Velarion Records

Skilled nursing facility · CMS certification number 106138

BRIDGEWALK ON HARDEN HEALTH AND REHABILITATION, LL

LAKELAND, Florida · Medicare and Medicaid

Certified beds, as filed in Care Compare: 120

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: 3 · Fines: 3 · Fines, total amount: $181,400.00 · Payment denials: 0. The most recent penalty on file: October 23, 2023, Fine, $4,545. 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 5, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$11,674,151CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$501,452CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,172,699CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,837,360CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$335,339CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$57,060CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$392,399CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $392,399 (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
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components43,920CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days2,703CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days20,826CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days11,445CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components34,974CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges67CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges93CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges230CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components390CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days40.34CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days223.94CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days89.68CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1425257, 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 8, 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$10,895,961CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,173,603CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,722,358CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,530,657CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$808,299CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$8,076CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$800,223CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$800,223 (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
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,853CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components185CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days43.1CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days264.72CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days172.18CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1443885, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended December 31, 2022

Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 16, 2024.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$6,812,508CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$624,395CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,188,113CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,731,295CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,543,182CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$27,967CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,515,215CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,515,215 (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
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,574CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components265CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days44.62CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days114.46CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days70.09CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1396891, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended September 9, 2021

Cost report for January 1, 2021 to September 9, 2021 — a reporting period of 251 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 21, 2023.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$1,293,797CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$672,875CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,966,672CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,117,679CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,151,007CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$16,211CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,134,796CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,134,796 (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
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components1,528CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components19CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days63.08CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days190.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days80.42CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1359414, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended December 31, 2020

Cost report for May 11, 2020 to December 31, 2020 — a reporting period of 234 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 31, 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$5,822,474CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$3,170,363CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,992,837CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,770,492CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$2,222,345CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$589,639CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,811,984CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,811,984 (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
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components10,300CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components466CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days21.96CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days25.74CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days22.1CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1297541, read from the public cost report file SNF10FY2020.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 September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
DEAN, BYRONADP OF THE SNFIndividualNOT APPLICABLEsince 02/20/2026
GARRARD, LOUISADP OF THE SNFIndividualNOT APPLICABLEsince 06/04/2021
SPENCER, EVERTONADP OF THE SNFIndividualNOT APPLICABLEsince 02/20/2026
GARRARD, LOUISCORPORATE OFFICERIndividualNOT APPLICABLEsince 06/04/2021
GARRARD, LOUISDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 06/04/2021
DEAN, BYRONOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/10/2021
GARRARD, LOUISOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/04/2021
SPENCER, EVERTONOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/24/2025
GARRARD, LOUISTRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 06/04/2021

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of BRIDGEWALK ON HARDEN HEALTH AND REHABILITATION LLC (enrollment ID O20210820000301).

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”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
LOUIS GARRARDIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST1006/4/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
BYRON R DEANIndividualADP OF THE SNFNot stated in the filing2/20/2026
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
EVERTON SPENCERIndividualADP OF THE SNFNot stated in the filing2/20/2026
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LOUIS GARRARDIndividualADP OF THE SNFNot stated in the filing6/4/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LOUIS GARRARDIndividualCORPORATE OFFICER1006/4/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LOUIS GARRARDIndividualDIRECT OWNERSHIP INTEREST1006/4/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
BYRON R DEANIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing9/10/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
EVERTON SPENCERIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing3/24/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LOUIS GARRARDIndividualOPERATIONAL/MANAGERIAL CONTROL1006/4/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LOUIS GARRARDIndividualTRUSTEE OF THE SNFNot stated in the filing6/4/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1January 25, 2024January 25, 202442
2December 3, 2021December 3, 202195
3May 11, 2020May 11, 202030

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

17 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
July 11, 2024HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.DYesDeficient, Provider has date of correctionAugust 1, 2024
January 25, 2024HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DNoDeficient, Provider has date of correctionFebruary 22, 2024
January 25, 2024HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correctionFebruary 22, 2024
January 25, 2024HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correctionFebruary 22, 2024
January 25, 2024HealthF 0851Administration DeficienciesElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FNoDeficient, Provider has date of correctionFebruary 22, 2024
October 11, 2023HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JYesDeficient, Provider has date of correctionNovember 9, 2023
October 11, 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JYesDeficient, Provider has date of correctionNovember 9, 2023
August 8, 2023HealthF 0770Administration DeficienciesProvide timely, quality laboratory services/tests to meet the needs of residents.DYesDeficient, Provider has date of correctionAugust 30, 2023
December 3, 2021HealthF 0578Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DNoDeficient, Provider has date of correctionJanuary 2, 2022
December 3, 2021HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DNoDeficient, Provider has date of correctionJanuary 2, 2022
December 3, 2021HealthF 0625Resident Rights DeficienciesNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DNoDeficient, Provider has date of correctionJanuary 2, 2022
December 3, 2021HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.ENoDeficient, Provider has date of correctionFebruary 19, 2022
December 3, 2021HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correctionJanuary 2, 2022
December 3, 2021HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correctionJanuary 2, 2022
December 3, 2021HealthF 0698Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.DNoDeficient, Provider has date of correctionJanuary 2, 2022
December 3, 2021HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.ENoDeficient, Provider has date of correctionFebruary 19, 2022
December 3, 2021HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correctionJanuary 2, 2022

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
October 23, 2023Fine$4,54530647
October 11, 2023Fine$163,09330706
October 2, 2023Fine$13,76230534

From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NameBRIDGEWALK ON HARDEN HEALTH AND REHABILITATION LLC
Date First Approved to Provide Medicare and Medicaid Services2020-05-11
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishPolk
Telephone Number8636484800
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds120
Average Number of Residents per Day88.5
Overall Rating1
Health Inspection Rating1
QM Rating2
Long-Stay QM Rating2
Short-Stay QM Rating1
Processing Date2026-08-01

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

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One email a day naming what moved on BRIDGEWALK ON HARDEN HEALTH AND REHABILITATION, LL: the field, the value before, the value after, and the date of the file that first showed it.

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On December 8, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. That is one line of the alert.

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The citable document for BRIDGEWALK ON HARDEN HEALTH AND REHABILITATION, LL

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