Deficiency Index

Lady Lake Specialty Care Center and Rehab

Lady Lake, Florida · CCN 106003

31 surveys since 2010. The first finding at harm level was recorded in 2025.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
106
Surveys
31
Harm or worse
2
Immediate jeopardy
2
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records.

Beyond CMS’s monthly file27/31

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
145
Ownership
For profit - Limited Liability company
Chain
GOLD FL TRUST II
County
Lake
Medicare-certified since
1999

CMS ratings

Overall
1
Health inspection
1
Staffing
2
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more 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

Dec 18, 2025

326 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.523.63
Registered-nurse hours per resident day0.49—
Annual nurse turnover60.2%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

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ27.7%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1661.5%E623.1%F13.8%
No harm, potential for minimalA—B—C13.8%
CMS’s current file: 26 of the 106 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • 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.

  • F8423×

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

  • F8803×

    Provide and implement an infection prevention and control program.

  • F6452×

    PASARR screening for Mental disorders or Intellectual Disabilities

  • 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 Lady Lake Specialty Care Center and Rehab, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF760Dec 18, 2025

    Number of residents sampled: Number of residents cited: [NAME], [NAME] (7) [NAME], [NAME] (45576) - FTag Initiation No Notes [NAME], [NAME] (7) [NAME], [NAME] (45576) - RESIDENT NOTE No Notes

  • Immediate jeopardy, isolatedF835Dec 18, 2025

    Number of residents sampled: Number of residents cited: [NAME], [NAME] (7) [NAME], [NAME] (45576) - FTag Initiation No Notes [NAME], [NAME] (7) [NAME], [NAME] (45576) - RESIDENT NOTE No Notes

  • No harm, potential for more than minimal, widespreadF761Apr 1, 2024

    Based on observation, interview, and record review, the facility failed to ensure medications were labeled and stored in accordance with professional standards of practice in 6 of 6 medication carts reviewed for medication storage. Findings include: During an observation of Medication Cart #1 on [DATE] at 8:40 AM with Staff A, Licensed Practical Nurse (LPN), there were one opened Humalog insulin with no date opened or expiration date, one opened Lispro insulin with no date opened or expiration date, two unopened Aspart insulin with pharmacy instructions to refrigerate until opened, one opened bottle of olopatadine eye drops with no date opened or expiration date, one opened bottle of Prednisolone eye drops without the original pharmacy packaging and no date opened or expiration date, and… […]

  • No harm, potential for more than minimal, widespreadF761Sep 15, 2021

    Based on observation, interview, and record review, the facility failed to ensure drugs were securely stored for 1 of 3 residents, Resident #9, and failed to label drugs in accordance with currently accepted professional principles for 6 of 6 medication carts. Findings: 1. An observation of Resident #9's room with Staff A, Licensed Practical Nurse (LPN), Unit Manager, on 9/12/2021 beginning at 9:35 AM showed the resident was gone from the room. Visualized from the hallway on the overbed table, there were over the counter medications to include a medium size bottle of [MEDICATION(S)], which was about half empty, and two large and one medium size bottles of leg cramp relief. […]

  • No harm, potential for more than minimal, widespreadF812Sep 15, 2021

    Based on observation, interview, and record review, the facility failed to ensure food was stored and prepared in accordance with professional standards for food service safety. Findings: During the kitchen tour with Dietary Manager (DM) on 9/12/2021 at 10:06 AM, an observation of the walk-in cooler showed two large containers of cottage cheese showing an expiration date of 8/31/21 and leftover food with no identification label or date. Further observation showed produce with dark black discoloration and with fluid oozing. An observation of the meat slicer equipment on 9/12/2021 at 11:23 AM with the Dietary Manager (DM) showed a colored debris and food particles on the top and side of the blade. […]

Read 20 findings in full →The most serious and the most recent: 20 of 106 on record.

Every survey on record

FindingsAt actual harm or above

  • Dec 18, 2025Standard10 findings · 2 harm
  • Jul 17, 2024Standard8 findings
  • Apr 1, 2024Complaint1 finding
  • Mar 9, 2023Standard and complaint12 findings
  • Sep 15, 2021Standard7 findings
  • Jul 29, 2021Complaint2 findings
  • Dec 10, 2020Infection control1 finding
  • Jan 8, 2020Standard1 finding
Show the 23 earlier surveys
  • Oct 16, 2019Complaint1 finding
  • Jan 30, 2019Standard7 findings
  • Oct 26, 2017Standard9 findings
  • Jun 15, 2017Complaint1 finding
  • Aug 18, 2016Standard3 findings
  • Feb 5, 2016Complaint1 finding
  • Sep 28, 2015Complaint1 finding
  • Sep 1, 2015Complaint1 finding
  • May 29, 2015Standard4 findings
  • Jul 22, 2014Complaint1 finding
  • Jun 25, 2014Standard3 findings
  • May 15, 2014Complaint3 findings
  • Jan 16, 2014—2 findings
  • Oct 3, 2013—2 findings
  • Jun 25, 2013—2 findings
  • Mar 21, 2013—7 findings
  • Mar 5, 2013—1 finding
  • Jan 14, 2013—1 finding
  • Feb 28, 2012—2 findings
  • Feb 2, 2012—4 findings
  • Aug 16, 2011—4 findings
  • Jul 1, 2011—2 findings
  • Dec 9, 2010—2 findings

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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