Comparisons describe CMS data; they are not recommendations.
Inspection history
2025-04-17 11 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 2025-05-17
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 2025-05-17
Tag 0554 · Severity D
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-05-17
Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-05-17
Tag 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 2025-05-17
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 2025-05-17
Tag 0690 · Severity D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-05-17
Tag 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 2025-05-17
Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-05-17
2023-09-14 7 deficiencies Highest severity: D
Immediate-jeopardy citations: 0
Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2023-10-14
2022-01-13 6 deficiencies Highest severity: D
Immediate-jeopardy citations: 0
Tag 0554 · Severity D
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-02-13
Tag 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 2022-02-13
Staffing composition
2.32 hours/dayNurse aide
0.88 hours/dayLPN
0.62 hours/dayRN
Total staffing
3.82 hours/day
County median
3.51 hours/day
Florida median
3.63 hours/day
Weekend total
3.44 hours/day
Staff turnover
42.6%
RN turnover
55.2%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
4.9 per 1,000 daysworseFlorida: 2.1 per 1,000 days · County: 2.8 per 1,000 days 20250101-20251231
Emergency-department visits
1.2 per 1,000 daysworseFlorida: 1.0 per 1,000 days · County: 1.2 per 1,000 days 20250101-20251231
These group measures do not predict an individual resident’s experience.
Questions to ask
Use these prompts during a tour or phone call
How does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcers
How are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic use
What operational changes followed the facility's most recent penalty?
Suggested because of: penalties
How 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
120
Average daily residents
115.5
Ownership
For profit - Limited Liability company
Provider type
Medicare and Medicaid
In hospital
No
Date certified
1994-01-13
CCN
105839
Staffing Data
Reported measure
Value
Nurse aide hours
2.31901
Lpn hours
0.87893
Rn hours
0.61828
Reported total hours
3.81621
Weekend total hours
3.43997
Weekend rn hours
0.47224
Adjusted total hours
4.01164
Total turnover percent
42.6
Rn turnover percent
55.2
Administrators left
2
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$38,724.00Total fines
1Number of fines
0Payment denials
Date
Type
Amount
2024-10-24
Fine
$38,724.00
Totals reflect the supplied CMS records, not a lifetime total.
Citations
11Health 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.
2
2024-10-24 · J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-10-24 · J
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.