Lake Eustis Healthcare and Rehabilitation Center
411 W Woodward Ave, Eustis, FL 32726 · Lake County · (352) 357-3565
90 certified beds, about 87 residents a day · For profit - Individual · Medicare and Medicaid since 1976
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105001 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 29, 2025, inspectors cited 10 health deficiencies (the Florida average is 7.1, the national average 9.2).
Of 19 health citations since January 2023, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 2 fines totaling $17,345 in the last three years; the largest was $8,673, and the latest is dated August 29, 2025.
Nurses and nurse aides worked 3.23 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.36 of those hours.
46.0% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Excelsior Care Group, an affiliated group of 33 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.
501/23
405/24
1008/25
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 19 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
13D
3E
1F
Potential for minimal harm
0A
0B
0C
August 29, 2025Standard inspection · 10 citations
- J Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents were served appropriate thickened liquid consistency for 2 of 7 residents, Residents #46 and #71, with physician orders for thickened liquids. On 6/1/2025, Resident #46 was ordered to have thickened liquids. On 8/19/2025, Resident #71 was ordered to have thickened liquids. On 8/27/2025 at 5:42 PM, Resident #71 was served apple juice on ice at a thin consistency. Resident #71 took sips of the apple juice, resulting in the resident coughing. Staff C, Scheduling Manager, served coffee at thin consistency to Resident #71. On 8/27/2025 at 6:01 PM, Resident #46 was served a cup that had a straw in it and contained ice and a clear thin liquid on the meal tray. Resident #46 took a sip from the cup which contained the clear thin liquid. There was a cup that had a plastic lid labeled NA (Nectar Apple). [...]
- J Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Inspectors wroteBased on observation, interview, and record review, the facility administration failed to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident by failing to implement policy and procedures related to the provision of thickened liquids. The facility failed to ensure residents were served liquids to meet their needs. On 6/1/2025, Resident #46 was ordered to have thickened liquids. On 8/19/2025, Resident #71 was ordered to have thickened liquids. On 8/27/2025 at 5:42 PM, Resident #71 was served apple juice on ice at a thin consistency. Resident #71 took sips of the apple juice, resulting in the resident coughing. Resident #71 requested coffee and Staff C, Scheduling Manager, served coffee at thin consistency to Resident #71. [...]
- 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 observation, interview, and record review, the facility failed to secure medications when unattended.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure resident assessments accurately reflected each resident's status for 1 of 3 residents, Resident #45, reviewed for nutrition, and 1 of 6 residents, Resident #72, reviewed for medication management.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on record review and interview, the facility failed to ensure residents received updated Preadmission Screening and Resident Review (PASARR) evaluations when appropriate for 2 of 4 residents, Resident #66 and #80, reviewed for behavioral diagnosis.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interview, the facility failed to ensure staff administered blood pressure medication and monitored weights per physicians' orders for 1of 6 residents, Resident #51, reviewed for medication administration.
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure enteral feeding was administered per the physician order for 1 of 2 residents, Resident #7, sampled for enteral feeding.
- 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 oxygen was administered as ordered by the physician for 1 of 3 residents, Resident #65, sampled for oxygen administration.
- 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 review and interview, the facility failed to ensure residents medical records were complete and accurate for medication administration for 2 of 7 residents sampled, Residents #66 and #2.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff performed hand hygiene during wound care and failed to ensure staff donned appropriate personal protective equipment prior to entering a contact isolation room to prevent the possible spread of infection and communicable diseases.
May 31, 2024Standard inspection · 4 citations
- 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 safely stored, labeled, or discarded in the areas of the kitchen walk-in cooler.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents' functional status assessments were accurate for 1 of 3 residents reviewed for pressure ulcers, Resident #32.
- 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 observation, interview, and record review, the facility failed to implement a comprehensive care plan for 1 of 3 residents reviewed for falls, Resident #58, and failed to develop a comprehensive care plan for 1 of 3 residents reviewed for accidents, Resident #57.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff used appropriate PPE (Personal Protective Equipment) while providing direct care to the residents who were on enhanced barrier precautions to help prevent the possible development and transmission of communicable diseases and infections.
January 26, 2023Standard inspection · 5 citations
- F 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 foods in the refrigerator, freezer, and storeroom were covered, dated, labeled, and placed to ensure safety and sanitation.
- E Keep all essential equipment working safely.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure all electrical equipment used for food service was maintained in a safe and working condition.
- 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 record review and interview, the facility failed to ensure the residents received information related to the right to formulate an advance directive for 1 of 9 residents reviewed, Resident #63.
- 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 record review and interview, the facility failed to develop and implement a care plan to meet the resident's medical needs for 1 of 5 residents reviewed for unnecessary medications, Resident #28.
- 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 the attending physician or prescribing practitioner documented their rationale to extend the use of as needed (PRN) psychotropic drugs with projected duration of use for 1 of 5 residents reviewed for unnecessary medications, Resident #28.
Fire safety inspections
3 fire safety citations on file: 3 on May 31, 2024.
Every fire safety citation3 citations
- E Have proper medical gas storage and administration areas.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D Meet requirements for the installation and maintenance of electrical systems.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| August 29, 2025 | Fine | $8,672 |
| August 29, 2025 | Fine | $8,673 |
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) | 3.23 | 3.82 | 3.86 |
| Registered nurses | 0.36 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.28 | 3.49 | 3.42 |
| Nurse aides | 2.05 | ||
| Licensed practical nurses | 0.82 | ||
| Nursing staff turnover (share who left in a year) | 46.0% | 41.4% | 45.8% |
| Registered nurse turnover | 71.4% | 46.0% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.64 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 3.21 on weekdays and 3.28 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 3.40 in April to June 2025 to 3.23 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 | 3.23 | 0.36 | 3.21 | 3.28 | 0.0% | 0 of 90 | 87 |
| Oct to Dec 2025 | 3.33 | 0.44 | 3.31 | 3.40 | 0.0% | 0 of 92 | 87 |
| Jul to Sep 2025 | 3.43 | 0.51 | 3.46 | 3.35 | 0.0% | 0 of 92 | 87 |
| Apr to Jun 2025 | 3.40 | 0.45 | 3.45 | 3.27 | 0.0% | 0 of 91 | 87 |
| 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 | 4.2 | 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 | 0.0 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.0 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.5 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.5 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.4 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 3.0 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.3 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.9 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.1 | 1.8 |
Owners and operators
Legal business name: LAKE EUSTIS OPERATING INVESTMENTS LLC. CMS links this home to Excelsior Care Group, a group of 33 nursing homes averaging 2.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Lake Eustis Operating Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 12/09/2022 |
| Bdcc Consutking Group LLC | 5% or greater indirect ownership interest | Organization | 12/09/2022 | |
| Fdz Consulting LLC | 5% or greater indirect ownership interest | Organization | 12/09/2021 | |
| Jz Consulting LLC | 5% or greater indirect ownership interest | Organization | 12/09/2021 | |
| Rubiweb Florida Services Group USA LLC | 5% or greater indirect ownership interest | Organization | 12/09/2022 | |
| Powers, Brian | 5% or greater indirect ownership interest | Individual | 12/09/2021 | |
| Rubenstein, David | 5% or greater indirect ownership interest | Individual | 12/09/2021 | |
| Weber, Aron | 5% or greater indirect ownership interest | Individual | 12/09/2021 | |
| Zahler, Jacob | Corporate officer | Individual | 12/09/2021 | |
| Zahler, Jacob | Operational/managerial control | Individual | 04/01/2022 |
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 6 problems in this area, most recently on August 29, 2025: "Ensure each resident receives an accurate assessment."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on August 29, 2025: "Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on August 29, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on August 29, 2025: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.28 hours per resident per day, below the Florida average of 3.49.
Other nursing homes nearby
- Bayview Center Eustis, 0.3 mi · 5 of 5 stars · 15 citations
- Ruleme Center Eustis, 1.5 mi · 4 of 5 stars · 18 citations
- Solaris Healthcare Waterman Tavares, 2 mi · 5 of 5 stars · 17 citations
- Avante at Mt Dora, Inc Mount Dora, 2.7 mi · 3 of 5 stars · 19 citations
- Edgewater at Waterman Village Mount Dora, 3.2 mi · 4 of 5 stars · 18 citations
- Lakeview Terrace Rehab and Health Care Center Altoona, 8.3 mi · 2 of 5 stars · 12 citations
- Lake Port Square Health Center Leesburg, 10.7 mi · 3 of 5 stars · 28 citations
- South Campus Care Center and Rehab Leesburg, 11.1 mi · 3 of 5 stars · 27 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 Lake Eustis Healthcare and Rehabilitation Center's Medicare star rating?
- CMS rates Lake Eustis Healthcare and Rehabilitation Center 2 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Lake Eustis Healthcare and Rehabilitation Center get at its last inspection?
- 10 health deficiencies at the standard inspection on August 29, 2025. The Florida average is 7.1.
- Has Lake Eustis Healthcare and Rehabilitation Center been fined?
- Yes. CMS lists 2 fines totaling $17,345 in the last three years.
- Does Lake Eustis Healthcare 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 Lake Eustis Healthcare and Rehabilitation Center?
- CMS lists 10 owners and managers, and links the home to Excelsior Care Group. Legal business name: LAKE EUSTIS OPERATING INVESTMENTS 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.