Highlands Lake Center
Lakeland, Florida · CCN 105620
23 surveys since 2010, and no finding has been recorded at harm level.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 76
- Surveys
- 23
- Harm or worse
- 0
- Immediate jeopardy
- 0
No finding on record has been cited at harm level or above.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 179
- Ownership
- For profit - Corporation
- Chain
- ASTON HEALTH
- County
- Polk
- Medicare-certified since
- 1988
CMS ratings
- Overall
- 2
- Health inspection
- 2
- Staffing
- 3
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.
Weighted by harm level, against 150 for-profit facilities with 128 or more beds in Florida.
Last survey on record
Nov 5, 2025
369 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.32 | 3.63 |
| Registered-nurse hours per resident day | 0.70 | — |
| Annual nurse turnover | 53.5% | 41.4% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D2578.1% | E721.9% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F7553×
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F7593×
Ensure medication error rates are not 5 percent or greater.
- F7613×
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.
- F5852×
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.
- F6952×
Provide safe and appropriate respiratory care for a resident when needed.
In the surveyor’s words
From the most serious findings on record at Highlands Lake Center, in the surveyor’s own words.
- No harm, potential for more than minimal, patternF755Nov 5, 2025
Based on observations, interviews, and record review, the facility failed to ensure the narcotics policy was followed by nursing to ensure narcotic audits were accurate for three residents (#1, #8 and #9) out of three residents sampled for pain management.Findings included:On 11/04/2025 at 8:33 a.m., an interview was conducted with Staff G, Licensed Practical Nurse (LPN). Staff G, LPN stated when narcotics are delivered, Staff G, LPN would sign a yellow sheet of paper and a hand-held device where an electronic signature would be required by the pharmacy. A copy would be provided to the nurse. […]
- No harm, potential for more than minimal, patternF585Apr 17, 2025
Based on record review and interviews the facility failed to implement an effective grievance program related to ensuring voiced concerns are acknowledged, documented, and resolved for the attending resident council members during six months (November, December, January, February, March and April) of six months reviewed. Findings included: Review of Grievance Logs for a six-month period from November 2024 to April 2025 revealed each month there were on-going call light concerns. Review of the Grievance Log for November 2024 revealed a grievance for Resident #1 dated 11/22/24 for Activities of Daily Living (ADL) care not provided, medications left at the bedside, and pain meds not provided in a timely manner. […]
- No harm, potential for more than minimal, patternF582Mar 7, 2024
Based on interviews and record review, the facility 1) failed to provide appropriate notification when changes occur with the resident's coverage for two (#137 and #159) of 3 residents sampled for beneficiary notices, and 2) failed to provide one resident (#368) out of three residents sampled with a refund within 30 days after discharging from the facility. Findings included: Review of Resident #137's record revealed he was admitted to the facility on [DATE]. The resident's last covered day for Part A services was 12/2/23. The resident elected to remain in the facility for Long Term Care (LTC). […]
- No harm, potential for more than minimal, patternF641Mar 7, 2024
Based on interviews and record reviews, the facility failed to ensure accuracy of comprehensive assessments for three (#135 and #83) of fifty two sampled residents. Findings included: A review of Resident #83's medical record revealed Resident #83 was admitted to the facility on [DATE] with diagnoses of cerebral atherosclerosis, dysphagia following cerebral infarction, and dementia. A review of Resident #83's physician's orders revealed an order, dated 10/3/2023, for hospice services for end of life care related to a diagnosis of cerebral atherosclerosis. […]
- No harm, potential for more than minimal, patternF644Mar 7, 2024
Based on interviews and record review, the facility failed to complete the Preadmission Screening and Resident Review (PASRR) Level I upon admission for three residents (#43, #128, and # 98) of seven residents sampled for PASRR Level 1. Findings Included: Review of the Admission Record, dated 03/06/2024, showed Resident #43 was admitted on [DATE] and readmitted on [DATE] with diagnoses to include but not limited to major depressive disorder, recurrent, moderate, dementia in other disease classified elsewhere, moderate, with mood disturbance. […]
Read 20 findings in full →The most serious and the most recent: 20 of 76 on record.
Every survey on record
FindingsAt actual harm or above
- Nov 5, 2025Complaint2 findings
- Apr 17, 2025Complaint2 findings
- Aug 6, 2024Complaint3 findings
- Mar 7, 2024Standard and complaint15 findings
- Mar 16, 2023Complaint1 finding
- Jan 9, 2023Complaint2 findings
- Jun 14, 2022Complaint2 findings
- Nov 18, 2021Standard and complaint8 findings
Show the 15 earlier surveys
- May 26, 2021Infection control1 finding
- Apr 20, 2020Complaint2 findings
- Feb 28, 2020Standard2 findings
- Dec 6, 2018Standard and complaint6 findings
- Feb 1, 2018Complaint5 findings
- Sep 21, 2017Standard3 findings
- Jul 21, 2017Complaint2 findings
- Jul 21, 2016Standard and complaint6 findings
- Apr 3, 2015Standard2 findings
- Feb 14, 2014Standard5 findings
- Nov 30, 2012—1 finding
- Sep 30, 2011—1 finding
- Jun 16, 2011—2 findings
- Sep 28, 2010—2 findings
- Aug 20, 2010—1 finding
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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