Astoria Health and Rehabilitation Center
701 Overlook Dr Se · Winter Haven, FL · 33884 · 8633185000
132 certified beds For profit - Corporation Chain: Tlc Management
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 77 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.33 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.61 | 0.55–0.75 |
| Weekend hours / resident-day | 3.94 | ≈ weekday level |
| Nursing turnover / year | 46% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (26 in the current record)
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Potential for harm · E March 26, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected April 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 26, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected April 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · E March 26, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 26, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 28, 2024 · Pharmacy Service
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Potential for harm · D March 26, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected April 28, 2024 · Pharmacy Service
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Potential for harm · D March 26, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected April 28, 2024 · Pharmacy Service
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Potential for harm · E March 26, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected April 28, 2024 · Pharmacy Service
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Potential for harm · E March 26, 2024
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.
Corrected April 28, 2024 · Pharmacy Service
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Potential for harm · D March 26, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 28, 2024 · Nutrition and Dietary
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Potential for harm · E March 26, 2024
Provide and implement an infection prevention and control program.
Corrected April 28, 2024 · Infection Control
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Potential for harm · D February 4, 2022
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected March 4, 2022 · Resident Rights
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Potential for harm · F February 4, 2022
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected March 4, 2022 · Resident Rights
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Potential for harm · F February 4, 2022
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected March 4, 2022 · Resident Rights
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Potential for harm · D February 4, 2022
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected March 4, 2022 · Quality of Life and Care
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Potential for harm · D February 4, 2022
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected March 4, 2022 · Quality of Life and Care
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Potential for harm · D February 4, 2022
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected March 4, 2022 · Pharmacy Service
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Potential for harm · F February 4, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 4, 2022 · Nutrition and Dietary
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Potential for harm · D October 30, 2020
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 3, 2020 · Resident Rights
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Potential for harm · D October 30, 2020
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected December 3, 2020 · Resident Assessment and Care Planning
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Potential for harm · D October 30, 2020
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 3, 2020 · Quality of Life and Care
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Potential for harm · D October 30, 2020
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected December 3, 2020 · Quality of Life and Care
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Potential for harm · D October 30, 2020
Provide safe, appropriate pain management for a resident who requires such services.
Corrected December 3, 2020 · Quality of Life and Care
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Potential for harm · D October 30, 2020
Ensure medication error rates are not 5 percent or greater.
Corrected December 3, 2020 · Pharmacy Service
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Potential for harm · D October 30, 2020
Ensure that residents are free from significant medication errors.
Corrected December 3, 2020 · Pharmacy Service
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Potential for harm · D October 30, 2020
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.
Corrected December 3, 2020 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 106086 · certified since December 13, 2010. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.