Hawthorne Center for Rehabilitation and Healing of
4100 Sw 33rd Ave, Ocala, FL 34474 · Marion County · (352) 237-7776
120 certified beds, about 111 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1988
Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105602 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 29, 2026, inspectors cited 9 health deficiencies (the Florida average is 7.1, the national average 9.2).
Of 24 health citations since October 2023, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 1 fine totaling $157,729 in the last three years; the largest was $157,729, and the latest is dated June 17, 2025.
Nurses and nurse aides worked 3.65 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.45 of those hours.
56.7% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Summit Care, an affiliated group of 22 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.
610/23
111/23
112/23
401/25
306/25
905/26
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 24 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
2K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
18D
4E
0F
Potential for minimal harm
0A
0B
0C
May 29, 2026Standard inspection · 9 citations
- E Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview and record review the facility failed to administer oxygen at the correct flow rate according to physician orders for 2 residents ( Resident #58 and #116) and failed to have physician orders documenting the prescribed flow rate for 1 resident ( Resident #130) of 5 residents reviewed for oxygen therapy.
- 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 ensure food was stored and served in a sanitary manner.
- D 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 ensure assessments were updated following documentation of a new diagnosis for 4 Residents (Resident #2, 5, 70, and 119) out of 10 Residents sampled for preadmission screening and resident reviews (PASARR).
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on record review and interview the facility failed to ensure assessments were accurately and completely documented for 3 residents (Resident #7, #129, and #14) of 10 sampled for preadmission screening and resident review.
- D 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 interview and record review the facility failed to develop and implement a comprehensive care plan for 1 (Resident #14) of 7 residents reviewed for medication management and for 1 (Resident #58) of 5 residents reviewed for respiratory services.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observations, interviews, and record review the facility failed to provide dressing changes and have orders for flushing of intravenous catheters for 1 (Resident#32) of 3 residents reviewed for intravenous infusions, the facility failed to perform weekly skin observations for 1 (Resident #50) of 6 residents reviewed for skin conditions, the facility failed to provide daily weights for 1 Resident (Resident #45) out of 4 Residents reviewed for weights and failed to administer medication appropriately for 1 (Resident #103) of 7 residents reviewed for medication management.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on record review and interview, the facility failed to ensure the resident's medication regimen remained free from unnecessary medications by administering midodrine outside of physician ordered parameters for 1 (Resident #108) of 7 residents reviewed for unnecessary medications.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observation, interview, and record review the facility to ensure complete and accurate records were provided for 2 (Residents #8 and #32) of 6 residents, reviewed for skin conditions.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review the facility failed to perform hand hygiene to prevent the possible spread of infection during medication administration in 6 of 9 observations of medication administration.
June 17, 2025Complaint inspection · 3 citations
- K Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interviews, record reviews, and review of policy and procedures, the facility failed to ensure residents with prescribed controlled medications were administered the medications per the physician order when failing to contact the physician when prescriptions were needed and the medications were not administered for three of three residents reviewed for medication administration (Residents #7, #9, and #10). Resident #7, with a history of prescribed Alprazolam use, was admitted into the facility on 6/11/2025 and had been prescribed Alprazolam four times a day. Resident #7 suffered withdrawal symptoms of sweating, shaking, insomnia, and increased pain. There was a delay in administering Alprazolam until 6/13/2025 at 9:00 PM resulting in nine missed doses. [...]
- K Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Inspectors wroteBased on interviews, record reviews, and review of policies and procedures, the facility administration failed to administer the facility in a manner that enables it to use its resources effectively and efficiently to attain and maintain the highest practicable physical wellbeing of each resident by failing to implement policy and procedures for medication administration. The facility failed to ensure residents with prescribed controlled medications were administered the medications per the physician order when failing to contact the physician when prescriptions were needed and the medications were not administered for three of three residents reviewed( Residents #7, #9, and #10). Resident #7, with a history of prescribed Alprazolam use, was admitted into the facility on 6/11/2025 and had been prescribed Alprazolam four times a day. [...]
- E Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interviews, record reviews and policy and procedure review, the facility failed to maintain a complete and accurate medical record when it failed to document within the medical record the reason medications were not administered for three of three residents reviewed for medication administration (Residents #7,#9 and #10).
January 16, 2025Standard inspection · 4 citations
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interviews and record reviews, the facility failed to ensure each resident received an accurate assessment reflective of the resident status for one resident (Resident #109) of four reviewed for discharge.
- D 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 reviews, the facility failed to ensure a comprehensive care plan was developed for 4 (Resident #4, 49, 77, and 79) of 10 residents reviewed for oxygen therapy.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record reviews and interviews, the facility failed to accurately document notifications of medication parameters for 1 (Resident #39) of 6 residents reviewed for medication administration.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to follow infection control standards of practice during 1 of 5 medication administration observations and 2 (Resident #4 and #20) of 10 residents reviewed for oxygen therapy.
December 1, 2023Complaint inspection · 1 citation
- E Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review and interview, the facility failed to administer medications in accordance with professional standards of practice for 3 of 3 residents reviewed for medication administration, Residents #6, #7 and #8.
November 14, 2023Complaint inspection · 1 citation
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interview and record review, the facility failed to ensure the resident's representative was notified of a change in condition for 1 of 3 residents, Resident #1.
October 5, 2023Standard inspection · 6 citations
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on interview and record review the facility failed to ensure a PASRR (Pre-admission Screening and Resident Review) Level I was completed to determine if a newly admitted resident had or may have a mental disorder or related conditions prior to admission for 1 of 3 residents, Resident #49.
- D 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 interview and record review the facility failed to implement the resident centered care plan interventions related to nutrition for 1 of 4 residents, Resident #31.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure respiratory care services were provided consistent with professional standards of practice for oxygen administration for 1 of 2 residents, Resident #92, reviewed for continuous oxygen administration therapy.
- 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 record review and interview, the facility failed to ensure residents' PRN (Pro Re Nata, as needed) orders for psychotropic drugs are limited to 14 days for 2 of 8 residents, Residents #36 and #73, reviewed for behavioral monitoring.
- 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 observation, interview, and record review the facility failed to ensure drugs and biologicals used in the facility were stored and labeled in accordance with currently accepted professional principles for 2 of 5 medication carts.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interview and record review the facility failed to ensure accurate documentation for insulin administered for 1 of 4 residents, Resident #30, reviewed for insulin administration.
Fire safety inspections
11 fire safety citations on file: 7 on May 29, 2026, 1 on January 16, 2025, 3 on October 5, 2023.
Every fire safety citation11 citations
- F Develop and maintain an Emergency Preparedness Program (EP).
- F List the names and contact information of those in the facility.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- 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 Inspect, test, and maintain automatic sprinkler systems.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Ensure that testing and maintenance of electrical equipment is performed.
- E Have power receptacles that are properly grounded.
- E Provide hallway or ground-level exits in all residents' rooms.
- E Install corridor and hallway doors that block smoke.
- D Have simulated fire drills held at unexpected times.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| June 17, 2025 | Fine | $157,729 |
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) | 3.65 | 3.82 | 3.86 |
| Registered nurses | 0.45 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.27 | 3.49 | 3.42 |
| Nurse aides | 2.19 | ||
| Licensed practical nurses | 1.01 | ||
| Nursing staff turnover (share who left in a year) | 56.7% | 41.4% | 45.8% |
| Registered nurse turnover | 63.6% | 46.0% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.70 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 3.80 on weekdays and 3.27 on weekends, 14% 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 3.71 in April to June 2025 to 3.65 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 | 3.65 | 0.45 | 3.80 | 3.27 | 0.0% | 0 of 90 | 111 |
| Oct to Dec 2025 | 3.73 | 0.52 | 3.83 | 3.45 | 0.0% | 0 of 92 | 112 |
| Jul to Sep 2025 | 3.73 | 0.47 | 3.84 | 3.47 | 0.0% | 0 of 92 | 114 |
| Apr to Jun 2025 | 3.71 | 0.54 | 3.84 | 3.39 | 0.0% | 0 of 91 | 114 |
| 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 | 10.8 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.2 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.6 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.9 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 17.0 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.8 | 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 | 28.8 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.5 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 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: HAWTHORNE OCALA OPERATIONS LLC. CMS links this home to Summit Care, a group of 22 nursing homes averaging 3.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Hawthorne Operations Holdings LLC | 5% or greater direct ownership interest | Organization | 04/01/2021 | |
| Drebin, Ezriel | 5% or greater direct ownership interest | Individual | 04/01/2021 | |
| Herzka, Yisroel | 5% or greater direct ownership interest | Individual | 04/01/2021 | |
| Kopelowitz, Shaul | 5% or greater direct ownership interest | Individual | 04/01/2021 | |
| Wolofsky, Chava | 5% or greater direct ownership interest | Individual | 04/01/2021 | |
| Gonzales, Ramona | W-2 managing employee | Individual | 03/09/2022 | |
| Hawthorne Care Management LLC | Operational/managerial control | Organization | 05/01/2021 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 12 problems in this area, most recently on May 29, 2026: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on May 29, 2026: "Provide safe and appropriate respiratory care for a resident when needed."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on May 29, 2026: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on May 29, 2026: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.27 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
- Life Care Center of Ocala Ocala, 0.2 mi · 5 of 5 stars · 12 citations
- Palm Garden of Ocala Ocala, 0.6 mi · 4 of 5 stars · 19 citations
- Avante at Ocala, Inc Ocala, 2.7 mi · 1 of 5 stars · 33 citations
- The Lodge Healthcare and Rehabilitation Center Ocala, 3.2 mi · 4 of 5 stars · 21 citations
- Ocala Health and Rehabilitation Center Ocala, 3.3 mi · 4 of 5 stars · 20 citations
- Aviata at Arbor Springs Ocala, 3.5 mi · 2 of 5 stars · 42 citations
- Ocala Oaks Rehabilitation Center Ocala, 6.8 mi · 4 of 5 stars · 19 citations
- Timberridge Nursing & Rehabilitation Center Ocala, 8.7 mi · 3 of 5 stars · 24 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 Hawthorne Center for Rehabilitation and Healing of's Medicare star rating?
- CMS rates Hawthorne Center for Rehabilitation and Healing of 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Hawthorne Center for Rehabilitation and Healing of get at its last inspection?
- 9 health deficiencies at the standard inspection on May 29, 2026. The Florida average is 7.1.
- Has Hawthorne Center for Rehabilitation and Healing of been fined?
- Yes. CMS lists 1 fine totaling $157,729 in the last three years.
- Does Hawthorne Center for Rehabilitation and Healing of 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 Hawthorne Center for Rehabilitation and Healing of?
- CMS lists 7 owners and managers, and links the home to Summit Care. Legal business name: HAWTHORNE OCALA OPERATIONS 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.