01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-02-12 | 0 | 2026-02-12 | 2 |
| Cycle 2 | 2024-10-31 | 1 | 2024-10-31 | 1 |
| Cycle 3 | 2023-07-20 | 6 | 2023-07-20 | 10 |
CMS CCN 1058922026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Lake Park Of Madison Nursing And Rehabilitation Ce
259 Sw Captain Brown Rd · Madison, FL 32340 · Madison County
Certified beds120CMS provider file
Recent citation rows20current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
20 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-02-12 · FIREK0162Severity F · widespread; potential for more than minimal harm
Construction Deficiencies
Have a combustible roofing system that meets safety standards.
Correction field: Deficient, Provider has date of correction · 2026-04-062026-02-12 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-04-062024-10-31 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Correction field: Deficient, Provider has date of correction · 2024-12-122024-10-31 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-12-162023-07-20 · HEALTHF0636Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Correction field: Deficient, Provider has date of correction · 2023-08-202023-07-20 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2023-08-202023-07-20 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2023-08-202023-07-20 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2023-08-202023-07-20 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2023-08-202023-07-20 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2023-08-202023-07-20 · FIREK0291Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2023-08-202023-07-20 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2023-08-202023-07-20 · FIREK0345Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2023-08-202023-07-20 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2023-08-202023-07-20 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2023-08-202023-07-20 · FIREK0371Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Have properly sized and located compartments to protect residents from smoke.
Correction field: Deficient, Provider has date of correction · 2023-08-202023-07-20 · FIREK0741Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Correction field: Deficient, Provider has date of correction · 2023-08-202023-07-20 · FIREK0761Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2023-08-202023-07-20 · FIREK0914Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Correction field: Deficient, Provider has date of correction · 2023-08-202023-07-20 · FIREK0921Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Correction field: Deficient, Provider has date of correction · 2023-08-2003 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- LAKE PARK MAX HOLDINGS LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 09/28/2016
- SEVOR, ASHLEYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/08/2022
- LBS CAPITAL HOLDINGS LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 06/01/2022
- MAXIMUS RRS LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 08/01/2022
- ROYAL REHAB SOUTHOrganization · ADP OF THE SNFNOT APPLICABLE · since 08/01/2022
- BORNSTEIN, YISROELIndividual · ADP OF THE SNFNOT APPLICABLE · since 08/01/2022
- EFFINGER, WILLIAMIndividual · ADP OF THE SNFNOT APPLICABLE · since 07/01/2022
- HIRSCH, NISSONIndividual · ADP OF THE SNFNOT APPLICABLE · since 08/01/2022
- SEVOR, ASHLEYIndividual · ADP OF THE SNFNOT APPLICABLE · since 11/21/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.16per resident day
RN hours0.47per resident day
Weekend nurse hours3.69per resident day
Staff turnover32.4%CMS reported field
06 / LOCAL RECORDS
Open the Madison ledger →