3/5
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.
3/5
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.
Set in the beautiful Overlook Drive, Winter Haven, FL, Astoria Senior Living is an astounding senior living community providing assisted living, skilled nursing, and rehabilitation. Residents retain their independence while receiving top-tier care and support for their special needs and aspirations 24/7. The community empowers residents to flourish with personalized care services that match the lifestyle of their dreams.
Have fun and do the things you love with a carefully curated calendar of fun activities and programs, highlighting residents’ interests and strengths. Residents also enjoy mealtimes with diverse dining options catering to dietary needs and tastes. Thrive and live life to the fullest with a trusted community promoting a vibrant and welcoming environment.
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 119th out of 181 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.
| 36m per day | ▼ 17% 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.
| 1h 9m per day | ▲ 46% 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 34m per day | ▲ 10% State avg: 2h 20m per day · National avg: 2h 20m 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 56m per day | ▲ 12% State avg: 3h 32m per day · National avg: 3h 27m 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.
| 2m per day | ▼ 71% State avg: 6m 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.
| 25m per day | ▼ 24% State avg: 32m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Astoria Senior Living is legally operated by Lake Wales Health Care Operations Company, LLC, and administered by Dena Rene Goldberg.
Key information about the people who lead and staff this community.
In Florida, the Agency for Health Care Administration (AHCA) is the primary authority that conducts unannounced inspections and completes official health quality reports for all healthcare facilities.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the Florida state average. The score below shows how many points this facility sits above or below the typical Florida nursing home score (the benchmark); higher is better.This is a proprietary Assisted Living Magazine score.
10 points above the Florida average for nursing homes (83/100)
Rank #203 / 876 in Florida Inspection Score — State benchmarked This home is ranked 203rd out of 876 homes in Florida for inspection score. Shows this facility's inspection score compared to the Florida average among 876 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking. This is a proprietary Assisted Living Magazine score. Inspection score: 93 out of 100. Letter grade A. 10 points above the Florida average for nursing homes (83/100)
Formal stipulations and orders filed by Florida regulators against this facility, including fines and total monetary penalties.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Florida state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | FL Average | vs. FL Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 18 | 33 | This facility has 45% fewer total citations than a typical Florida nursing home (18 vs. FL avg 33).↓ 45% better Rank #254 / 907 Total citations — State benchmarked This home is ranked 254th out of 907 homes in Florida for total citations. Shows this facility's total citations compared to the Florida average among 907 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking. |
|
Citations per inspection
Average citations per inspection.
| 1.1 | 1.3 | This facility has 15% fewer citations per inspection than a typical Florida nursing home (1.1 vs. FL avg 1.3).↓ 15% better Rank #320 / 907 Citations per inspection — State benchmarked This home is ranked 320th out of 907 homes in Florida for citations per inspection. Shows this facility's citations per inspection compared to the Florida average among 907 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking. |
Inspections
| This Facility | FL Average | vs. FL Avg |
|---|---|---|---|
|
Total inspections
Combined count of all inspections conducted at this facility.
| 16 | 26 | This facility has had 38% fewer total inspections than the Florida average (16 vs. FL avg 26). More inspections can mean more regulatory scrutiny rather than worse care.↓ 38% fewer |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 12 | 16 | This facility has 25% fewer inspections with citations than a typical Florida nursing home (12 vs. FL avg 16).↓ 25% better |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 75% | 62% | This facility has 13 percentage points higher inspection citation rate than a typical Florida nursing home (75% vs. FL avg 62%).↑ 13% worse Rank #751 / 907 Inspection citation rate — State benchmarked This home is ranked 751st out of 907 homes in Florida for % of inspections with citations. Shows this facility's % of inspections with citations compared to the Florida average among 907 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Florida that report data for that category. Facilities without available data are excluded from the ranking. |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
State average 4.3
Last Health inspection on Mar 2024
State average 19.7
State average 4.48
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
26 of 28 citations resulted from standard inspections; and 2 of 28 resulted from complaint investigations.
100% better than State averageState average: 0.8
100% better than State averageState average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with 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 19 RN Staff are full-time employees. No contractors work on this role.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursAssists with medical care and medications.
All 35 LPN Staff are full-time employees. No contractors work on this role.
35
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursHelps with daily care and mobility.
All 92 CNA Staff are full-time employees. No contractors work on this role.
92
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,272 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 92 | 0 | 92 | 29,737 | 92 | 100% | 7.7 |
| Licensed Practical Nurse | 35 | 0 | 35 | 11,368 | 92 | 100% | 8.1 |
| Registered Nurse | 19 | 0 | 19 | 5,347 | 92 | 100% | 7.5 |
| RN Director of Nursing | 4 | 0 | 4 | 1,990 | 80 | 87% | 7.6 |
| Physical Therapy Aide | 0 | 6 | 6 | 1,558 | 83 | 90% | 7.6 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,433 | 82 | 89% | 7.5 |
| Speech Language Pathologist | 0 | 11 | 11 | 1,416 | 83 | 90% | 6.2 |
| Mental Health Service Worker | 5 | 0 | 5 | 1,209 | 67 | 73% | 7.9 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,197 | 68 | 74% | 7.9 |
| Qualified Social Worker | 0 | 3 | 3 | 558 | 67 | 73% | 7.2 |
| Dental Services Staff | 1 | 0 | 1 | 514 | 62 | 67% | 8.3 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Administrator | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Physical Therapy Assistant | 0 | 6 | 6 | 418 | 65 | 71% | 4.7 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 322 | 71 | 77% | 4.1 |
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
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.
6.4
13% better than Florida averageFlorida average: 7.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.5
25% worse than Florida averageFlorida average: 12.4
Percent of long-stay residents whose need for help with daily activities has increased
6.1%
42% better than Florida averageFlorida average: 10.5%
Percent of long-stay residents whose ability to move independently worsened
15.4%
19% worse than Florida averageFlorida average: 12.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.0%
85% worse than Florida averageFlorida average: 13.5%
Percent of long-stay residents experiencing one or more falls with major injury
1.7%
34% better than Florida averageFlorida average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
4.1%
23% better than Florida averageFlorida average: 5.4%
Percent of long-stay residents with a urinary tract infection
0.3%
67% better than Florida averageFlorida average: 0.9%
Percent of long-stay residents who lose too much weight
4.8%
19% better than Florida averageFlorida average: 6.0%
Percent of long-stay residents who have depressive symptoms
0.9%
72% better than Florida averageFlorida average: 3.3%
Percent of long-stay residents who received an antipsychotic medication
4.8%
40% better than Florida averageFlorida average: 8.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.2%
In line with Florida averageFlorida average: 97.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.6%
5% worse than Florida averageFlorida average: 99.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.8%
In line with Florida averageFlorida average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
38% better than Florida averageFlorida average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
71.3%
25% worse than Florida averageFlorida average: 94.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
45% of new residents, usually for short-term rehab.
55% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
129Residents 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 Astoria Senior Living from 2012–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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 #77 / 184Payroll — State benchmarkedThis home is ranked 77th out of 184 homes in Florida for payroll. 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.Facilities with the same value for a metric share the same rank. 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 #85 / 184Payroll % — State benchmarkedThis home is ranked 85th out of 184 homes in Florida for payroll %. Shows payroll as a percentage of revenue versus the Florida average. Well-run Florida facilities typically land around 49–57% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. 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).
Minimum Age: 55 Years Old
No pets allowed
Housing Options: 1 Bed / 2 Bed
Building Type: 3-story
Transportation Services
Fitness and Recreation
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 (55% of admissions), and a typical private pay stay runs around 2 - 3 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
3.3 miles from city center
Estimated distance in miles from Winter Haven's city center to Astoria Senior Living's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the FL Agency for Health Care Administration (AHCA), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Vi at Lakeside Village | NH AL IL MC RC SNF | Lantana | 60
Facility
60
FL AVG
88
Rank
#681 / 1058 |
78.3%
Facility
78.3%
FL AVG
84.4
Rank
#103 / 125 | -7% | 4.79
Facility
4.79
FL AVG
4.04
Rank
#31 / 181 | -9% | +19% | $0
Facility
$0
FL AVG
$78.9k
Rank
#1 / 185 | 90
Facility
90
FL AVG
83
Rank
#314 / 876 | 7
Facility
7
FL AVG
19.7
Rank
#20 / 181 | 2.3
Facility
2.3
FL AVG
4.5
Rank
#23 / 181 | - | 47 | - |
12
Facility
12
FL AVG
40
Rank
#1225 / 1487 | Cc Lantana Inc | $10.1MFiscal year ending 12/2023
Facility
$10.1MFiscal year ending 12/2023
FL AVG
$15.7M
Rank
#45 / 184 | $8.1MFiscal year ending 12/2023
Facility
$8.1MFiscal year ending 12/2023
FL AVG
$6.1M
Rank
#82 / 184 | 80.1%Fiscal year ending 12/2023
Facility
80.1%Fiscal year ending 12/2023
FL AVG
39.8%
Rank
#167 / 184 | 105968 | ||||
| Vi at Aventura | NH AL IL MC SNF | Aventura | 26
Facility
26
FL AVG
88
Rank
#855 / 1058 | - | - | 4.72
Facility
4.72
FL AVG
4.04
Rank
#40 / 181 | 0% | +17% | $0
Facility
$0
FL AVG
$78.9k
Rank
#1 / 185 | 92
Facility
92
FL AVG
83
Rank
#237 / 876 | 7
Facility
7
FL AVG
19.7
Rank
#20 / 181 | 3.5
Facility
3.5
FL AVG
4.5
Rank
#59 / 181 | - | 36 | - |
69
Facility
69
FL AVG
40
Rank
#223 / 1487 | Pamela Allison | $6.6MFiscal year ending 12/2023
Facility
$6.6MFiscal year ending 12/2023
FL AVG
$15.7M
Rank
#47 / 184 | $5.7MFiscal year ending 12/2023
Facility
$5.7MFiscal year ending 12/2023
FL AVG
$6.1M
Rank
#140 / 184 | 85.8%Fiscal year ending 12/2023
Facility
85.8%Fiscal year ending 12/2023
FL AVG
39.8%
Rank
#179 / 184 | 106076 | ||||
| The Mayflower at Winter Park | NH AL IL MC SNF | Winter Park | 55
Facility
55
FL AVG
88
Rank
#734 / 1058 | - | - | 5.52
Facility
5.52
FL AVG
4.04
Rank
#19 / 181 | -4% | +37% | $0
Facility
$0
FL AVG
$78.9k
Rank
#1 / 185 | 91
Facility
91
FL AVG
83
Rank
#281 / 876 | 4
Facility
4
FL AVG
19.7
Rank
#9 / 181 | 2.0
Facility
2.0
FL AVG
4.5
Rank
#13 / 181 | - | 56 | - |
13
Facility
13
FL AVG
40
Rank
#1204 / 1487 | Mayflower Retirement Center, Inc | $30.8MFiscal year ending 12/2023
Facility
$30.8MFiscal year ending 12/2023
FL AVG
$15.7M
Rank
#25 / 184 | $14.9MFiscal year ending 12/2023
Facility
$14.9MFiscal year ending 12/2023
FL AVG
$6.1M
Rank
#22 / 184 | 48.2%Fiscal year ending 12/2023
Facility
48.2%Fiscal year ending 12/2023
FL AVG
39.8%
Rank
#126 / 184 | 105720 | ||||
| Terracina Grand | NH AL IL MC RC SNF | Naples | 200
Facility
200
FL AVG
88
Rank
#38 / 1058 | - | - | 4.20
Facility
4.20
FL AVG
4.04
Rank
#60 / 181 | +66% | +4% | $10.9k
Facility
$10.9k
FL AVG
$78.9k
Rank
#128 / 185 | 76
Facility
76
FL AVG
83
Rank
#641 / 876 | 4
Facility
4
FL AVG
19.7
Rank
#9 / 181 | 2.0
Facility
2.0
FL AVG
4.5
Rank
#13 / 181 | - | 26 | A+ |
12
Facility
12
FL AVG
40
Rank
#1225 / 1487 | 2012 Goodman Family Gst | $5.5MFiscal year ending 12/2023
Facility
$5.5MFiscal year ending 12/2023
FL AVG
$15.7M
Rank
#182 / 184 | $2.6MFiscal year ending 12/2023
Facility
$2.6MFiscal year ending 12/2023
FL AVG
$6.1M
Rank
#174 / 184 | 46.1%Fiscal year ending 12/2023
Facility
46.1%Fiscal year ending 12/2023
FL AVG
39.8%
Rank
#21 / 184 | 106129 | ||||
| Astoria Senior Living | NH AL RC SNF | Winter Haven | 45
Facility
45
FL AVG
88
Rank
#779 / 1058 | - | - | 3.84
Facility
3.84
FL AVG
4.04
Rank
#119 / 181 | -20% | -5% | $0
Facility
$0
FL AVG
$78.9k
Rank
#1 / 185 | 93
Facility
93
FL AVG
83
Rank
#203 / 876 | 28
Facility
28
FL AVG
19.7
Rank
#141 / 181 | 7.0
Facility
7.0
FL AVG
4.5
Rank
#157 / 181 | - | 126 | - |
14
Facility
14
FL AVG
40
Rank
#1186 / 1487 | Cullen Gibson | $15.4MFiscal year ending 12/2023
Facility
$15.4MFiscal year ending 12/2023
FL AVG
$15.7M
Rank
#88 / 184 | $9.2MFiscal year ending 12/2023
Facility
$9.2MFiscal year ending 12/2023
FL AVG
$6.1M
Rank
#77 / 184 | 59.8%Fiscal year ending 12/2023
Facility
59.8%Fiscal year ending 12/2023
FL AVG
39.8%
Rank
#85 / 184 | 106086 |
The team at Astoria Senior Living speaks Creole, English, and Spanish.
Astoria Senior Living is legally operated by Lake Wales Health Care Operations Company, LLC, and administered by Dena Rene Goldberg.
Astoria Senior Living has a walk score of 14. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to FL state health department records, Astoria Senior Living's license number is 11898.
According to FL state health department records, Astoria Senior Living's license expires on January 18, 2027.
Astoria Senior Living's occupancy is 86.7%.
No, Astoria Senior Living has a no-pet policy.
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