nursing home in Lakeland, FL
Breezy Hills Rehab and Care Center
5245 N Socrum Loop Rd, Lakeland, FL 33809 · (863) 859-1446
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
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.9 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.3 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 4.2 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.6 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3.3 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.47 hrs | 3.82 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.40 hrs | 0.73 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.14 hrs | 2.31 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.31 hrs | 3.49 hrs | 3.42 hrs | Average |
| 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) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 11 | 7 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 74 | 63 | 80.6 | Better |
Penalties
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $24,361 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 122 | 107 | |
| Average residents per day | 118 | 109 | 86 | |
| Occupancy | 97.9% | 88.9% | 80.9% |
Long-stay residents
| Measure | This facility | Florida 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
| Measure | This facility | Florida 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.
| Date | Citation | Severity | Status |
|---|---|---|---|
| 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.
| Name | Role | Share | Since |
|---|---|---|---|
| LAKEVIEW SNF OPERATIONS HOLDINGS LLC Organization | 5% or greater direct ownership interest | 100% | 09/03/2021 |
| SUNSHINE SNF GROUP LLC Organization | 5% or greater indirect ownership interest | 100% | 09/30/2021 |
| BRADLEY, MICHAEL Individual | adp of the snf | NOT APPLICABLE | 07/01/2025 |
| LEIFER, JOEL Individual | corporate officer | NOT APPLICABLE | 04/01/2022 |
| BRADLEY, MICHAEL Individual | operational/managerial control | NOT APPLICABLE | 07/21/2025 |
Other nursing homes near Breezy Hills Rehab and Care Center
Wedgewood Healthcare and Rehabilitation Center
1010 Carpenters Way, Lakeland, FL 33809 · 1.5 mi
For-profit · 120 beds
★★★★★2Below averageThe Club at Lake Gibson
855 Carpenters Way, Lakeland, FL 33809 · 1.5 mi
For-profit · 120 beds · Part of Gold Fl Trust II
★★★★★3Average- ★★★★★3Average
Valencia Hills Health and Rehabilitation Center
1350 Sleepy Hill Rd, Lakeland, FL 33810 · 2 mi
For-profit · 249 beds · Part of Summit Care
★★★★★1Much below averageVivo Healthcare Lakeland
1919 Lakeland Hills Blvd, Lakeland, FL 33805 · 2.7 mi
For-profit · 185 beds · Part of Vivo Healthcare
★★★★★1Much below averageCharming Lakes Rehab
2020 W Lake Parker Dr, Lakeland, FL 33805 · 2.7 mi
For-profit · 120 beds · Part of Excelsior Care Group
★★★★★2Below average
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.