Tag 0554 · Severity D
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-09-15For-profit
Avante at St Cloud INC
1301 Kansas Ave, Saint Cloud, FL 34769
(407) 892-5121 · Avante Centers
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Corporation | Certified beds | 131 |
|---|---|---|---|
| Estimated occupancy | 96.3% | Latest inspection | 2024-08-15 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 4 of 5
Health-inspection score
Facility: 45.0 points
Total nurse staffing
Facility: 3.38 hours/day
RN staffing
Facility: 0.43 hours/day
Staff turnover
Facility: 55.3%
Latest health deficiencies
Facility: 10 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 4 of 5 | 3.5 of 5 | 3 of 5 |
| Health-inspection score | 45.0 points | 40.5 points | 38.5 points |
| Total nurse staffing | 3.38 hours/day | 3.51 hours/day | 3.63 hours/day |
| RN staffing | 0.43 hours/day | 0.80 hours/day | 0.62 hours/day |
| Staff turnover | 55.3% | 35.4% | 41.8% |
| Latest health deficiencies | 10 deficiencies | 6 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2024-08-15
10 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
Tag 0604 · Severity D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2024-09-15Tag 0609 · Severity D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2024-09-15Tag 0623 · Severity D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-09-15Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-09-15Tag 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 2024-09-15Tag 0684 · Severity D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-09-15Tag 0689 · Severity D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-09-15Tag 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 2024-09-15Tag 0842 · Severity D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-09-15Tag 0697 · Severity D
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-09-152023-05-04
8 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0684 · Severity E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-06-28Tag 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 2023-06-28Tag 0638 · Severity D
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-05-25Tag 0655 · Severity D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-05-25Tag 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 2023-06-28Tag 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 2023-06-28Tag 0698 · Severity D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-05-252021-06-17
2 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 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 2021-07-17Tag 0577 · Severity B
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2021-07-17Staffing composition
2.07 hours/dayNurse aide
0.87 hours/dayLPN
0.43 hours/dayRN
- Total staffing
- 3.38 hours/day
- County median
- 3.51 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.18 hours/day
- Staff turnover
- 55.3%
- RN turnover
- 79.2%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
2.7 per 1,000 daysworseFlorida: 2.1 per 1,000 days · County: 2.8 per 1,000 days20250101-20251231
Emergency-department visits
0.9 per 1,000 daysbetterFlorida: 1.0 per 1,000 days · County: 1.2 per 1,000 days20250101-20251231
Falls with major injury
2.1%similarFlorida: 2.2% · County: 1.9%2025Q2-2026Q1
Pressure ulcers
4.9%worseFlorida: 4.2% · County: 3.9%2025Q2-2026Q1
Urinary tract infections
0.0%unavailableFlorida: 0.0% · County: 0.3%2025Q2-2026Q1
Antipsychotic medication use
7.3%similarFlorida: 7.0% · County: 5.1%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
How many RNs are typically on site during days, nights, and weekends?
Suggested because of: rn staffingWhat 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 will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning
Facility Details
- County
- Osceola County
- Certified beds
- 131
- Average daily residents
- 126.1
- Ownership
- For profit - Corporation
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1989-07-01
- CCN
- 105670
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.07491 |
| Lpn hours | 0.87367 |
| Rn hours | 0.42886 |
| Reported total hours | 3.37743 |
| Weekend total hours | 3.18151 |
| Weekend rn hours | 0.40021 |
| Adjusted total hours | 3.42184 |
| Total turnover percent | 55.3 |
| Rn turnover percent | 79.2 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$0.00Total fines
0Number of fines
0Payment denials
No matching penalties in the supplied CMS records.
Totals reflect the supplied CMS records, not a lifetime total.
Citations
10Health citations
4Fire 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.
0
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| AG HOLDINGS, INC. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| DEBBIE KLURMAN 1994 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% |
| DEENA KLURMAN KRANZ 2000 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% |
| MONA MIZRACHI 1994 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% |
| SISEL KLURMAN 2001 REVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% |
| BIEGASIEWICZ, KIMBERLY | CORPORATE DIRECTOR | NOT APPLICABLE |
| BIEGASIEWICZ, KIMBERLY | CORPORATE OFFICER | NOT APPLICABLE |
| HORNACK, JOHN | CORPORATE OFFICER | NOT APPLICABLE |
| BIEGASIEWICZ, KIMBERLY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HUSSAIN, SONIA | ADP OF THE SNF | NOT APPLICABLE |
| MASSOUD, RAMEZ | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology