Skilled nursing facility · CMS certification number 106126

LAKE CITY HEALTHCARE AND REHABILITATION CENTER

LAKE CITY, Florida · Medicare and Medicaid

Certified beds, as filed in Care Compare: 113

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, as submitted, processed by CMS on 13 June 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$17,131,737	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,259,784	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$14,871,953	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$13,629,028	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,242,925	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$8,017	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,250,942	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,250,942 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	113	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	41,358	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	7,547	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	21,370	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	10,724	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	39,641	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	181	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	81	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	266	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	528	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.7	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	263.83	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	75.08	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1427234, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 December 2025.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$17,049,304	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,561,227	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$13,488,077	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$13,838,634	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$350,557	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$19,173	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$331,384	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$331,385 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	113	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	38,822	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	556	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.32	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	219.88	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	69.82	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1443386, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 April 2022 to 31 December 2022 — a reporting period of 274 days, not a full year, on form CMS-2540-10, reopened, processed by CMS on 24 September 2025.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$10,697,116	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,754,704	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,942,412	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,260,261	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$317,849	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,438	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$314,411	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$314,411 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	113	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,554	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	564	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.71	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	516.45	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	41.76	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1440047, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 October 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$14,640,004	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,567,539	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,072,465	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,521,410	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,448,945	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$72,335	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,376,610	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,376,610 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,872	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	678	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.81	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	215.18	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	42.58	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1366379, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 December 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$12,050,212	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,645,042	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,405,170	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,983,469	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,578,299	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$251,181	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,327,118	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,327,118 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,186	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	669	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	133.92	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	33.16	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1339127, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 20 August 2019 to 31 December 2019 — a reporting period of 133 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 10 November 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$1,829,204	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$528,537	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,300,667	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,033,704	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,733,037	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,716	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,729,321	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,729,321 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	2,549	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	90	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.31	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	28.32	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1272985, read from the public cost report file SNF10FY2019.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
LAKE CITY OPERATING HOLDINGS LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 12/09/2021
BDCC CONSUTKING GROUP LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 12/09/2021
FDZ CONSULTING LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 12/09/2021
JZ CONSULTING LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 12/09/2021
POWERS, BRIAN	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Individual	NO PERCENTAGE PROVIDED	since 12/09/2021
RUBENSTEIN, DAVID	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Individual	NO PERCENTAGE PROVIDED	since 12/09/2021
RUBIWEB FLORIDA SERVICES GROUP USA LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 12/09/2021
WEBER, ARON	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Individual	NO PERCENTAGE PROVIDED	since 12/09/2021
ZAHLER, JACOB	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 12/09/2021
ZAHLER, JACOB	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of LAKE CITY OPERATING INVESTMENTS LLC (enrollment ID O20220616001580).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
LAKE CITY OPERATING HOLDINGS LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	12/9/2021	Private equity company: No Real estate investment trust: No Holding company: Yes
ARON WEBER	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	7.5	12/9/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BDCC CONSUTKING GROUP LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	7.5	12/9/2021	Private equity company: No Real estate investment trust: No Holding company: No
BRIAN POWERS	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	7.5	12/9/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHARLES ZAHLER	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	13.75	12/9/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID RUBENSTEIN	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	7.5	12/9/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
FDZ CONSULTING LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	55	12/9/2021	Private equity company: No Real estate investment trust: No Holding company: No
JACOB J ZAHLER	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	36.25	12/9/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JZ CONSULTING LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	22.5	12/9/2021	Private equity company: No Real estate investment trust: No Holding company: No
LEAH FRIEDMAN	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	13.75	12/9/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROCHEL DAVID	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	13.75	12/9/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RUBIWEB FLORIDA SERVICES GROUP USA LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	15	12/9/2021	Private equity company: No Real estate investment trust: No Holding company: No
JACOB J ZAHLER	Individual	CORPORATE OFFICER	36.25	12/9/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JACOB J ZAHLER	Individual	OPERATIONAL/MANAGERIAL CONTROL	100	4/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: JZ CONSULTING LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JZ CONSULTING LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
14 April 2023: BRENDA LACY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: BSREF III PARALLEL INVESTOR III LP no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: DESCENDANTS DELTA GST TR no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: FLORIDA FACILITIES LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: JS DELTA GST TR no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: BSREF III PARALLEL INVESTOR I LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: ALBERT SCHWARTZBERG no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: GULF COAST HEALTH CARE HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: SOUTHEAST MASTER HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: ALAN WITT no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: HS DELTA GST TRUST #1 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: SOUTHEAST US HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: SHERYL A WOLF no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: BSREF III PARALLEL INVESTOR II LP no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: HS DELTA GST TRUST #2 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: GCH MANAGEMENT SERVICES LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: GULF COAST HEALTH CARE LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: BARROW STREET REAL ESTATE FUND III, LP no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: JACOB J ZAHLER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: JACOB J ZAHLER appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: JACOB J ZAHLER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: FDZ CONSULTING LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: LAKE CITY OPERATING HOLDINGS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: DAVID RUBINSTEIN appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: RUBIWEB FLORIDA SERVICES GROUP USA LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: ARON WEBER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: BDCC CONSUTKING GROUP LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: BRIAN POWERS appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: ROCHEL DAVID appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: CHAIM ZAHLER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: LEAH FRIEDMAN appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: JZ CONSULTING LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv

Recent changes on this record

1 July 2026: JZ CONSULTING LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JZ CONSULTING LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
3 December 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
24 September 2025: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
13 June 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
7 June 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
11 October 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
14 April 2023: BRENDA LACY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: BSREF III PARALLEL INVESTOR III LP no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: DESCENDANTS DELTA GST TR no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: FLORIDA FACILITIES LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: JS DELTA GST TR no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: BSREF III PARALLEL INVESTOR I LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: ALBERT SCHWARTZBERG no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: GULF COAST HEALTH CARE HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: SOUTHEAST MASTER HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: ALAN WITT no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: HS DELTA GST TRUST #1 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: SOUTHEAST US HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: SHERYL A WOLF no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: BSREF III PARALLEL INVESTOR II LP no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: HS DELTA GST TRUST #2 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: GCH MANAGEMENT SERVICES LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: GULF COAST HEALTH CARE LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: BARROW STREET REAL ESTATE FUND III, LP no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: JACOB J ZAHLER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: JACOB J ZAHLER appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: JACOB J ZAHLER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: FDZ CONSULTING LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: LAKE CITY OPERATING HOLDINGS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: DAVID RUBINSTEIN appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: RUBIWEB FLORIDA SERVICES GROUP USA LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: ARON WEBER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: BDCC CONSUTKING GROUP LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: BRIAN POWERS appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: ROCHEL DAVID appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: CHAIM ZAHLER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: LEAH FRIEDMAN appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: JZ CONSULTING LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
29 December 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	10 April 2025	10 April 2025	14	8
2	19 January 2024	19 January 2024	4	3
3	27 July 2022	27 July 2022	10	4

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

28 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
10 April 2025	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	22 May 2025
10 April 2025	Health	F 0645	Resident Assessment and Care Planning Deficiencies	PASARR screening for Mental disorders or Intellectual Disabilities	D	No	Deficient, Provider has date of correction	22 May 2025
10 April 2025	Health	F 0656	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.	D	No	Deficient, Provider has date of correction	22 May 2025
10 April 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	E	No	Deficient, Provider has date of correction	22 May 2025
10 April 2025	Health	F 0756	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	D	No	Deficient, Provider has date of correction	22 May 2025
10 April 2025	Health	F 0757	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	D	No	Deficient, Provider has date of correction	22 May 2025
10 April 2025	Health	F 0761	Pharmacy Service Deficiencies	Ensure 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.	D	No	Deficient, Provider has date of correction	22 May 2025
10 April 2025	Health	F 0791	Quality of Life and Care Deficiencies	Provide or obtain dental services for each resident.	D	No	Deficient, Provider has date of correction	22 May 2025
10 April 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	D	No	Deficient, Provider has date of correction	22 May 2025
10 April 2025	Health	F 0825	Quality of Life and Care Deficiencies	Provide or get specialized rehabilitative services as required for a resident.	D	No	Deficient, Provider has date of correction	22 May 2025
10 April 2025	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	No	Deficient, Provider has date of correction	22 May 2025
10 April 2025	Health	F 0865	Administration Deficiencies	Have a plan that describes the process for conducting QAPI and QAA activities.	D	No	Deficient, Provider has date of correction	22 May 2025
10 April 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	22 May 2025
10 April 2025	Health	F 0881	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	D	No	Deficient, Provider has date of correction	22 May 2025
19 January 2024	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	19 February 2024
19 January 2024	Health	F 0761	Pharmacy Service Deficiencies	Ensure 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.	D	No	Deficient, Provider has date of correction	19 February 2024
19 January 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	20 February 2024
19 January 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	19 February 2024
27 July 2022	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	24 August 2022
27 July 2022	Health	F 0640	Resident Assessment and Care Planning Deficiencies	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.	D	No	Deficient, Provider has date of correction	24 August 2022
27 July 2022	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D	No	Deficient, Provider has date of correction	24 August 2022
27 July 2022	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	24 August 2022
27 July 2022	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	E	No	Deficient, Provider has date of correction	24 August 2022
27 July 2022	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	24 August 2022
27 July 2022	Health	F 0756	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	E	No	Deficient, Provider has date of correction	24 August 2022
27 July 2022	Health	F 0758	Pharmacy Service Deficiencies	Implement 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.	D	No	Deficient, Provider has date of correction	24 August 2022
27 July 2022	Health	F 0761	Pharmacy Service Deficiencies	Ensure 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.	D	No	Deficient, Provider has date of correction	24 August 2022
27 July 2022	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	24 August 2022

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Limited Liability company
Legal Business Name	LAKE CITY OPERATING INVESTMENTS LLC
Date First Approved to Provide Medicare and Medicaid Services	2019-08-20
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Columbia
Telephone Number	3862693900
Chain Name	EXCELSIOR CARE GROUP
Chain ID	217
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	113
Average Number of Residents per Day	109.1
Overall Rating	2
Health Inspection Rating	2
QM Rating	4
Long-Stay QM Rating	5
Short-Stay QM Rating	4
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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One email a day naming what moved on LAKE CITY HEALTHCARE AND REHABILITATION CENTER: the field, the value before, the value after, and the date of the file that first showed it.

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On 1 July 2026: JZ CONSULTING LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.

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