Breezy Hills Rehab and Care Center

5245 N Socrum Loop Rd · Lakeland, FL · 33809 · 8638591446

120 certified beds For profit - Limited Liability company Chain: Excelsior Care Group

The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 48
Serious harm & abuse 20% 100
Staffing 20% 62
Federal penalties 15% 78
Trend 10% 73
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.563.48 min · 4.1 strong
RN hours / resident-day0.410.55–0.75
Weekend hours / resident-day3.34≈ weekday level
Nursing turnover / year54%median 45%
Fines (3-yr window)1 · $6,351

Inspection citations (34 in the current record)

  • Potential for harm · D May 8, 2025

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected June 8, 2025 · Resident Rights

  • Potential for harm · E May 8, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected June 8, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 8, 2025

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

    Corrected June 8, 2025 · Quality of Life and Care

  • Potential for harm · D May 8, 2025

    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.

    Corrected June 8, 2025 · Quality of Life and Care

  • Potential for harm · E May 8, 2025

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

    Corrected June 8, 2025 · Quality of Life and Care

  • Potential for harm · D May 8, 2025

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected June 8, 2025 · Quality of Life and Care

  • Potential for harm · D May 8, 2025

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected June 8, 2025 · Pharmacy Service

  • Potential for harm · D May 8, 2025

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

    Corrected June 8, 2025 · Pharmacy Service

  • Potential for harm · D May 8, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected June 8, 2025 · Pharmacy Service

  • Potential for harm · F May 8, 2025

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

    Corrected June 8, 2025 · Nutrition and Dietary

  • Potential for harm · D May 8, 2025

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

    Corrected June 8, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 27, 2025 · found via complaint

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Corrected April 11, 2025 · Quality of Life and Care

  • Potential for harm · D July 2, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected July 17, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 2, 2024 · found via complaint

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

    Corrected July 17, 2024 · Quality of Life and Care

  • Potential for harm · D July 2, 2024 · found via complaint

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected July 17, 2024 · Quality of Life and Care

  • Potential for harm · D February 8, 2023

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

    Corrected March 10, 2023 · Resident Rights

  • Potential for harm · E February 8, 2023

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected March 10, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D February 8, 2023

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

    Corrected March 10, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D February 8, 2023

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected March 10, 2023 · Quality of Life and Care

  • Potential for harm · D February 8, 2023

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected March 10, 2023 · Quality of Life and Care

  • Potential for harm · D February 8, 2023

    Ensure medication error rates are not 5 percent or greater.

    Corrected March 10, 2023 · Pharmacy Service

  • Potential for harm · D February 8, 2023

    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 March 10, 2023 · Pharmacy Service

  • Potential for harm · F February 8, 2023

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

    Corrected March 10, 2023 · Nutrition and Dietary

  • Potential for harm · F February 8, 2023

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

    Corrected March 10, 2023 · Administration

  • Potential for harm · F February 8, 2023

    Provide a neutral and fair arbitration process and agree to arbitrator and venue.

    Corrected March 10, 2023 · Administration

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
July 17, 2023Fine$6,351

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 105482 · certified since December 28, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.