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CHARMING LAKES REHAB Inspection Report, Violations & Safety Grade (LAKELAND, Florida)

2020 W LAKE PARKER DR, LAKELAND, Florida 33805

Phone: 8636827580

CMS Overall:1/5

Overview & Bed Count

Certified Beds
120
Avg Residents/Day
111.7
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Polk
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall1/5
Health2/5
Staffing1/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityFlorida AvgDifference
RN Hours per Resident per Day0.450.73-0.28
Total Nurse Hours per Resident per Day3.493.86-0.37
CMS Staffing Rating1/53.3/5-
Nursing Staff Turnover58.0%41.5%-

Health Citation History

34 health citations on record

DateCategoryDescriptionSeverity
2025-08-21Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.G – Actual Harm
2025-08-21Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2025-08-21Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential
2025-08-21Quality of Life and Care DeficienciesEnsure 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.D – Moderate Harm Potential
2025-08-21Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2025-08-21Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2025-08-21Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.D – Moderate Harm Potential
2025-08-21Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2025-08-21Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D – Moderate Harm Potential
2025-08-21Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2025-08-21Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.C – Minimal Harm Potential
2025-08-07Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2023-05-25Resident Rights DeficienciesHonor 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.E – Moderate Harm Potential
2023-05-25Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.E – Moderate Harm Potential
2023-05-25Resident Rights DeficienciesHonor the resident's right to manage his or her financial affairs.D – Moderate Harm Potential
2023-05-25Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2023-05-25Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential
2023-05-25Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.D – Moderate Harm Potential
2023-05-25Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.D – Moderate Harm Potential
2023-05-25Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2023-05-25Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2023-05-25Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.D – Moderate Harm Potential
2021-08-13Pharmacy Service DeficienciesEnsure 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.E – Moderate Harm Potential
2021-08-13Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2021-08-13Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesD – Moderate Harm Potential
2021-08-13Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2021-08-13Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2021-08-13Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2021-08-13Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2021-08-13Nursing and Physician Services DeficienciesPost nurse staffing information every day.D – Moderate Harm Potential
2021-08-13Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2021-08-13Nutrition and Dietary DeficienciesEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.D – Moderate Harm Potential
2021-08-13Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2021-08-13Environmental DeficienciesKeep all essential equipment working safely.D – Moderate Harm Potential

Fire Safety Citation History

11 fire safety citations on record

DateCategoryDescriptionSeverity
2023-05-25Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2023-05-25Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.D – Moderate Harm Potential
2023-05-25Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.D – Moderate Harm Potential
2021-08-13Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).D – Moderate Harm Potential
2021-08-13Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.D – Moderate Harm Potential
2021-08-13Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2021-08-13Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential
2021-08-13Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.D – Moderate Harm Potential
2021-08-13Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.D – Moderate Harm Potential
2021-08-13Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential
2021-08-13Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential

Total Penalties & Fines

$77,880
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2025-08-07Fine$77,880-

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