Medicana Nursing and Rehab Center
1710 Lake Worth Road, Lake Worth, FL 33460 · Palm Beach County · (561) 582-5331
116 certified beds, about 77 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1973
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105259 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 14, 2026, inspectors cited 10 health deficiencies (the Florida average is 7.1, the national average 9.2).
None of its 24 health citations since September 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.80 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.55 of those hours.
35.6% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Sovereign Healthcare Holdings, an affiliated group of 43 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.
309/23
1001/25
109/25
1005/26
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
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
22D
0E
0F
Potential for minimal harm
0A
2B
0C
May 14, 2026Standard inspection · 10 citations
- D Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on interview and record reviews, the facility failed to ensure a completed informed consent for psychotropic medication was obtained for 1 of 5 sampled residents reviewed for unnecessary medication (Resident #1).
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on interviews, and record review, the facility failed to provide nutritional interventions in a timely manner to prevent weight changes including significant weight loss and/or gain for 5 of 6 sampled residents reviewed for nutrition (Resident #30, Resident #27, Resident #36, Resident #49, and Resident #20).
- 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 observations, interviews and record review the facility failed to ensure tube feeding administered as ordered and ensure the tube feeding bottle was labeled with a time started for 1 of 2 sampled residents reviewed for tube feeding (Resident #6).
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to implement physician response to pharmacy recommendations for 1 of 5 sampled residents reviewed for Medication Regimen Review. (Resident #3).
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to adequately monitor side effects for psychotropic medication for 1 of 5 sampled residents reviewed for unnecessary medications (Resident #5).
- D Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on observations, interviews and record review, the facility failed to provide the correct fluid consistency ordered for 1 of 1 sampled resident. (Residents #44)
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations and interviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. This was observed during 1 of 2 visits conducted in the Main Kitchen.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews and record review the facility failed to ensure staff wore appropriate Personal Protective Equipment (PPE) during care provided for 1 of 19 residents on EBP (Enhanced Barrier Precautions), (Resident #6) and 1 of 1 sampled residents observed for wound care (Resident #48).
- B Post nurse staffing information every day.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to document the census for 2 out of 4 days (05/13/24 and 05/14/26) reviewed for daily nurse staffing data.
- B Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to maintain an accurate medical record for 1 of 18 sampled residents reviewed for Resident Records (Resident #3).
September 10, 2025Complaint inspection · 1 citation
- D Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on observations, interviews and record reviews, the facility failed to have an effective pest control program.
January 16, 2025Standard inspection, Complaint inspection · 10 citations
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure personal privacy during medical treatment, of a med (medication) pass for 1 out of 6 sampled residents reviewed for med pass, affecting Resident #88.
- 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 review, the facility failed to develop a care plan for 2 of 2 sampled residents, with a diagnosis of Post-Traumatic Stress Disorder (PTSD), affecting Resident#1 and #86.
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on policy review, record review, and interview, the facility failed to ensure a safe discharge, as evidenced by failing to provide necessary medications and reconciliation of all pre-discharge medications with the resident's post-discharge medications, upon discharge for 1 of 1 sampled resident reviewed for discharge (Resident #396).
- 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 antibiotics were administered as ordered for 1 of 3 sampled residents, reviewed for antibiotic therapy (Resident #60).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interviews and record review, the facility failed to ensure smoking evaluations were completed for 2 of 9 sampled residents identified as smokers (Residents #66 and #75).
- D Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Inspectors wroteBased on interview and record review, the facility failed to ensure physician visits were conducted within the required time frame, for 1 of 18 sampled residents (Resident #66).
- D Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspectors wroteBased on record review and interview, the facility failed to coordinate care with hospice services for 1 of 1 sampled resident reviewed for hospice (Resident #13).
- D Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on observations, interview and record review, the facility's Quality Assurance and Performance Improvement Activities (QAPI/QAA) failed to demonstrate effective plan of actions were implemented to correct an identified quality deficiency in the problem area as evidenced by repeated deficient practice for F656, Comprehensive Resident Centered Care plan. This repeated deficient practice had the potential to affect all 85 residents residing in the facility at the time of this survey.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow up for a Vancomycin Resistant Enteroccocus (VRE) (a multi-drug resistant organism) infection and precautions for 1 of 3 sampled residents reviewed for antibiotic therapy (Resident #60), and failed to wear appropriate personal protective equipment (PPE) during of care of resident on enhanced barrier precautions (EBP) (Resident #71).
- D Implement a program that monitors antibiotic use.
Inspectors wroteBased on record review and interview, the facility failed to have an effective antibiotic stewardship program for 2 of 3 sampled residents reviewed for antibiotic therapy (Residents #60 and #62).
September 14, 2023Standard inspection · 3 citations
- 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, record review, and interview, the facility failed to develop a comprehensive care plan related to activities for 1 of 1 sampled resident who was dependent on the staff for access to activities (Resident #1).
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview, record review, and policy review, the facility failed to ensure proper care and services to prevent infection or other complications for 2 of 2 sampled residents with indwelling urinary catheters. Staff failed to provide proper perineal and catheter care, ensure proper anchoring of the catheter tubing, ensure a complete written order, and follow Enhanced Barrier Precautions (EBP) for Resident #4. The record lacked an appropriate order for the indwelling urinary catheter for Resident #40.
- D Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspectors wroteBased on record review and interview, the facility failed to collect a physician ordered stool sample for 1 of 1 sampled resident, who was having active diarrhea during her facility stay (Resident #79).
Fire safety inspections
1 fire safety citation on file: 1 on May 14, 2026.
Every fire safety citation1 citation
- F 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.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Florida | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.80 | 3.82 | 3.86 |
| Registered nurses | 0.55 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.33 | 3.49 | 3.42 |
| Nurse aides | 2.21 | ||
| Licensed practical nurses | 1.05 | ||
| Nursing staff turnover (share who left in a year) | 35.6% | 41.4% | 45.8% |
| Registered nurse turnover | 38.5% | 46.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.56 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.00 on weekdays and 3.33 on weekends, 17% 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 3.82 in April to June 2025 to 3.80 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 | 3.80 | 0.55 | 4.00 | 3.33 | 0.0% | 0 of 90 | 77 |
| Oct to Dec 2025 | 3.87 | 0.61 | 4.07 | 3.35 | 0.0% | 0 of 92 | 77 |
| Jul to Sep 2025 | 3.88 | 0.66 | 4.08 | 3.36 | 0.0% | 0 of 92 | 77 |
| Apr to Jun 2025 | 3.82 | 0.64 | 4.03 | 3.31 | 0.0% | 0 of 91 | 80 |
| 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 | 5.3 | 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 | 0.7 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.8 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.3 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.0 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.4 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 18.9 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 38.8 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.6 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.4 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.1 | 1.8 |
Owners and operators
Legal business name: SOVEREIGN HEALTHCARE OF MEDICANA, LLC. CMS links this home to Sovereign Healthcare Holdings, a group of 43 nursing homes averaging 3.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Mangine, John | Direct ownership interest | Individual | 12/31/2015 | |
| Cronquist, Royce | Indirect ownership interest | Individual | 12/31/2015 | |
| Centennial Bank | 5% or greater security interest | Organization | 09/15/2014 | |
| Fl Medicana Holdings, LLC | 5% or greater security interest | Organization | 05/19/2009 | |
| Health Services Properties LLC | 5% or greater security interest | Organization | 05/19/2009 | |
| Bell, Charles | Managing control - governing body | Individual | 09/15/2016 | |
| Chery, Dawn | Managing control - governing body | Individual | 06/08/2017 | |
| Kaar, Susan | Managing control - governing body | Individual | 05/19/2009 | |
| Southern Healthcare Management LLC | Operational/managerial control | Organization | 10/01/2003 | |
| Cronquist, Royce | Operational/managerial control | Individual | 02/01/2018 | |
| Jones, Tamia | Operational/managerial control | Individual | 11/10/2022 | |
| Lagrange, Lloyd | Operational/managerial control | Individual | 06/16/2021 | |
| Mangine, John | Operational/managerial control | Individual | 01/01/2025 | |
| Melton, Donald | Operational/managerial control | Individual | 02/15/2009 | |
| Notermann, William | Operational/managerial control | Individual | 01/01/2025 | |
| Kelly, Michelle | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 10/15/2025 | |
| Notermann, Brenda | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 10/10/2025 | |
| Fl Medicana Holdings, LLC | Adp of the SNF | Organization | 05/19/2009 | |
| Forvis Mazars LLP | Adp of the SNF | Organization | 01/01/2025 | |
| Health Services Properties LLC | Adp of the SNF | Organization | 05/19/2009 | |
| Sovereign Healthcare Disbursements LLC | Adp of the SNF | Organization | 05/19/2009 | |
| Bell, Charles | Adp of the SNF | Individual | 09/15/2016 | |
| Chery, Dawn | Adp of the SNF | Individual | 06/08/2017 | |
| Cronquist, Royce | Adp of the SNF | Individual | 10/11/2017 | |
| Jones, Tamia | Adp of the SNF | Individual | 11/10/2022 | |
| Kaar, Susan | Adp of the SNF | Individual | 05/19/2009 | |
| Kelly, Michelle | Adp of the SNF | Individual | 02/01/2018 | |
| Lagrange, Lloyd | Adp of the SNF | Individual | 06/16/2021 | |
| Mangine, John | Adp of the SNF | Individual | 01/01/2025 | |
| Melton, Donald | Adp of the SNF | Individual | 02/15/2009 | |
| Notermann, William | Adp of the SNF | Individual | 01/01/2025 |
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 5 problems in this area, most recently on May 14, 2026: "Provide enough food/fluids to maintain a resident's health."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on May 14, 2026: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on May 14, 2026: "Provide and implement an infection prevention and control program."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 3 problems in this area, most recently on January 16, 2025: "Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.33 hours per resident per day, below the Florida average of 3.49.
Other nursing homes nearby
- Terraces of Lake Worth Care Center and Rehab Lake Worth, 0.6 mi · 4 of 5 stars · 14 citations
- Lake Worth Rehabilitation Center Lake Worth, 1.1 mi · 2 of 5 stars · 26 citations
- Avante at Lake Worth, Inc. Lake Worth, 1.5 mi · 1 of 5 stars · 59 citations
- Finnish-American Village Lake Worth, 1.8 mi · 5 of 5 stars · 11 citations
- VI at Lakeside Village Lantana, 2.5 mi · 5 of 5 stars · 10 citations
- Palm Beach Nursing Center Lake Worth, 2.7 mi · 3 of 5 stars · 34 citations
- Pine Trail Nursing and Rehab Center Lake Worth, 3 mi · 2 of 5 stars · 27 citations
- Beach Breeze Rehab and Care Center West Palm Beach, 3.1 mi · 2 of 5 stars · 30 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 Medicana Nursing and Rehab Center's Medicare star rating?
- CMS rates Medicana Nursing and Rehab Center 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Medicana Nursing and Rehab Center get at its last inspection?
- 10 health deficiencies at the standard inspection on May 14, 2026. The Florida average is 7.1.
- Has Medicana Nursing and Rehab Center been fined?
- CMS lists no fines in the last three years.
- Does Medicana Nursing and Rehab 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 Medicana Nursing and Rehab Center?
- CMS lists 31 owners and managers, and links the home to Sovereign Healthcare Holdings. Legal business name: SOVEREIGN HEALTHCARE OF MEDICANA, 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.