PlainNursing
CMS Nursing Home Compare · August 2026

Lake Mariam Health and Rehabilitation Center

1801 N Lake Mariam Dr, Winter Haven, FL 33884

Lake Mariam Health and Rehabilitation Center, a 120-bed for profit - limited liability company nursing facility in Winter Haven, FL, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #536 of 691 rated homes in FL on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 7 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 8632931989

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2 / 5
Below average · CMS overall · nat'l 3.0
#536 of 691
In-state rank among rated FL homes
4.18
Above average · nurse hrs/day · nat'l 3.86
50
Inspection findings · 7 serious

The verdict

Lake Mariam Health and Rehabilitation Center, a 120-bed for profit - limited liability company nursing facility in Winter Haven, FL, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #536 of 691 rated homes in FL on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 7 inspection findings reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#536 of 691
In-state rank among rated FL homes
4.18
Nurse hrs/resident-day · national 3.86
50
Inspection findings · 7 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 694 FL nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

3/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
105428
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
120
Residents
100
In Hospital
No
County
Polk
Last Inspection
Jan 25, 2024
Special Focus
SFF Candidate

Staffing Data

How the 4.18 total nursing hours per resident-day are staffed:

RN Hours
0.39 (nat'l avg: 0.69)
LPN Hours
1.08
CNA Hours
2.71
Total Nursing Hours
4.18 (nat'l avg: 3.86)
PT Hours
0.01
Nursing Turnover
46.7%
RN Turnover
58.8%

What the CMS Record Reveals About Lake Mariam Health and Rehabilitation Center

According to CMS Nursing Home Compare, Lake Mariam Health and Rehabilitation Center ranks #536 of 691 rated nursing homes in FL on overall stars (tie-broken by health+staffing+quality, then fewer fines). Lake Mariam Health and Rehabilitation Center operates 120 certified beds in Winter Haven, FL with approximately 100 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 1★ · staffing 3★ · quality 5★).

The inspection file contains 50 deficiency records from recent surveys, of which 7 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 3 penalties totaling $322K levied against this facility. Per resident day, this facility reports 4.18 total nursing hours (national average 3.86) and 0.39 RN hours. This facility is flagged as an SFF Candidate, a larger pool of providers eligible for the Special Focus Facility program but not currently selected (states have a limited number of active SFF slots); it remains under normal, not enhanced, oversight.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Lake Mariam Health and Rehabilitation Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 46.7% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

E - Pattern - Minimal harm Apr 29, 2026 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: May 1, 2026

E - Pattern - Minimal harm Mar 12, 2026 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 6, 2026

J - Isolated - Jeopardy Mar 12, 2026 Tag: 0773

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Category: Administration Deficiencies

Corrected: Apr 6, 2026

J - Isolated - Jeopardy Mar 12, 2026 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 6, 2026

D - Isolated - Minimal harm Oct 17, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Nov 15, 2024

E - Pattern - Minimal harm Oct 17, 2024 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Nov 15, 2024

G - Isolated - Actual harm Oct 17, 2024 Tag: 0624

Prepare residents for a safe transfer or discharge from the nursing home.

Category: Resident Rights Deficiencies

Corrected: Nov 15, 2024

K - Pattern - Jeopardy May 17, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 6, 2024

D - Isolated - Minimal harm Jan 25, 2024 Tag: 0926

Have policies on smoking.

Category: Environmental Deficiencies

Corrected: Feb 25, 2024

D - Isolated - Minimal harm Jan 25, 2024 Tag: 0924

Put firmly secured handrails on each side of hallways.

Category: Environmental Deficiencies

Corrected: Feb 25, 2024

D - Isolated - Minimal harm Jan 25, 2024 Tag: 0920

Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.

Category: Environmental Deficiencies

Corrected: Feb 25, 2024

D - Isolated - Minimal harm Jan 25, 2024 Tag: 0918

Provide a bathroom in or located near each resident’s room.

Category: Environmental Deficiencies

Corrected: Feb 25, 2024

D - Isolated - Minimal harm Jan 25, 2024 Tag: 0909

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Category: Environmental Deficiencies

Corrected: Feb 25, 2024

D - Isolated - Minimal harm Jan 25, 2024 Tag: 0849

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Category: Administration Deficiencies

Corrected: Feb 25, 2024

D - Isolated - Minimal harm Jan 25, 2024 Tag: 0837

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Category: Administration Deficiencies

Corrected: Feb 25, 2024

D - Isolated - Minimal harm Jan 25, 2024 Tag: 0835

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Category: Administration Deficiencies

Corrected: Feb 25, 2024

D - Isolated - Minimal harm Jan 25, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 25, 2024

D - Isolated - Minimal harm Jan 25, 2024 Tag: 0808

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 25, 2024

D - Isolated - Minimal harm Jan 25, 2024 Tag: 0807

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 25, 2024

D - Isolated - Minimal harm Jan 25, 2024 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 25, 2024

D - Isolated - Minimal harm Jan 25, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Apr 25, 2024

D - Isolated - Minimal harm Jan 25, 2024 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 25, 2024

D - Isolated - Minimal harm Jan 25, 2024 Tag: 0700

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 25, 2024

D - Isolated - Minimal harm Jan 25, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 25, 2024

D - Isolated - Minimal harm Jan 25, 2024 Tag: 0693

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.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 25, 2024

D - Isolated - Minimal harm Jan 25, 2024 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 25, 2024

D - Isolated - Minimal harm Jan 25, 2024 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 25, 2024

D - Isolated - Minimal harm Jan 25, 2024 Tag: 0687

Provide appropriate foot care.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 25, 2024

D - Isolated - Minimal harm Jan 25, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 25, 2024

D - Isolated - Minimal harm Jan 25, 2024 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 25, 2024

D - Isolated - Minimal harm Jan 25, 2024 Tag: 0559

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Category: Resident Rights Deficiencies

Corrected: Feb 25, 2024

D - Isolated - Minimal harm Jan 25, 2024 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Feb 25, 2024

D - Isolated - Minimal harm Jan 25, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Feb 25, 2024

E - Pattern - Minimal harm Jan 25, 2024 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Feb 25, 2024

E - Pattern - Minimal harm Jan 25, 2024 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Feb 25, 2024

E - Pattern - Minimal harm Jan 25, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 25, 2024

E - Pattern - Minimal harm Jan 25, 2024 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Jun 6, 2024

E - Pattern - Minimal harm Jan 25, 2024 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 6, 2024

E - Pattern - Minimal harm Jan 25, 2024 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 25, 2024

E - Pattern - Minimal harm Jan 25, 2024 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Apr 25, 2024

E - Pattern - Minimal harm Jan 25, 2024 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 25, 2024

E - Pattern - Minimal harm Jan 25, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 6, 2024

E - Pattern - Minimal harm Jan 25, 2024 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Jun 6, 2024

K - Pattern - Jeopardy Jan 25, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 6, 2024

E - Pattern - Minimal harm Aug 18, 2023 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Sep 15, 2023

E - Pattern - Minimal harm Aug 18, 2023 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Sep 15, 2023

J - Isolated - Jeopardy Aug 18, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 15, 2023

J - Isolated - Jeopardy Aug 18, 2023 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 15, 2023

D - Isolated - Minimal harm Oct 8, 2021 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Nov 8, 2021

D - Isolated - Minimal harm Oct 8, 2021 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Dec 30, 2021

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 5.2% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.5% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.6% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.6% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 11.0% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 2.1% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 7.4% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.5% No
Percentage of long-stay residents who have depressive symptoms Long Stay 8.6% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 96.5% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 8.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 18.8% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 75.5% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 82.5% No

Penalty History 3 penalties totaling $322K

Date Type Amount
Oct 17, 2024 Fine $13K
Jan 25, 2024 Fine $13K
Jan 25, 2024 Fine $296K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Lake Mariam Health and Rehabilitation Center, both outside FL so the neighborhoods are not the same-state geography list below.

What the CMS records show for Lake Mariam Health and Rehabilitation Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The FL registry aggregates state averages and the highest-rated homes in this cohort. View FL registry
  • Peer homes near 120 beds show how CMS stars vary at a similar scale in FL. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Lake Mariam Health and Rehabilitation Center?
Lake Mariam Health and Rehabilitation Center has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (1★), staffing levels (3★), and quality measures (5★).
Where does Lake Mariam Health and Rehabilitation Center rank among nursing homes in FL?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Lake Mariam Health and Rehabilitation Center ranks 536th among 691 rated nursing homes in FL (#536 of 691). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Lake Mariam Health and Rehabilitation Center?
Lake Mariam Health and Rehabilitation Center reports 4.18 total nursing hours per resident day (national average: 3.86). RN hours are 0.39 per resident day (national average: 0.69). Nursing staff turnover is 46.7%.
How many beds does Lake Mariam Health and Rehabilitation Center have?
Lake Mariam Health and Rehabilitation Center has 120 certified beds with approximately 100 residents. The facility is located at 1801 N Lake Mariam Dr, Winter Haven, FL 33884.
Does Lake Mariam Health and Rehabilitation Center have any deficiencies on record?
Yes, Lake Mariam Health and Rehabilitation Center has 50 deficiencies on record from recent inspections. Of these, 7 are classified as causing actual harm or jeopardy.
Has Lake Mariam Health and Rehabilitation Center received any fines or penalties?
Yes, Lake Mariam Health and Rehabilitation Center has received 3 penalties totaling $322K.
Who owns Lake Mariam Health and Rehabilitation Center?
Lake Mariam Health and Rehabilitation Center is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Lake Mariam Health and Rehabilitation Center last inspected?
The most recent health inspection for Lake Mariam Health and Rehabilitation Center was on Jan 25, 2024. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Lake Mariam Health and Rehabilitation Center?
Lake Mariam Health and Rehabilitation Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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