Bridgewalk on Harden Health and Rehabilitation, Ll
3110 Oakbridge Blvd E, Lakeland, FL 33803 · Polk County · (863) 648-4800
120 certified beds, about 89 residents a day · For profit - Corporation · Medicare and Medicaid since 2020
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 106138 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 25, 2024, inspectors cited 4 health deficiencies (the Florida average is 7.1, the national average 9.2).
Of 16 health citations since May 2020, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 3 fines totaling $181,400 in the last three years; the largest was $163,093, and the latest is dated October 23, 2023.
Nurses and nurse aides worked 3.48 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.34 of those hours.
63.3% of nursing staff left within the year CMS measured (Florida average 41.4%).
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.
005/20
912/21
210/23
401/24
107/24
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 16 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
3E
1F
Potential for minimal harm
0A
0B
0C
July 11, 2024Complaint inspection · 1 citation
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide adequate and timely pain management for two of three sampled residents (#3 and #6).
January 25, 2024Standard inspection · 4 citations
- F Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on interview, and record review, the facility failed to submit staffing data through the Center for Medicare/Medicaid (CMS) Payroll-Based Journal (PBJ) system for the Fiscal Year Quarter 4 of 2023.
- D 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to safeguard a resident's personal property which included lower dentures for 1 of 2 residents reviewed for personal property of a total sample of 44 residents, (#55).
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, record review, and interview, the facility failed to revise the care plan to reflect the resident's eating ability for 1 of 5 residents sampled for Activies of Daily Living (ADL) in a total sample of 44 residents, (#82).
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow physician's orders to ensure wound care was provided per standards of nursing practice for 1 of 3 residents reviewed with pressure ulcers out of a total sample of 44 residents, (#46).
October 11, 2023Complaint inspection · 2 citations
- J Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observations, interviews, record review, physician interview, and facility policy review, the facility failed to protect residents right to be free from neglect, to ensure one Resident (#1) out of 17 residents who required one-person assistance with self-feeding, was provided care and assistance to prevent a burn injury during meal service time. The facility neglected to provide care and service during a meal to a vulnerable resident who had known physical limitations, tremors, and visual impairments. Resident #1 suffered second-degree burns resulting in pain and injury to her subcutaneous chest tissue, and permanent body disfigurement related to scarring as a result of the facility's neglect to ensure safety during meal service. These actions resulted in findings of Immediate Jeopardy on 09/18/23. [...]
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, interviews, record review, physician interview, and facility policy review, the facility failed to ensure one Resident (#1), out of 17 residents who required one-person assistance with self-feeding, were free from hazards during meal service. The facility's failure to ensure this resident's safety during meal service, and failure to monitor hot beverages to prevent burns, and failure to educate staff on safe food re-heating practices, and failure to ensure vulnerable residents were assessed and supervised during meals, resulted in injury to Resident #1. On 09/18/23 Resident #1, who required one-person physical assistance and supervision for eating, was served hot coffee that had been reheated in a microwave and not tested for safe serving temperature. [...]
December 3, 2021Standard inspection · 9 citations
- E Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observations, record reviews, and interviews the facility failed to assess the skin appropriately and timely for two (#3 and #5) of two residents reviewed for pressure ulcer care.
- E Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observations, record review, interviews, and policy review, the facility failed to ensure the medication error rate was below 5% for three residents (#4, #11, and #18). Seven errors were identified during thirty-three opportunities, resulting in an error rate of 21.21%.
- E 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 the kitchen in a safe and sanitary manner related to failing to ensure that the ice machine and the Proof Box was free of dirt and debris.
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on observations, record review, and interview the facility failed to accurately identify the code status for one (#178) of the twenty-seven residents admitted to the facility.
- D 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 record review, staff interview, and review of facility policy, the facility failed to provide the resident or representative and the Office of the State Long Term Care (LTC) Ombudsman with detailed written notice of discharge and hospital transfer for one (#28) of twenty-two sampled residents.
- D 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 review and interview, the facility failed to provide a bed hold notice to one (#28) of twenty-two sampled residents at the time of transfer to the hospital.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observations, record review and interview the facility failed to provide appropriate nail care for one (#8) of twenty-two sampled residents.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observations, record reviews, and interviews, the facility failed to ensure a pressure ulcer was assessed, identified, and documented at the time of discovery, and wound care was provided in a sanitary manner for one (#26) of four sampled residents.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on record review, interviews, observation, and policy review the facility failed to ensure appropriate dialysis care and services were documented in the medical record for one resident (#27) of two dialysis residents in the facility.
May 11, 2020Standard inspection · 0 citations
Fire safety inspections
7 fire safety citations on file: 2 on January 25, 2024, 5 on December 3, 2021.
Every fire safety citation7 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- 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 Establish an Emergency Preparedness Program (EP).
- D Develop and maintain an Emergency Preparedness Program (EP).
- D Develop Emergency Preparedness policies and procedures.
- D Develop a communication plan.
- D Conduct testing and exercise requirements.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| October 23, 2023 | Fine | $4,545 |
| October 11, 2023 | Fine | $163,093 |
| October 2, 2023 | Fine | $13,762 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.48 | 3.82 | 3.86 |
| Registered nurses | 0.34 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.21 | 3.49 | 3.42 |
| Nurse aides | 2.07 | ||
| Licensed practical nurses | 1.07 | ||
| Nursing staff turnover (share who left in a year) | 63.3% | 41.4% | 45.8% |
| Registered nurse turnover | 44.4% | 46.0% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.41 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 3.59 on weekdays and 3.21 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 3.16 in April to June 2025 to 3.48 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 | 3.48 | 0.34 | 3.59 | 3.21 | 0.0% | 0 of 90 | 89 |
| Oct to Dec 2025 | 3.60 | 0.39 | 3.72 | 3.31 | 0.0% | 0 of 92 | 80 |
| Jul to Sep 2025 | 3.49 | 0.34 | 3.59 | 3.22 | 0.0% | 0 of 92 | 78 |
| Apr to Jun 2025 | 3.16 | 0.36 | 3.26 | 2.90 | 0.0% | 0 of 91 | 92 |
| 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.
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 | 26.3 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.3 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.9 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.1 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.5 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 35.9 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.7 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 2.2 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.0 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.6 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.9 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.1 | 1.8 |
Owners and operators
Legal business name: BRIDGEWALK ON HARDEN HEALTH AND REHABILITATION LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Garrard, Louis | Direct ownership interest | Individual | 06/04/2021 | |
| Garrard, Louis | Corporate officer | Individual | 06/04/2021 | |
| Dean, Byron | Operational/managerial control | Individual | 09/10/2021 | |
| Garrard, Louis | Operational/managerial control | Individual | 06/04/2021 | |
| Spencer, Everton | Operational/managerial control | Individual | 03/24/2025 | |
| Garrard, Louis | Trustee of the SNF | Individual | 06/04/2021 | |
| Dean, Byron | Adp of the SNF | Individual | 02/20/2026 | |
| Garrard, Louis | Adp of the SNF | Individual | 06/04/2021 | |
| Spencer, Everton | Adp of the SNF | Individual | 02/20/2026 |
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 do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on July 11, 2024: "Provide safe, appropriate pain management for a resident who requires such services."
- 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 January 25, 2024: "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."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on January 25, 2024: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on January 25, 2024: "Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.21 hours per resident per day, below the Florida average of 3.49.
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Florida Presbyterian Homes Inc Lakeland, 1.8 mi · 4 of 5 stars · 17 citations
- Highlands Lake Center Lakeland, 3.2 mi · 2 of 5 stars · 32 citations
- Scott Lake Health and Rehabilitation Center Lakeland, 3.9 mi · 2 of 5 stars · 24 citations
- Lakeland Hills Center Lakeland, 4.5 mi · 2 of 5 stars · 32 citations
- Vivo Healthcare Lakeland Lakeland, 4.6 mi · 1 of 5 stars · 34 citations
- Charming Lakes Rehab Lakeland, 4.6 mi · 2 of 5 stars · 34 citations
- Valencia Hills Health and Rehabilitation Center Lakeland, 6.1 mi · 1 of 5 stars · 45 citations
- Manor at Carpenters, the Lakeland, 6.4 mi · 3 of 5 stars · 15 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 Bridgewalk on Harden Health and Rehabilitation, Ll's Medicare star rating?
- CMS rates Bridgewalk on Harden Health and Rehabilitation, Ll 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Bridgewalk on Harden Health and Rehabilitation, Ll get at its last inspection?
- 4 health deficiencies at the standard inspection on January 25, 2024. The Florida average is 7.1.
- Has Bridgewalk on Harden Health and Rehabilitation, Ll been fined?
- Yes. CMS lists 3 fines totaling $181,400 in the last three years.
- Does Bridgewalk on Harden Health and Rehabilitation, Ll 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 Bridgewalk on Harden Health and Rehabilitation, Ll?
- CMS lists 9 owners and managers. Legal business name: BRIDGEWALK ON HARDEN HEALTH AND REHABILITATION 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.