Deficiency Index

South Campus Care Center and Rehab

Leesburg, Florida · CCN 105375

33 surveys since 2010, 4 of them producing a finding at harm level or worse.

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

Citations on record
130
Surveys
33
Harm or worse
4
Immediate jeopardy
0
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse4

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file27/33

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

The facility

Certified beds
120
Ownership
For profit - Limited Liability company
Chain
GOLD FL TRUST II
County
Lake
Medicare-certified since
1980

CMS ratings

Overall
3
Health inspection
3
Staffing
2
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 293 for-profit facilities of 100–127 beds in Florida.

Last survey on record

Apr 23, 2026

200 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 day3.613.57
Registered-nurse hours per resident day0.40—
Annual nurse turnover56.5%44.5%

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 jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD2385.2%E311.1%F—
No harm, potential for minimalA—B—C13.7%
CMS’s current file: 27 of the 130 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6773×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • F8423×

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

  • F5842×

    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.

  • F6562×

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

  • F6842×

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

In the surveyor’s words

From the most serious findings on record at South Campus Care Center and Rehab, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF689Sep 30, 2021

    Based on observation, interview, and record review the facility failed to ensure the resident environment remains as free of accident hazards as is possible by failing to maintain a safe kitchen environment. Findings: During an initial tour of the kitchen beginning at approximately 8:55 AM on [DATE], the kitchen equipment floor and walls had a visible layer of grease on them. The area next to the oven/stove under the overhead vent, both the floor and the walls had a layer of grease. The fryer had a layer of grease covering the back splash and the entirety of the front of the equipment. The front of the oven/stove had a layer of grease. The white tiled walls down to the floor and covering the baseboard had a layer of grease. […]

  • No harm, potential for more than minimal, widespreadF812Sep 30, 2021

    Based on observation, interview, and record review the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety by failing to maintain a clean and sanitary kitchen environment. Findings: During an initial tour of the kitchen beginning at approximately 8:55 AM on 9/27/2021, the kitchen equipment floor and walls had a visible layer of grease on them. The area next to the oven/stove under the overhead vent, both the floor and the walls had a layer of grease. The fryer had a layer of grease covering the back splash and the entirety of the front of the equipment. The front of the oven/stove had a layer of grease. The white tiled walls down to the floor and covering the baseboard had a layer of grease. […]

  • No harm, potential for more than minimal, patternF584Apr 29, 2025

    Based on observations and interviews, the facility failed to provide a clean homelike environment for 2 of 9 residents, Residents #1 and #7, reviewed for environment. Findings include: 1) During an observation on 4/29/2025 at 10:39 AM of Resident #1's room and bathroom there were tiles noted to be missing along the wall of the sink and toilet, these were located along the baseboard of the wall. The bathtub does have a rust colored discoloration near the faucet and brown staining on the tile along the wall. […]

  • No harm, potential for more than minimal, patternF812Jul 24, 2024

    Based on observations, interviews, and policy review, the facility failed to ensure food was stored, covered, labeled, or discarded in the kitchen walk-in coolers and dry storage areas and maintained standards of practice for cleaning and sanitary conditions in the dietary department. Findings included: An initial walk-through of the kitchen was conducted on 7/21/24 at 9:00 AM with the Dietary Manager (DM). An observation was made at 9:08 AM of two large full containers of cottage cheese with an expiration date of 7/14/24. An observation was made in the walk-in cooler of a large metal bowl of a fruit type mixture with no identifying label or date. An observation was made in the kitchen of a dirty cloth and a dirty metal scrubby left on the sink and not in a Santi-container or solution. […]

  • No harm, potential for more than minimal, patternF695Mar 15, 2023

    Based on observation, interview, and record review, the facility failed to ensure residents received respiratory care services consistent with professional standards of practice for 3 of 6 residents reviewed for oxygen administration, Residents #84, #227, and #321, in a total sample of 52 residents. Findings include: 1. During an observation on 3/12/2023 at 1:01 PM, Resident #321 was lying in bed with oxygen running at 3.5 liters per minute via nasal cannula. During an observation on 3/13/2023 at 8:43 AM, Resident #321 was lying in bed with oxygen running at 4 liters per minute via nasal cannula. […]

Read 24 findings in full →The most serious and the most recent: 24 of 130 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 23, 2026Complaint1 finding
  • Jan 8, 2026Standard5 findings
  • Apr 29, 2025Complaint2 findings
  • Jul 24, 2024Standard8 findings
  • Nov 15, 2023Complaint2 findings
  • Mar 15, 2023Standard9 findings
  • Sep 30, 2021Standard6 findings
  • Feb 7, 2020Standard and complaint11 findings
Show the 25 earlier surveys
  • Apr 11, 2019Standard5 findings
  • Apr 24, 2018Complaint1 finding
  • Jan 26, 2018Standard10 findings
  • Dec 4, 2017Complaint1 finding
  • Aug 25, 2017Complaint1 finding
  • Mar 2, 2017Standard4 findings
  • Jul 1, 2016Complaint1 finding
  • Dec 17, 2015Standard and complaint8 findings
  • Sep 2, 2015Complaint1 finding
  • Jan 26, 2015Complaint1 finding
  • Jan 21, 2015Complaint2 findings
  • Oct 30, 2014Standard8 findings
  • Sep 26, 2013—10 findings · 3 harm
  • May 18, 2013—1 finding
  • Apr 15, 2013—2 findings
  • Nov 27, 2012—1 finding · 1 harm
  • Aug 2, 2012—11 findings
  • Apr 23, 2012—1 finding
  • Oct 12, 2011—2 findings
  • Sep 19, 2011—2 findings
  • May 18, 2011—3 findings
  • May 3, 2011—1 finding
  • Apr 6, 2011—6 findings
  • Dec 2, 2010—1 finding
  • Oct 12, 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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