Tag 0554 · Severity D
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-03-20At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | Non profit - Corporation | Certified beds | 60 |
|---|---|---|---|
| Estimated occupancy | 90.2% | Latest inspection | 2026-05-07 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 5 of 5
Health-inspection score
Facility: 2.0 points
Total nurse staffing
Facility: 5.50 hours/day
RN staffing
Facility: 1.76 hours/day
Staff turnover
Facility: 40.6%
Latest health deficiencies
Facility: 0 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 5 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 2.0 points | 50.9 points | 38.5 points |
| Total nurse staffing | 5.50 hours/day | 3.66 hours/day | 3.63 hours/day |
| RN staffing | 1.76 hours/day | 0.66 hours/day | 0.62 hours/day |
| Staff turnover | 40.6% | 41.7% | 41.8% |
| Latest health deficiencies | 0 deficiencies | 4.5 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2026-05-07
0 deficiencies
Highest severity: Not reported by CMS
Immediate-jeopardy citations: 0
No matching citation detail was published.
2025-02-20
2 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
Tag 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 2025-03-202024-02-08
2 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
Tag 0580 · Severity D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-03-08Tag 0585 · Severity D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-03-08Staffing composition
3.25 hours/dayNurse aide
0.49 hours/dayLPN
1.76 hours/dayRN
- Total staffing
- 5.50 hours/day
- County median
- 3.66 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 5.04 hours/day
- Staff turnover
- 40.6%
- RN turnover
- 33.3%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
2.5 per 1,000 daysworseFlorida: 2.1 per 1,000 days · County: 2.4 per 1,000 days20250101-20251231
Emergency-department visits
0.3 per 1,000 daysbetterFlorida: 1.0 per 1,000 days · County: 0.9 per 1,000 days20250101-20251231
Falls with major injury
2.7%worseFlorida: 2.2% · County: 2.1%2025Q2-2026Q1
Pressure ulcers
5.9%worseFlorida: 4.2% · County: 4.4%2025Q2-2026Q1
Urinary tract infections
2.2%unavailableFlorida: 0.0% · County: 0.3%2025Q2-2026Q1
Antipsychotic medication use
4.1%betterFlorida: 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 fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryHow 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
- Orange County
- Certified beds
- 60
- Average daily residents
- 54.1
- Ownership
- Non profit - Corporation
- Provider type
- Medicare
- In hospital
- No
- Date certified
- 1991-03-28
- CCN
- 105720
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 3.2536 |
| Lpn hours | 0.49441 |
| Rn hours | 1.75592 |
| Reported total hours | 5.50394 |
| Weekend total hours | 5.03858 |
| Weekend rn hours | 1.40732 |
| Adjusted total hours | 5.78379 |
| Total turnover percent | 40.6 |
| Rn turnover percent | 33.3 |
| 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
0Health 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 |
|---|---|---|
| Ownership Data Not Available | Not reported by CMS |
Helpful resources
Educational information, not medical or legal advice. Data & methodology