nursing home in Lakeland, FL

Breezy Hills Rehab and Care Center

5245 N Socrum Loop Rd, Lakeland, FL 33809 · (863) 859-1446

★★★★★2
Below average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★2
  • Quality measures★★★★★3

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Breezy Hills Rehab and Care Center at a glance

Breezy Hills Rehab and Care Center is a 120-bed for-profit nursing home in Lakeland, Florida (Polk County).

CMS gives it 2 out of 5 stars on its overall star rating, worse than the Florida average of 3.3.

Residents receive about 3.5 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.8 hours.

Its most recent standard health inspection (May 8, 2025) found 11 health citations. The Florida average is 7.1.

It has not received a federal fine in the past three years.

Nursing staff turnover is 48.4% per year (state average 41.4%).

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
120
Certified for
Medicare and Medicaid
Chain / affiliated entity
Excelsior Care Group
Medicare-certified since
December 28, 1984
Resident/family council
Resident
County
Polk County
CMS Certification Number
105482

Ratings

MeasureThis facilityFlorida avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)2 / 53.3 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)2 / 52.9 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)2 / 53.3 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)3 / 54.2 / 53.6 / 5Worse
Long-stay quality rating (higher is better)5 / 54.6 / 53.8 / 5Better
Short-stay (rehab) quality rating (higher is better)1 / 53.3 / 53.3 / 5Worse

Staffing

This facility3.47 hrsFlorida average3.82 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Florida and U.S. averages
MeasureThis facilityFlorida avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.47 hrs3.82 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.40 hrs0.73 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.14 hrs2.31 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)3.31 hrs3.49 hrs3.42 hrsAverage
Nursing staff turnover (yearly) (lower is better)48.4%41.4%45.8%Worse
Registered nurse turnover (yearly) (lower is better)58.8%46%42.9%Worse
Administrators who left in the past year (lower is better)111Worse

Inspections

This facility11Florida average7U.S. average9
Health citations in the most recent inspection: this facility vs. Florida and U.S. averages
MeasureThis facilityFlorida avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)1179Worse
Citations from complaint investigations (latest cycle) (lower is better)013Better
Weighted health inspection score ⓘ (lower is better)746380.6Better

Penalties

This facility0Florida average1U.S. average1
Fines in the past 3 years: this facility vs. Florida and U.S. averages
MeasureThis facilityFlorida avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)011Better
Total fines in the past 3 years (lower is better)$0$24,361$30,972Better
All federal penalties in the past 3 years (lower is better)011Better

Size

MeasureThis facilityFlorida avg.U.S. avg.vs. U.S.
Certified beds120122107
Average residents per day11810986
Occupancy97.9%88.9%80.9%

Long-stay residents

This facility0.3%Florida average2.5%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Florida and U.S. averages
MeasureThis facilityFlorida avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)0.3%2.5%3.2%Better
Long-stay residents with pressure ulcers (lower is better)3.9%4.5%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)5.8%8.6%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)0%0.7%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0%0.3%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)5.6%8.7%13.9%Better
Long-stay residents whose walking worsened (lower is better)8.5%9.5%14.1%Better
Long-stay residents who lose too much weight (lower is better)6.2%5.5%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)10.1%4.6%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)17.1%14.4%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)3.4%10.5%19%Better
Long-stay residents given a flu vaccine (higher is better)100%99.2%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)100%98.2%93.6%Better

Short-stay residents

This facility2.2%Florida average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Florida and U.S. averages
MeasureThis facilityFlorida avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)2.2%1.5%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)99%94.7%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)98.8%95.2%82%Better

Inspection citations

State inspectors cited this home for 34 health deficiencies and 18 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.

DateCitationSeverityStatus
May 8, 2025
Fire safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0916
D
Potential harm, isolated
Corrected June 8, 2025
May 8, 2025
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
D
Potential harm, isolated
Corrected June 8, 2025
May 8, 2025
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
D
Potential harm, isolated
Corrected June 8, 2025
May 8, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected June 8, 2025
May 8, 2025
Standard
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Tag F0645
E
Potential harm, pattern
Corrected June 8, 2025
May 8, 2025
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
E
Potential harm, pattern
Corrected June 8, 2025
May 8, 2025
Standard
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0698
D
Potential harm, isolated
Corrected June 8, 2025
May 8, 2025
Standard
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Tag F0561
D
Potential harm, isolated
Corrected June 8, 2025
May 8, 2025
Standard
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · Tag F0693
D
Potential harm, isolated
Corrected June 8, 2025
May 8, 2025
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected June 8, 2025
May 8, 2025
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
D
Potential harm, isolated
Corrected June 8, 2025
May 8, 2025
Standard
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
D
Potential harm, isolated
Corrected June 8, 2025
May 8, 2025
Standard
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Tag F0756
D
Potential harm, isolated
Corrected June 8, 2025
May 8, 2025
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected June 8, 2025
March 27, 2025
Complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care Deficiencies · Tag F0745
D
Potential harm, isolated
Corrected April 11, 2025
July 2, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected July 17, 2024
July 2, 2024
Complaint
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Tag F0699
D
Potential harm, isolated
Corrected July 17, 2024
July 2, 2024
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected July 17, 2024
February 8, 2023
Fire safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0929
D
Potential harm, isolated
Corrected March 10, 2023
February 8, 2023
Fire safety
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies · Tag K0291
D
Potential harm, isolated
Corrected March 10, 2023
February 8, 2023
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
D
Potential harm, isolated
Corrected March 10, 2023
February 8, 2023
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
D
Potential harm, isolated
Corrected March 10, 2023
February 8, 2023
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
D
Potential harm, isolated
Corrected March 10, 2023
February 8, 2023
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected March 10, 2023
February 8, 2023
Standard
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Administration Deficiencies · Tag F0848
F
Potential harm, widespread
Corrected March 10, 2023
February 8, 2023
Standard
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration Deficiencies · Tag F0847
F
Potential harm, widespread
Corrected March 10, 2023
February 8, 2023
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected March 10, 2023
February 8, 2023
Standard
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Tag F0644
E
Potential harm, pattern
Corrected March 10, 2023
February 8, 2023
Standard
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected March 10, 2023
February 8, 2023
Standard
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Tag F0582
D
Potential harm, isolated
Corrected March 10, 2023
February 8, 2023
Standard
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Tag F0655
D
Potential harm, isolated
Corrected March 10, 2023
February 8, 2023
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected March 10, 2023
February 8, 2023
Standard
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0697
D
Potential harm, isolated
Corrected March 10, 2023
February 8, 2023
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
D
Potential harm, isolated
Corrected March 10, 2023
May 27, 2021
Fire safety
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies · Tag E0004
F
Potential harm, widespread
Corrected June 25, 2021
May 27, 2021
Fire safety
Establish emergency prep training and testing.
Emergency Preparedness Deficiencies · Tag E0036
F
Potential harm, widespread
Corrected June 25, 2021
May 27, 2021
Fire safety
Develop a communication plan.
Emergency Preparedness Deficiencies · Tag E0029
F
Potential harm, widespread
Corrected June 25, 2021
May 27, 2021
Fire safety
Develop Emergency Preparedness policies and procedures.
Emergency Preparedness Deficiencies · Tag E0013
F
Potential harm, widespread
Corrected June 25, 2021
May 27, 2021
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
D
Potential harm, isolated
Corrected June 25, 2021
May 27, 2021
Fire safety
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies · Tag K0291
D
Potential harm, isolated
Corrected June 25, 2021
May 27, 2021
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
D
Potential harm, isolated
Corrected June 25, 2021
May 27, 2021
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
D
Potential harm, isolated
Corrected June 25, 2021
May 27, 2021
Fire safety
Have enough space near smoke barriers to protect residents.
Smoke Deficiencies · Tag K0373
D
Potential harm, isolated
Corrected June 25, 2021
May 27, 2021
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
D
Potential harm, isolated
Corrected June 25, 2021
May 27, 2021
Standard
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Tag F0867
E
Potential harm, pattern
Corrected August 26, 2021
May 27, 2021
Standard
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected August 26, 2021
May 27, 2021
Standard
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Tag F0756
D
Potential harm, isolated
Corrected June 27, 2021
May 27, 2021
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected August 26, 2021
May 27, 2021
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected June 27, 2021
May 27, 2021
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected June 27, 2021
May 27, 2021
Standard
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Tag F0584
D
Potential harm, isolated
Corrected June 27, 2021
May 27, 2021
Standard
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · Tag F0700
D
Potential harm, isolated
Corrected August 26, 2021

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports no federal fines or payment denials in the past three years.

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
LAKEVIEW SNF OPERATIONS HOLDINGS LLC
Organization
5% or greater direct ownership interest100%09/03/2021
SUNSHINE SNF GROUP LLC
Organization
5% or greater indirect ownership interest100%09/30/2021
BRADLEY, MICHAEL
Individual
adp of the snfNOT APPLICABLE07/01/2025
LEIFER, JOEL
Individual
corporate officerNOT APPLICABLE04/01/2022
BRADLEY, MICHAEL
Individual
operational/managerial controlNOT APPLICABLE07/21/2025

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  3. Manor at Carpenters, the

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  5. Vivo Healthcare Lakeland

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Frequently asked questions

What is Breezy Hills Rehab and Care Center's rating?

Breezy Hills Rehab and Care Center has 2 out of 5 stars on the CMS overall star rating. The average for Florida nursing homes is 3.3 stars.

How many inspection citations did Breezy Hills Rehab and Care Center receive?

Its most recent standard health inspection found 11 citations, compared with a Florida average of 7.1. Every citation is listed on this page with its severity.

Does Breezy Hills Rehab and Care Center accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Breezy Hills Rehab and Care Center?

It is for profit - limited liability company and part of Excelsior Care Group. The ownership section on this page lists the owners and managers reported to CMS.

Where is Breezy Hills Rehab and Care Center and how do I contact it?

Breezy Hills Rehab and Care Center is at 5245 N Socrum Loop Rd, Lakeland, FL 33809. Phone: (863) 859-1446.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.