Astoria Health and Rehabilitation Center

Name: Astoria Health and Rehabilitation Center
Address: 701 OVERLOOK DR SE, Winter Haven, FL, 33884, US
Telephone: 8633185000

701 Overlook Dr SE, Winter Haven, FL 33884 · Polk County · 132 certified beds · avg 126 residents/day · certified since Dec 13, 2010

Part of chain: TLC MANAGEMENT (20 facilities, chain avg rating 3.8★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.96

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5

⚠ 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 self-reported quality measures.

All citations in the current public record (26)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 26, 2024	E · Potential for harm, repeated	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.
Mar 26, 2024	E · Potential for harm, repeated	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.
Mar 26, 2024	E · Potential for harm, repeated	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.
Mar 26, 2024	E · Potential for harm, repeated	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.
Mar 26, 2024	E · Potential for harm, repeated	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.
Mar 26, 2024	D · Potential for harm, one-off	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.
Mar 26, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Mar 26, 2024	D · Potential for harm, one-off	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.
Mar 26, 2024	D · Potential for harm, one-off	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.
Mar 26, 2024	D · Potential for harm, one-off	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.
Feb 4, 2022	F · Potential for harm, facility-wide	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.
Feb 4, 2022	F · Potential for harm, facility-wide	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.
Feb 4, 2022	F · Potential for harm, facility-wide	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.
Feb 4, 2022	D · Potential for harm, one-off	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.
Feb 4, 2022	D · Potential for harm, one-off	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
Feb 4, 2022	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Feb 4, 2022	D · Potential for harm, one-off	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.
Oct 30, 2020	D · Potential for harm, one-off	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.
Oct 30, 2020	D · Potential for harm, one-off	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.
Oct 30, 2020	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Oct 30, 2020	D · Potential for harm, one-off	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.
Oct 30, 2020	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Oct 30, 2020	D · Potential for harm, one-off	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.
Oct 30, 2020	D · Potential for harm, one-off	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.
Oct 30, 2020	D · Potential for harm, one-off	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.
Oct 30, 2020	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (7 → 10).

Year	Citations	Worst severity that year
2020	9	D
2022	7	F
2024	10	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)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

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, 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. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

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

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?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (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 →

All facilities in Winter Haven →

Facility data as of CMS processing date 2026-08-01. CCN 106086.

The Care File

Visit checklist — Astoria Health and Rehabilitation Center

701 Overlook Dr SE, Winter Haven, FL 33884 · 8633185000

Health inspection rating 2/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "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?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 106086 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)