Buffalo Crossings Healthcare & Rehabilitation Cen
3875 Wedgewood Lane, The Villages, FL 32162 · Sumter County · 120 certified beds · avg 114 residents/day · certified since Sep 1, 2017
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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, repeated · Dec 16, 2022 · F-0600
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 (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Jan 13, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Dec 16, 2022 · F-0726
The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Why it matters: Undertrained caregivers are more likely to miss warning signs and make care mistakes.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Jan 13, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Dec 16, 2022 · F-0835
The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Why it matters: Poor administration often shows up as understaffing, supply shortages, and care problems across the whole facility.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Jan 13, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Dec 16, 2022 · F-0867
The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Why it matters: Without a working quality program, the same care problems tend to repeat instead of getting fixed.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Jan 13, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Dec 16, 2022 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
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: Jan 13, 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 17, 2025 | 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. |
| Jul 17, 2025 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Jul 17, 2025 | 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. |
| Jul 17, 2025 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Jul 17, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jul 17, 2025 | 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. |
| Jul 17, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jul 22, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Apr 17, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Apr 17, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Apr 17, 2024 | D · Potential for harm, one-off | 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. |
| Dec 16, 2022 | ▲ K · Immediate jeopardy, repeated | 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. |
| Dec 16, 2022 | ▲ K · Immediate jeopardy, repeated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Dec 16, 2022 | ▲ K · Immediate jeopardy, repeated | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. |
| Dec 16, 2022 | ▲ K · Immediate jeopardy, repeated | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Dec 16, 2022 | ▲ J · Immediate jeopardy, 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. |
| Dec 16, 2022 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 6 | 5 | K ▲ |
| 2024 | 4 | 0 | D |
| 2025 | 7 | 0 | D |
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) | 3.78 | 4.03 | 3.95 | bottom 41% in Florida; top 49% in the U.S. |
| Registered Nurse hours | 0.48 | 0.76 | 0.69 | bottom 20% in Florida; bottom 35% in the U.S. |
| Weekend total nurse staffing | 3.47 | 3.68 | 3.50 | bottom 43% in Florida; top 44% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.29 | 0.53 | 0.48 | bottom 19% in Florida; bottom 29% in the U.S. |
| Total nursing staff turnover (%) | 47.0 | 41.4 | 45.8 | bottom 36% in Florida; bottom 44% in the U.S. |
| RN turnover (%) | 35.7 | 46.0 | 42.9 | top 30% in Florida; top 39% 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 4.11, RN 0.52, weekend 3.77. Staffing rating: 3/5.
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 - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Hollenbeck, Daniel | Individual | 5% or Greater Direct Ownership Interest | 15% | 01/01/2022 |
| Ohair, Joshua | Individual | 5% or Greater Direct Ownership Interest | 20% | 01/01/2022 |
| Rockefeller, Kevin | Individual | 5% or Greater Direct Ownership Interest | 34% | 01/01/2022 |
| Wedgewood Lane Investments, LLC | Organization | 5% or Greater Direct Ownership Interest | 28% | 01/01/2022 |
| KR Management, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2022 |
| Martin, Todd | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2022 |
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?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "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 |
|---|---|---|---|---|---|
| Club Healthcare and Rehabilitation Center at the V | 3.6 mi | The Villages, FL | ★★★☆☆ | 3/5 | |
| Freedom Pointe Health Center | 4.2 mi | The Villages, FL | ★★★★☆ | 4/5 | |
| Cypress Care Center | 5.1 mi | Wildwood, FL | ★★☆☆☆ | 2/5 | |
| Lady Lake Specialty Care Center and Rehab | 5.5 mi | Lady Lake, FL | ★☆☆☆☆ | 1/5 | |
| Villages Healthcare and Rehabilitation Center, the | 6.1 mi | Lady Lake, FL | ★★☆☆☆ | 2/5 | |
| Chatham Glen Healthcare and Rehabilitation Center | 6.3 mi | The Villages, FL | ★★★★★ | 4/5 | |
| Avante at Leesburg, INC | 11.6 mi | Leesburg, FL | ★★☆☆☆ | 2/5 | |
| North Campus Rehabilitation and Nursing Center | 11.9 mi | Leesburg, FL | ★★★★☆ | 3/5 | |
| South Campus Care Center and Rehab | 12.7 mi | Leesburg, FL | ★★★☆☆ | 3/5 | |
| Lake Port Square Health Center | 13.1 mi | Leesburg, FL | ★★★☆☆ | 3/5 | |
| Aviata at Arbor Springs | 17.1 mi | Ocala, FL | ★★☆☆☆ | 1/5 | |
| Ocala Health and Rehabilitation Center | 17.3 mi | Ocala, FL | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 106114.