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
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
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 January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, as submitted, processed by CMS on June 13, 2025.
| 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%).
| 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 December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 3, 2025.
| 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%).
| 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 December 31, 2022
Cost report for April 1, 2022 to December 31, 2022 — a reporting period of 274 days, not a full year, on form CMS-2540-10, reopened, processed by CMS on September 24, 2025.
| 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%).
| 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 December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 11, 2023.
| 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%).
| 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 December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 29, 2022.
| 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%).
| 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 December 31, 2019
Cost report for August 20, 2019 to December 31, 2019 — a reporting period of 133 days, not a full year, on form CMS-2540-10, settled, processed by CMS on November 10, 2020.
| 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%).
| 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.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 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 August 1, 2026 (Medicare enrollment ownership), under the enrollment of LAKE CITY OPERATING INVESTMENTS LLC (enrollment ID O20220616001580).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| 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: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| 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: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHARLES ZAHLER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 13.75 | 12/9/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID RUBENSTEIN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7.5 | 12/9/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| 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: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| 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: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROCHEL DAVID | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 13.75 | 12/9/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| 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: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JACOB J ZAHLER | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100 | 4/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- April 14, 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
- April 14, 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
- April 14, 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
- April 14, 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
- April 14, 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
- April 14, 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
- April 14, 2023: ALBERT SCHWARTZBERG no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 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
- April 14, 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
- April 14, 2023: ALAN WITT no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 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
- April 14, 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
- April 14, 2023: SHERYL A WOLF no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 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
- April 14, 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
- April 14, 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
- April 14, 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
- April 14, 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
- April 14, 2023: JACOB J ZAHLER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: JACOB J ZAHLER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 9, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: JACOB J ZAHLER (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 9, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: FDZ CONSULTING LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 9, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: LAKE CITY OPERATING HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 9, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: DAVID RUBINSTEIN (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 9, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: RUBIWEB FLORIDA SERVICES GROUP USA LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 9, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: ARON WEBER (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 9, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: BDCC CONSUTKING GROUP LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 9, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: BRIAN POWERS (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 9, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: ROCHEL DAVID (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 9, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: CHAIM ZAHLER (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 9, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: LEAH FRIEDMAN (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 9, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: JZ CONSULTING LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 9, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
Recent changes on this record
- September 1, 2026: ownership_type: For profit - Limited Liability company → For profit - Corporation. NH_ProviderInfo_Sep2026_3.csv
- August 12, 2026: A deficiency was cited under tag F 0880, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- August 12, 2026: A deficiency was cited under tag F 0842, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- August 12, 2026: A deficiency was cited under tag F 0814, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- August 12, 2026: A deficiency was cited under tag F 0698, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- August 12, 2026: A deficiency was cited under tag F 0690, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- August 12, 2026: A deficiency was cited under tag F 0684, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- August 12, 2026: A deficiency was cited under tag F 0677, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- August 12, 2026: A deficiency was cited under tag F 0658, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- August 12, 2026: A deficiency was cited under tag F 0656, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- August 12, 2026: A deficiency was cited under tag F 0640, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- August 12, 2026: A deficiency was cited under tag F 0580, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- August 12, 2026: A deficiency was cited under tag F 0812, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- August 12, 2026: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Sep2026_2.csv
- December 3, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- September 24, 2025: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- June 13, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- June 7, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- October 11, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- April 14, 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
- April 14, 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
- April 14, 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
- April 14, 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
- April 14, 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
- April 14, 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
- April 14, 2023: ALBERT SCHWARTZBERG no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 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
- April 14, 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
- April 14, 2023: ALAN WITT no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 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
- April 14, 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
- April 14, 2023: SHERYL A WOLF no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 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
- April 14, 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
- April 14, 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
- April 14, 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
- April 14, 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
- April 14, 2023: JACOB J ZAHLER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: JACOB J ZAHLER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 9, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: JACOB J ZAHLER (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 9, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | August 12, 2026 | August 12, 2026 | 12 | 2 |
| 2 | April 10, 2025 | April 10, 2025 | 14 | 8 |
| 3 | January 19, 2024 | January 19, 2024 | 4 | 3 |
| 3 | July 27, 2022 | July 27, 2022 | 10 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
40 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| August 12, 2026 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has no plan of correction | |
| August 12, 2026 | 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 no plan of correction | |
| August 12, 2026 | 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 no plan of correction | |
| August 12, 2026 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has no plan of correction | |
| August 12, 2026 | 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 no plan of correction | |
| August 12, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has no plan of correction | |
| August 12, 2026 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has no plan of correction | |
| August 12, 2026 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has no plan of correction | |
| August 12, 2026 | 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 no plan of correction | |
| August 12, 2026 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | D | No | Deficient, Provider has no plan of correction | |
| August 12, 2026 | 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 no plan of correction | |
| August 12, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has no plan of correction | |
| April 10, 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 | May 22, 2025 |
| April 10, 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 | May 22, 2025 |
| April 10, 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 | May 22, 2025 |
| April 10, 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 | May 22, 2025 |
| April 10, 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 | May 22, 2025 |
| April 10, 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 | May 22, 2025 |
| April 10, 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 | May 22, 2025 |
| April 10, 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 | May 22, 2025 |
| April 10, 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 | May 22, 2025 |
| April 10, 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 | May 22, 2025 |
| April 10, 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 | May 22, 2025 |
| April 10, 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 | May 22, 2025 |
| April 10, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | May 22, 2025 |
| April 10, 2025 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | D | No | Deficient, Provider has date of correction | May 22, 2025 |
| January 19, 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 | February 19, 2024 |
| January 19, 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 | February 19, 2024 |
| January 19, 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 | February 20, 2024 |
| January 19, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | February 19, 2024 |
| July 27, 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 | August 24, 2022 |
| July 27, 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 | August 24, 2022 |
| July 27, 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 | August 24, 2022 |
| July 27, 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 | August 24, 2022 |
| July 27, 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 | August 24, 2022 |
| July 27, 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 | August 24, 2022 |
| July 27, 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 | August 24, 2022 |
| July 27, 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 | August 24, 2022 |
| July 27, 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 | August 24, 2022 |
| July 27, 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 | August 24, 2022 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
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 August 1, 2026.
Get an email when this record changes
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.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On September 1, 2026: ownership_type: For profit - Limited Liability company → For profit - Corporation. That is one line of the alert.
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The citable document for LAKE CITY HEALTHCARE AND REHABILITATION CENTER
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Florida at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 106126.