Bridgewalk on Harden Health and Rehabilitation, LL
3110 Oakbridge Blvd E, Lakeland, FL 33803 · Polk County · 120 certified beds · avg 89 residents/day · certified since May 11, 2020
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
⚠ 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Oct 11, 2023 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 9, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Oct 11, 2023 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 9, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (17)
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 |
|---|---|---|
| Jul 11, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Jan 25, 2024 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Jan 25, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jan 25, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jan 25, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Oct 11, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Oct 11, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Aug 8, 2023 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. · from a complaint |
| Dec 3, 2021 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Dec 3, 2021 | 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. |
| Dec 3, 2021 | E · Potential for harm, repeated | 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. |
| Dec 3, 2021 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Dec 3, 2021 | D · Potential for harm, one-off | 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. |
| Dec 3, 2021 | D · Potential for harm, one-off | 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. |
| Dec 3, 2021 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Dec 3, 2021 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Dec 3, 2021 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (9 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 9 | 0 | E |
| 2023 | 3 | 2 | J ▲ |
| 2024 | 5 | 0 | F |
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)
3 fines totaling $181,400.
| Date | Type | Amount / length |
|---|---|---|
| Oct 23, 2023 | Fine | $4,545 |
| Oct 11, 2023 | Fine | $163,093 |
| Oct 2, 2023 | Fine | $13,762 |
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) | 3.92 | 4.03 | 3.95 | top 46% in Florida; top 43% in the U.S. |
| Registered Nurse hours | 0.39 | 0.76 | 0.69 | bottom 6% in Florida; bottom 20% in the U.S. |
| Weekend total nurse staffing | 3.61 | 3.68 | 3.50 | top 43% in Florida; top 37% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.24 | 0.53 | 0.48 | bottom 11% in Florida; bottom 20% in the U.S. |
| Total nursing staff turnover (%) | 63.3 | 41.4 | 45.8 | bottom 5% in Florida; bottom 12% in the U.S. |
| RN turnover (%) | 44.4 | 46.0 | 42.9 | top 47% in Florida; bottom 45% 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 3.48, RN 0.34, weekend 3.21. Staffing rating: 2/5.
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: 2/5 · long-stay residents: 2/5 · short-stay residents: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Garrard, Louis | Individual | Direct Ownership Interest | NOT APPLICABLE | 06/04/2021 |
| Dean, Byron | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/10/2021 |
| Dean, Byron | Individual | ADP of the SNF | NOT APPLICABLE | 02/20/2026 |
| Garrard, Louis | Individual | Corporate Officer | NOT APPLICABLE | 06/04/2021 |
| Garrard, Louis | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/04/2021 |
| Garrard, Louis | Individual | Trustee of the SNF | NOT APPLICABLE | 06/04/2021 |
| Garrard, Louis | Individual | ADP of the SNF | NOT APPLICABLE | 06/04/2021 |
| Spencer, Everton | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/24/2025 |
| Spencer, Everton | Individual | ADP of the SNF | NOT APPLICABLE | 02/20/2026 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How quickly are lab tests done and results acted on when a resident's doctor orders them?"
- "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 |
|---|---|---|---|---|---|
| Florida Presbyterian Homes INC | 1.9 mi | Lakeland, FL | ★★★★★ | 3/5 | |
| Highlands Lake Center | 3.2 mi | Lakeland, FL | ★★☆☆☆ | 2/5 | |
| Scott Lake Health and Rehabilitation Center | 4.0 mi | Lakeland, FL | ★★☆☆☆ | 1/5 | abuse |
| Lakeland Hills Center | 4.5 mi | Lakeland, FL | ★★☆☆☆ | 1/5 | |
| Vivo Healthcare Lakeland | 4.6 mi | Lakeland, FL | ★☆☆☆☆ | 1/5 | |
| Charming Lakes Rehab | 4.6 mi | Lakeland, FL | ★★☆☆☆ | 2/5 | |
| Valencia Hills Health and Rehabilitation Center | 6.1 mi | Lakeland, FL | ★☆☆☆☆ | 1/5 | |
| Manor at Carpenters, the | 6.4 mi | Lakeland, FL | ★★★★☆ | 4/5 | |
| The Club at Lake Gibson | 6.4 mi | Lakeland, FL | ★★★☆☆ | 2/5 | |
| Wedgewood Healthcare and Rehabilitation Center | 6.4 mi | Lakeland, FL | ★★☆☆☆ | 3/5 | |
| Breezy Hills Rehab and Care Center | 7.2 mi | Lakeland, FL | ★★☆☆☆ | 2/5 | |
| Solaris Healthcare Plant City | 7.8 mi | Plant City, FL | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 106138.