Groves Center
512 S 11th St · Lake Wales, FL · 33853 · 8636768502
120 certified beds For profit - Corporation Chain: Hearthstone Senior Communities
Why this verdict
- On the federal Special Focus list of the most persistently poor performers.
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $128,925 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
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Red flags
Special Focus Facility
CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
5 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$128,925 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
60% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: not rated Inspections: not rated Staffing: not rated Quality measures: not rated
| Total nurse hours / resident-day | 3.07 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.32 | 0.55–0.75 |
| Weekend hours / resident-day | 2.77 | ≈ weekday level |
| Nursing turnover / year | 60% | median 45% |
| Fines (3-yr window) | 2 · $291,478 |
Inspection citations (50 in the current record)
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Potential for harm · D February 4, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 6, 2026 · Resident Rights
-
Potential for harm · D February 4, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected March 6, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 4, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected March 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 4, 2026
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected March 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 4, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 4, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 6, 2026 · Quality of Life and Care
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Potential for harm · D February 4, 2026
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected March 6, 2026 · Pharmacy Service
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Potential for harm · D February 4, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected March 6, 2026 · Pharmacy Service
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Potential for harm · D February 4, 2026
Ensure that residents are free from significant medication errors.
Corrected March 6, 2026 · Pharmacy Service
-
Potential for harm · F February 4, 2026
Provide and implement an infection prevention and control program.
Corrected March 6, 2026 · Infection Control
-
Potential for harm · F February 4, 2026
Implement a program that monitors antibiotic use.
Corrected March 6, 2026 · Infection Control
-
Actual harm · G October 29, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G October 29, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 11, 2025 · Quality of Life and Care
-
Potential for harm · D October 29, 2025 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected December 11, 2025 · Resident Rights
-
Potential for harm · D October 29, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 29, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D October 29, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected December 11, 2025 · Quality of Life and Care
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Potential for harm · D October 29, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected December 11, 2025 · Quality of Life and Care
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Potential for harm · D October 29, 2025 · found via complaint
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Corrected December 11, 2025 · Administration
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Potential for harm · D May 28, 2025 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected June 21, 2025 · Resident Rights
-
Potential for harm · D May 28, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 21, 2025 · Quality of Life and Care
-
Potential for harm · D May 28, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected June 21, 2025 · Quality of Life and Care
-
Potential for harm · E May 28, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected July 23, 2025 · Infection Control
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Potential for harm · E May 28, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected June 21, 2025 · Environmental
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Potential for harm · D October 1, 2024 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected November 1, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 29, 2025 | Fine | $128,925 |
| January 12, 2024 | Fine | $162,553 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 105269 · certified since September 11, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.