D64

Lady Lake Specialty Care Center and Rehab

Grade D 64/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
1/5
Health Insp.
1/5
Quality
4/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

145

Ownership

For profit - Limited Liability company

Total Fines

$13,970

Last Survey

N/A

630 GRIFFIN AVENUE, LADY LAKE, FL 32159
3527506619

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.45h
LPN
0.82h
CNA
2.05h
Total
3.31h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

LADY LAKE SNF HOLDCO LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Aug 2023

100%

COPPER FL TRUST II

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2023

FL HUD MASTER OPCO HOLDCO LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2023

GOLD FL TRUST II

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2023

SILVER FL TRUST II

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2023

ELLENBOGEN, MOSS

IndividualCORPORATE OFFICERSince Aug 2023

OLIVER, TONYA

IndividualW-2 MANAGING EMPLOYEESince Aug 2023

Penalties & Fines (2)

$13,970total fines
DateTypeDescriptionAmount
Mar 9, 2023Fine$5,000
Mar 9, 2023Fine$8,970

Health Inspection Deficiencies (30)

December 18, 2025Health10 deficiencies2 severe
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

0645DMinimal harm, Isolated

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies

0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

0698DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

0756DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

0760JImmediate jeopardy, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

0812DMinimal harm, Isolated

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

Nutrition and Dietary Deficiencies

0835JImmediate jeopardy, Isolated

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

Administration Deficiencies

0842DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

July 17, 2024Health8 deficiencies
0584DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Aug 23, 2024
0695DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Aug 23, 2024
0732CNo harm, Widespread

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Aug 23, 2024
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Aug 23, 2024
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Aug 23, 2024
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Aug 23, 2024
0842DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Aug 23, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 23, 2024
April 1, 2024Health1 deficiency
0761FMinimal harm, Widespread

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.

Pharmacy Service Deficiencies

Corrected Apr 27, 2024
March 9, 2023Health11 deficiencies
0625EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Apr 17, 2023
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 17, 2023
0645DMinimal harm, Isolated

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies

Corrected Apr 17, 2023
0656DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Apr 17, 2023
0695EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Apr 17, 2023
0761EMinimal harm, Pattern

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.

Pharmacy Service Deficiencies

Corrected Apr 17, 2023
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Apr 17, 2023
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Apr 17, 2023
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 17, 2023
0692DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Apr 17, 2023
0842DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Apr 17, 2023

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Frequently Asked Questions

What is the CareGrader rating for Lady Lake Specialty Care Center and Rehab?

Lady Lake Specialty Care Center and Rehab in LADY LAKE, Florida has a CareGrader grade of D (Below Average), with a composite score of 64.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Lady Lake Specialty Care Center and Rehab?

Lady Lake Specialty Care Center and Rehab has an overall CMS star rating of 1 out of 5, a health inspection rating of 1/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Lady Lake Specialty Care Center and Rehab have?

Lady Lake Specialty Care Center and Rehab has 30 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has Lady Lake Specialty Care Center and Rehab been fined?

Yes. Lady Lake Specialty Care Center and Rehab has $13,970 in total fines from CMS enforcement actions across 2 penalties.

How many beds does Lady Lake Specialty Care Center and Rehab have?

Lady Lake Specialty Care Center and Rehab has 145 certified beds with approximately 141 current residents (97% occupancy). The facility is located at 630 GRIFFIN AVENUE, LADY LAKE, Florida 32159. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.