Lady Lake Specialty Care Center and Rehab

Name: Lady Lake Specialty Care Center and Rehab
Address: 630 GRIFFIN AVENUE, Lady Lake, FL, 32159, US
Telephone: 3527506619

630 Griffin Avenue, Lady Lake, FL 32159 · Lake County · 145 certified beds · avg 132 residents/day · certified since Mar 30, 1999

Part of chain: GOLD FL TRUST II (36 facilities, chain avg rating 3.4★)

1/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.46

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

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, one-off · Dec 18, 2025 · F-0760

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.

Why it matters: A serious medication error can cause real harm, hospitalization, or worse.

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: Feb 6, 2026 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, one-off · Dec 18, 2025 · 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.

Corrected: Feb 6, 2026 (Deficient, Provider has date of correction)

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
Dec 18, 2025	▲ J · Immediate jeopardy, 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.
Dec 18, 2025	▲ J · Immediate jeopardy, one-off	The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Dec 18, 2025	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.
Dec 18, 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.
Dec 18, 2025	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.
Dec 18, 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.
Dec 18, 2025	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.
Jul 17, 2024	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.
Jul 17, 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.
Jul 17, 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.
Jul 17, 2024	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, 2024	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.
Jul 17, 2024	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.
Jul 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.
Jul 17, 2024	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Apr 1, 2024	F · Potential for harm, facility-wide	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. · from a complaint
Mar 9, 2023	E · Potential for harm, repeated	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.
Mar 9, 2023	E · Potential for harm, repeated	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.
Mar 9, 2023	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 9, 2023	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 9, 2023	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.
Mar 9, 2023	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 9, 2023	D · Potential for harm, one-off	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 9, 2023	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Mar 9, 2023	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Mar 9, 2023	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 stayed about the same across the last two inspection cycles (8 → 7).

Year	Citations	Serious (G–L)	Worst severity that year
2023	10	0	E
2024	9	0	F
2025	7	2	J ▲

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)	3.46	4.03	3.95	bottom 13% in Florida; bottom 35% in the U.S.
Registered Nurse hours	0.48	0.76	0.69	bottom 19% in Florida; bottom 34% in the U.S.
Weekend total nurse staffing	3.22	3.68	3.50	bottom 15% in Florida; bottom 43% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.50	0.53	0.48	top 43% in Florida; top 33% in the U.S.
Total nursing staff turnover (%)	60.2	41.4	45.8	bottom 9% in Florida; bottom 16% in the U.S.
RN turnover (%)	57.9	46.0	42.9	bottom 28% in Florida; bottom 24% 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 3.52, RN 0.49, weekend 3.27. 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: 4/5 · long-stay residents: 5/5 · short-stay residents: 2/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
FL Hud Master Opco Holdco LLC	Organization	5% or Greater Indirect Ownership Interest	100%	08/01/2023
Lady Lake SNF Holdco LLC	Organization	5% or Greater Direct Ownership Interest	100%	08/01/2023
Ellenbogen, Moss	Individual	Corporate Officer	NOT APPLICABLE	08/01/2023
Oliver, Tonya	Individual	W-2 Managing Employee	NOT APPLICABLE	08/01/2023

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What systems do you use to prevent medication errors, and what happens when one occurs?"
"What were the findings behind this administration citation, and what has leadership changed since?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you coordinate and monitor care for residents who receive dialysis?"
"How do you keep residents' medical records accurate, complete, and secure?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"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
Villages Healthcare and Rehabilitation Center, the	1.6 mi	Lady Lake, FL	★★☆☆☆	2/5
Freedom Pointe Health Center	1.7 mi	The Villages, FL	★★★★☆	4/5
Chatham Glen Healthcare and Rehabilitation Center	1.7 mi	The Villages, FL	★★★★★	4/5
Club Healthcare and Rehabilitation Center at the V	5.1 mi	The Villages, FL	★★★☆☆	3/5
Buffalo Crossings Healthcare & Rehabilitation Cen	5.5 mi	The Villages, FL	★★★★★	4/5
Cypress Care Center	8.4 mi	Wildwood, FL	★★☆☆☆	2/5
North Campus Rehabilitation and Nursing Center	9.1 mi	Leesburg, FL	★★★★☆	3/5
Avante at Leesburg, INC	9.4 mi	Leesburg, FL	★★☆☆☆	2/5
South Campus Care Center and Rehab	9.9 mi	Leesburg, FL	★★★☆☆	3/5
Lake Port Square Health Center	10.2 mi	Leesburg, FL	★★★☆☆	3/5
Solaris Healthcare Waterman	15.7 mi	Tavares, FL	★★★★★	4/5
Lake Eustis Healthcare and Rehabilitation Center	16.1 mi	Eustis, FL	★★☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Lady Lake →

Facility data as of CMS processing date 2026-08-01. CCN 106003.

The Care File

Visit checklist — Lady Lake Specialty Care Center and Rehab

630 Griffin Avenue, Lady Lake, FL 32159 · 3527506619

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $0

Most serious findings on record:

▲ Dec 18, 2025 (F-0760, Immediate jeopardy, 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.
▲ Dec 18, 2025 (F-0835, Immediate jeopardy, one-off): The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.

Questions for the administrator:

☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "What were the findings behind this administration citation, and what has leadership changed since?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you coordinate and monitor care for residents who receive dialysis?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "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 106003 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)