Valencia Hills Health and Rehab: Vaccine Gaps Found - FL
The director of nursing and infection preventionist told inspectors the facility does not offer RSV or shingles vaccines at all. On the pneumococcal vaccine, the infection preventionist said that if a resident refuses, staff should retry, contact the family and the physician, and document the refusal. She could not explain why that process had not been followed for residents who had no vaccination on record.
The facility's own pneumococcal vaccine policy, last revised in August 2016, requires that all residents be assessed for vaccine eligibility within five working days of admission and offered the vaccine within thirty days unless they have a medical contraindication, have already been vaccinated, or refuse. When a resident refuses, the policy requires a dated entry in the medical record. For residents who do receive the vaccine, staff are required to record the lot number, expiration date, the name of the person administering it, and the injection site.
Inspectors found the gap between that written policy and what was actually happening in the facility.
The infection control program policy, which the facility left undated, describes a broader system meant to track infections, monitor trends, manage outbreaks, and ensure staff follow proper procedures. It includes antibiotic stewardship requirements, surveillance tools, and employee health monitoring. Whether that program was functioning as written was not established during the inspection.
Inspectors classified the harm level as minimal, with potential for actual harm. The violations affected some residents.
The pneumococcal vaccine protects against a bacterial infection that can cause pneumonia, meningitis, and bloodstream infections, and is particularly dangerous for older adults. A nursing home that cannot document why a resident did or did not receive it has no way of knowing who remains unprotected.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Valencia Hills Health and Rehabilitation Center from 2026-04-30 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 6, 2026 · Our methodology
VALENCIA HILLS HEALTH AND REHABILITATION CENTER in LAKELAND, FL was cited for violations during a health inspection on April 30, 2026.
The director of nursing and infection preventionist told inspectors the facility does not offer RSV or shingles vaccines at all.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.