Provider Profile

HIGHLANDS LAKE CENTER

Nursing Home

FACILITY PROFILE

Street Address
  • 4240 LAKELAND HIGHLANDS RD
    LAKELAND, FL 33813
    County: Polk
  • Phone: (863) 646-8699
Mailing Address
  • 4240 LAKELAND HIGHLANDS RD
    LAKELAND, FL 33813
    County: Polk
  • Phone: (863) 646-8699
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Nursing Home Guide
Facility Information:
Facility/Provider Type:Nursing Home
Administrator:ELLIS J. WILLIAMS
Financial Officer:ELLIS J. WILLIAMS
Owner/Licensee:HIGHLANDS LAKE CENTER LLC
Owner/Licensee Since:5/1/2003

NamePositionOwnership
HIGHLANDS LAKE HOLDCO LLC100%
Profit Status:For-Profit
Management Company:Not Available
Manager Since:Not Available
Licensed Beds:179
Bed Types:Total Capacity: 179
Community Beds: 179
Sheltered Beds: 0
Pediatric Beds: 0
Private Rooms: 19
2-Bed Rooms: 80
3-Bed Rooms: 0
4-Bed Rooms: 0
AHCA Number (File Number):65315
AHCA Field Office:06
License Number:1345096
Current License Effective:7/30/2024
Current License Expires:7/29/2026
License Status:LICENSED
Services/Characteristics
Current Daily Rate:275.00
Adult Day Care Services:No
Continuing Care Retirement Community:No
Languages Spoken:Spanish
Payment Forms Accepted:Insurance and/or HMOMedicaidMedicare
Special Programs and Services:Alzheimer'sDialysisHospice CareJCAHO accredited Long Term Care ProgramRespiteTracheotomy
Emergency Power Plan Summary
Onsite Alternate Power Source:Fixed Generator
Emergency Power Supports:Air ConditioningEntire Facility
Plan Approval:6/7/2018
Implementation Date:10/29/2019
Implementation Extended Until:1/1/2019
Areas Cooled:Entire Facility
Areas Cooled Location:Within Facility
Square Footage Cooled:6,1662
Number of People to use Cooled Space:179
Legal Actions
Please note the legal actions above may have been issued to a prior owner. The Final Order displays the name of the licensee responsible for the legal action that was taken.
Date Initiated Case # Case Type Violation Fine Amount Date Imposed
6/19/20202020010769Conditional LicenseSurvey$0.005/29/2020
6/19/20202020010769FineSurvey$2,000.009/3/2020
6/27/20192019010189Rule Variance/WaiverAdministrative Rule$0.007/25/2019
5/17/20192019008061Rule Variance/WaiverAdministrative Rule$0.006/28/2019
3/5/20192019003279Rule Variance/WaiverAdministrative Rule$0.005/6/2019
11/19/20182018017193Rule Variance/WaiverAdministrative Rule$0.0012/20/2018
10/18/20172017012460Rule Variance/WaiverAdministrative Rule$0.0011/27/2017

Important information and facility/provider definitions can be found in the Glossary.

Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.