Nursing homeActive
Astoria Health And Rehabilitation Center
701 Overlook Dr Se, Winter Haven, FL 338848633185000132 certified beds · 126 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2020
Deficiencies
26
● 0● 26● 0
Penalties · 3 yrs
—
none on file
Last survey
2024-03-26
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 2
Staffing 4
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Agency for Health Care Administration (AHCA) · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2024-03-26 | Standard | 0100 | CMS-2567 (Care Compare) | — |
| 2022-02-04 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2020-10-30 | Standard | 090 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Agency for Health Care Administration (AHCA) publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-28Record 106086-20240326-F644
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-28Record 106086-20240326-F645
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-28Record 106086-20240326-F656
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-28Record 106086-20240326-F755
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-28Record 106086-20240326-F757
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-28Record 106086-20240326-F758
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-28Record 106086-20240326-F759
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-28Record 106086-20240326-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-28Record 106086-20240326-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-28Record 106086-20240326-F880
F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-03-04Record 106086-20220204-F622
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity FStandard
Dignity & rights
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-03-04Record 106086-20220204-F623
F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.Scope/severity FStandard
Dignity & rights
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-03-04Record 106086-20220204-F625
F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-03-04Record 106086-20220204-F694
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-03-04Record 106086-20220204-F698
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-03-04Record 106086-20220204-F756
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-03-04Record 106086-20220204-F812
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-12-03Record 106086-20201030-F550
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-12-03Record 106086-20201030-F636
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-12-03Record 106086-20201030-F684
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-12-03Record 106086-20201030-F690
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-12-03Record 106086-20201030-F697
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-12-03Record 106086-20201030-F759
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-12-03Record 106086-20201030-F760
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-12-03Record 106086-20201030-F761
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-12-03Record 106086-20201030-F883
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.57
Facility
Florida
National
Florida 0.73 · National 0.69
Total nurse hours per resident day4.20
Facility
Florida
National
Florida 3.82 · National 3.86
Weekend total nurse hours3.86
Facility
Florida
National
Florida 3.49 · National 3.42
Total nursing staff turnover41%
Facility
Florida
National
Florida 41% · National 46%
Registered nurse turnover40%
Facility
Florida
National
Florida 46% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Florida | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.2% | 4.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.2% | 2.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 2.9% | 8.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.9% | 0.7% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 7.7% | 8.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.5% | 5.5% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 16.5% | 14.4% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Lanham, Steven Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | — | — |
| Blackwell, Cory Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Tender Loving Care Management Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Viegas, Aleixo Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Blackwell, Cory Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gibson, Cullen Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gibson, Cullen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lanham, Steven Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ott, Dwight Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ott, Dwight Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Ott, Gary Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Ott, Gary Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Tender Loving Care Management Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Viegas, Aleixo Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Tlc Management — 20 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Florida.
Nursing home, semi-private
$280 / day
Assisted living
$3,700 / month
Home health aide
$27 / hour
Polk County · 2025 · source
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Lake Mariam Health And Rehabilitation Center Winter Haven | 1.0 mi | 2026-04-29 | 0395 |
| Palm Garden Of Winter Haven Winter Haven | 1.4 mi | 2024-06-20 | 0112 |
| Life Care Center Of Winter Haven Winter Haven | 1.6 mi | 2025-02-20 | 0100 |
| Winter Haven Health And Rehabilitation Center Winter Haven | 2.7 mi | 2024-10-28 | 0130 |
| Spring Lake Rehabilitation Center Winter Haven | 3.7 mi | 2025-02-13 | 070 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |
| Cost context | Public county cost survey, 2025 | 2025-06-01 |