Lake Port Square Health Center
701 Lake Port Blvd, Leesburg, FL 34748 · Lake County · 80 certified beds · avg 75 residents/day · certified since Aug 27, 1990
Part of chain: HEALTHPEAK PROPERTIES, INC. (15 facilities, chain avg rating 3.5★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · 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.
All citations in the current public record (28)
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 |
|---|---|---|
| Jun 11, 2026 | 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. |
| Jun 11, 2026 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Jun 11, 2026 | 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. |
| Jun 11, 2026 | 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. |
| Jun 11, 2026 | 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. |
| Jun 11, 2026 | 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. |
| Jun 11, 2026 | 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. |
| Jun 11, 2026 | D · Potential for harm, one-off | The facility did not dispose of garbage and refuse properly. |
| Jun 11, 2026 | 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 13, 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. |
| Feb 13, 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. |
| Feb 13, 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. |
| Feb 13, 2025 | 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. |
| Feb 13, 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. |
| Feb 13, 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. |
| Feb 13, 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. |
| Apr 11, 2024 | 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. · from a complaint |
| Oct 25, 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. |
| Oct 25, 2023 | E · Potential for harm, repeated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Oct 25, 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. |
| Oct 25, 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. |
| Oct 25, 2023 | 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 25, 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. |
| Oct 25, 2023 | 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. |
| Oct 25, 2023 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. |
| Oct 25, 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. |
| Oct 25, 2023 | 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. |
| Oct 25, 2023 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (7 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 11 | 0 | E |
| 2024 | 1 | 0 | D |
| 2025 | 7 | 0 | D |
| 2026 | 9 | 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) | 4.01 | 4.03 | 3.95 | top 38% in Florida; top 39% in the U.S. |
| Registered Nurse hours | 0.81 | 0.76 | 0.69 | top 33% in Florida; top 26% in the U.S. |
| Weekend total nurse staffing | 3.63 | 3.68 | 3.50 | top 41% in Florida; top 36% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.46 | 0.53 | 0.48 | top 47% in Florida; top 38% in the U.S. |
| Total nursing staff turnover (%) | 51.2 | 41.4 | 45.8 | bottom 25% in Florida; bottom 34% in the U.S. |
| RN turnover (%) | 68.4 | 46.0 | 42.9 | bottom 13% in Florida; bottom 13% 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 4.03, RN 0.82, weekend 3.65. 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: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| CCRC Opco Ventures, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/29/2014 |
| HCP Ma3 GP Holding, LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/19/2026 |
| HCP Ventures II TRS LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/19/2026 |
| Janus Living TRS LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/19/2026 |
| Blackrock INC | Organization | ADP of the SNF | NOT APPLICABLE | 03/19/2026 |
| Buettner, Markus | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/31/2025 |
| CCRC Propco Ventures, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/19/2026 |
| Cheng, Patrick | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/31/2022 |
| HCP Ma3, LP | Organization | Limited Partnership Interest | NOT APPLICABLE | 03/19/2026 |
| HCP Ma3, LP | Organization | ADP of the SNF | NOT APPLICABLE | 03/19/2026 |
| HCP Partners LP | Organization | Limited Partnership Interest | NOT APPLICABLE | 03/19/2026 |
| HCP Partners LP | Organization | ADP of the SNF | NOT APPLICABLE | 03/19/2026 |
| HCP S-H 2014 Member LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2020 |
| HCP Ventures II Partner LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/19/2026 |
| HCP/LS 2011 Reit, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/19/2026 |
| Healthpeak Op LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/10/2023 |
| Healthpeak Properties INC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2020 |
| Janus Living Op LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 03/19/2026 |
| Janus Living Op LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/19/2026 |
| Janus Living, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 03/19/2026 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can I see where garbage is stored and how often it's removed?"
- "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 |
|---|---|---|---|---|---|
| South Campus Care Center and Rehab | 0.4 mi | Leesburg, FL | ★★★☆☆ | 3/5 | |
| North Campus Rehabilitation and Nursing Center | 1.2 mi | Leesburg, FL | ★★★★☆ | 3/5 | |
| Avante at Leesburg, INC | 2.1 mi | Leesburg, FL | ★★☆☆☆ | 2/5 | |
| Chatham Glen Healthcare and Rehabilitation Center | 8.5 mi | The Villages, FL | ★★★★★ | 4/5 | |
| Villages Healthcare and Rehabilitation Center, the | 8.6 mi | Lady Lake, FL | ★★☆☆☆ | 2/5 | |
| Solaris Healthcare Waterman | 9.2 mi | Tavares, FL | ★★★★★ | 4/5 | |
| Lady Lake Specialty Care Center and Rehab | 10.2 mi | Lady Lake, FL | ★☆☆☆☆ | 1/5 | |
| Ruleme Center | 10.4 mi | Eustis, FL | ★★★★☆ | 3/5 | |
| Lake Eustis Healthcare and Rehabilitation Center | 10.7 mi | Eustis, FL | ★★☆☆☆ | 1/5 | |
| Bayview Center | 11.0 mi | Eustis, FL | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 105705.