1351 San Christopher Dr, Dunedin, FL 34698 · Pinellas County · (727) 736-1421
104 certified beds, about 86 residents a day · For profit - Corporation · Medicare and Medicaid since 1979
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105350 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on October 2, 2024, inspectors cited 12 health deficiencies (the Florida average is 7.1, the national average 9.2).
Of 37 health citations since April 2021, 7 were rated as actual harm or immediate jeopardy to residents (5 immediate jeopardy).
CMS lists 5 fines totaling $281,689 in the last three years; the largest was $192,437, and the latest is dated October 2, 2024.
Nurses and nurse aides worked 3.56 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.53 of those hours.
62.4% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Eliyahu Mirlis, an affiliated group of 14 nursing homes.
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.
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 37 health citations on file.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents' right to retain and use their personal possessions. The facility did not return or replace missing personal items for two residents (Rooms #127 W and #111 P) out of two reviewed for missing belongings.
Inspectors wroteBased on record review and interview, the facility failed to ensure sufficient nursing staff to provide adequate supervision and prevent accidents. On 06/28/2026 during the 11 PM-7 AM shift, the facility assigned only one Certified Nursing Assistant (CNA) to the East Unit and one CNA to the Reflections Unit, affecting three residents (Residents #30, #117-P, and #111-P) out of three residents interviewed regarding staffing concerns. Residents reported delays in care and needing to rely on other residents for assistance due to inadequate staffing.
Inspectors wroteBased on observations, interviews and record review, the facility failed to maintain resident rooms in a safe, functional, and comfortable condition by not ensuring air conditioning (A/C) units were operational, adequately sealed, and free of environmental contaminants, and free from bio growth, in two units (100 and 200) out of three units observed. This resulted in room temperatures exceeding 81 degrees Fahrenheit and unsealed wall openings exposing residents to outside elements.
Inspectors wroteBased on interviews and record review, the facility failed to reevaluate and reassess interventions to prevent falls for one resident (#2) out of three reviewed. This resulted in Resident #2 sustaining a head laceration and transfer to acute setting for further evaluation.
Inspectors wroteBased on observations and interviews, the facility did not ensure adequate supply of linens for two (100 and 200) out of three units in the facility.
Inspectors wroteBased on interviews and record review the facility failed to ensure advanced directives were implemented as requested for one resident (#2) out of three reviewed.
Inspectors wroteBased on record review, observations, and staff interviews, the facility failed to fully implement its abuse prevention policy by not preventing Resident #11 from further accessing alleged victims and by not implementing effective interventions to protect other residents from additional abuse for two residents (#9 and #12) of three residents sampled.
Inspectors wroteBased on observations, record review, and interviews the facility failed to assess and monitor one (Resident #10) of one resident following an off-campus accident resulting in a transfer to an acute care facility by emergency services for examination and testing.
Inspectors wroteBased on observation, interviews and record reviews the facility failed to ensure residents received treatment and care in accordance with professional standards of practice, related to failure to ensure weekly skin checks were completed for two residents (#2 and #3) of three sampled residents.
Inspectors wroteBased on interview and record review, the facility failed to provide wound care for three residents (#2, #3, and #4) of three residents reviewed.
Inspectors wroteBased on record review and interviews, the facility did not ensure medical records were completed and accurate for one resident (#2) out of three sampled residents.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide a therapeutic diet according to physician orders for two residents (#1 and #25) out of four residents reviewed.
Inspectors wroteBased on record review and interviews, the facility failed to protect residents' rights to be free from verbal and physical abuse perpetrated by a staff member (Staff J, Certified Nursing Assistant) toward two residents (#11 and #12) of seventy-four residents in the facility. On 12/20/2024, Staff J, Certified Nursing Assistant (CNA) was witnessed by Staff I, CNA slapping Resident #11 and Resident #12 on the legs, sides of their bodies, and buttocks during care. Staff I, CNA failed to report the abuse until three days after the event, leaving other facility residents at risk of further verbal and physical abuse.
Inspectors wroteBased on interviews and record reviews, the facility failed to report an incident of verbal and physical abuse perpetrated by a staff member (Staff J, Certified Nursing Assistant) toward two residents (#11 and #12) of seventy-four residents in the facility.
Inspectors wroteBased on observation, record review, interview the facility failed to ensure an effective infection prevention control program was maintained related to: 1. not reporting rashes to the local health department and not ensuring four residents (#62, #46, #12 and #22) received appropriate testing for a possible contagious epidermal condition out of four residents reviewed, 2. not ensuring a blood stained pillow case was changed for one resident (#13) of one resident reviewed with a bloodborne pathogen, and 3. not following the infection control practice of sanitizing equipment after use for one resident (#2) of five residents observed during medication administration.
Inspectors wroteBased on observations, interviews, and record review the facility did not ensure a clean, safe, sanitary, and homelike environment for five resident rooms (#113, #123, #214, #222 and #223), nine resident bathrooms (#122, #213, #214, #215, #216, #218, #219, #221, and #223), one shower room (West Wing), one housekeeping closet (West Wing) and two halls located on the [NAME] Wing during four of four days observed (09/23/24, 09/24/24 and 10/01/24 and 10/2/24).
Inspectors wroteBased on observation, interview and record review the facility did not ensure accurate accountability and storage of controlled medications in two (East Cart 1, East Cart 2) out of three medication carts inspected.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure the medication error rate was less than 5.00%. Thirty-five medication administration opportunities were observed, and ten errors were identified for four residents (#4, #67, #11, #2) out of five residents observed. These errors constituted a 28.57% medication error rate.
Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure three residents (#8, #3 and #27) observed for assisted dining in two (100 and 200) of two halls received a dignified dining experience.
Inspectors wroteBased on interviews and record review, the facility failed to honor a resident's right to receive a written notification for a room change before the change was made for one (#51) of one resident sampled.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure wound care was provided per physician orders for one resident (#13) of two residents reviewed for wound care treatment.
Inspectors wrote2. On 09/24/24 at 12:31 p.m. Resident #39 was observed lying in bed with oxygen tubing in place via a nasal cannula. The tubing was connected to the oxygen concentrator sitting next to the bed, with a piece of tape wrapped around the tube and with the date of 9/16/2024 (Monday). (Photographic Evidence Obtained) An interview was conducted with Staff C, Licensed Practical Nurse (LPN) on 09/24/24 at 2:00 p.m. Staff C, LPN stated the tubing is changed on the night shift, and she was not sure of the process. Staff C, LPN confirmed Resident #39 was on continuous oxygen and the date on the tape was 9/16/2024. Review of Resident #39's physician order summary revealed an order, dated 8/6/24, for oxygen tubing and oxygen bag to be changed every Thursday on night shift. Review of the facility policy and procedures titled, Oxygen, with a revision date of 08/2023 revealed: Policy: [...]
Inspectors wroteBased on observation, interview and record review the facility did not ensure medications were stored appropriately in one (East) out of two medication storage rooms, in one treatment cart (Reflection Hallway), and three (East 1 Cart, East 2 Cart and [NAME] Cart) out of 5 medication carts.
Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure meal preferences were honored for one (#8) of eight residents sampled for dining in one hall (100) of two halls.
Inspectors wroteBased on record review and interview, facility failed to ensure hospice services were being provided in accordance with accepted professional standards and principles due to a lack of communication and documentation in the medical record for one (#27) of two residents reviewed.
Inspectors wroteBased on observations, record review, and interviews, the facility failed to ensure the Quality Assessment and Assurance (QAA) Committee developed and implemented action plans to correct deficient practices identified during a recertification and complaint survey conducted on 9/23/24 to 9/24/24 and 10/1/24 to 10/2/24 and a Federal Monitoring Health Comparative Survey conducted on 11/12/24 to 11/15/24 related to 1.) failing to provide a safe, clean, and homelike environment in twelve resident rooms and bathrooms (#100, #210, #213, #202, #221, #216, #223, #211, #203, #206, #111, and #220) out of sixteen observed, in one shower room (East shower room) out of two facility shower rooms observed, for one resident (#1) of 26 sampled residents related to unserviceable bedding, and did not ensure housekeeping carts were kept locked on one (West Wing) of two wings of the facility (F584), 2.) [...]
Inspectors wroteBased on observations, interviews and record reviews, the facility failed to protect the resident's right to be free from neglect by not ensuring one (#3) out of 14 residents at risk for elopement with a known history of exit seeking behaviors, and an expressed desire to leave the facility, was provided supervision and services to prevent elopement. The facility failed to ensure the secured unit exit door and door alarms were operating properly, failed to check the surroundings when the exit door alarmed, and failed to account for the whereabouts of all elopement risk residents on 3/6/2024. Resident #3 exited the secured unit of the facility via a maglock alarming dining room exit door on 3/6/24 at approximately 3:45 PM and was located at approximately 5:30 p.m. 0.8 miles away. [...]
Inspectors wroteBased on record review and interviews, the facility failed to protect resident's rights to eb free from medical neglect, failed to ensure individuals employed at the facility were licensed in accordance with applicable state laws to prevent medical neglect, when the facility failed to verify the identity, credentials, and licensure of an individual (Staff A) prior to employment as a registered nurse providing care and services for 19 shifts for 77 residents using a sample of 5 of 5 residents of the total 77 residents, Residents #6, #8, #4, #9, and #10. The failure of ensuring an individual is licensed as a registered nurse could result in the likelihood of harm and/or death to residents due to the lack of knowledge and education of medications and medication side effects. [...]
Inspectors wroteBased on record review and interview, the facility failed to ensure policies and procedures were implemented to prohibit and prevent medical neglect when failing to ensure individuals employed at the facility were licensed in accordance with applicable state laws, when the facility failed to verify the identity, credentials, and licensure of an individual (Staff A) prior to employment as a registered nurse providing care and services for 19 shifts for 77 residents using a sample of 5 of 5 residents of the total 77 residents, Residents #6, #8, #4, #9, and #10. The failure of ensuring an individual is licensed as a registered nurse could result in the likelihood of harm and/or death to residents due to the lack of knowledge and education of medications and medication side effects. [...]
Inspectors wroteBased on interview and record review, the facility administration failed to administer the facility in a manner to effectively and efficiently attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident when the facility administration failed to ensure an employee (Staff A) had a Level II Background Screening, failed to implement policies and procedures to verify the identity, credentials and licensure of an individual (Staff A) prior to employment as a licensed practical nurse providing care and services for 19 shifts for 77 residents using a sample of 5 of 5 residents of the total 77 residents, Residents #6, #8, #4, #9, and #10. [...]
Inspectors wroteBased on record review, interviews, and facility policies and procedures, the facility failed to ensure adequate supervision for post fall care for one (Resident #4) of one resident reviewed for falls of a total of eleven sampled residents.
Inspectors wroteBased on observation, record review and interviews, the facility failed to develop a discharge or transfer plan for one (Resident #1) of one resident reviewed for discharge planning process.
Inspectors wroteBased on observation, record review and interview, the facility failed ensure pharmacy recommendations, approved by the physician, were acted upon for two (Resident #2 and #3) of three residents reviewed for unnecessary medications of a total of eleven sampled residents.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to utilize the Quality Assurance and Performance Improvement (QAPI) process to investigate, develop, and implement an effective Performance Improvement Plan (PIP) to ensure supervision and services to prevent elopement. During a survey conducted on 03/27/24 to 03/29/24 non-compliance was found for one (#3) of 14 residents at risk for elopement with a known history of cognitive impairment, exit seeking behaviors, and an expressed desire to leave the facility.
Inspectors wroteBased on observations, staff interview, and record review, the facility failed to ensure resident rooms with fall floor mats, were maintained and free from trip hazards during four of four days observed (8/7/2022, 8/8/2022, 8/9/2022, and 8/10/2022), affecting three (101, 104, and 105) of three resident rooms where fall mats were observed.
Inspectors wroteBased on observations, interviews and record review, the facility failed to assess and develop care plan interventions for two (#64 and #26) of two residents who smoke.
Inspectors wroteBased on observation, interview, and record review, the facility failed to dispose of expired medications found in one (East Hall) of two refrigerators located in one of two medication storage rooms sampled and failed to appropriately secure medications in one (Low [NAME] Hall) of four medications carts, and failed to store a schedule IV-controlled substance (10 vials) appropriately according to professional standards.
7 fire safety citations on file: 3 on October 2, 2024, 3 on August 10, 2022, 1 on April 30, 2021.
| Date | Penalty | Amount or length |
|---|---|---|
| October 2, 2024 | Fine | $12,542 |
| October 2, 2024 | Fine | $59,462 |
| October 2, 2024 | Payment Denial | 91 days from December 11, 2024 |
| February 22, 2024 | Fine | $8,624 |
| February 22, 2024 | Fine | $8,624 |
| February 22, 2024 | Fine | $192,437 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.56 | 3.82 | 3.86 |
| Registered nurses | 0.53 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.35 | 3.49 | 3.42 |
| Nurse aides | 2.25 | ||
| Licensed practical nurses | 0.79 | ||
| Nursing staff turnover (share who left in a year) | 62.4% | 41.4% | 45.8% |
| Registered nurse turnover | 85.7% | 46.0% | 42.9% |
| Administrators who left | 3 |
CMS expects 2.99 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.65 on weekdays and 3.35 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.67 in April to June 2025 to 3.56 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 | 3.56 | 0.53 | 3.65 | 3.35 | 0.2% | 0 of 90 | 86 |
| Oct to Dec 2025 | 3.42 | 0.54 | 3.46 | 3.31 | 0.3% | 0 of 92 | 91 |
| Jul to Sep 2025 | 3.39 | 0.36 | 3.44 | 3.27 | 0.4% | 0 of 92 | 91 |
| Apr to Jun 2025 | 3.67 | 0.51 | 3.76 | 3.44 | 2.9% | 0 of 91 | 85 |
| 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
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. If you work here, your report helps start one.
| 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.
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 | 4.8 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.4 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.3 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.1 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.3 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.4 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.9 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.1 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 42.3 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 27.9 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Lake Haven Nursing and Rehab Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (41.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
41.3% this home
No different from the national rate
US median of homes 51.5% · Florida: 169 better, 109 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 26 eligible stays.
11.1% this home
No different from the national rate
US median of homes 10.7% · Florida: 2 better, 35 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 48 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 7.1% · Florida: 6 better, 21 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 23 eligible stays.
55.0% this home
Median of homes: Florida55.1% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 20 residents counted.
2.9% this home
Median of homes: Florida0.6% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 35 residents counted.
0.0% this home
Median of homes: Florida1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 35 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Florida97.7% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 6 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: DUNEDIN OPCO LLC. CMS links this home to Eliyahu Mirlis, a group of 14 nursing homes averaging 2.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| 1351 San Christopher Drive Dunedin Holdco LLC | Direct ownership interest | Organization | 09/01/2023 | |
| Mirlis, Eliyahu | 5% or greater indirect ownership interest | Individual | 100% | 09/01/2023 |
| Vrd 10 Hldco LLC | Indirect ownership interest | Organization | 09/01/2023 | |
| Becher, Sarah | Indirect ownership interest | Individual | 09/01/2023 | |
| Pai, Suresh | Managing control - governing body | Individual | 09/01/2023 | |
| Thorngren III, Daniel | Managing control - governing body | Individual | 09/01/2023 | |
| Pai, Suresh | Operational/managerial control | Individual | 09/01/2023 | |
| Thorngren III, Daniel | Operational/managerial control | Individual | 09/01/2023 | |
| Pai, Suresh | Adp of the SNF | Individual | 09/01/2023 | |
| Thorngren III, Daniel | Adp of the SNF | Individual | 09/01/2023 |
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.
Chosen from this home's own inspection record.
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