State average 4.3
Last Health inspection on Jul 2024
The Springs Lady Lake Assisted Living Facility and Rehab is an 80-bed nursing home located in Lady Lake, Florida, under the management of operator The Springs Lady Lake Assisted Living Facility and Rehab, LLC and administrator Casandra Lewis Duncan. The for-profit facility maintains an occupancy rate of 95.4%, positioning it among the top 5% statewide for local demand, and records an average stay of 102 days. Operating within a rural Lake County setting, the facility coordinates extended congregate care alongside short-term rehabilitation and long-term care tracks.
State regulatory archives kept by the Florida Agency for Health Care Administration track a steady compliance profile, logging 44 total infractions across 36 separate review cycles since 2014. This operational oversight baseline equates to a yearly average of 2.6 citations, a metric that sits 43% lower than the broader Florida state benchmark. Field reviewers logged a citations-per-inspection rate of zero during the most recent complaint check completed in September 2024.
Minor historical gaps from 2023 and early 2024 centered on physical plant adjustments, medication assistance training, and leisure programming documentation. An older October 2021 audit recorded six deficiencies spanning multi-area employee competency and infection control, though the operator resolved all past issues under standard correction plans, resulting in a clean enforcement history with just three minor state fines totaling $3,000.
Regarding physical operations, a 24-hour staffing model delivers an average of 3 hours and 20 minutes of direct nursing care per resident each day. The interior framework provides direct access to visiting physician consultations, post-hospital physical therapy tracks, a full-service beauty salon and spa, and daily chef-prepared meals. Internal coordinators run scheduled community transit for group outings alongside a recreational curriculum that features fitness classes, music programs, and table games. Payer models accommodate wide financial criteria, accepting short-stay Medicare rehabilitation funds, long-term Medicaid waivers, Veteran Affairs benefits, and traditional private pay.
Prospective residents requiring post-acute therapy tracks or secure long-term nursing oversight can utilize the community’s high regional demand and strong history of regulatory compliance to inform their choice. The 80-capacity residential layout functions well for individuals who need consistent professional health monitoring and daily physical help but prefer an established neighborhood setting.
The Springs Lady Lake Assisted Living Facility and Rehab is legally operated by The Springs Lady Lake Assisted Living Facility And Rehab, LLC, and administered by Casandra Lewis Duncan.
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.
Citations
| This Facility | FL Average | vs. FL Avg |
|---|---|---|---|
|
Total citations
| 51 | 35 | This facility has 46% more total citations than a typical Florida nursing home (51 vs. FL avg 35).↑ 46% worse Rank #725 / 906 Total citations — State benchmarked This home is ranked 725th out of 906 homes we track in Florida for total citations. Shows this facility's total citations compared to the Florida average among 906 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in Florida that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric. |
|
Citations per inspection
| 1.3 | 1.4 | This facility has 7% fewer citations per inspection than a typical Florida nursing home (1.3 vs. FL avg 1.4).↓ 7% better Rank #540 / 906 Citations per inspection — State benchmarked This home is ranked 540th out of 906 homes we track in Florida for citations per inspection. Shows this facility's citations per inspection compared to the Florida average among 906 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in Florida that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric. |
Inspections
| This Facility | FL Average | vs. FL Avg |
|---|---|---|---|
|
Total inspections
| 40 | 26 | This facility has had 54% more total inspections than the Florida average (40 vs. FL avg 26). More inspections can mean more regulatory scrutiny rather than worse care.↑ 54% more |
|
Inspections with citations
| 25 | 16 | This facility has 56% more inspections with citations than a typical Florida nursing home (25 vs. FL avg 16).↑ 56% worse |
|
Inspection citation rate
| 63% | 58% | This facility has 5 percentage points higher inspection citation rate than a typical Florida nursing home (63% vs. FL avg 58%).↑ 5% worse Rank #552 / 906 Inspection citation rate — State benchmarked This home is ranked 552nd out of 906 homes we track in Florida for % of inspections with citations. Shows this facility's % of inspections with citations compared to the Florida average among 906 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in Florida that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric. |
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
State average 4.3
Last Health inspection on Jul 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.
22 of 27 citations resulted from standard inspections; 1 of 27 resulted from complaint investigations; and 4 of 27 came from combined inspections (standard and complaint).
State average: 0.8
State average: 0.4
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
692 contractor hours this quarter
| Certified Nursing Assistant | 90 | 2 | 92 | 28,223 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 25 | 0 | 25 | 8,513 | 92 | 100% | 7.6 |
| Registered Nurse | 14 | 0 | 14 | 4,132 | 92 | 100% | 8.3 |
| Speech Language Pathologist | 6 | 0 | 6 | 2,533 | 88 | 96% | 7.9 |
| RN Director of Nursing | 5 | 0 | 5 | 2,164 | 92 | 100% | 7.7 |
| Clinical Nurse Specialist | 7 | 0 | 7 | 1,588 | 78 | 85% | 8.1 |
| Physical Therapy Aide | 5 | 0 | 5 | 1,580 | 73 | 79% | 7.2 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,015 | 72 | 78% | 8.2 |
| Physical Therapy Assistant | 3 | 0 | 3 | 763 | 79 | 86% | 6.8 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 556 | 56 | 61% | 9.9 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 61 | 66% | 8.5 |
| Dietitian | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 472 | 55 | 60% | 6.2 |
| Other Dietary Services Staff | 1 | 0 | 1 | 260 | 37 | 40% | 7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 208 | 26 | 28% | 8 |
| Medical Director | 0 | 1 | 1 | 39 | 13 | 14% | 3 |
| Nurse Aide in Training | 1 | 0 | 1 | 6 | 1 | 1% | 6.3 |
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)
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.
40% of new residents, usually for short-term rehab.
51% of new residents, often for short stays.
9% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents 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.
Historical financial and operational data for The Springs Lady Lake Assisted Living Facility and Rehab from 2011–2022, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2022 — the home's most recent complete cost report, an older period than most facilities report.
Based on the home's most recent complete CMS SNF Cost Report — fiscal year ending in 12/2022. This is an older period than most facilities report, so compare with that in mind.
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 (51% 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.
2.1 miles from city center
Estimated distance in miles from Lady Lake's city center to The Springs Lady Lake Assisted Living Facility and Rehab'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.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
|
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
|
Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
|
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
|
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
|
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
|
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
|
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
|
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
|
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
|
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
|
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
|
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
|
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
|
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
|
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
|
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
|
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
|
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
|
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
|
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
|
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
|
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
|
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Florida average is: 72.3% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
|
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Vi at Lakeside Village | NH AL IL MC RC SNF | Lantana | 60
Facility
60
FL AVG
88
Rank
#681 / 1,058 |
78.3%
Facility
78.3%
FL AVG
87.4%
Rank
#107 / 121 | -10% | 5.23
Facility
5.23
FL AVG
4.04
Rank
#20 / 180 | -9% | +30% | $0
Facility
$0
FL AVG
$78.9k
Rank
#1 / 183 | 7
Facility
7
FL AVG
19.7
Rank
#20 / 179 | 2.3
Facility
2.3
FL AVG
4.5
Rank
#23 / 179 | - | 47 | - |
12
Facility
12
FL AVG
42
Rank
#1,224 / 1,427 | Cc Lantana Inc | $10.1MFiscal year ending 12/2023
Facility
$10.1MFiscal year ending 12/2023
FL AVG
$14.6M
Rank
#123 / 159 | $8.1MFiscal year ending 12/2023
Facility
$8.1MFiscal year ending 12/2023
FL AVG
$9.5M
Rank
#91 / 159 | 80.1%Fiscal year ending 12/2023
Facility
80.1%Fiscal year ending 12/2023
FL AVG
72.3%
Rank
#37 / 159 | 105968 | ||||
| Terracina Grand | NH AL IL MC RC SNF | Naples | 200
Facility
200
FL AVG
88
Rank
#38 / 1,058 | - | - | 4.35
Facility
4.35
FL AVG
4.04
Rank
#53 / 180 | +66% | +8% | $10.9k
Facility
$10.9k
FL AVG
$78.9k
Rank
#128 / 183 | 4
Facility
4
FL AVG
19.7
Rank
#9 / 179 | 2.0
Facility
2.0
FL AVG
4.5
Rank
#13 / 179 | - | 27 | A+ |
12
Facility
12
FL AVG
42
Rank
#1,224 / 1,427 | 2012 Goodman Family Gst | $5.5MFiscal year ending 12/2023
Facility
$5.5MFiscal year ending 12/2023
FL AVG
$14.6M
Rank
#150 / 159 | $2.6MFiscal year ending 12/2023
Facility
$2.6MFiscal year ending 12/2023
FL AVG
$9.5M
Rank
#156 / 159 | 46.1%Fiscal year ending 12/2023
Facility
46.1%Fiscal year ending 12/2023
FL AVG
72.3%
Rank
#132 / 159 | 106129 | ||||
| John Knox Village of Florida, Inc. | NH AL IL MC SNF | Pompano Beach | 64
Facility
64
FL AVG
88
Rank
#668 / 1,058 | - | - | 5.83
Facility
5.83
FL AVG
4.04
Rank
#9 / 180 | +48% | +45% | $0
Facility
$0
FL AVG
$78.9k
Rank
#1 / 183 | 14
Facility
14
FL AVG
19.7
Rank
#65 / 179 | 4.7
Facility
4.7
FL AVG
4.5
Rank
#106 / 179 | - | 162 | B- |
79
Facility
79
FL AVG
42
Rank
#114 / 1,427 | Richard Aronowitz | $20.5MFiscal year ending 12/2023
Facility
$20.5MFiscal year ending 12/2023
FL AVG
$14.6M
Rank
#20 / 159 | $26.2MFiscal year ending 12/2023
Facility
$26.2MFiscal year ending 12/2023
FL AVG
$9.5M
Rank
#1 / 159 | 128.1%Fiscal year ending 12/2023
Facility
128.1%Fiscal year ending 12/2023
FL AVG
72.3%
Rank
#14 / 159 | 105255 | ||||
| Hawthorne Inn of Ocala | NH AL IL MC SNF | Ocala | 44
Facility
44
FL AVG
88
Rank
#782 / 1,058 | - | - | 3.78
Facility
3.78
FL AVG
4.04
Rank
#122 / 180 | -20% | -6% | $157.7k
Facility
$157.7k
FL AVG
$78.9k
Rank
#174 / 183 | 17
Facility
17
FL AVG
19.7
Rank
#92 / 179 | 2.8
Facility
2.8
FL AVG
4.5
Rank
#34 / 179 | 2 | 111 | - |
36
Facility
36
FL AVG
42
Rank
#818 / 1,427 | Hawthorne Operations Holdings LLC | $13.8MFiscal year ending 12/2023
Facility
$13.8MFiscal year ending 12/2023
FL AVG
$14.6M
Rank
#83 / 159 | $8.7MFiscal year ending 12/2023
Facility
$8.7MFiscal year ending 12/2023
FL AVG
$9.5M
Rank
#78 / 159 | 63%Fiscal year ending 12/2023
Facility
63%Fiscal year ending 12/2023
FL AVG
72.3%
Rank
#60 / 159 | 105602 | ||||
| The Springs Lady Lake Assisted Living Facility and Rehab | NH AL RC SNF | Lady Lake | 80
Facility
80
FL AVG
88
Rank
#570 / 1,058 | - | - | 3.46
Facility
3.46
FL AVG
4.04
Rank
#157 / 180 | -32% | -14% | $0
Facility
$0
FL AVG
$78.9k
Rank
#1 / 183 | 27
Facility
27
FL AVG
19.7
Rank
#134 / 179 | 6.8
Facility
6.8
FL AVG
4.5
Rank
#151 / 179 | - | 132 | - | - | Lady Lake Snf Holdco LLC | $16.3M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | $7.4M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 45.5%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 106003 |
The team at The Springs Lady Lake Assisted Living Facility and Rehab speaks English.
According to FL state health department records, The Springs Lady Lake Assisted Living Facility and Rehab's license number is 9531.
According to FL state health department records, The Springs Lady Lake Assisted Living Facility and Rehab's license expires on July 31, 2027.
The Springs Lady Lake Assisted Living Facility and Rehab's occupancy is 95.4%.
No, The Springs Lady Lake Assisted Living Facility and Rehab has a no-pet policy.
The Springs Lady Lake Assisted Living Facility and Rehab accepts Medicaid and VA.
The Springs Lady Lake Assisted Living Facility and Rehab is registered as a for-profit in FL.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance