Astoria Health and Rehabilitation Center — nursing home in Winter Haven, FL

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 132 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 123.1 CMS, MDS-derived
CMS Certification Number: 106086
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Dec 13, 2010
Ownership type: For profit - Corporation
Operator (legal business name): Lake Wales Health Care Operations Company LLC
CMS chain: Tlc Management 20 facilities
Phone: (863) 318-5000
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Mar 26, 2024

Citations

37

26 health · 11 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D29	E5	F3
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 106086
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 132
First approved: Dec 13, 2010
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Florida.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Mar 26, 2024	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Mar 26, 2024	Health	Health Standard	10	Potential harm	—	Open →
Feb 4, 2022	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Feb 4, 2022	Health	Health Standard	7	Potential harm	—	Open →
Oct 30, 2020	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Oct 30, 2020	Health	Health Standard	9	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D29	E5	F3
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Mar 26, 2024	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 28, 2024
Mar 26, 2024	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 28, 2024
Mar 26, 2024	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 28, 2024
Mar 26, 2024	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Apr 28, 2024
Mar 26, 2024	F-0645	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 28, 2024
Mar 26, 2024	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Apr 28, 2024
Mar 26, 2024	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 28, 2024
Mar 26, 2024	F-0757	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 28, 2024
Mar 26, 2024	F-0758	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 28, 2024
Mar 26, 2024	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Apr 28, 2024
Mar 26, 2024	F-0761	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. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Apr 28, 2024
Mar 26, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Apr 28, 2024
Mar 26, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Apr 28, 2024
Feb 4, 2022	E-0037	Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Mar 3, 2022
Feb 4, 2022	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Mar 3, 2022
Feb 4, 2022	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 3, 2022
Feb 4, 2022	F-0622	Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 4, 2022
Feb 4, 2022	F-0623	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	F · Potential harm Widespread	Corrected Mar 4, 2022
Feb 4, 2022	F-0625	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect	F · Potential harm Widespread	Corrected Mar 4, 2022
Feb 4, 2022	F-0694	Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 4, 2022
Feb 4, 2022	F-0698	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 4, 2022
Feb 4, 2022	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Mar 4, 2022
Feb 4, 2022	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Mar 4, 2022
Oct 30, 2020	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 3, 2020
Oct 30, 2020	K-0222	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. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 3, 2020
Oct 30, 2020	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 3, 2020
Oct 30, 2020	K-0325	Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 3, 2020
Oct 30, 2020	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 3, 2020
Oct 30, 2020	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 3, 2020
Oct 30, 2020	F-0636	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 3, 2020
Oct 30, 2020	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 3, 2020
Oct 30, 2020	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 3, 2020
Oct 30, 2020	F-0697	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 3, 2020
Oct 30, 2020	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Dec 3, 2020
Oct 30, 2020	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Dec 3, 2020
Oct 30, 2020	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Dec 3, 2020
Oct 30, 2020	F-0883	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Dec 3, 2020

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.3

Health inspectionsstate 2.9

Staffingstate 3.3

Quality measuresstate 4.3

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing4.27

State avg 3.86US avg 3.90

Registered nurse (RN)0.59

State avg 0.73US avg 0.69

Licensed practical nurse1.11

State avg 0.80US avg 0.86

Nurse aide2.56

State avg 2.33US avg 2.35

Weekend total nurse3.82

State avg 3.51US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.09 (case-mix index 1.46).

Staff turnover

Total nursing staff turnover42.2%

State avg 41.5%US avg 45.3%

Registered nurse turnover40.9%

State avg 46.1%US avg 42.5%

Administrators who left2

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Mar 26, 2024
Cycle 1 health score: 60
Total weighted score: 61

Operating entity

Lake Wales Health Care Operations Company LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Tlc Management

20 facilities in 3 states. CMS chain ID 520.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.9

Ownership disclosures

Disclosures

14

Organizations

1

Individuals

12

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Steven Lanham	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	10%	Sep 8, 2005

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Steven Lanham	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	10%	Sep 8, 2005
Tender Loving Care Management Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 5, 2005
Cory Blackwell	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 15, 2022
Aleixo Viegas	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2014
Cullen Gibson	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Dec 1, 2012
Dwight Ott	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Sep 8, 2005
Gary Ott	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jun 30, 2008
Tender Loving Care Management Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 10, 2025
Cory Blackwell	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 15, 2022
Cullen Gibson	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2012
Steven Lanham	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2012
Dwight Ott	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2012
Gary Ott	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2012
Aleixo Viegas	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2014

Same chain in Florida

All 19 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Bridgewater Park Health & Rehabilitation Center 9280 South West 81st Ct, Ocala, FL 34481 CCN 106115	120	Mar 5, 2026	20	—
Oak Hill Health & Rehabilitation 7371 Cortez Oaks Blvd, Brooksville, FL 34613 CCN 106145	109	Feb 18, 2026	33	—
Blue Heron Health and Rehabilitation 5085 Eagleston Blvd, Wesley Chapel, FL 33544 CCN 106147	141	Jun 13, 2026	20	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 701 Overlook Dr SE, Winter Haven, FL 33884
ZIP: 33884
County: Polk County FIPS 12105
State: Florida
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Lake Mariam Health and Rehabilitation Center 1801 N Lake Mariam Dr, Winter Haven, FL 33884 CCN 105428SFF Candidate	1.6 km	120	Apr 29, 2026	794 IJ1 harm	$322k
Palm Garden of Winter Haven 1120 Cypress Gardens Blvd, Winter Haven, FL 33884 CCN 105566	2.3 km	120	Jun 20, 2024	272 harm	$24k
Life Care Center of Winter Haven 1510 Cypress Gardens Blvd, Winter Haven, FL 33884 CCN 105792	2.5 km	177	Feb 20, 2025	33	—
Winter Haven Health and Rehabilitation Center 202 Ave O NE, Winter Haven, FL 33880 CCN 105176	4.4 km	140	Jun 18, 2026	42	$4,190
Spring Lake Rehabilitation Center 1540 6th St NW, Winter Haven, FL 33881 CCN 105730	5.9 km	132	Feb 13, 2025	20	—
Vivo Healthcare Winter Haven 2701 Lake Alfred Rd, Winter Haven, FL 33881 CCN 105998	7 km	120	Apr 10, 2025	55	—
Oak Haven Rehab and Nursing Center 919 Old Winter Haven Rd, Auburndale, FL 33823 CCN 105302	10.4 km	120	Apr 12, 2026	35	$12k
Haines City Rehabilitation and Nursing Center 409 S 10th St, Haines City, FL 33844 CCN 105442	11.5 km	120	Jan 13, 2026	41	$13k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	106086	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	106086	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 106086

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction