B+
83/100

MANOR AT CARPENTERS, THE Inspection Report, Violations & Safety Grade (LAKELAND, Florida)

1001 CARPENTERS WAY, LAKELAND, Florida 33809

Phone: 8638583847

CMS Overall:4/5

Overview & Bed Count

Certified Beds
72
Avg Residents/Day
60.5
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Polk
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health3/5
Staffing5/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityFlorida AvgDifference
RN Hours per Resident per Day1.010.73+0.28
Total Nurse Hours per Resident per Day4.293.86+0.43
CMS Staffing Rating5/53.3/5-
Nursing Staff Turnover24.6%41.5%-

Health Citation History

15 health citations on record

DateCategoryDescriptionSeverity
2026-06-11Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2026-06-11Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesE – Moderate Harm Potential
2026-06-11Resident 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.E – Moderate Harm Potential
2026-06-11Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2026-06-11Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.D – Moderate Harm Potential
2025-03-17Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G – Actual Harm
2025-03-17Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.G – Actual Harm
2024-01-18Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.D – Moderate Harm Potential
2024-01-18Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesD – Moderate Harm Potential
2024-01-18Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2022-02-11Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2022-02-11Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2022-02-11Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D – Moderate Harm Potential
2022-02-11Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2022-02-11Infection Control DeficienciesPerform COVID19 testing on residents and staff.D – Moderate Harm Potential

Fire Safety Citation History

5 fire safety citations on record

DateCategoryDescriptionSeverity
2026-06-11Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2026-06-11Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2026-06-11Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2026-06-11Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2024-01-18Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.C – Minimal Harm Potential

Total Penalties & Fines

$24,252
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2025-03-17Fine$24,252-

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