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Astoria Health and Rehabilitation Center
701 Overlook Dr SE, Winter Haven, FL 33884 (opens Google Maps) · Polk County · (863) 318-5000· 132 certified beds · avg 126 residents/day · certified since Dec 13, 2010 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: TLC MANAGEMENT (20 facilities, chain avg rating 3.8★)
2/5
Health inspection rating (on-site)
inspected Mar 26, 2024
0
Serious findings on record
$0
Fines, last 3 years
3.96
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5 · how star ratings work →
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 26 inspection findings. Open the full record below to read every finding.
The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. F-0644
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. F-0656
The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. F-0759
View all 26 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 26, 2024 | E · Potential for more than minimal harm, pattern | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · F-0644 |
| Mar 26, 2024 | E · Potential for more than minimal harm, pattern | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Mar 26, 2024 | E · Potential for more than minimal harm, pattern | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759 |
| Mar 26, 2024 | E · Potential for more than minimal harm, pattern | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Mar 26, 2024 | E · Potential for more than minimal harm, pattern | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Mar 26, 2024 | D · Potential for more than minimal harm, isolated | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · F-0645 |
| Mar 26, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Mar 26, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · F-0757 |
| Mar 26, 2024 | D · Potential for more than minimal harm, isolated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
| Mar 26, 2024 | D · Potential for more than minimal harm, isolated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Feb 4, 2022 | F · Potential for more than minimal harm, widespread | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623 |
| Feb 4, 2022 | F · Potential for more than minimal harm, widespread | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · F-0625 |
| Feb 4, 2022 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Feb 4, 2022 | D · Potential for more than minimal harm, isolated | The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · F-0622 |
| Feb 4, 2022 | D · Potential for more than minimal harm, isolated | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · F-0694 |
| Feb 4, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
| Feb 4, 2022 | D · Potential for more than minimal harm, isolated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756 |
| Oct 30, 2020 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550 |
| Oct 30, 2020 | D · Potential for more than minimal harm, isolated | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · F-0636 |
| Oct 30, 2020 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Oct 30, 2020 | D · Potential for more than minimal harm, isolated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690 |
| Oct 30, 2020 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697 |
| Oct 30, 2020 | D · Potential for more than minimal harm, isolated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759 |
| Oct 30, 2020 | D · Potential for more than minimal harm, isolated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760 |
| Oct 30, 2020 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Oct 30, 2020 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (7 → 10).
All citationsSerious citations (G–L)
2020
All citations: 9
Serious citations (G–L): 0
2022
All citations: 7
Serious citations (G–L): 0
2024
All citations: 10
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 9 | 0 | D |
| 2022 | 7 | 0 | F |
| 2024 | 10 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityFlorida averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.96
Florida average: 4.03
U.S. average: 3.95
Registered Nurse hours
This facility: 0.54
Florida average: 0.76
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.63
Florida average: 3.68
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Florida avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.96 | 4.03 | 3.95 | top 42% in Florida; top 41% in the U.S. |
| Registered Nurse hours | 0.54 | 0.76 | 0.69 | bottom 28% in Florida; bottom 44% in the U.S. |
| Weekend total nurse staffing | 3.63 | 3.68 | 3.50 | top 41% in Florida; top 36% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.34 | 0.53 | 0.48 | bottom 30% in Florida; bottom 41% in the U.S. |
| Total nursing staff turnover (%) | 40.6 | 41.4 | 45.8 | top 46% in Florida; top 38% in the U.S. |
| RN turnover (%) | 40.0 | 46.0 | 42.9 | top 38% in Florida; top 46% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.20, RN 0.57, weekend 3.86.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.20 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Astoria Health and Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Lanham, Steven | Individual | 5% or Greater Direct Ownership Interest | 10% | 09/08/2005 |
| Blackwell, Cory | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/15/2022 |
| Blackwell, Cory | Individual | ADP of the SNF | NOT APPLICABLE | 02/15/2022 |
| Gibson, Cullen | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2012 |
| Gibson, Cullen | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2012 |
| Lanham, Steven | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2012 |
| Ott, Dwight | Individual | Corporate Officer | NOT APPLICABLE | 09/08/2005 |
| Ott, Dwight | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2012 |
| Ott, Gary | Individual | Corporate Officer | NOT APPLICABLE | 06/30/2008 |
| Ott, Gary | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2012 |
| Tender Loving Care Management INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/05/2005 |
| Tender Loving Care Management INC | Organization | ADP of the SNF | NOT APPLICABLE | 03/10/2025 |
| Viegas, Aleixo | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2014 |
| Viegas, Aleixo | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2014 |
All 14 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain TLC Management — 20 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Blue Heron Health and Rehabilitation — Wesley Chapel, FL · overall 4/5
- Bridgewater Park Health & Rehabilitation Center — Ocala, FL · overall 4/5
- Oak Hill Health & Rehabilitation — Brooksville, FL · overall 4/5
- Addison Pointe Health & Rehabilitation Center — Chesterton, IN · overall 3/5
- Albany Health Care & Rehabilitation Center — Albany, IN · overall 2/5abuse
- Ashton Creek Health and Rehabilitation Center — Fort Wayne, IN · overall 4/5
- Avon Health & Rehabilitation Center — Avon, IN · overall 5/5
- Bethel Pointe Health and Rehab — Muncie, IN · overall 5/5
Listed by state, then facility name — not a ranking. Showing 8 of the 19 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 41% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 14 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 24 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Lake Mariam Health and Rehabilitation Center | 1.0 mi | Winter Haven, FL | ★★☆☆☆ | 1/5 | SFF |
| Palm Garden of Winter Haven | 1.4 mi | Winter Haven, FL | ★★★★☆ | 3/5 | |
| Life Care Center of Winter Haven | 1.6 mi | Winter Haven, FL | ★★★★☆ | 3/5 | |
| Winter Haven Health and Rehabilitation Center | 2.8 mi | Winter Haven, FL | ★★☆☆☆ | 2/5 | |
| Spring Lake Rehabilitation Center | 3.7 mi | Winter Haven, FL | ★★★★★ | 3/5 | |
| Vivo Healthcare Winter Haven | 4.3 mi | Winter Haven, FL | ★☆☆☆☆ | 1/5 | |
| Oak Haven Rehab and Nursing Center | 6.5 mi | Auburndale, FL | ★☆☆☆☆ | 1/5 | |
| Haines City Rehabilitation and Nursing Center | 7.2 mi | Haines City, FL | ★★☆☆☆ | 2/5 | |
| Lake Wales Health and Rehabilitation Center | 8.8 mi | Lake Wales, FL | ★☆☆☆☆ | 1/5 | |
| Groves Center | 10.7 mi | Lake Wales, FL | —/5 | abuseSFF | |
| Davenport Nursing and Rehab Center | 11.4 mi | Davenport, FL | ★★★★☆ | 3/5 | |
| Bartow Center | 12.3 mi | Bartow, FL | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Polk, FL — 25 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Breezy Hills Rehab and Care Center — Lakeland, FL · overall 2/5
- Bridgewalk on Harden Health and Rehabilitation, LL — Lakeland, FL · overall 1/5
- Charming Lakes Rehab — Lakeland, FL · overall 2/5
- Florida Presbyterian Homes INC — Lakeland, FL · overall 5/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 106086.