitation Center, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: prepare residents for a safe transfer or discharge from the nursing home..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.60 3.8 Above Average
Registered Nurses (RN) 0.55 0.7 Below Average
Licensed Practical Nurses (LPN) 0.94 0.7 Above Average
Certified Nursing Assistants (CNA) 3.10 2.4 Above Average
Weekend Total Nursing 4.13 3.8 Average
Weekend RN Hours 0.30 0.7 Below Average

🔍 Inspection & Deficiency History

61
Total Deficiencies
Oct 16, 2024
Most Recent Inspection
🟠 57 Moderate 🔴 4 Serious
View recent deficiencies (5 shown)
  • Tag 0624 Severity G
    Prepare residents for a safe transfer or discharge from the nursing home.
    Oct 16, 2024 · Resident Rights Deficiencies
  • 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 d
    Oct 16, 2024 · Resident Rights Deficiencies
  • Tag 0623 Severity D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including a
    Oct 16, 2024 · Resident Rights Deficiencies
  • Tag 0600 Severity K
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    May 16, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0689 Severity K
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Jan 24, 2024 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 3.0% 4.5% Better
Falls with major injury 2.1% 3.0% Better
On antipsychotic medication 14.2% 14.5% Average
Urinary tract infections 0.9% 2.5% Better
ADL decline (daily activities) 13.1% 14.0% Average
Excessive weight loss 4.4% 7.5% Better
New/worsened incontinence 23.7% 45.0% Better

⚠️ Penalties & Fines

4 penalties recorded by CMS

Total fines: $353,123

How This Grade Was Calculated

This facility's grade of F is based on a score of 16 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
120
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jan 24, 2024
Deficiencies (Cycle 1)
36