Lake Mariam Health And Rehabilitation Center - 1-Star Rehab Facility in Winter Haven, FL | PlacetClinical Quality Indicators
Long-stay residents, lower is better
Antipsychotic medication use 14.2%Falls causing major injury 2.11%Pressure ulcers (high-risk) 3.02%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
⚠️ Last inspected: Oct 2024 (649 days ago)🔍 Health Inspection
1/5
★☆☆☆☆
📊 Quality Measures
4/5
★★★★☆
Medicare
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 44 min · US avg: 41 min
Total Nurse / Resident / Day
4h 36m
State avg: 3h 52m · US avg: 3h 53m
0 min
State avg: 5 min · US avg: 4 min
52 per 100
State avg: 42 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
80%above avg
US avg: 64%
Total Nurse Weekend
4h 28m
Federal Penalties
4 penalties · $353,123 total
| Date | Type | Fine | Denial Days |
|---|
| 10/17/2024 | Fine | $12,529 | - |
| 1/25/2024 | Fine | $12,542 | - |
| 1/25/2024 | Fine | $296,449 | - |
| 8/18/2023 | Fine | $31,603 | - |
Inspection Citations
Survey: October 17, 2024(3 citations)
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟠 Actual HarmResident Rights DeficienciesComplaint
Survey: May 17, 2024(1 citation)
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
Survey: January 25, 2024(36 citations)
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
Survey: August 18, 2023(4 citations)
🟡 Potential for HarmResident Rights DeficienciesComplaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmEnvironmental DeficienciesComplaint
N/A
State avg: 26.1 · US avg: 23.9
N/A
State avg: 9.3 · US avg: 12.0
2.1 per 100
State avg: 2.6 · US avg: 3.3
3.0 per 100
State avg: 5.1 · US avg: 5.1
0.0 per 100
State avg: 1.5 · US avg: 1.6
82.5 per 100
State avg: 94.7 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
44/100
Incentive Payment
-0.29% penalty
Healthcare-Assoc. Infections
N/A
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Avg Length of Stay
34.2 days
Avg Payment / Stay
$13,753.6
Patient Complexity
3.10 × avg
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
🟡 Potential for HarmQuality of Life and Care Deficiencies
🔴 Immediate JeopardyQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🟡 Potential for HarmEnvironmental DeficienciesComplaint
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