Astoria Health and Rehabilitation Center
701 Overlook Dr Se, Winter Haven, FL 33884 · Polk County · (863) 318-5000
132 certified beds, about 126 residents a day · For profit - Corporation · Medicare and Medicaid since 2010
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 106086 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 26, 2024, inspectors cited 10 health deficiencies (the Florida average is 7.1, the national average 9.2).
None of its 26 health citations since October 2020 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.20 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.57 of those hours.
40.6% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Tlc Management, an affiliated group of 20 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
910/20
702/22
1003/24
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 26 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
18D
5E
3F
Potential for minimal harm
0A
0B
0C
March 26, 2024Standard inspection · 10 citations
- E Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on interview and record review, the facility failed to revise the Level I Pre-admission Screening and Resident Review (PASARR) with a newly identified diagnosis and failed to resubmit for a PASARR Level II review for four residents (#54, #20, #70, and #61) of 37 residents reviewed.
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observations, interviews and record review the facility failed to develop comprehensive care plans for three residents (#71, #75 and #77) related to advanced directives out of forty four residents sampled, and one resident (#59) related to identifying the target behaviors exhibited out of five residents sampled for unnecessary medications.
- E Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observations, record reviews, and interviews the facility failed to ensure the medication error rate was less than 5.00%. Thirty-two medication administration opportunities were observed and seven errors were identified for three residents (#500, #88, and #41) of five residents observed. These errors constituted a 21.88% medication error rate.
- E Ensure 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.
Inspectors wroteBased on observations, record reviews, and interviews the facility failed to ensure one of one treatment cart on the 600 unit was locked while unattended, failed to ensure medications on one medication cart (600) of five medication carts were not accessible to unauthorized personnel, failed to ensure one medication room (400) out of three medication rooms contained a locked permanently affixed controlled substance refrigerator box, and failed to ensure medications with a limited life were dated when opened on two of three sampled medication carts.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to develop and maintain an effective infection prevention and control program to control the spread of infection by failing to ensure staff members (A, B and H) donned appropriate personal protective equipment (PPE) before entering the rooms of residents under transmission based precautions for three residents (#319, #320, and #220) of four residents in the facility under transmission based precautions and failed to clean the nebulizer after use for one resident (#500) of three residents observed for medication administration.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on observations, record reviews, and interviews, the facility failed to ensure the accuracy of the Preadmission Screening and Resident Review (PASARR) for two residents (#101, and #77) out of 37 residents sampled.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure physician ordered medications were available for two residents (#63 and #35) of forty four sampled residents.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on interview and record review the facility failed to prevent the administration of a medication listed as an allergy and failed to notify the physician of the administration the medication for one resident (#55) of seven sampled residents,.
- D Implement 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.
Inspectors wroteBased on observations, record reviews, and interviews the facility failed to monitor the behaviors of two residents (#59 and #55) out of five residents sampled for the use of psychotropic medications.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review the facility failed to maintain one ice machine (400 hall) of three facility ice machines in a sanitary manner.
February 4, 2022Standard inspection · 7 citations
- F Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on interviews and record reviews, the facility failed to provide written notification of Transfer/Discharge to Resident Representatives and failed to notify the Office of the State Long-Term Care Ombudsman of a resident transfer for four (Resident #420, Resident #81, Resident #66, and Resident #114) of five residents sampled for hospitalizations.
- F Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on record reviews, interviews, and review of facility policy, the facility failed to provide written notification of the Bed Hold Policy to Resident Representatives for four (Resident #420, Resident #81, Resident #66, and Resident #114) of five residents sampled for hospitalizations.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, record review, and interview, the facility failed to store food in accordance with professional standards for food service safety related to ensuring foods in the walk-in cooler and dry storage room were labeled, dated, and discarded by the use by date.
- D Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Inspectors wroteBased on record review and interviews the facility did not ensure the resident's right to remain in the facility was upheld for one (#420) of eight residents reviewed for admission, transfer, and discharge rights.
- D Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on observations and interviews, the facility failed to provide ongoing assessment of an intravenous (IV) catheter site for one (Resident #216) of six residents in the facility receiving IV therapy.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on interviews, record reviews, and review of facility policy, the facility failed to ensure pre and post dialysis assessments were completed for one (Resident #77) of three residents receiving dialysis services in the facility.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on interviews, and record reviews, the facility did not ensure that the pharmacy recommendations were acted upon in a timely manner for one (Resident #98) of five residents sampled for unnecessary medications. Findings Included: A review of Resident #98's admission Record revealed that Resident #98 was admitted to the facility on [DATE] with diagnoses to include Type 2 diabetes, essential (primary) hypertension (HTN), and chronic kidney disease (stage 4). A review of Resident #98's Pharmacy Consultation Report revealed a recommendation, dated 11/15/2021. The recommendation documented that Resident #98 has diabetes, HTN, and/or a decline in renal function. Recommendation: Please initiate Lisinopril 2.5 milligrams (mg) daily, titrating the dose as indicated. This recommendation was accepted by the physician; [...]
October 30, 2020Standard inspection · 9 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations, interviews and medical record review, the facility failed to protect the rights of two residents (#99 and #30) to ensure a dignified existence by 1.) failing to provide one resident (#99) with a family visit in a setting that maintained effective communication to accommodate the resident's hearing loss, and 2.) the facility did not ensure a dignified dining experience for Resident #30 related to a staff member (S) standing over the resident while feeding the resident out of a total of thirty-three sampled residents.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on observations, staff interviews and record review, the facility failed to accurately assess one resident (#99) upon admission to the facility for a communication deficit related to hearing loss out of a total sample of thirty-three residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interviews, record reviews, and review of facility policy, the facility failed to provide needed care and services in accordance with professional standards related to not providing a proper assessment upon discovery of a skin alteration for one (Resident #451) of three residents sampled for skin alterations.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure that appropriate treatment and services to prevent urinary tract infections by not ensuring the tubing for an indwelling catheter was kept off of the floor for one resident (#99) of two residents sampled for two of two days.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on interviews and record reviews, the facility failed to ensure pain management was provided in accordance with the care plan for one resident (Resident #453) of one resident sampled for pain management.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observations, interviews, record reviews, and review of facility policy, the facility failed to ensure a medication error rate of less than 5 percent. Three (3) medication errors were identified out of 26 opportunities while conducting medication administration observation for 1 (Resident #50) out of 6 residents sampled. The facility medication error rate was 11.5 percent.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on interviews and record reviews, the facility failed ensure one (Resident #453), of three residents sampled for Urinary Tract infections, received the correct dose and amount of antibiotic as prescribed.
- D Ensure 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.
Inspectors wroteBased on observations, record review, and interviews the facility did not ensure that one opened insulin pen and two insulin vials were labeled with the date opened or the expiration date in one medication storage cart (700 Hallway) of the three medication storage carts sampled during the performance of the facility task of Medication Storage and Labeling.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interviews, record reviews, and policy review, the facility failed to provide influenza and pneumococcal vaccination documentation related to consent and administration of influenza vaccinations for three (Resident #26, Resident #99, and Resident #47) of five residents sampled for influenza vaccinations, and failed to provide documentation related to consent and administration of pneumococcal vaccination for two (Resident #99 and Resident #47) of five residents sampled for pneumococcal vaccination.
Fire safety inspections
11 fire safety citations on file: 3 on March 26, 2024, 3 on February 4, 2022, 5 on October 30, 2020.
Every fire safety citation11 citations
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Have properly installed electrical wiring and gas equipment.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Establish staff and initial training requirements.
- D Conduct testing and exercise requirements.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Have properly installed hallway dispensers for alcohol-based hand rub.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Florida | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.20 | 3.82 | 3.86 |
| Registered nurses | 0.57 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.86 | 3.49 | 3.42 |
| Nurse aides | 2.49 | ||
| Licensed practical nurses | 1.14 | ||
| Nursing staff turnover (share who left in a year) | 40.6% | 41.4% | 45.8% |
| Registered nurse turnover | 40.0% | 46.0% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.07 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.34 on weekdays and 3.86 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.24 in April to June 2025 to 4.20 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.20 | 0.57 | 4.34 | 3.86 | 0.0% | 0 of 90 | 126 |
| Oct to Dec 2025 | 4.33 | 0.61 | 4.48 | 3.94 | 0.0% | 0 of 92 | 126 |
| Jul to Sep 2025 | 4.42 | 0.58 | 4.62 | 3.91 | 0.0% | 0 of 92 | 124 |
| Apr to Jun 2025 | 4.24 | 0.54 | 4.43 | 3.78 | 0.0% | 0 of 91 | 126 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Florida, Jan to Mar 2026 | 3.76 | 0.70 | 3.90 | 3.44 | 1.1% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Florida
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Florida, all employers | |||
| CNAs (nursing assistants) | $18.03 | $17.33 to $20.34 | 96,960 |
| LPNs and LVNs | $29.70 | $28.14 to $31.11 | 38,620 |
| Registered nurses | $40.48 | $37.82 to $48.64 | 229,940 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Florida | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 7.7 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.9 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.2 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.7 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.9 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.2 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 2.9 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.4 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.8 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.4 | 1.1 | 1.8 |
Owners and operators
Legal business name: LAKE WALES HEALTH CARE OPERATIONS COMPANY LLC. CMS links this home to Tlc Management, a group of 20 nursing homes averaging 3.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Lanham, Steven | 5% or greater direct ownership interest | Individual | 10% | 09/08/2005 |
| Gibson, Cullen | Corporate officer | Individual | 12/01/2012 | |
| Ott, Dwight | Corporate officer | Individual | 09/08/2005 | |
| Ott, Gary | Corporate officer | Individual | 06/30/2008 | |
| Tender Loving Care Management Inc | Operational/managerial control | Organization | 09/05/2005 | |
| Blackwell, Cory | Operational/managerial control | Individual | 02/15/2022 | |
| Viegas, Aleixo | Operational/managerial control | Individual | 04/01/2014 | |
| Tender Loving Care Management Inc | Adp of the SNF | Organization | 03/10/2025 | |
| Blackwell, Cory | Adp of the SNF | Individual | 02/15/2022 | |
| Gibson, Cullen | Adp of the SNF | Individual | 12/01/2012 | |
| Lanham, Steven | Adp of the SNF | Individual | 12/01/2012 | |
| Ott, Dwight | Adp of the SNF | Individual | 12/01/2012 | |
| Ott, Gary | Adp of the SNF | Individual | 12/01/2012 | |
| Viegas, Aleixo | Adp of the SNF | Individual | 04/01/2014 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 9 problems in this area, most recently on March 26, 2024: "Ensure medication error rates are not 5 percent or greater."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on February 4, 2022: "Provide for the safe, appropriate administration of IV fluids for a resident when needed."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on March 26, 2024: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on February 4, 2022: "Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Lake Mariam Health and Rehabilitation Center Winter Haven, 1 mi · 2 of 5 stars · 61 citations
- Palm Garden of Winter Haven Winter Haven, 1.4 mi · 4 of 5 stars · 24 citations
- Life Care Center of Winter Haven Winter Haven, 1.6 mi · 4 of 5 stars · 22 citations
- Winter Haven Health and Rehabilitation Center Winter Haven, 2.7 mi · 2 of 5 stars · 25 citations
- Spring Lake Rehabilitation Center Winter Haven, 3.7 mi · 5 of 5 stars · 15 citations
- Vivo Healthcare Winter Haven Winter Haven, 4.3 mi · 1 of 5 stars · 45 citations
- Oak Haven Rehab and Nursing Center Auburndale, 6.4 mi · 1 of 5 stars · 33 citations
- Haines City Rehabilitation and Nursing Center Haines City, 7.2 mi · 2 of 5 stars · 33 citations
Florida contacts for a concern about a nursing home
These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Florida Agency for Health Care Administration, Long Term Care Services Unit, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Florida Long-Term Care Ombudsman Program, 1-888-831-0404. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: FloridaHealthFinder, where Florida publishes its own records on licensed homes.
Common questions
- What is Astoria Health and Rehabilitation Center's Medicare star rating?
- CMS rates Astoria Health and Rehabilitation Center 3 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Astoria Health and Rehabilitation Center get at its last inspection?
- 10 health deficiencies at the standard inspection on March 26, 2024. The Florida average is 7.1.
- Has Astoria Health and Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Astoria Health and Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Astoria Health and Rehabilitation Center?
- CMS lists 14 owners and managers, and links the home to Tlc Management. Legal business name: LAKE WALES HEALTH CARE OPERATIONS COMPANY LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.