2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Highlands Lake Center, Lakeland, Florida, is dedicated to redefining the wellness journey through personalized post-acute rehabilitation and long-term nursing care. Their mission revolves around tailoring nursing and rehabilitation experiences to individual needs, enhancing the quality of life, and surpassing ordinary expectations with extraordinary outcomes. The community values health, well-being, and a caring nursing home culture, setting a gold standard in exceptional care.
Highlands Lake Center combines clinical care, heartfelt compassion, and homey nursing home amenities to provide a personalized wellness journey. The community offers specialized care programs, including wound care, short-term rehabilitation, pain management, and therapeutic recreation. Highlands Lake Center’s commitment to recovery in comfort ensures a cheerful environment, modern surroundings, and a proprietary atmosphere of happiness, healing, and hope. The spacious and welcoming facility provides private and semi-private rooms with amenities such as cable TV, telephone, internet, and fine dining, creating a trusted destination in wellness focused on residents’ healthcare needs.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 175th out of 253 homes in Florida for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 38m per day | ▼ 13% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 36m per day | ▼ 24% State avg: 47m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 4m per day | ▼ 11% State avg: 2h 20m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 5m per day | ▼ 12% State avg: 3h 31m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 5m per day | ▲ 3% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 32m per day | ■ Avg State avg: 32m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
9% fewer staff per resident than Florida average
0% compared with Florida average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 26 RN Staff are full-time employees. No contractors work on this role.
26
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursAssists with medical care and medications.
All 22 LPN Staff are full-time employees. No contractors work on this role.
22
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursHelps with daily care and mobility.
All 109 CNA Staff are full-time employees. No contractors work on this role.
109
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
728 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 109 | 0 | 109 | 29,036 | 92 | 100% | 7.9 |
| Licensed Practical Nurse | 22 | 0 | 22 | 8,947 | 92 | 100% | 9.3 |
| Registered Nurse | 26 | 0 | 26 | 7,822 | 92 | 100% | 8.8 |
| Nurse Aide in Training | 15 | 0 | 15 | 3,332 | 92 | 100% | 8.4 |
| Speech Language Pathologist | 11 | 0 | 11 | 2,523 | 89 | 97% | 7.5 |
| Physical Therapy Aide | 12 | 0 | 12 | 2,398 | 90 | 98% | 7 |
| Dietitian | 5 | 0 | 5 | 1,854 | 92 | 100% | 7.8 |
| Clinical Nurse Specialist | 5 | 2 | 7 | 1,765 | 79 | 86% | 7.2 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 1,342 | 82 | 89% | 7.7 |
| Administrator | 1 | 1 | 2 | 887 | 66 | 72% | 7.7 |
| Dental Services Staff | 2 | 0 | 2 | 714 | 60 | 65% | 7.9 |
| Physical Therapy Assistant | 5 | 0 | 5 | 607 | 65 | 71% | 6.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Qualified Social Worker | 3 | 0 | 3 | 447 | 54 | 59% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 424 | 55 | 60% | 7.7 |
| RN Director of Nursing | 1 | 0 | 1 | 320 | 40 | 43% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 121 | 16 | 17% | 7.5 |
| Medical Director | 0 | 1 | 1 | 34 | 4 | 4% | 8.4 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
95% lower than Florida averageFlorida average: $72K
62% fewer fines than Florida averageFlorida average: 2.6
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Florida averageFlorida average: 0.1
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.7
10% better than Florida averageFlorida average: 7.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.6
In line with Florida averageFlorida average: 12.4
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
9.5%
9% better than Florida averageFlorida average: 10.5%
Percent of long-stay residents whose ability to move independently worsened
8.0%
39% better than Florida averageFlorida average: 12.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.4%
51% worse than Florida averageFlorida average: 13.5%
Percent of long-stay residents experiencing one or more falls with major injury
2.9%
9% worse than Florida averageFlorida average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
4.4%
17% better than Florida averageFlorida average: 5.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Florida averageFlorida average: 0.9%
Percent of long-stay residents who lose too much weight
8.5%
42% worse than Florida averageFlorida average: 6.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Florida averageFlorida average: 3.3%
Percent of long-stay residents who received an antipsychotic medication
17.6%
119% worse than Florida averageFlorida average: 8.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
In line with Florida averageFlorida average: 97.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Florida averageFlorida average: 99.2%
Number of hospitalizations per 1,000 long-stay resident days.
2.37
13% worse than Florida averageFlorida average: 2.10
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.69
42% better than Florida averageFlorida average: 1.18
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.2%
7% worse than Florida averageFlorida average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
9% better than Florida averageFlorida average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
77.0%
19% worse than Florida averageFlorida average: 94.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.6%
18% better than Florida averageFlorida average: 26.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.0%
In line with Florida averageFlorida average: 9.3%
Percentage of SNF residents who experience falls with major injury during their stay.
2.5%
218% worse than Florida averageFlorida average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
36.1%
33% worse than Florida averageFlorida average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
38.9%
23% worse than Florida averageFlorida average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
26% of new residents, usually for short-term rehab.
59% of new residents, often for short stays.
15% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
170Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Highlands Lake Center from 2012–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 09/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #63 / 257Payroll — State benchmarkedThis home is ranked 63rd out of 257 homes in Florida. Shows total annual staff payroll benchmarked to the Florida average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #57 / 257Payroll % — State benchmarkedThis home is ranked 57th out of 257 homes in Florida. Shows payroll as a percentage of revenue versus the Florida average. Well-run Florida facilities typically land around 49–56% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (59% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
4.9 miles from city center
Estimated distance in miles from Lakeland's city center to Highlands Lake Center's address, calculated via Google Maps.
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The information below is reported by the Florida Agency for Health Care Administration (AHCA).
| Florida Presbyterian Homes Inc. D.b.a. Westminster Lakeland | NH AL IL NC | Lakeland (Lake Somerset) | 136
Facility
136
FL AVG
89
Rank
#189 / 1074 |
63.2%
Facility
63.2%
FL AVG
84.3%
Rank
#241 / 258 | -25% | 4.14
Facility
4.14
FL AVG
4.04
Rank
#91 / 253 | +47% | +3% | $0
Facility
$0
FL AVG
$78.9k
Rank
#1 / 258 | 92
Facility
92
FL AVG
83
Rank
#237 / 876 | 16
Facility
16
FL AVG
19.7
Rank
#107 / 252 | 5.3
Facility
5.3
FL AVG
4.5
Rank
#176 / 252 | - | 63 | - |
55
Facility
55
FL AVG
40
Rank
#426 / 1486 | Joe Xanthopoulos | $7.0M
Facility
$7.0M
FL AVG
$15.7M
Rank
#133 / 257 | $8.1M
Facility
$8.1M
FL AVG
$6.1M
Rank
#92 / 257 | 115.5%
Facility
115.5%
FL AVG
39.8%
Rank
#51 / 257 | 105949 | ||||
| The Estates At Carpenters | NH AL IL | Lakeland | 72
Facility
72
FL AVG
89
Rank
#633 / 1074 |
86.9%
Facility
86.9%
FL AVG
84.3%
Rank
#156 / 258 | +3% | 4.85
Facility
4.85
FL AVG
4.04
Rank
#38 / 253 | +17% | +20% | $24.3k
Facility
$24.3k
FL AVG
$78.9k
Rank
#205 / 258 | - | 15
Facility
15
FL AVG
19.7
Rank
#93 / 252 | 3.8
Facility
3.8
FL AVG
4.5
Rank
#105 / 252 | 2 | 65 | A+ |
68
Facility
68
FL AVG
40
Rank
#234 / 1486 | Carpenters Home Estates Inc | $7.8M
Facility
$7.8M
FL AVG
$15.7M
Rank
#65 / 257 | $9.8M
Facility
$9.8M
FL AVG
$6.1M
Rank
#78 / 257 | 125.4%
Facility
125.4%
FL AVG
39.8%
Rank
#184 / 257 | 105660 | ||||
| Highlands Lake Center | NH PC RC | Lakeland | 179
Facility
179
FL AVG
89
Rank
#78 / 1074 |
93.8%
Facility
93.8%
FL AVG
84.3%
Rank
#48 / 258 | +11% | 3.66
Facility
3.66
FL AVG
4.04
Rank
#175 / 253 | -6% | -9% | $0
Facility
$0
FL AVG
$78.9k
Rank
#1 / 258 | - | 35
Facility
35
FL AVG
19.7
Rank
#235 / 252 | 4.4
Facility
4.4
FL AVG
4.5
Rank
#137 / 252 | - | 170 | - |
9
Facility
9
FL AVG
40
Rank
#1282 / 1486 | Cynthia Ayala | $20.1M
Facility
$20.1M
FL AVG
$15.7M
Rank
#113 / 257 | $8.3M
Facility
$8.3M
FL AVG
$6.1M
Rank
#63 / 257 | 41.4%
Facility
41.4%
FL AVG
39.8%
Rank
#57 / 257 | 105620 | ||||
| Lakeland Nursing and Rehabilitation Center | NH | Lakeland (Tigertown) | 185
Facility
185
FL AVG
89
Rank
#51 / 1074 |
74.6%
Facility
74.6%
FL AVG
84.3%
Rank
#209 / 258 | -11% | 3.61
Facility
3.61
FL AVG
4.04
Rank
#198 / 253 | -35% | -11% | $181.1k
Facility
$181.1k
FL AVG
$78.9k
Rank
#252 / 258 | - | 33
Facility
33
FL AVG
19.7
Rank
#223 / 252 | 5.5
Facility
5.5
FL AVG
4.5
Rank
#193 / 252 | 3 | 167 | - |
57
Facility
57
FL AVG
40
Rank
#393 / 1486 | Palm Terrace J Dek Operations LLC | $15.1M
Facility
$15.1M
FL AVG
$15.7M
Rank
#58 / 257 | $8.3M
Facility
$8.3M
FL AVG
$6.1M
Rank
#104 / 257 | 55.3%
Facility
55.3%
FL AVG
39.8%
Rank
#220 / 257 | 105354 | ||||
| Bridgewalk on Harden | NH HC PC RC | Lakeland | 120
Facility
120
FL AVG
89
Rank
#256 / 1074 |
72.9%
Facility
72.9%
FL AVG
84.3%
Rank
#212 / 258 | -13% | 3.42
Facility
3.42
FL AVG
4.04
Rank
#233 / 253 | -65% | -15% | $181.4k
Facility
$181.4k
FL AVG
$78.9k
Rank
#253 / 258 | - | 19
Facility
19
FL AVG
19.7
Rank
#135 / 252 | 3.2
Facility
3.2
FL AVG
4.5
Rank
#66 / 252 | 4 | 80 | - |
24
Facility
24
FL AVG
40
Rank
#1015 / 1486 | Louis Garrard | $9.7M
Facility
$9.7M
FL AVG
$15.7M
Rank
#217 / 257 | $6.1M
Facility
$6.1M
FL AVG
$6.1M
Rank
#184 / 257 | 63.1%
Facility
63.1%
FL AVG
39.8%
Rank
#20 / 257 | 106138 |
Highlands Lake Center is located in Lakeland, Florida.
Here are the financial assistance programs available to residents in Florida.
Highlands Lake Center has a walk score of 9. Car-dependent. Most errands require a car, with limited nearby walkable options.
Highlands Lake Center's occupancy is 93.8%.
Highlands Lake Center is registered as a for-profit.
Yes — there are 6 photos of Highlands Lake Center in the photo gallery on this page.
Highlands Lake Center is located at 4240 Lakeland Highlands Rd, Lakeland, FL 33813.
(863) 646-8699 will put you in contact with the team at Highlands Lake Center.
Yes — Highlands Lake Center is a CMS-certified provider of Medicare and Medicaid.
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