Tag 0851 · Severity F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · Deficient, Provider has date of correction 2025-04-12Non-profit
Guardian Care Nursing & Rehabilitation Center
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | Non profit - Corporation | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 75.8% | Latest inspection | 2025-03-12 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 2 of 5
Health-inspection score
Facility: 56.0 points
Total nurse staffing
Facility: 3.39 hours/day
RN staffing
Facility: 0.58 hours/day
Staff turnover
Facility: 78.6%
Latest health deficiencies
Facility: 11 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 2 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 56.0 points | 50.9 points | 38.5 points |
| Total nurse staffing | 3.39 hours/day | 3.66 hours/day | 3.63 hours/day |
| RN staffing | 0.58 hours/day | 0.66 hours/day | 0.62 hours/day |
| Staff turnover | 78.6% | 41.7% | 41.8% |
| Latest health deficiencies | 11 deficiencies | 4.5 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2025-03-12
11 deficiencies
Highest severity: F
Immediate-jeopardy citations: 0
Tag 0644 · Severity E
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 2025-04-12Tag 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 2025-04-12Tag 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 2025-04-12Tag 0883 · Severity E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-04-12Tag 0550 · Severity D
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 2025-04-12Tag 0645 · Severity D
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-04-12Tag 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 2025-04-12Tag 0699 · Severity D
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-04-12Tag 0849 · Severity D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration Deficiencies · Deficient, Provider has date of correction 2025-04-12Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-04-12Tag 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 2025-04-122023-07-29
2 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
Tag 0759 · Severity D
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-09-012022-02-17
5 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
Tag 0640 · Severity D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2022-03-17Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2022-03-17Tag 0692 · Severity D
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-03-17Tag 0693 · Severity D
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 2022-03-17Tag 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 2022-03-17Staffing composition
2.25 hours/dayNurse aide
0.56 hours/dayLPN
0.58 hours/dayRN
- Total staffing
- 3.39 hours/day
- County median
- 3.66 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.25 hours/day
- Staff turnover
- 78.6%
- RN turnover
- 79.2%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
2.4 per 1,000 daysworseFlorida: 2.1 per 1,000 days · County: 2.4 per 1,000 days20250101-20251231
Emergency-department visits
0.7 per 1,000 daysbetterFlorida: 1.0 per 1,000 days · County: 0.9 per 1,000 days20250101-20251231
Falls with major injury
3.6%worseFlorida: 2.2% · County: 2.1%2025Q2-2026Q1
Pressure ulcers
3.9%betterFlorida: 4.2% · County: 4.4%2025Q2-2026Q1
Urinary tract infections
0.3%unavailableFlorida: 0.0% · County: 0.3%2025Q2-2026Q1
Antipsychotic medication use
10.4%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
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 turnoverWhat fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryHow are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic useHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning
Facility Details
- County
- Orange County
- Certified beds
- 120
- Average daily residents
- 91
- Ownership
- Non profit - Corporation
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1993-07-01
- CCN
- 105797
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.24716 |
| Lpn hours | 0.56449 |
| Rn hours | 0.57552 |
| Reported total hours | 3.38718 |
| Weekend total hours | 3.25229 |
| Weekend rn hours | 0.43522 |
| Adjusted total hours | 3.9442 |
| Total turnover percent | 78.6 |
| 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
11Health citations
3Fire 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 |
|---|---|---|
| ABRAHAMS, ELOISE | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| ABRAHAMS, ELOISE | CORPORATE DIRECTOR | NOT APPLICABLE |
| GARRETT, MARK | CORPORATE OFFICER | NOT APPLICABLE |
| REDDICK, ALZO | CORPORATE OFFICER | NOT APPLICABLE |
| RICHARDSON, JOHNNY | CORPORATE OFFICER | NOT APPLICABLE |
| RICKS, JIM | CORPORATE OFFICER | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology