Solaris Healthcare Lake Zephyr
38250 A Ave, Zephyrhills, FL 33542
Solaris Healthcare Lake Zephyr is a nursing home in Zephyrhills, Florida. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating3 of 5
- Last standard health inspectionJuly 30, 2024 (2 years ago)
- Health citations since April 2, 202116 (Florida average 20)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
Get an email when CMS publishes something new about this home
One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
CMS update of July 29, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of February 25, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
Health inspection on November 24, 2025
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0585. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on December 18, 2025.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on December 18, 2025.
CMS has cited this home for F0684 3 times since 2022.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Changed ownership in the last 12 months
CMS no longer shows a change of ownership in the past 12 months.
Health inspection on July 30, 2024
5 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 5 citations
Citation F0656. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on August 30, 2024.
CMS has cited this home for F0656 2 times since 2021.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on August 30, 2024.
Citation F0610. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on August 30, 2024.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on August 30, 2024.
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on August 30, 2024.
CMS update of May 29, 2024
Name
CMS lists a new legal business name for this home.
Ownership
CMS lists this home under a new chain.
CMS update of April 25, 2024
Changed ownership in the last 12 months
CMS records show a change of ownership in the past 12 months.
CMS update of January 31, 2024
Staffing
Total nurse staffing reported to CMS went from 4.3 to 3.8 hours per resident per day.
CMS update of December 21, 2023
Name
CMS lists a new legal business name for this home.
Ownership
CMS no longer lists a chain for this home.
Health inspection on August 18, 2022
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation F0885. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Report COVID19 data to residents and families.
CMS lists it as corrected on September 18, 2022.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on September 18, 2022.
Citation F0700. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
CMS lists it as corrected on September 18, 2022.
Citation F0759. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on September 18, 2022.
CMS has cited this home for F0759 2 times since 2021.
Fire safety inspection on August 18, 2022
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation K0345. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on September 18, 2022.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on September 18, 2022.
CMS has cited this home for K0353 2 times since 2021.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on September 18, 2022.
CMS has cited this home for K0363 2 times since 2021.
Citation K0521. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on September 18, 2022.
Health inspection on April 2, 2021
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation F0800. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
CMS lists it as corrected on May 2, 2021.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on May 2, 2021.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on May 2, 2021.
Citation F0756. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS lists it as corrected on May 2, 2021.
Citation F0759. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on May 2, 2021.
Fire safety inspection on April 2, 2021
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on April 7, 2021.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on May 2, 2021.
Citation K0372. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on April 3, 2021.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on April 9, 2021.
Citation K0923. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on April 1, 2021.
CMS star ratings
- 3 of 5CMS overall star rating
- 3 of 5CMS health inspection star rating
- 3 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (813) 782-5508
- Last standard health inspection
- July 30, 2024 (2 years ago)
- Certified beds
- 120
- Residents per day, on average
- 103.6
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Zephyrhills South SNF Operations LLC
- Chain
- Solaris Healthcare
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Florida average (16 vs 20).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- ZEPHYRHILLS SOUTH SNF OPERATIONS HOLDINGS LLC5% or greater direct ownership interest · 100% · since 06/05/2023
- ACC SNF OPERATIONS HOLDINGS LLC5% or greater indirect ownership interest · no percentage provided · since 06/05/2023
- CH ACC HOLDINGS LLC5% or greater indirect ownership interest · no percentage provided · since 06/05/2023
- SEAM TRUST5% or greater indirect ownership interest · no percentage provided · since 06/05/2023
- SK HOLDINGS ACC HOLDINGS LLC5% or greater indirect ownership interest · no percentage provided · since 06/05/2023
Show 1 more
- WILKINS, STACEYOperational/managerial control · not applicable · since 06/05/2023
Questions
When was Solaris Healthcare Lake Zephyr last inspected?
CMS lists July 30, 2024 as the date of its most recent standard health inspection.
How many citations (violations) does Solaris Healthcare Lake Zephyr have?
CMS lists 16 health citations since April 2, 2021. CMS also calls these deficiencies.
Has Solaris Healthcare Lake Zephyr been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Solaris Healthcare Lake Zephyr?
Its CMS overall star rating is 3 of 5.
Is Solaris Healthcare Lake Zephyr a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.