Polk County, Florida · Nursing home
Lake Mariam Health and Rehabilitation Center
2 of 5 overall from CMS
1801 N Lake Mariam Dr, Winter Haven, FL 33884
At a glance
- Overall rating 2 of 5 Below the state average of 3.3
- Nurse time per resident, per day 4.18 hours Above the state average of 3.82
- Nursing staff who left in a year 46.7% Above the state average of 41.4%
- Health citations, last 3 inspection cycles 61 5 at the harm level or above
- Fines in 3 years $321,520 3 fines
- Certified beds in use 82.9% of 120 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Lake Mariam Health and Rehabilitation Center is a 120-bed nursing home in Winter Haven, Florida (Polk County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 4.18 nurse staffing hours per resident per day, above the Florida average of 3.82. CMS lists 3 fines totaling $321,520 in the past three years.
- Certified beds
- 120
- Residents per day (average)
- 99.5
- Certified since
- 1983 (43 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Robert Schoenfeld (8 homes)CMS Special Focus: SFF Candidate
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Special Focus candidate. CMS lists this home as a candidate for its Special Focus Facility program: its inspection record qualifies it for the program, but it has not been selected. What a Special Focus Facility is
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Lake Mariam Health and Rehabilitation Center
Chosen from this home's public data.
- CMS lists this home as a candidate for its Special Focus Facility program, which means it qualifies but has not been selected. What has changed since the inspections behind that listing?Special Focus status in CMS data
- CMS lists 3 fines totaling $321,520 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 40 health deficiencies in the latest inspection cycle (the standard inspection on Jan 25, 2024 plus complaint and infection-control inspections); the Florida average is 7.1. Which have been corrected?Inspection results in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Florida average 3.3
- Health inspections 1 of 5 Florida average 2.9
- Staffing 3 of 5 Florida average 3.3
- Quality measures 5 of 5 Florida average 4.2
The vertical line marks the Florida average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.18 h Florida average 3.82
- Nurse aides 2.71 h Florida average 2.31
- Licensed practical nurses 1.08 h Florida average 0.78
- Registered nurses 0.39 h Florida average 0.73
- All staff, weekends 3.69 h Florida average 3.49
How much nurse staffing is enough? All bars share one scale, 0 to 9 hours. The vertical line marks the Florida average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover46.7%
- Florida average41.4%
- Registered nurse turnover58.8%
- Florida average46.0%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Florida and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Florida | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 5.2% | 8.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 3.5% | 5.5% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% | 0.3% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.6% | 0.7% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 8.6% | 4.6% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% | 2.5% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.5% | 98.2% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 11.0% | 9.5% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.9% | 14.4% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 99.2% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 2.1% | 4.5% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.8% | 10.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 7.4% | 8.6% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.32 | 2.13 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.62 | 1.15 | 1.78 |
Short-stay residents
| Measure | This home | Florida | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 75.5% | 95.2% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 1.5% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 82.5% | 94.7% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 26.1% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 9.1% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 61 health deficiencies in the three most recent inspection cycles. Of these, 4 were at the immediate jeopardy level and 1 involved actual harm; the rest were graded as no actual harm. 13 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Mar 12, 2026: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jan 25, 2024 | 40 | 15 |
| Oct 8, 2021 | 10 | 0 |
| Nov 15, 2019 | 11 | 3 |
Florida homes averaged 7.1 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (61)
-
EPotential for more than minimal harm, pattern
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (May 1, 2026)
-
JImmediate jeopardy, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 6, 2026)
-
JImmediate jeopardy, isolated
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Complaint investigation · Administration · Deficient, Provider has date of correction (Apr 6, 2026)
-
EPotential for more than minimal harm, pattern
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 6, 2026)
-
GActual harm, isolated
Prepare residents for a safe transfer or discharge from the nursing home.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Nov 15, 2024)
Show 25 more
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Nov 15, 2024)
-
DPotential for more than minimal harm, isolated
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Nov 15, 2024)
-
KImmediate jeopardy, pattern
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 6, 2024)
-
KImmediate jeopardy, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 6, 2024)
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 6, 2024)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Jun 6, 2024)
-
EPotential for more than minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 25, 2024)
-
EPotential for more than minimal harm, pattern
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · Deficient, Provider has date of correction (Apr 25, 2024)
-
EPotential for more than minimal harm, pattern
Dispose of garbage and refuse properly.
Nutrition and Dietary · Deficient, Provider has date of correction (Feb 25, 2024)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Jun 6, 2024)
-
EPotential for more than minimal harm, pattern
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration · Deficient, Provider has date of correction (Jun 6, 2024)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Feb 25, 2024)
-
EPotential for more than minimal harm, pattern
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (Feb 25, 2024)
-
EPotential for more than minimal harm, pattern
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Feb 25, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Feb 25, 2024)
-
DPotential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Feb 25, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Resident Rights · Deficient, Provider has date of correction (Feb 25, 2024)
-
DPotential for more than minimal harm, isolated
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 25, 2024)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 25, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate foot care.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 25, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 25, 2024)
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 25, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 25, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 25, 2024)
-
DPotential for more than minimal harm, isolated
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 25, 2024)
Showing the 30 most recent of 61.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Oct 17, 2024 | Fine | $12,529 |
| Jan 25, 2024 | Fine | $12,542 |
| Jan 25, 2024 | Fine | $296,449 |
Florida homes averaged 0.8 fines and $24,361 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Florida
- Size234 of 694 by certified beds
- Florida average residents per day108.9
- ChainRobert Schoenfeld
- Chain average overall rating3.1 of 5
- Resident or family councilResident
- Homes in Winter Haven7
- Homes in Polk County25
Common questions
What is the CMS star rating for Lake Mariam Health and Rehabilitation Center?
Lake Mariam Health and Rehabilitation Center has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 3 and quality measures is 5.
How many beds does Lake Mariam Health and Rehabilitation Center have?
Lake Mariam Health and Rehabilitation Center has 120 certified beds. It averages 99.5 residents per day, about 82.9% of its certified beds.
How much nursing care do residents get at Lake Mariam Health and Rehabilitation Center?
The home reports 4.18 hours of nurse staffing per resident per day, including 0.39 hours from registered nurses. The Florida average is 3.82 hours and 0.73 hours from registered nurses.
Has Lake Mariam Health and Rehabilitation Center been fined?
Yes. CMS lists 3 fines totaling $321,520 in the past three years.
Does Lake Mariam Health and Rehabilitation Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 4 of 5 Palm Garden of Winter Haven 120beds 94.7%in use 3.76nurse hours a day
- 4 of 5 Life Care Center of Winter Haven 177beds 95.0%in use 3.80nurse hours a day
- 3 of 5 Astoria Health and Rehabilitation Center 132beds 95.4%in use 4.20nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Polk County
Who to call in Florida
These offices serve residents of every nursing home in Florida.
- Long-term care ombudsman Florida Long-Term Care Ombudsman Program 1-888-831-0404 An advocate for residents and their families.
- File a complaint about a nursing home Complaint Administration Unit 1-888-419-3456 The state agency that inspects nursing homes.
Florida staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 105428. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.