Lake Mariam Health and Rehabilitation Center
1801 N Lake Mariam Dr · Winter Haven, FL · 33884 · 8632931989
120 certified beds For profit - Limited Liability company Chain: Robert Schoenfeld
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $12,529 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
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
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
3 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.38 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.46 | 0.55–0.75 |
| Weekend hours / resident-day | 3.97 | ≈ weekday level |
| Nursing turnover / year | 41% | median 45% |
| Fines (3-yr window) | 4 · $353,123 |
Inspection citations (65 in the current record)
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Potential for harm · E April 29, 2026 · found via complaint
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected May 1, 2026 · Resident Rights
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Immediate jeopardy · J March 12, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 6, 2026 · Quality of Life and Care
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Immediate jeopardy · J March 12, 2026 · found via complaint
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected April 6, 2026 · Administration
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Potential for harm · E March 12, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 6, 2026 · Resident Assessment and Care Planning
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Actual harm · G October 17, 2024 · found via complaint
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected November 15, 2024 · Resident Rights
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Potential for harm · E October 17, 2024 · found via complaint
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.
Corrected November 15, 2024 · Resident Rights
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Potential for harm · D October 17, 2024 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected November 15, 2024 · Resident Rights
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Immediate jeopardy · K May 17, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 6, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K January 25, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 6, 2024 · Quality of Life and Care
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Potential for harm · D January 25, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 25, 2024 · Resident Rights
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Potential for harm · D January 25, 2024
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected February 25, 2024 · Resident Rights
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Potential for harm · D January 25, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected February 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · E January 25, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 6, 2024 · Resident Assessment and Care Planning
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Potential for harm · E January 25, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 25, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 25, 2024 · Quality of Life and Care
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Potential for harm · D January 25, 2024
Provide appropriate foot care.
Corrected February 25, 2024 · Quality of Life and Care
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Potential for harm · D January 25, 2024
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.
Corrected February 25, 2024 · Quality of Life and Care
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Potential for harm · D January 25, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected February 25, 2024 · Quality of Life and Care
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Potential for harm · D January 25, 2024
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 February 25, 2024 · Quality of Life and Care
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Potential for harm · D January 25, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 25, 2024 · Quality of Life and Care
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Potential for harm · D January 25, 2024
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.
Corrected April 25, 2024 · Quality of Life and Care
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Potential for harm · D January 25, 2024
Post nurse staffing information every day.
Corrected February 25, 2024 · Nursing and Physician Services
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Potential for harm · D January 25, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 25, 2024 · Pharmacy Service
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Potential for harm · E January 25, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected April 25, 2024 · Pharmacy Service
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Potential for harm · D January 25, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected February 25, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 17, 2024 | Fine | $12,529 |
| January 25, 2024 | Fine | $12,542 |
| January 25, 2024 | Fine | $296,449 |
| August 18, 2023 | Fine | $31,603 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 105428 · certified since February 7, 1983. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.