North Lake Care Center and Rehab
750 Bayberry Drive, Lake Park, FL 33403 · Palm Beach County · (561) 881-8144
85 certified beds, about 78 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1988
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105640 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 11, 2025, inspectors cited 9 health deficiencies (the Florida average is 7.1, the national average 9.2).
Of 30 health citations since March 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $10,206 in the last three years; the largest was $10,206, and the latest is dated October 23, 2024.
Nurses and nurse aides worked 3.46 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.77 of those hours.
41.9% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Gold Fl Trust II, an affiliated group of 36 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.
703/23
1305/24
110/24
909/25
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 30 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
25D
4E
0F
Potential for minimal harm
0A
0B
0C
September 11, 2025Standard inspection · 9 citations
- 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 observation, interview, policy and record review, the facility failed to inform the physician of a significant weight loss for 1 of 3 sampled residents reviewed for nutrition, Resident #6.
- D Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteBased on interview and record review, the facility failed to report and resolve a grievance for 1 of 1 sampled resident reviewed for grievances, Resident #11.
- 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 obtain labs as ordered and failed to notify the physician of the missed labs for 1 of 1 sampled resident, Resident #54.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on record review and interview, the facility failed to complete and have dialysis communication forms post treatment for 1 of 1 sampled resident reviewed for dialysis, Resident #3.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on interview, record review and observation, the facility failed to appropriately reconcile controlled medications for 2 of 4 sampled residents reviewed for medication reconciliation, Resident #1 and Resident #16.
- 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 interviews and record review, the facility failed to develop and maintain policies and procedures for the monthly drug regimen review that included, but are not limited to, time frames for the different steps in the process for 2 of 5 sampled residents sampled for unnecessary medications, Residents #2 and #5.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on observation, interview and record review, the facility failed to initiate behavior monitoring for 1 of 5 sampled residents reviewed for unnecessary medications, Resident #6.
- 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 observations, interviews and record review, the facility failed to secure medications at all times for 1 of 21 sampled residents with medications observed at the bedside, Residents #42.
- D Implement a program that monitors antibiotic use.
Inspectors wroteBased on record review, interview, and policy review, the facility failed to have an antibiotic stewardship program that includes antibiotic use protocols and a system to monitor antibiotic use for 1 of 1 sampled resident reviewed for infection, Resident #54.
October 23, 2024Complaint inspection · 1 citation
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, interviews and record reviews, the facility failed to provide appropriate supervision to 1 of 3 sampled residents assessed as at risk for elopement. The deficient practice allowed Resident #1 to exit the facility on 10/12/24 at approximately 8:50 PM, through an unsecured door on the second floor.
May 16, 2024Standard inspection · 13 citations
- E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observations, and interviews, the facility failed to provide housekeeping and maintenance services in order to maintain a clean, comfortable, sanitary and home like environment in 9 of 30 rooms and the Community Shower Room.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation and interview, the facility failed to follow facility-wide policies and procedures for 17 of 18 residents on Enhanced Barrier Precautions (EBP), including Residents #9, #1, #29, #236, #18, #13, #45, #54, #48 and #53, as evidenced by no gowns at or outside of the residents' doors; and failed to maintain an appropriately clean environment in the facility's laundry rooms to prevent cross contamination of the laundry with various forms of debris. The census at the time of survey was 83 residents.
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on interview and record review, the facility failed to ensure showers as per resident preference and facility schedule for 1 of 4 sampled residents, Resident #19, reviewed for choices.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on interview, record review and observation, the facility failed to maintain residents' fingernails for 2 of 6 sampled residents identified with long fingernails, Resident #45 and Resident #48.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, interviews and record reviews, the facility failed to ensure the safe transfer for 1 of 27 sampled residents, Resident #18, resulting in skin damage to the resident; and failed provide devices to ensure the safety of the resident while smoking for 1 of 2 sampled residents reviewed for smoking, Resident #80.
- D Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Inspectors wroteBased on observations interviews and record reviews, the facility failed to assess a resident for the risks associated with the use of bed rails, obtain physician's orders for the use of bed rails, and initiate a care plan for the use of bed rails for 1 of 2 sampled residents reviewed for the use of bed rails, Resident #134.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review, interview, and policy review, the facility failed to follow physician's orders related to the timing for administration of medication for 3 of 6 sampled residents, Residents #19, #63 and #68, as evidence by: Resident #19 was receiving two medications with a potential drug to drug interaction, in which nursing staff failed to administer at the ordered time; and Residents #63 and #68 complained medications were not provided timely.
- 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 record review and interview, the pharmacist failed to identify a timing issue with a possible drug to drug interaction for 1 of 5 sampled residents, Resident #19.
- 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 wrote5. Record review revealed Resident #19 was admitted to the facility on [DATE]. Review of the current orders revealed the resident was currently taking an antidepressant and an antianxiety medication. Further review of the orders revealed as of 01/08/24 nursing staff was to monitor for resident behaviors twice daily on day and night shifts, and document any intervention provided and outcomes, and monitor for side effects of these medications. Review of the current May 2024 Behavior Monitoring Flow sheet revealed a lack of monitoring on the 05/01/24 day shift, 05/06/24 day shift, 05/07/24 day shift, 05/08/24 day shift, 05/13/24 night shift, and the 05/14/24 night shift. This resulted in a failure to monitor behaviors on 6 of 29 shifts. Review of the April 2024 Behavior Monitoring Flow Sheet revealed a lack of monitoring on the folowing shifts: [...]
- 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 accuracy of records for 1 of 3 sampled residents, reviewed as closed records, Resident #83, as evidenced by failure to ensure accurate documenation in the residnet's record that reflected the resident's discharge.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview, record review and observation, the facility failed to offer, educate, and obtain consent for pneumonia vaccine for 5 of 5 sampled residents reviewed for vaccine provision, Resident #53, Resident #35, Resident #22, Resident #18, and Resident #34; as evidenced by Residents #53 and #18 did not have Pneumococcal consents or refusals, and all 5 residents did not have evidence of being offered the vaccines or of being provided education.
- D Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Inspectors wroteBased on observations interviews and record reviews, the facility failed to ensure bed rails were maintained in working condition and inspected for fitness and function for 1 of 2 sampled residents reviewed for bed rails.
- D Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure accessibility and functioning of call bells for 2 of 27 sampled residents, Residents #9 and #53.
March 2, 2023Standard inspection · 7 citations
- E Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observation, interview and record review, the facility failed to follow the approved menu and failed to periodically update the menu for 6 of 52 sampled residents on a Regular Diet (sampled Residents #30, #29, #276, #72, #71, #32); 5 of 14 sampled residents on a Mechanical Soft Diet (sampled Residents #15, #4, #64, #42, #63); 1 of 4 sampled residents on a Pureed Diet (sampled Resident #9); and 1 of 4 sampled residents on a Renal Diet (sampled Resident #9).
- E Keep all essential equipment working safely.
Inspectors wroteBased on observation and interview, the facility failed to maintain mechanical and electrical equipment in the main kitchen in a safe operating condition.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to meet professional standards for services provided for administering insulin provided in pen style for 1 of 4 sampled s observed for medication observation pass, Resident #11.
- D Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteBased on observations, records review, and interviews, the facility failed to provide feeding assistance to 1 of 1 sampled resident (Resident #63) during dining, as ordered and required by the resident.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure smoking evaluations were completed and the care plan was updated related to smoking for 1 of 3 sampled residents reviewed for smoking / accidents (Resident #11), and failed to retain and store all smoking materials for 1 of 3 sampled residents reviewed for smoking / accidents (Resident #20).
- 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 observations, interviews, and record review, the facility failed to ensure medications were attended and secured related to 1 of 1 sampled resident (Resident #15), failed to secure medications at the bedside for 1 of 1 sampled resident (Resident #42), failed to lock an unattended medication cart, and failed to secure medications being returned to the pharmacy.
- D Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide special eating equipment and utensils for 1 of 5 sampled residents reviewed for nutrition (Resident #32).
Fire safety inspections
5 fire safety citations on file: 1 on September 11, 2025, 2 on May 16, 2024, 2 on March 2, 2023.
Every fire safety citation5 citations
- D Meet other general requirements.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Provide properly protected cooking facilities.
- D Have approved installation, maintenance and testing program for fire alarm systems.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| October 23, 2024 | Fine | $10,206 |
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) | 3.46 | 3.82 | 3.86 |
| Registered nurses | 0.77 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.26 | 3.49 | 3.42 |
| Nurse aides | 2.10 | ||
| Licensed practical nurses | 0.58 | ||
| Nursing staff turnover (share who left in a year) | 41.9% | 41.4% | 45.8% |
| Registered nurse turnover | 69.2% | 46.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.12 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 3.53 on weekdays and 3.26 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.53 in April to June 2025 to 3.46 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 | 3.46 | 0.77 | 3.53 | 3.26 | 0.1% | 0 of 90 | 78 |
| Oct to Dec 2025 | 3.39 | 0.76 | 3.43 | 3.28 | 0.1% | 0 of 92 | 79 |
| Jul to Sep 2025 | 3.51 | 0.87 | 3.61 | 3.26 | 0.4% | 0 of 92 | 78 |
| Apr to Jun 2025 | 3.53 | 0.90 | 3.63 | 3.28 | 0.2% | 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 | 1.6 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.8 | 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 | 0.7 | 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 | 0.0 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.8 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.3 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 16.1 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.9 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.1 | 1.8 |
Owners and operators
Legal business name: NORTH LAKE NURSING AND REHAB LLC. CMS links this home to Gold Fl Trust II, a group of 36 nursing homes averaging 3.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| North Lake Nursing Holdco LLC | 5% or greater direct ownership interest | Organization | 100% | 03/23/2022 |
| Fl Master Opco Holdco LLC | 5% or greater indirect ownership interest | Organization | 07/27/2022 | |
| Fl SNF Trust I | 5% or greater indirect ownership interest | Organization | 07/27/2022 | |
| Fl SNF Trust II | 5% or greater indirect ownership interest | Organization | 07/27/2022 | |
| Blackman, Russell | W-2 managing employee | Individual | 07/27/2022 | |
| Shelby, Jack | Corporate officer | Individual | 07/27/2022 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 8 problems in this area, most recently on September 11, 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 8 problems in this area, most recently on September 11, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on September 11, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- 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 September 11, 2025: "Implement a program that monitors antibiotic use."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.26 hours per resident per day, below the Florida average of 3.49.
Other nursing homes nearby
- Edward J Healey Rehabilitation and Nursing Center Riviera Beach, 2.5 mi · 5 of 5 stars · 5 citations
- Rehabilitation Center of the Palm Beaches, the West Palm Beach, 2.5 mi · 4 of 5 stars · 10 citations
- Prosper Health and Rehabilitation Center Palm Beach Gardens, 3.3 mi · 2 of 5 stars · 40 citations
- Gardens Court Palm Beach Gardens, 3.8 mi · 5 of 5 stars · 4 citations
- Lakeside Health Center West Palm Beach, 4 mi · 4 of 5 stars · 15 citations
- Nursing Center at La Posada, the Palm Beach Gardens, 4.3 mi · 4 of 5 stars · 9 citations
- Chatsworth at Pga National Palm Beach Gardens, 4.3 mi · 5 of 5 stars · 4 citations
- Joseph L Morse Health Center Inc the West Palm Beach, 4.4 mi · 5 of 5 stars · 0 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 North Lake Care Center and Rehab's Medicare star rating?
- CMS rates North Lake Care Center and Rehab 4 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did North Lake Care Center and Rehab get at its last inspection?
- 9 health deficiencies at the standard inspection on September 11, 2025. The Florida average is 7.1.
- Has North Lake Care Center and Rehab been fined?
- Yes. CMS lists 1 fine totaling $10,206 in the last three years.
- Does North Lake Care Center and Rehab 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 North Lake Care Center and Rehab?
- CMS lists 6 owners and managers, and links the home to Gold Fl Trust II. Legal business name: NORTH LAKE NURSING AND REHAB 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.