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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Welcome to the cozy community of Lake Port Square in Leesburg, FL, where independent living, assisted living, skilled nursing, and rehabilitation services come together with enriching experiences that enhance every aspect of life. Here, residents can choose from a variety of well-appointed, cozy accommodations tailored to their preferences.
Indulge in chef-prepared meals in one of the multiple dining venues, stay active with fitness classes, and enjoy our heated pool and whirlpool spa. Engage your creativity in the arts and crafts studio or woodworking shop, and explore the outdoors on our walking and biking paths within the beautifully landscaped 78-acre nature preserve. Meet new companions and create meaningful memories together. Life at Lake Port Square is filled with opportunities for connection, relaxation, and fulfillment.
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 108th out of 252 homes in Florida. 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 |
|---|---|---|
|
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 44m per day | ▲ 6% State avg: 3h 31m per day · National avg: 3h 25m per day |
Lower than the Florida average: 84.3%Lake Port Square is legally operated by Ccrc Lake Port Square Llc, and administrated by Lori Wenzel.
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. See the nursing homes benchmark below for the typical Florida score; higher is better.
Above the Florida average for nursing homes.
Florida nursing homes benchmark: C+ 77/100
Inspection score: 88 out of 100. Letter grade B+. Above the Florida average for nursing homes.
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.
| 15 | 33 | This facility has 55% fewer total citations than a typical Florida nursing home (15 vs. FL avg 33).↓ 55% better |
|
Citations per year
Average citations per year since 2013.
| 1.2 | 2.5 | This facility has 52% fewer citations per year than a typical Florida nursing home (1.2 vs. FL avg 2.5).↓ 52% better |
|
Citations per inspection
Average citations per inspection.
| 1 | 1.3 | This facility has 23% fewer citations per inspection than a typical Florida nursing home (1 vs. FL avg 1.3).↓ 23% better |
Inspections
| This Facility | FL Average | vs. FL Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 15 | 26 | This facility has 42% fewer total inspections than a typical Florida nursing home (15 vs. FL avg 26).↓ 42% better |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 8 | 16 | This facility has 50% fewer inspections with citations than a typical Florida nursing home (8 vs. FL avg 16).↓ 50% better |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 53% | 62% | This facility has 9 percentage points lower inspection citation rate than a typical Florida nursing home (53% vs. FL avg 62%).↓ 9% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
LAKE PORT SQUARE INN's most recent inspection, conducted on December 27, 2024, reported that deficiencies were cited. During the reporting period from July 17, 2013 to February 12, 2025, a total of 15 inspections were performed, with all but one citing deficiencies. The facility accumulated 15 total deficiencies across these inspections, which primarily focused on standard operations (8), complaint-driven investigations (4), and other types (1 each). Common themes identified during this period included records/documentation and resident care/rights concerns. Notably, the facility has demonstrated improvement by addressing previously cited deficiencies, with a correction status of "Deficiencies Corrected" in its latest inspection report.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsFlorida average 4.3
Last Health inspection on Feb 2025
Florida average 19.7
Florida average 4.48
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
28 of 29 citations resulted from standard inspections; and 1 of 29 resulted from complaint investigations.
275% worse than Florida averageFlorida average: 0.8
100% better than Florida averageFlorida average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
24% better 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.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.6 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,807 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 50 | 0 | 50 | 14,117 | 92 | 100% | 8 |
| Licensed Practical Nurse | 20 | 0 | 20 | 7,170 | 92 | 100% | 8.6 |
| Registered Nurse | 12 | 0 | 12 | 1,851 | 92 | 100% | 6.6 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 1,707 | 86 | 93% | 8.1 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 1,105 | 84 | 91% | 5.4 |
| Physical Therapy Aide | 0 | 4 | 4 | 1,092 | 77 | 84% | 6.4 |
| Nurse Practitioner | 2 | 0 | 2 | 1,056 | 66 | 72% | 8 |
| Mental Health Service Worker | 2 | 0 | 2 | 997 | 65 | 71% | 8.2 |
| Physical Therapy Assistant | 0 | 3 | 3 | 957 | 89 | 97% | 7.1 |
| Speech Language Pathologist | 0 | 2 | 2 | 562 | 60 | 65% | 7.5 |
| Occupational Therapy Aide | 0 | 3 | 3 | 553 | 58 | 63% | 7.2 |
| Other Dietary Services Staff | 1 | 0 | 1 | 517 | 62 | 67% | 8.3 |
| Dietitian | 1 | 0 | 1 | 505 | 63 | 68% | 8 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Qualified Social Worker | 0 | 2 | 2 | 487 | 66 | 72% | 7.4 |
| Medical Director | 0 | 1 | 1 | 52 | 26 | 28% | 2 |
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.
10.6
43% worse than Florida averageFlorida average: 7.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.9
117% worse than Florida averageFlorida average: 12.4
Percent of long-stay residents whose need for help with daily activities has increased
23.2%
121% worse than Florida averageFlorida average: 10.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.6%
126% worse than Florida averageFlorida average: 13.5%
Percent of long-stay residents experiencing one or more falls with major injury
0.9%
65% better than Florida averageFlorida average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
7.4%
37% worse than Florida averageFlorida average: 5.4%
Percent of long-stay residents with a urinary tract infection
1.0%
10% worse than Florida averageFlorida average: 0.9%
Percent of long-stay residents who lose too much weight
10.8%
81% 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
3.7%
54% better than Florida averageFlorida average: 8.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
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%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.9%
In line with Florida averageFlorida average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.3%
82% better than Florida averageFlorida average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.7%
In line with Florida averageFlorida average: 94.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
34% of new residents, usually for short-term rehab.
65% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
63Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
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 Lake Port Square based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #29 / 256Payroll — State benchmarkedThis home is ranked 29th out of 256 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Pets Allowed
Building Type: Mid-rise
Transportation Services
Fitness and Recreation
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
1.5 miles from city center
Estimated distance in miles from Leesburg's city center to Lake Port Square's address, calculated via Google Maps.
Add your location
Lake Port Square is located in Leesburg, Florida.
Here are the financial assistance programs available to residents in Florida.
The team at Lake Port Square speaks English and Spanish.
The legal owner and operator of Lake Port Square is Ccrc Lake Port Square Llc.
Lake Port Square has a walk score of 18. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to FL state health department records, Lake Port Square's license number is 7545.
According to FL state health department records, Lake Port Square's license expires on November 26, 2026.
Lake Port Square's occupancy is 76%.
Lake Port Square accepts Other.
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