Lake Eustis Healthcare and Rehabilitation Center
411 W Woodward Ave, Eustis, FL 32726 · Lake County · 90 certified beds · avg 87 residents/day · certified since Dec 1, 1976
Part of chain: EXCELSIOR CARE GROUP (33 facilities, chain avg rating 2.5★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 2/5
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 · Aug 29, 2025 · F-0807
The facility did not provide residents with enough to drink, or with drinks matching their needs and preferences, to keep them properly hydrated.
Why it matters: Dehydration develops quickly in older adults and can cause confusion, urinary infections, and hospitalization.
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: Oct 3, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Aug 29, 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.
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: Oct 5, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (19)
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 29, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not provide residents with enough to drink, or with drinks matching their needs and preferences, to keep them properly hydrated. |
| Aug 29, 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. |
| Aug 29, 2025 | 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. |
| Aug 29, 2025 | 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. |
| Aug 29, 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. |
| Aug 29, 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. |
| Aug 29, 2025 | 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. |
| Aug 29, 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. |
| Aug 29, 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. |
| Aug 29, 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. |
| May 31, 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. |
| May 31, 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. |
| May 31, 2024 | 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. |
| May 31, 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. |
| Jan 26, 2023 | 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. |
| Jan 26, 2023 | E · Potential for harm, repeated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Jan 26, 2023 | 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. |
| Jan 26, 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. |
| Jan 26, 2023 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | F |
| 2024 | 4 | 0 | E |
| 2025 | 10 | 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)
2 fines totaling $17,345.
| Date | Type | Amount / length |
|---|---|---|
| Aug 29, 2025 | Fine | $8,672 |
| Aug 29, 2025 | Fine | $8,673 |
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) | 3.40 | 4.03 | 3.95 | bottom 8% in Florida; bottom 31% in the U.S. |
| Registered Nurse hours | 0.38 | 0.76 | 0.69 | bottom 5% in Florida; bottom 19% in the U.S. |
| Weekend total nurse staffing | 3.45 | 3.68 | 3.50 | bottom 41% in Florida; top 44% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.34 | 0.53 | 0.48 | bottom 28% in Florida; bottom 40% in the U.S. |
| Total nursing staff turnover (%) | 46.0 | 41.4 | 45.8 | bottom 39% in Florida; bottom 47% in the U.S. |
| RN turnover (%) | 71.4 | 46.0 | 42.9 | bottom 11% in Florida; bottom 11% 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 3.23, RN 0.36, weekend 3.28. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 1/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| BDCC Consutking Group LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/09/2022 |
| FDZ Consulting LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/09/2021 |
| JZ Consulting LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/09/2021 |
| Lake Eustis Operating Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/09/2022 |
| Powers, Brian | Individual | 5% or Greater Indirect Ownership Interest | — | 12/09/2021 |
| Rubenstein, David | Individual | 5% or Greater Indirect Ownership Interest | — | 12/09/2021 |
| Rubiweb Florida Services Group USA LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/09/2022 |
| Weber, Aron | Individual | 5% or Greater Indirect Ownership Interest | — | 12/09/2021 |
| Zahler, Jacob | Individual | Corporate Officer | NOT APPLICABLE | 12/09/2021 |
| Zahler, Jacob | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure residents — especially those who can't ask — get enough fluids throughout the day?"
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "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 decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "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 |
|---|---|---|---|---|---|
| Bayview Center | 0.3 mi | Eustis, FL | ★★★★★ | 4/5 | |
| Ruleme Center | 1.5 mi | Eustis, FL | ★★★★☆ | 3/5 | |
| Solaris Healthcare Waterman | 2.0 mi | Tavares, FL | ★★★★★ | 4/5 | |
| Avante at Mt Dora, INC | 2.7 mi | Mount Dora, FL | ★★★☆☆ | 3/5 | |
| Edgewater at Waterman Village | 3.2 mi | Mount Dora, FL | ★★★★☆ | 3/5 | |
| Lakeview Terrace Rehab and Health Care Center | 8.3 mi | Altoona, FL | ★★★★☆ | 2/5 | |
| Lake Port Square Health Center | 10.8 mi | Leesburg, FL | ★★★☆☆ | 3/5 | |
| South Campus Care Center and Rehab | 11.1 mi | Leesburg, FL | ★★★☆☆ | 3/5 | |
| North Campus Rehabilitation and Nursing Center | 11.4 mi | Leesburg, FL | ★★★★☆ | 3/5 | |
| Avante at Leesburg, INC | 12.7 mi | Leesburg, FL | ★★☆☆☆ | 2/5 | |
| Chatham Glen Healthcare and Rehabilitation Center | 14.9 mi | The Villages, FL | ★★★★★ | 4/5 | |
| Villages Healthcare and Rehabilitation Center, the | 15.1 mi | Lady Lake, FL | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 105001.