Oak Haven Rehab and Nursing Center

919 Old Winter Haven Rd · Auburndale, FL · 33823 · 8639674125

120 certified beds For profit - Corporation Chain: Aston Health

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.

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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 37
Serious harm & abuse 20% 100
Staffing 20% 67
Federal penalties 15% 53
Trend 10% 26
Context 5% 100

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

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.493.48 min · 4.1 strong
RN hours / resident-day0.530.55–0.75
Weekend hours / resident-day3.15≈ weekday level
Nursing turnover / year41%median 45%
Fines (3-yr window)3 · $12,051

Inspection citations (33 in the current record)

  • Potential for harm · D April 12, 2026 · found via complaint

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected May 8, 2026 · Resident Rights

  • Potential for harm · D April 12, 2026 · found via complaint

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

    Corrected May 8, 2026 · Quality of Life and Care

  • Potential for harm · E April 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 May 8, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E April 12, 2026 · found via complaint

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Corrected May 8, 2026 · Administration

  • Potential for harm · E July 28, 2025 · found via complaint

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

    Corrected September 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D July 18, 2024

    Ensure each resident receives an accurate assessment.

    Corrected August 17, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 18, 2024

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected August 17, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 18, 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 August 17, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E July 18, 2024

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

    Corrected August 17, 2024 · Quality of Life and Care

  • Potential for harm · E July 18, 2024

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

    Corrected August 17, 2024 · Quality of Life and Care

  • Potential for harm · E July 18, 2024

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

    Corrected August 17, 2024 · Quality of Life and Care

  • Potential for harm · D July 18, 2024

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

    Corrected August 17, 2024 · Pharmacy Service

  • Potential for harm · D July 18, 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 October 16, 2024 · Pharmacy Service

  • Potential for harm · D July 18, 2024

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected August 17, 2024 · Nutrition and Dietary

  • Potential for harm · D July 18, 2024

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

    Corrected August 17, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 18, 2024

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

    Corrected October 16, 2024 · Administration

  • Potential for harm · E July 18, 2024

    Provide and implement an infection prevention and control program.

    Corrected October 16, 2024 · Infection Control

  • Potential for harm · D May 26, 2022

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

    Corrected June 26, 2022 · Resident Rights

  • Potential for harm · D May 26, 2022

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

    Corrected June 26, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D May 26, 2022

    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 June 26, 2022 · Quality of Life and Care

  • Potential for harm · D May 26, 2022

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

    Corrected June 26, 2022 · Pharmacy Service

  • Potential for harm · D May 26, 2022

    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 June 26, 2022 · Pharmacy Service

  • Potential for harm · D May 26, 2022

    Ensure medication error rates are not 5 percent or greater.

    Corrected June 26, 2022 · Pharmacy Service

  • Potential for harm · D May 26, 2022

    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 June 26, 2022 · Pharmacy Service

  • Potential for harm · F May 26, 2022

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

    Corrected June 26, 2022 · Nutrition and Dietary

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

Federal penalties

DateTypeAmount / length
July 18, 2024Fine$4,017
July 18, 2024Fine$4,017
July 18, 2024Fine$4,017

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 105302 · certified since January 1, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.