C74

LAKE PORT SQUARE HEALTH CENTER

Grade C 74/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
3/5
Health Insp.
3/5
Quality
3/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

80

Ownership

For profit - Limited Liability company

Total Fines

None

Last Survey

N/A

701 LAKE PORT BLVD, LEESBURG, FL 34748
3527283366

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.75h
LPN
1.01h
CNA
2.23h
Total
3.99h
Facility
State Average

Turnover Rates

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

Ownership

CCRC OPCO VENTURES, LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Aug 2014

100%

HCP S-H 2014 MEMBER LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Feb 2020

HEALTHPEAK OP LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Feb 2023

HEALTHPEAK PROPERTIES INC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Feb 2020

S-H 2014 OPCO TRS INC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Feb 2020

LIFE CARE SERVICES LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Feb 2020

BEELER, DANIEL

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Mar 2025

BUETTNER, MARKUS

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Mar 2025

MARTINEZ IRIZARRY, AXEL

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (29)

February 13, 2025Health7 deficiencies
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 25, 2025
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 Mar 25, 2025
0695DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Mar 25, 2025
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 Mar 25, 2025
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

Corrected Mar 25, 2025
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 Mar 25, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Mar 25, 2025
April 11, 2024Health1 deficiency
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected May 1, 2024
October 25, 2023Health11 deficiencies
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Nov 28, 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 Nov 28, 2023
0686DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Nov 28, 2023
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Nov 28, 2023
0695EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Nov 28, 2023
0732CNo harm, Widespread

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Nov 28, 2023
0756EMinimal harm, Pattern

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

Corrected Nov 28, 2023
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 Nov 28, 2023
0770DMinimal harm, Isolated

Provide timely, quality laboratory services/tests to meet the needs of residents.

Administration Deficiencies

Corrected Nov 28, 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 Nov 28, 2023
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Nov 28, 2023
May 6, 2022Health10 deficiencies3 severe
0835LImmediate jeopardy, Widespread

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

Administration Deficiencies

Corrected Jun 24, 2022
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Jun 5, 2022
0578DMinimal harm, Isolated

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Resident Rights Deficiencies

Corrected Jun 5, 2022
0600LImmediate jeopardy, Widespread

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jun 22, 2022
0695EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Jun 28, 2022
0726LImmediate jeopardy, Widespread

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Nursing and Physician Services Deficiencies

Corrected Jun 24, 2022
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 Jun 22, 2022
0812FMinimal harm, Widespread

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 Jun 5, 2022
0867DMinimal harm, Isolated

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

Administration Deficiencies

Corrected Jun 5, 2022
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jun 28, 2022

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Frequently Asked Questions

What is the CareGrader rating for LAKE PORT SQUARE HEALTH CENTER?

LAKE PORT SQUARE HEALTH CENTER in LEESBURG, Florida has a CareGrader grade of C (Average), with a composite score of 73.5 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 LAKE PORT SQUARE HEALTH CENTER?

LAKE PORT SQUARE HEALTH CENTER has an overall CMS star rating of 3 out of 5, a health inspection rating of 3/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does LAKE PORT SQUARE HEALTH CENTER have?

LAKE PORT SQUARE HEALTH CENTER has 29 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.

How many beds does LAKE PORT SQUARE HEALTH CENTER have?

LAKE PORT SQUARE HEALTH CENTER has 80 certified beds with approximately 68 current residents (85% occupancy). The facility is located at 701 LAKE PORT BLVD, LEESBURG, Florida 34748. 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.