Nursing Homes
Astoria Health And Rehabilitation Center
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UPDATED JUL 2026
Nursing Homes · Medicare certified
Lake Mariam Health And Rehabilitation Center
1801 N Lake Mariam Dr · Winter Haven, FL 33884 · 120 certified beds
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Public record
CMS Care Compare · Updated Jul 2026
CMS designation
Special Focus Facility candidate (CMS)
CMS lists this nursing home on the monthly Special Focus Facility candidate list. Candidate status means the facility qualifies for possible selection into the Special Focus Facility program based on CMS criteria. It is a public CMS designation, not an ElderCareCosts rating. CMS Special Focus Facility program.
Source: CMS Provider Information.GOVCertification
- Medicare-certified (CMS Certification Number on file)
Ratings
2.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV
Staffing rating
4.0Quality-measure rating
5.0Inspections on record
2
Cited deficiencies
55
Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Inspection history (65)
January 25, 2024 · K
Citation F0689Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0689 (CMS scope/severity K: pattern, immediate jeopardy) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-06-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOVJanuary 25, 2024 · D
Citation F0700Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0700 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-04-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOVJanuary 25, 2024 · E
Citation F0867Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0867 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. The deficiency was recorded as corrected on 2024-06-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOVJanuary 25, 2024 · D
Citation F0918Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0918 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide a bathroom in or located near each resident’s room. The deficiency was recorded as corrected on 2024-02-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOVJanuary 25, 2024 · E
Citation F0584Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-06-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOVJanuary 25, 2024 · D
Citation F0695Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2024-02-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOVJanuary 25, 2024 · E
Citation F0814Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0814 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Dispose of garbage and refuse properly. The deficiency was recorded as corrected on 2024-02-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOVJanuary 25, 2024 · D
Citation F0909Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0909 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. The deficiency was recorded as corrected on 2024-02-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOVJanuary 25, 2024 · D
Citation F0807Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0807 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. The deficiency was recorded as corrected on 2024-02-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOVJanuary 25, 2024 · D
Citation F0755Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0755 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2024-04-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOVJanuary 25, 2024 · D
Citation F0924Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0924 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Put firmly secured handrails on each side of hallways. The deficiency was recorded as corrected on 2024-02-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOVJanuary 25, 2024 · D
Citation F0550Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2024-02-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOVJanuary 25, 2024 · D
Citation F0559Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0559 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. The deficiency was recorded as corrected on 2024-02-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOVJanuary 25, 2024 · D
Citation F0687Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0687 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate foot care. The deficiency was recorded as corrected on 2024-02-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOVJanuary 25, 2024 · D
Citation F0677Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2024-02-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOVJanuary 25, 2024 · D
Citation F0692Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0692 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide enough food/fluids to maintain a resident's health. The deficiency was recorded as corrected on 2024-02-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOVJanuary 25, 2024 · D
Citation F0808Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0808 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure 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. The deficiency was recorded as corrected on 2024-02-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOVJanuary 25, 2024 · E
Citation F0880Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-02-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOVJanuary 25, 2024 · D
Citation F0926Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0926 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Have policies on smoking. The deficiency was recorded as corrected on 2024-02-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOVJanuary 25, 2024 · E
Citation F0925Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0925 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. The deficiency was recorded as corrected on 2024-02-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOV
Penalties
Total fines on file: $353,123
Staffing
Latest: 4.38 nurse staffing hours per resident per day (2026-06-01)
Staffing trend (2 periods)
- 2025Q44.38 hrs/resident/day
- 2026-06-014.38 hrs/resident/day
Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
For profit - Limited Liability company
CMS Care Compare chain: Robert Schoenfeld
Chain ID 716 · 8 facilities in chain (CMS)
- Chain average overall rating: 3.6
- Chain average health inspection rating: 3
- Chain average staffing rating: 3.4
- Chain average quality measure rating: 4.4
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
Parent organization: Lake Mariam Fl Holdco LLC
parent · PAC 9032657655
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth Cost of Care Survey · 2024
This provider doesn't publish a specific price to us. Below is the typical FL range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · FL$10,369/moSee full FL cost breakdownSource: Genworth Cost of Care Survey · Updated 2024
Nursing Homes
Median · FL$10,342/moSee full FL cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025
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