Tag 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 2026-04-24At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Limited Liability company | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 92.8% | Latest inspection | 2026-03-26 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 4 of 5
Health-inspection score
Facility: 35.0 points
Total nurse staffing
Facility: 3.48 hours/day
RN staffing
Facility: 0.38 hours/day
Staff turnover
Facility: Not reported by CMS
Latest health deficiencies
Facility: 9 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 4 of 5 | 3.5 of 5 | 3 of 5 |
| Health-inspection score | 35.0 points | 35.0 points | 38.5 points |
| Total nurse staffing | 3.48 hours/day | 3.81 hours/day | 3.63 hours/day |
| RN staffing | 0.38 hours/day | 0.73 hours/day | 0.62 hours/day |
| Staff turnover | Not reported by CMS | 43.8% | 41.8% |
| Latest health deficiencies | 9 deficiencies | 4 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2026-03-26
9 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0578 · Severity D
Honor 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.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2026-04-24Tag 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 2026-04-24Tag 0645 · Severity D
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2026-04-24Tag 0679 · Severity D
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-04-24Tag 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 2026-04-24Tag 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 2026-04-24Tag 0755 · Severity D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2026-04-24Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2026-04-242025-01-30
4 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0584 · Severity E
Honor 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.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-02-26Tag 0554 · Severity D
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-02-26Tag 0657 · Severity D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-02-26Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-02-262023-05-10
2 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
Tag 0694 · Severity D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-06-12Tag 0756 · Severity D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-06-12Staffing composition
2.05 hours/dayNurse aide
1.06 hours/dayLPN
0.38 hours/dayRN
- Total staffing
- 3.48 hours/day
- County median
- 3.81 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.17 hours/day
- Staff turnover
- Not reported by CMS
- RN turnover
- Not reported by CMS
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
1.6 per 1,000 daysbetterFlorida: 2.1 per 1,000 days · County: 2.3 per 1,000 days20250101-20251231
Emergency-department visits
0.6 per 1,000 daysbetterFlorida: 1.0 per 1,000 days · County: 0.9 per 1,000 days20250101-20251231
Falls with major injury
1.9%betterFlorida: 2.2% · County: 2.1%2025Q2-2026Q1
Pressure ulcers
6.2%worseFlorida: 4.2% · County: 4.3%2025Q2-2026Q1
Urinary tract infections
0.0%unavailableFlorida: 0.0% · County: 0.4%2025Q2-2026Q1
Antipsychotic medication use
8.0%worseFlorida: 7.0% · County: 3.8%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 staffingHow 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 useHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning
Facility Details
- County
- Seminole County
- Certified beds
- 120
- Average daily residents
- 111.3
- Ownership
- For profit - Limited Liability company
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1989-04-10
- CCN
- 105643
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.04577 |
| Lpn hours | 1.05807 |
| Rn hours | 0.37967 |
| Reported total hours | 3.48351 |
| Weekend total hours | 3.16944 |
| Weekend rn hours | 0.20075 |
| Adjusted total hours | 3.74079 |
| Total turnover percent | Not reported by CMS |
| Rn turnover percent | Not reported by CMS |
| Administrators left | 1 |
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
9Health citations
2Fire 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 |
|---|---|---|
| ISLAND LAKE HOLDCO LLC | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| LCE PARTNERS LLC | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| GABRIEL LIVING CENTER, LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| FRIEDMAN, LEOPOLD | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| GUTMAN, SAMUEL | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| ASHLINE, ANNETTE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CLEAVER, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| LEMAISTRE, KETTLY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MARQUES, ANDRE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WILDES, DONNA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ASTON HEALTHCARE LLC | ADP OF THE SNF | NOT APPLICABLE |
| CLEAVER, DANIEL | ADP OF THE SNF | NOT APPLICABLE |
| MARQUES, ANDRE | ADP OF THE SNF | NOT APPLICABLE |
| WILDES, DONNA | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology