The Lodge Healthcare and Rehabilitation Center
635 SE 17th Street, Ocala, FL 34471 · Marion County · 99 certified beds · avg 91 residents/day · certified since Jun 1, 1982
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: ★★★☆☆3/5 · CMS overall rating: 4/5
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 · Feb 27, 2025 · F-0806
The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Why it matters: Ignoring allergies can be dangerous, and ignoring preferences leads residents to eat less and lose weight.
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: Mar 31, 2025 (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 |
|---|---|---|
| Jun 10, 2026 | 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. |
| Jun 10, 2026 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jun 10, 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 10, 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 10, 2026 | 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. |
| Feb 27, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Feb 27, 2025 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Feb 27, 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 27, 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. |
| Feb 27, 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 27, 2025 | 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. |
| Feb 27, 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 27, 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 27, 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 27, 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. |
| Feb 23, 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. · from a complaint |
| Nov 16, 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. |
| Nov 16, 2023 | 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. |
| Nov 16, 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. |
| Nov 16, 2023 | 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. |
| Nov 16, 2023 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (10 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | E |
| 2024 | 1 | 0 | D |
| 2025 | 10 | 1 | J ▲ |
| 2026 | 5 | 0 | 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)
1 fine totaling $17,737.
| Date | Type | Amount / length |
|---|---|---|
| Feb 27, 2025 | Fine | $17,737 |
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) | 3.58 | 4.03 | 3.95 | bottom 22% in Florida; bottom 40% in the U.S. |
| Registered Nurse hours | 0.43 | 0.76 | 0.69 | bottom 13% in Florida; bottom 27% in the U.S. |
| Weekend total nurse staffing | 3.19 | 3.68 | 3.50 | bottom 13% in Florida; bottom 41% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.38 | 0.53 | 0.48 | bottom 38% in Florida; bottom 49% in the U.S. |
| Total nursing staff turnover (%) | 44.6 | 41.4 | 45.8 | bottom 42% in Florida; top 49% in the U.S. |
| RN turnover (%) | 87.5 | 46.0 | 42.9 | bottom 1% in Florida; bottom 3% 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 0.45, weekend 3.32. 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: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| FL Master Opco Holdco LLC | Organization | 5% or Greater Indirect Ownership Interest | 100% | 07/27/2022 |
| The Lodge SNF Holdco LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/23/2022 |
| Oliver, Tonya | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/27/2022 |
| Shelby, Jack | Individual | Corporate Officer | NOT APPLICABLE | 07/27/2022 |
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 track each resident's food allergies and preferences, and what happens if they don't like what's served?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "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 |
|---|---|---|---|---|---|
| Avante at Ocala, INC | 0.5 mi | Ocala, FL | ★☆☆☆☆ | 1/5 | |
| Ocala Health and Rehabilitation Center | 0.7 mi | Ocala, FL | ★★★★☆ | 3/5 | |
| Aviata at Arbor Springs | 0.9 mi | Ocala, FL | ★★☆☆☆ | 1/5 | |
| Palm Garden of Ocala | 2.7 mi | Ocala, FL | ★★★★☆ | 3/5 | |
| Life Care Center of Ocala | 3.0 mi | Ocala, FL | ★★★★★ | 4/5 | |
| Hawthorne Center for Rehabilitation and Healing of | 3.2 mi | Ocala, FL | ★☆☆☆☆ | 1/5 | |
| Ocala Oaks Rehabilitation Center | 3.6 mi | Ocala, FL | ★★★★☆ | 3/5 | |
| Timberridge Nursing & Rehabilitation Center | 11.9 mi | Ocala, FL | ★★★☆☆ | 2/5 | |
| Bridgewater Park Health & Rehabilitation Center | 12.5 mi | Ocala, FL | ★★★★☆ | 3/5 | |
| Club Healthcare and Rehabilitation Center at the V | 15.4 mi | The Villages, FL | ★★★☆☆ | 3/5 | |
| Buffalo Crossings Healthcare & Rehabilitation Cen | 17.9 mi | The Villages, FL | ★★★★★ | 4/5 | |
| Freedom Pointe Health Center | 18.5 mi | The Villages, FL | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 105196.