Tag 0804 · Severity E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2025-08-18At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Individual | Certified beds | 39 |
|---|---|---|---|
| Estimated occupancy | 66.2% | Latest inspection | 2025-07-18 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 1 of 5
Health-inspection score
Facility: 292.8 points
Total nurse staffing
Facility: Not reported by CMS
RN staffing
Facility: Not reported by CMS
Staff turnover
Facility: 59.0%
Latest health deficiencies
Facility: 17 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 1 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 292.8 points | 50.9 points | 38.5 points |
| Total nurse staffing | Not reported by CMS | 3.66 hours/day | 3.63 hours/day |
| RN staffing | Not reported by CMS | 0.66 hours/day | 0.62 hours/day |
| Staff turnover | 59.0% | 41.7% | 41.8% |
| Latest health deficiencies | 17 deficiencies | 4.5 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2025-07-18
17 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0847 · Severity E
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration Deficiencies · Deficient, Provider has date of correction 2025-08-18Tag 0867 · Severity E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Deficient, Provider has date of correction 2025-08-18Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-08-18Tag 0582 · Severity D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-08-18Tag 0778 · Severity D
Help the resident make transportation arrangements to and from radiology services.
Administration Deficiencies · Deficient, Provider has date of correction 2025-08-182024-09-19
12 deficiencies
Highest severity: F
Immediate-jeopardy citations: 0
Tag 0812 · Severity F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2024-10-19Tag 0644 · Severity D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-10-19Tag 0645 · Severity D
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-10-19Tag 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 2024-10-19Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-10-192023-09-28
8 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0693 · Severity E
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-10-30Tag 0812 · Severity E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2023-10-30Tag 0847 · Severity E
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration Deficiencies · Deficient, Provider has date of correction 2023-10-30Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2023-10-30Staffing composition
Not reported by CMSNurse aide
Not reported by CMSLPN
Not reported by CMSRN
- Total staffing
- Not reported by CMS
- County median
- 3.66 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- Not reported by CMS
- Staff turnover
- 59.0%
- RN turnover
- 88.9%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
Not reported: cms footnoteunavailableFlorida: 2.1 per 1,000 days · County: 2.4 per 1,000 days20250101-20251231
Emergency-department visits
Not reported: cms footnoteunavailableFlorida: 1.0 per 1,000 days · County: 0.9 per 1,000 days20250101-20251231
Falls with major injury
0.0%betterFlorida: 2.2% · County: 2.1%2025Q2-2026Q1
Pressure ulcers
7.8%worseFlorida: 4.2% · County: 4.4%2025Q2-2026Q1
Urinary tract infections
1.8%unavailableFlorida: 0.0% · County: 0.3%2025Q2-2026Q1
Antipsychotic medication use
16.3%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
What improvements is the facility making in response to its Special Focus status?
Suggested because of: special focusWhat corrective actions and resident protections were put in place after the issue associated with the CMS abuse flag?
Suggested because of: abuse iconWhat is driving staff turnover, and what is being done to retain nurses and aides?
Suggested because of: staff turnoverHow does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcersHow are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic use
Facility Details
- County
- Orange County
- Certified beds
- 39
- Average daily residents
- 25.8
- Ownership
- For profit - Individual
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1995-06-16
- CCN
- 105886
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | Not reported by CMS |
| Lpn hours | Not reported by CMS |
| Rn hours | Not reported by CMS |
| Reported total hours | Not reported by CMS |
| Weekend total hours | Not reported by CMS |
| Weekend rn hours | Not reported by CMS |
| Adjusted total hours | Not reported by CMS |
| Total turnover percent | 59 |
| Rn turnover percent | 88.9 |
| Administrators left | 2 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$197,672.00Total fines
4Number of fines
0Payment denials
| Date | Type | Amount |
|---|---|---|
| 2025-12-19 | Fine | $93,400.00 |
| 2025-10-16 | Fine | $8,360.00 |
| 2025-10-16 | Fine | $8,360.00 |
| 2025-01-23 | Fine | $87,552.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
17Health citations
8Fire 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.
7
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Respond appropriately to all alleged violations.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| BARR, DYLAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GARRARD, LOUIS | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SMITH, ALVIS | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ANSLEY COVE HEALTHCARE AND REHABILITATION LLC | ADP OF THE SNF | NOT APPLICABLE |
| MAINSTAY HEALTHCARE MAINTLAND LLC | ADP OF THE SNF | NOT APPLICABLE |
| BARR, DYLAN | ADP OF THE SNF | NOT APPLICABLE |
| GARRARD, LOUIS | ADP OF THE SNF | NOT APPLICABLE |
| SELZNICK, STEVEN | ADP OF THE SNF | NOT APPLICABLE |
| SMITH, ALVIS | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology