The Club at Lake Gibson
855 Carpenters Way, Lakeland, FL 33809 · Polk County · 120 certified beds · avg 120 residents/day · certified since May 6, 2021
Part of chain: GOLD FL TRUST II (36 facilities, chain avg rating 3.4★)
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)
▲ Actual harm, one-off · May 8, 2026 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jun 22, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · May 8, 2026 · F-0726 · triggered by a complaint
The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Why it matters: Undertrained caregivers are more likely to miss warning signs and make care mistakes.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jun 22, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Dec 2, 2022 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 31, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (21)
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 |
|---|---|---|
| May 8, 2026 | ▲ G · Actual 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. · from a complaint |
| May 8, 2026 | ▲ G · Actual harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| Jan 30, 2025 | 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. |
| Jan 30, 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. |
| Oct 24, 2024 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · from a complaint |
| Oct 24, 2024 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · from a complaint |
| Oct 24, 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. · from a complaint |
| Jul 18, 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 |
| Dec 2, 2022 | ▲ G · Actual 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. |
| Dec 2, 2022 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Dec 2, 2022 | 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. |
| Dec 2, 2022 | 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. |
| Dec 2, 2022 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| Dec 2, 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. |
| Dec 2, 2022 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
| Dec 2, 2022 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Dec 2, 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. |
| Dec 2, 2022 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Dec 2, 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. |
| Dec 2, 2022 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Dec 2, 2022 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (13 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 13 | 1 | G ▲ |
| 2024 | 4 | 0 | F |
| 2025 | 2 | 0 | E |
| 2026 | 2 | 2 | G ▲ |
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) | 3.43 | 4.03 | 3.95 | bottom 10% in Florida; bottom 33% in the U.S. |
| Registered Nurse hours | 0.51 | 0.76 | 0.69 | bottom 25% in Florida; bottom 40% in the U.S. |
| Weekend total nurse staffing | 3.08 | 3.68 | 3.50 | bottom 6% in Florida; bottom 35% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.47 | 0.53 | 0.48 | top 46% in Florida; top 36% in the U.S. |
| Total nursing staff turnover (%) | 54.7 | 41.4 | 45.8 | bottom 18% in Florida; bottom 26% in the U.S. |
| RN turnover (%) | 56.5 | 46.0 | 42.9 | bottom 29% in Florida; bottom 26% 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 3.54, RN 0.53, weekend 3.18. 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: 2/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Buah MD Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2024 |
| Copper FL Trust II | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2024 |
| Gold FL Trust II | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2024 |
| Katz, Aharon | Individual | 5% or Greater Indirect Ownership Interest | 10% | 10/01/2024 |
| Lake Gibson SNF Holdco LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 10/01/2024 |
| Silver FL Trust II | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2024 |
| Apex Global Solutions LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Asure Wound Solutions LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/26/2025 |
| Bank Hapoalim B.M. | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 10/01/2024 |
| Bank Hapoalim B.M. | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Chaim Gitelis Do PC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Ellenbogen, Moss | Individual | ADP of the SNF | NOT APPLICABLE | 06/26/2025 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Healthlink Diagnostic Laboratories INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Kamara, Marie | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/05/2025 |
| Kamara, Marie | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/05/2025 |
| Kamara, Marie | Individual | ADP of the SNF | NOT APPLICABLE | 10/31/2024 |
| Katz, Aharon | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Lake Gibson SNF Holdco LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2024 |
| Lion Care Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you explain health changes and treatment options to residents and their families?"
- "Who on your staff manages IV therapy, and what training and monitoring is in place?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "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 |
|---|---|---|---|---|---|
| Manor at Carpenters, the | 0.0 mi | Lakeland, FL | ★★★★☆ | 4/5 | |
| Wedgewood Healthcare and Rehabilitation Center | 0.0 mi | Lakeland, FL | ★★☆☆☆ | 3/5 | |
| Valencia Hills Health and Rehabilitation Center | 0.6 mi | Lakeland, FL | ★☆☆☆☆ | 1/5 | |
| Breezy Hills Rehab and Care Center | 1.5 mi | Lakeland, FL | ★★☆☆☆ | 2/5 | |
| Vivo Healthcare Lakeland | 2.2 mi | Lakeland, FL | ★☆☆☆☆ | 1/5 | |
| Lakeland Hills Center | 2.3 mi | Lakeland, FL | ★★☆☆☆ | 1/5 | |
| Charming Lakes Rehab | 2.5 mi | Lakeland, FL | ★★☆☆☆ | 2/5 | |
| Florida Presbyterian Homes INC | 4.7 mi | Lakeland, FL | ★★★★★ | 3/5 | |
| Bridgewalk on Harden Health and Rehabilitation, LL | 6.4 mi | Lakeland, FL | ★☆☆☆☆ | 1/5 | |
| Highlands Lake Center | 8.2 mi | Lakeland, FL | ★★☆☆☆ | 2/5 | |
| Solaris Healthcare Plant City | 9.2 mi | Plant City, FL | ★★★★★ | 5/5 | |
| Scott Lake Health and Rehabilitation Center | 10.2 mi | Lakeland, FL | ★★☆☆☆ | 1/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 106146.