Oak Haven Rehab and Nursing Center

Name: Oak Haven Rehab and Nursing Center
Address: 919 OLD WINTER HAVEN RD, Auburndale, FL, 33823, US
Telephone: 8639674125

919 Old Winter Haven Rd, Auburndale, FL 33823 · Polk County · 120 certified beds · avg 109 residents/day · certified since Jan 1, 1977

Part of chain: ASTON HEALTH (38 facilities, chain avg rating 2.7★)

1/5

Health inspection rating (on-site)

Serious findings on record

$12,051

Fines, last 3 years

3.98

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 most recent standard health inspection was more than 2 years ago — conditions may have changed.

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 (33)

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
Apr 12, 2026	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Apr 12, 2026	E · Potential for harm, repeated	The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. · from a complaint
Apr 12, 2026	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint
Apr 12, 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. · from a complaint
Jul 28, 2025	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Jul 18, 2024	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jul 18, 2024	E · Potential for harm, repeated	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.
Jul 18, 2024	E · Potential for harm, repeated	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Jul 18, 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 18, 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.
Jul 18, 2024	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.
Jul 18, 2024	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.
Jul 18, 2024	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.
Jul 18, 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 18, 2024	D · Potential for harm, one-off	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Jul 18, 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 18, 2024	D · Potential for harm, one-off	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
May 26, 2022	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.
May 26, 2022	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.
May 26, 2022	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 26, 2022	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.
May 26, 2022	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
May 26, 2022	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.
May 26, 2022	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.
May 26, 2022	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.
May 26, 2022	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
May 26, 2022	D · Potential for harm, one-off	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Sep 23, 2021	E · Potential for harm, repeated	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Sep 23, 2021	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Sep 23, 2021	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Sep 23, 2021	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.
Sep 23, 2021	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.
Sep 23, 2021	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 (10 → 12).

Year	Citations	Worst severity that year
2021	6	E
2022	10	F
2024	12	E
2025	1	E
2026	4	E

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)

3 fines totaling $12,051.

Date	Type	Amount / length
Jul 18, 2024	Fine	$4,017
Jul 18, 2024	Fine	$4,017
Jul 18, 2024	Fine	$4,017

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)	3.98	4.03	3.95	top 40% in Florida; top 40% in the U.S.
Registered Nurse hours	0.55	0.76	0.69	bottom 31% in Florida; bottom 46% in the U.S.
Weekend total nurse staffing	3.54	3.68	3.50	top 50% in Florida; top 40% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.33	0.53	0.48	bottom 27% in Florida; bottom 39% in the U.S.
Total nursing staff turnover (%)	44.7	41.4	45.8	bottom 41% in Florida; top 49% in the U.S.
RN turnover (%)	54.2	46.0	42.9	bottom 33% 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 3.72, RN 0.52, weekend 3.31. 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: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Ao Care Holdings, LLC	Organization	5% or Greater Direct Ownership Interest	100%	05/07/2018
Aston Healthcare LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/10/2025
Carlucci, Joseph	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2018
Carlucci, Joseph	Individual	ADP of the SNF	NOT APPLICABLE	07/10/2025
Carmona, Maria	Individual	Managing Control - Governing Body	NOT APPLICABLE	12/11/2023
Carmona, Maria	Individual	Operational/Managerial Control	NOT APPLICABLE	12/11/2023
Gonzalez, Keisha	Individual	Operational/Managerial Control	NOT APPLICABLE	04/18/2023
Lawrence, Jonnique	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/02/2024
Lawrence, Jonnique	Individual	Operational/Managerial Control	NOT APPLICABLE	01/02/2024
Lawrence, Jonnique	Individual	ADP of the SNF	NOT APPLICABLE	07/10/2025
Thacker, Tricia	Individual	Corporate Officer	NOT APPLICABLE	04/05/2022

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 keep residents' medical records accurate, complete, and secure?"
"How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How do you coordinate and monitor care for residents who receive dialysis?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"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
Vivo Healthcare Winter Haven	2.3 mi	Winter Haven, FL	★☆☆☆☆	1/5
Spring Lake Rehabilitation Center	2.8 mi	Winter Haven, FL	★★★★★	3/5
Winter Haven Health and Rehabilitation Center	4.5 mi	Winter Haven, FL	★★☆☆☆	2/5
Life Care Center of Winter Haven	5.4 mi	Winter Haven, FL	★★★★☆	3/5
Lake Mariam Health and Rehabilitation Center	5.6 mi	Winter Haven, FL	★★☆☆☆	1/5	SFF
Palm Garden of Winter Haven	5.6 mi	Winter Haven, FL	★★★★☆	3/5
Astoria Health and Rehabilitation Center	6.5 mi	Winter Haven, FL	★★★☆☆	2/5
Haines City Rehabilitation and Nursing Center	9.5 mi	Haines City, FL	★★☆☆☆	2/5
Highlands Lake Center	10.5 mi	Lakeland, FL	★★☆☆☆	2/5
Charming Lakes Rehab	10.6 mi	Lakeland, FL	★★☆☆☆	2/5
Lakeland Hills Center	11.1 mi	Lakeland, FL	★★☆☆☆	1/5
Vivo Healthcare Lakeland	11.1 mi	Lakeland, FL	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Auburndale →

Facility data as of CMS processing date 2026-08-01. CCN 105302.

The Care File

Visit checklist — Oak Haven Rehab and Nursing Center

919 Old Winter Haven Rd, Auburndale, FL 33823 · 8639674125

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $12,051

Questions for the administrator:

☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How do you coordinate and monitor care for residents who receive dialysis?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "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 105302 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)