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Complaint Investigation

Lake Mariam Health And Rehabilitation Center

April 29, 2026 · Winter Haven, FL · 1801 N Lake Mariam Dr
Citations 1
CMS Rating 2/5
Beds 120
Provider ID 105428
Healthcare Facility
Lake Mariam Health And Rehabilitation Center
Winter Haven, FL  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

LAKE MARIAM HEALTH AND REHABILITATION CENTER in WINTER HAVEN, FL — inspection on April 29, 2026.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0582
Resident Rights Deficiencies

Findings included: An interview was conducted

#3's refund from the facility.

Review of Resident #3's medical record showed Resident #3 was discharged on 08/10/2025 at 5:55 p.m. to a hospital and passed away on 09/01/2025. Resident #3 was admitted to the facility on [DATE].

Review of Resident #3's financial files transaction report, dated May 1, 2025 to March 31, 2026 showed a total due from patient liability a credit of $620.29.

Meaning the Resident #3 was due a refund from moneys paid.

Review of Resident #9's medical record showed Resident #9 admitted to the facility on [DATE] and passed away on 08/20/2026 at 12:20 p.m.

Review of Resident #9's financial file transaction report, dated July 1, 2025 to March 31, 2026 showed a total due from patient liability a credit of $804.81.

Meaning the Resident #9 was due a refund from moneys paid.

During an interview on 04/29/2026 at 12:11 p.m. with the Business Office Manager (BOM) and Nursing Home Administrator (NHA) the BOM stated that Resident #9 requested a refund. Resident #9's request was sent to the accounts payable office in their corporate office on 3/30/2026, for the amount of $804.80.

The BOM confirmed the refund has not been sent to the resident.

The BOM and NHA stated that Resident #3 refund has not been issued.

The NHA stated that Resident #9 and Resident #3 have not been issued a refund and both residents have exceeded 30 days post discharge.A review of the facility's Refund of Overpayments Policy not dated revealed:-Purpose: To ensure refund of overpayments are made consistent with applicable legal requirements and standards of practice.-Policy: Personnel will promptly refund to any private payor any overpayment received.

Any monies on deposit with the facility shall be refunded upon the appropriate request or the death of the resident.-Procedure: . 3. As soon as it is determined that the overpayment exists, a refund to the appropriate payor should be completed as soon as possible but not later than 60 days. 4. If an electronic adjustment can be completed, it should be completed as soon as possible but not later than 30 days.

Refunds Due Residents . within thirty days of the death of a resident, the personal funds . will be made available to the resident's representative. 8. As soon as it is determined that the overpayment exists, a refund to the appropriate payor should be completed as soon as possible but not later than 60 days.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in WINTER HAVEN, FL, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from LAKE MARIAM HEALTH AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.