Total health inspections
8
Florida average 4.3
Last Health inspection on Nov 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Highlands Lake Center
Nursing Home
Highlands Lake Center
Nursing Home
Overview of Highlands Lake Center
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.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
LPN / LVN
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
179
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
93.8%
Residents per day (avg)
159
Occupancy rate
93.8%
Residents per day (avg)
159
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
26% of new residents, usually for short-term rehab.
Typical stay
29 days
Private pay
59% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
15% of new residents, often for long-term daily care.
Typical stay
5 - 6 months
Finances and operations
Proprietary home
Other
Home revenue
$20.3M
Profit
$5.4M
Proprietary home
Other
Home revenue
$20,308,062.00
Profit
$5,353,032.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$7.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$9.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$16.5M
Types of Care at Highlands Lake Center
Skilled Nursing
Respite Care
Compare Nursing Homes around Lakeland
The information below is reported by the Florida Agency for Health Care Administration (AHCA).
Highlands Lake Center
-19%
-9%
+11%
SNF
Nursing Homes 24/7 care needed
RC
Respite Care
Lakeland
179
No
9
AYALA, CYNTHIA
93.8%
$20,080,162.00
$7,203,178.00
35.9%
158.60
3.6603
1
35
-
-19%-9%+11%
The Club at Lake Gibson
-28%
-11%
+12%
HC
Hospice Care
SNF
Nursing Homes 24/7 care needed
RC
Respite Care
Lakeland
120
No
45
NH OPERATOR HOLDINGS XI LLC
94.3%
$23,587,955.00
$8,224,071.00
34.9%
116.50
3.5836
2
21
1
-28%-11%+12%
Lakeland Nursing and Rehabilitation Center
-26%
-11%
-11%
SNF
Nursing Homes 24/7 care needed
Lakeland (Tigertown)
185
No
57
PALM TERRACE J DEK OPERATIONS LLC
74.6%
$24,481,691.00
$7,463,998.00
30.5%
161.00
3.6092
17
33
3
-26%-11%-11%
Bridgewalk on Harden
-55%
-15%
-13%
SNF
Nursing Homes 24/7 care needed
Lakeland
120
No
24
GARRARD, LOUIS
72.9%
$10,895,961.00
$5,332,385.00
48.9%
91.80
3.4180
3
19
4
-55%-15%-13%
Porter Mcgrath Health Center
SNF
Nursing Homes 24/7 care needed
Lakeland (Dixieland)
-
No
62
-
-
-
-
-
-
-
-
-
-
-
-
Highlands Lake Center
Type of care:
SNF
RC
Community:
Lakeland
Bed Count:
179
Pets Allowed:
No
Operator:
AYALA, CYNTHIA
CCN:
105620
Occupancy:
93.8%
Home Revenue:
$20,080,162.00
Payroll Costs:
$7,203,178.00
Payroll %:
35.9%
Avg Residents/Day:
158.60
Overall Rating:
Adj Nurse Hours:
3.6603
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
35
RN share vs State Avg:
-19%
-19%
Staffing vs State Avg:
-9%
-9%
Occupancy vs State Avg:
+11%
+11%
The Club at Lake Gibson
Type of care:
HC
SNF
RC
Community:
Lakeland
Bed Count:
120
Pets Allowed:
No
Operator:
NH OPERATOR HOLDINGS XI LLC
CCN:
106146
Occupancy:
94.3%
Home Revenue:
$23,587,955.00
Payroll Costs:
$8,224,071.00
Payroll %:
34.9%
Avg Residents/Day:
116.50
Overall Rating:
Adj Nurse Hours:
3.5836
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
21
Severe Citations:
1
RN share vs State Avg:
-28%
-28%
Staffing vs State Avg:
-11%
-11%
Occupancy vs State Avg:
+12%
+12%
Lakeland Nursing and Rehabilitation Center
Type of care:
SNF
Community:
Lakeland (Tigertown)
Bed Count:
185
Pets Allowed:
No
Operator:
PALM TERRACE J DEK OPERATIONS LLC
CCN:
105354
Occupancy:
74.6%
Home Revenue:
$24,481,691.00
Payroll Costs:
$7,463,998.00
Payroll %:
30.5%
Avg Residents/Day:
161.00
Overall Rating:
Adj Nurse Hours:
3.6092
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
17
Citations:
33
Severe Citations:
3
RN share vs State Avg:
-26%
-26%
Staffing vs State Avg:
-11%
-11%
Occupancy vs State Avg:
-11%
-11%
Bridgewalk on Harden
Type of care:
SNF
Community:
Lakeland
Bed Count:
120
Pets Allowed:
No
Operator:
GARRARD, LOUIS
CCN:
106138
Occupancy:
72.9%
Home Revenue:
$10,895,961.00
Payroll Costs:
$5,332,385.00
Payroll %:
48.9%
Avg Residents/Day:
91.80
Overall Rating:
Adj Nurse Hours:
3.4180
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
3
Citations:
19
Severe Citations:
4
RN share vs State Avg:
-55%
-55%
Staffing vs State Avg:
-15%
-15%
Occupancy vs State Avg:
-13%
-13%Places of interest near Highlands Lake Center
4.9 miles from city center — 5.49 miles to nearest hospital (Pediatric Gastroenterology, Hepatology and Nutrition of Florida)
4240 Lakeland Highlands Rd, Lakeland, FL 33813
Calculate Travel Distance to Highlands Lake Center
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
230
Total Staff
224
Employees
6
Contractors
63,372
Total Hours (Quarter)
86
Avg Staff/Day
8.1
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 22 | 9.2 | No |
| Licensed Practical Nurse | 27 | 9.3 | No |
| Certified Nursing Assistant | 102 | 8 | No |
Staff by Category
Administration ⓘ
4 staff
5hs shift avg
Nursing Staff ⓘ
167 staff
8.4hs shift avg
Physicians & Practitioners ⓘ
9 staff
7.7hs shift avg
Therapy Services ⓘ
31 staff
7.4hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
7.6hs shift avg
Dietary Services ⓘ
13 staff
7.7hs shift avg
Other Services ⓘ
4 staff
7.9hs shift avg
Contractor Analysis
2.3%
of total hours from contractors
1,439 contractor hours this quarter
Medical Director: 1
Clinical Nurse Specialist: 3
Administrator: 1
Dietitian: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 102 | 0 | 102 | 29,713 | 91 | 100% | 8 |
| Licensed Practical Nurse | 27 | 0 | 27 | 10,691 | 91 | 100% | 9.3 |
| Registered Nurse | 22 | 0 | 22 | 6,090 | 91 | 100% | 9.2 |
| Dietitian | 12 | 1 | 13 | 2,627 | 90 | 99% | 7.7 |
| Speech Language Pathologist | 11 | 0 | 11 | 2,375 | 90 | 99% | 7.5 |
| Physical Therapy Aide | 10 | 0 | 10 | 2,163 | 89 | 98% | 7.1 |
| Clinical Nurse Specialist | 4 | 3 | 7 | 2,160 | 91 | 100% | 7.7 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 1,408 | 78 | 86% | 7.6 |
| Dental Services Staff | 2 | 0 | 2 | 942 | 68 | 75% | 7.9 |
| Mental Health Service Worker | 2 | 0 | 2 | 937 | 70 | 77% | 7.9 |
| Physical Therapy Assistant | 3 | 0 | 3 | 917 | 73 | 80% | 7.3 |
| Nurse Aide in Training | 15 | 0 | 15 | 875 | 50 | 55% | 7.6 |
| Administrator | 2 | 1 | 3 | 768 | 62 | 68% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 498 | 64 | 70% | 7.6 |
| RN Director of Nursing | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 450 | 57 | 63% | 7.9 |
| Occupational Therapy Aide | 2 | 0 | 2 | 231 | 27 | 30% | 8 |
| Medical Director | 0 | 1 | 1 | 33 | 65 | 71% | 0.5 |
Health Inspection History
Inspections
Total health citations
35
Citations per inspection
4.38
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
22 of 35 citations resulted from standard inspections; 10 of 35 resulted from complaint investigations; and 3 of 35 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Florida averageFlorida average: 0.8
Serious Health citations
0
0
100% better than Florida averageFlorida average: 0.4
0 critical citations
0 serious citations
34 moderate citations
1 minor citation
Citations history (last 3 years)
Pharmacy moderate citation
Nov 05, 2025
Corrected
Quality of Care moderate citation
Nov 05, 2025
Corrected
Administration moderate citation
Apr 17, 2025
Corrected
Resident Rights moderate citation
Apr 17, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Corporation
Part of: Aston Healthcare
Resident Census by Payment Source
170
Total Residents
Medicare
34
(20%)
ⓘ
Medicaid
94
(55.3%)
ⓘ
Private Pay/Other
42
(24.7%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.7
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.6
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
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
9.5%
Percent of long-stay residents whose need for help with daily activities has increased
9.5%
9% better than Florida averageFlorida average: 10.5%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
8.0%
Percent of long-stay residents whose ability to move independently worsened
8.0%
39% better than Florida averageFlorida average: 12.9%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.4%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.9%
Percent of long-stay residents experiencing one or more falls with major injury
2.9%
9% worse than Florida averageFlorida average: 2.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.4%
Percent of long-stay high risk residents with pressure ulcers
4.4%
17% better than Florida averageFlorida average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Florida averageFlorida average: 0.9%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.5%
Percent of long-stay residents who lose too much weight
8.5%
42% worse than Florida averageFlorida average: 6.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Florida averageFlorida average: 3.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
17.6%
Percent of long-stay residents who received an antipsychotic medication
17.6%
119% worse than Florida averageFlorida average: 8.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
In line with Florida averageFlorida average: 97.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Florida averageFlorida average: 99.2%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.37
Number of hospitalizations per 1,000 long-stay resident days.
2.37
13% worse than Florida averageFlorida average: 2.10
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.69
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.69
42% better than Florida averageFlorida average: 1.18
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.2%
7% worse than Florida averageFlorida average: 94.0%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
9% better than Florida averageFlorida average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
77.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
77.0%
19% worse than Florida averageFlorida average: 94.7%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.6%
18% better than Florida averageFlorida average: 26.2%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
9.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.0%
In line with Florida averageFlorida average: 9.3%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
2.5%
Percentage of SNF residents who experience falls with major injury during their stay.
2.5%
218% worse than Florida averageFlorida average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
36.1%
Percentage of residents at or above expected ability to care for themselves at discharge.
36.1%
33% worse than Florida averageFlorida average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
38.9%
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.
Penalties and fines
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)
Total fines amount
$4K
95% lower than Florida averageFlorida average: $72K
Number of fines
1
62% fewer fines than Florida averageFlorida average: 2.6
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
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
Fines amount comparison
Fines amount comparison
This facility
$4K
Florida average
$72K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 9, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 9, 2023
$4K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Highlands Lake Center based on CMS SNF Cost Reports.
Occupancy Rate
93.8%
↑ 11.0pp vs 2022
Net Income
$5,353,032
↑ ~$2.8M vs 2022
Total Payroll
$10,449,574
↓ ~$95K vs 2022
Profit Margin
26.7%
↑ 12.9pp vs 2022
Loading trend charts...
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