Lake Bennet Center for Rehabilitation & Healing
1091 Kelton Ave, Ocoee, FL 34761 · Orange County · 120 certified beds · avg 111 residents/day · certified since Sep 12, 1997
Part of chain: SUMMIT CARE (22 facilities, chain avg rating 3.3★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
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 · May 17, 2025 · 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: Jun 17, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · May 17, 2025 · F-0684 · triggered by a complaint
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: Jun 17, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (16)
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 |
|---|---|---|
| Aug 7, 2025 | 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. |
| Aug 7, 2025 | 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. |
| May 17, 2025 | ▲ 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 |
| May 17, 2025 | ▲ 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. · from a complaint |
| May 17, 2025 | 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. · from a complaint |
| Nov 30, 2023 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Nov 30, 2023 | 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. · from a complaint |
| Nov 30, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Nov 30, 2023 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Nov 30, 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. |
| Feb 18, 2022 | E · Potential for harm, repeated | 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. |
| Feb 18, 2022 | 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. |
| Feb 18, 2022 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Feb 18, 2022 | 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. |
| Feb 18, 2022 | 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. |
| Feb 18, 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 decreased between the last two inspection cycles (5 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 6 | 0 | E |
| 2023 | 5 | 0 | D |
| 2025 | 5 | 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)
1 fine totaling $74,744.
| Date | Type | Amount / length |
|---|---|---|
| May 17, 2025 | Fine | $74,744 |
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) | 3.70 | 4.03 | 3.95 | bottom 33% in Florida; bottom 47% in the U.S. |
| Registered Nurse hours | 0.50 | 0.76 | 0.69 | bottom 23% in Florida; bottom 38% in the U.S. |
| Weekend total nurse staffing | 3.45 | 3.68 | 3.50 | bottom 40% in Florida; top 45% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.35 | 0.53 | 0.48 | bottom 31% in Florida; bottom 42% in the U.S. |
| Total nursing staff turnover (%) | 24.2 | 41.4 | 45.8 | top 12% in Florida; top 6% in the U.S. |
| RN turnover (%) | 53.8 | 46.0 | 42.9 | bottom 34% in Florida; bottom 30% 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 3.51, RN 0.47, weekend 3.28. 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 |
|---|---|---|---|---|
| Lake Bennet SNF Operations Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 11/08/2021 |
| Mussari, Adria | 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 make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "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 |
|---|---|---|---|---|---|
| Orlando Health Center for Rehabilitation | 0.7 mi | Ocoee, FL | ★★★★☆ | 5/5 | |
| Vivo Healthcare West Orange | 0.7 mi | Ocoee, FL | ★★☆☆☆ | 2/5 | |
| Winter Garden Rehabilitation and Nursing Center | 2.3 mi | Winter Garden, FL | ★★☆☆☆ | 2/5 | |
| Health Central Park | 3.4 mi | Winter Garden, FL | ★★☆☆☆ | 1/5 | |
| Metro West Nursing and Rehab Center | 4.4 mi | Orlando, FL | ★★★★☆ | 3/5 | |
| Aviata at Colonial Lakes | 5.1 mi | Winter Garden, FL | ★★☆☆☆ | 2/5 | |
| Courtyards of Orlando Care Center and Rehab | 6.2 mi | Orlando, FL | ★★☆☆☆ | 3/5 | |
| Apopka Health and Rehabilitation Center | 6.4 mi | Apopka, FL | ★★★☆☆ | 3/5 | |
| Solaris Healthcare Windermere | 6.5 mi | Orlando, FL | ★★★★★ | 5/5 | |
| Guardian Care Nursing & Rehabilitation Center | 7.2 mi | Orlando, FL | ★★☆☆☆ | 2/5 | |
| Aviata at Rosewood | 7.4 mi | Orlando, FL | ★★★☆☆ | 2/5 | |
| Solaris Healthcare Apopka | 8.9 mi | Apopka, FL | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 105967.