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Government - State

Alwyn C Cashe State Veterans Nursing Home

5255 Raymond St, Orlando, FL 32803

(407) 741-4614 · Florida Department of Veterans' Affairs

1CMS overall rating · out of 5

At a glance

CMS data snapshot: 2026-08-01 · Sources and limitations
1 of 5Overall
2 of 5Health inspections
4 of 5Staffing
1 of 5Resident quality
OwnershipGovernment - StateCertified beds112
Estimated occupancy90.7%Latest inspection2025-02-27

County and Florida comparison

Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 1 of 5
worse
Health-inspection score
Facility: 86.0 points
worse
Total nurse staffing
Facility: 5.30 hours/day
better
RN staffing
Facility: 1.25 hours/day
better
Staff turnover
Facility: 72.5%
worse
Latest health deficiencies
Facility: 11 deficiencies
worse
View data table
MetricFacilityCountyFlorida
Overall rating1 of 53 of 53 of 5
Health-inspection score86.0 points50.9 points38.5 points
Total nurse staffing5.30 hours/day3.66 hours/day3.63 hours/day
RN staffing1.25 hours/day0.66 hours/day0.62 hours/day
Staff turnover72.5%41.7%41.8%
Latest health deficiencies11 deficiencies4.5 deficiencies6 deficiencies

Comparisons describe CMS data; they are not recommendations.

Inspection history

2025-02-27
11 deficiencies
Highest severity: E

Immediate-jeopardy citations: 0

Tag 0550 · Severity E

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-03-27

Tag 0880 · Severity E

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · Deficient, Provider has date of correction 2025-03-27

Tag 0656 · Severity D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-03-27

Tag 0695 · Severity D

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-03-27

Tag 0759 · Severity D

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-03-27
2023-09-08
11 deficiencies
Highest severity: E

Immediate-jeopardy citations: 0

Tag 0759 · Severity E

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-10-09

Tag 0732 · Severity C

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2023-10-09

Staffing composition

3.05 hours/dayNurse aide
1.01 hours/dayLPN
1.25 hours/dayRN
Total staffing
5.30 hours/day
County median
3.66 hours/day
Florida median
3.63 hours/day
Weekend total
4.63 hours/day
Staff turnover
72.5%
RN turnover
72.1%

Reported averages, not a real-time staffing schedule.

Resident outcomes

Lower is generally better

Hospitalizations

2.2 per 1,000 daysworseFlorida: 2.1 per 1,000 days · County: 2.4 per 1,000 days
20250101-20251231

Emergency-department visits

0.7 per 1,000 daysbetterFlorida: 1.0 per 1,000 days · County: 0.9 per 1,000 days
20250101-20251231

Falls with major injury

3.4%worseFlorida: 2.2% · County: 2.1%
2025Q2-2026Q1

Pressure ulcers

7.8%worseFlorida: 4.2% · County: 4.4%
2025Q2-2026Q1

Urinary tract infections

6.8%unavailableFlorida: 0.0% · County: 0.3%
2025Q2-2026Q1

Antipsychotic medication use

8.9%worseFlorida: 7.0% · County: 7.4%
2025Q2-2026Q1

These group measures do not predict an individual resident’s experience.

Questions to ask

Use these prompts during a tour or phone call
  1. What corrective actions and resident protections were put in place after the issue associated with the CMS abuse flag?

    Suggested because of: abuse icon
  2. What is driving staff turnover, and what is being done to retain nurses and aides?

    Suggested because of: staff turnover
  3. What fall-prevention program is used, and how are families notified after a fall?

    Suggested because of: falls major injury
  4. How does the care team prevent and treat pressure injuries?

    Suggested because of: pressure ulcers
  5. How are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?

    Suggested because of: antipsychotic use

Facility Details

County
Orange County
Certified beds
112
Average daily residents
101.6
Ownership
Government - State
Provider type
Medicare and Medicaid
In hospital
No
Date certified
2023-10-11
CCN
106151

Staffing Data

Reported measureValue
Nurse aide hours3.04795
Lpn hours1.00508
Rn hours1.24527
Reported total hours5.2983
Weekend total hours4.63046
Weekend rn hours0.83336
Adjusted total hours5.69845
Total turnover percent72.5
Rn turnover percent72.1
Administrators left0

Hours are per resident per day; turnover values are percentages. Missing values are not zero.

Penalties & Enforcement

$68,731.00Total fines
11Number of fines
0Payment denials
DateTypeAmount
2025-09-05Fine$17,345.00
2025-01-24Fine$5,249.00
2025-01-24Fine$5,249.00
2024-09-14Fine$8,018.00
2024-09-14Fine$8,783.00
2024-02-20Fine$4,140.00
2024-02-12Fine$3,764.00
2024-01-22Fine$9,032.00
2024-01-08Fine$2,258.00
2024-01-02Fine$1,748.00
2023-12-11Fine$3,145.00

Totals reflect the supplied CMS records, not a lifetime total.

Citations

11Health citations
0Fire safety citations

Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.

Serious Deficiencies

FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.

4

2025-09-05 · J

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2025-09-05 · J

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-09-14 · G

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

2024-09-14 · G

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Ownership & Operators

NameRoleShare
PERRY HUFF, KATIRIACORPORATE DIRECTORNOT APPLICABLE
COLON APONTE, OMAYRAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MALLARD, LINDSAYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
NURIEL, GABRIELADP OF THE SNFNOT APPLICABLE
PERRY HUFF, KATIRIAADP OF THE SNFNOT APPLICABLE

Helpful resources

Educational information, not medical or legal advice. Data & methodology