Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-06-08At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Corporation | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 91.3% | Latest inspection | 2025-05-08 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 2 of 5
Health-inspection score
Facility: 54.0 points
Total nurse staffing
Facility: 3.58 hours/day
RN staffing
Facility: 0.58 hours/day
Staff turnover
Facility: 54.0%
Latest health deficiencies
Facility: 4 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 2 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 54.0 points | 50.9 points | 38.5 points |
| Total nurse staffing | 3.58 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 | 54.0% | 41.7% | 41.8% |
| Latest health deficiencies | 4 deficiencies | 4.5 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2025-05-08
4 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
Tag 0921 · Severity D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Deficient, Provider has date of correction 2025-06-082023-07-13
3 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0865 · Severity E
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Deficient, Provider has date of correction 2023-08-21Tag 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 2023-08-21Tag 0759 · Severity D
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-08-212021-08-26
10 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0761 · Severity E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2021-09-27Tag 0637 · Severity D
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2021-09-27Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2021-09-27Tag 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 2021-09-27Tag 0921 · Severity D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Deficient, Provider has date of correction 2021-09-27Staffing composition
2.23 hours/dayNurse aide
0.78 hours/dayLPN
0.58 hours/dayRN
- Total staffing
- 3.58 hours/day
- County median
- 3.66 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.24 hours/day
- Staff turnover
- 54.0%
- RN turnover
- 78.6%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
3.4 per 1,000 daysworseFlorida: 2.1 per 1,000 days · County: 2.4 per 1,000 days20250101-20251231
Emergency-department visits
0.9 per 1,000 dayssimilarFlorida: 1.0 per 1,000 days · County: 0.9 per 1,000 days20250101-20251231
Falls with major injury
2.5%worseFlorida: 2.2% · County: 2.1%2025Q2-2026Q1
Pressure ulcers
5.3%worseFlorida: 4.2% · County: 4.4%2025Q2-2026Q1
Urinary tract infections
0.0%unavailableFlorida: 0.0% · County: 0.3%2025Q2-2026Q1
Antipsychotic medication use
3.7%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 caused the immediate-jeopardy citation from 2026-03-05, and how was it corrected?
Suggested because of: latest immediate jeopardyHow 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 does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcers
Facility Details
- County
- Orange County
- Certified beds
- 120
- Average daily residents
- 109.6
- Ownership
- For profit - Corporation
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1990-08-16
- CCN
- 105706
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.22584 |
| Lpn hours | 0.77915 |
| Rn hours | 0.57924 |
| Reported total hours | 3.58423 |
| Weekend total hours | 3.24335 |
| Weekend rn hours | 0.41119 |
| Adjusted total hours | 3.53721 |
| Total turnover percent | 54 |
| Rn turnover percent | 78.6 |
| Administrators left | 2 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$42,931.00Total fines
4Number of fines
0Payment denials
| Date | Type | Amount |
|---|---|---|
| 2026-03-05 | Fine | $13,065.00 |
| 2026-03-05 | Fine | $13,065.00 |
| 2024-05-10 | Fine | $6,500.00 |
| 2024-05-10 | Fine | $10,301.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
4Health citations
5Fire 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.
4
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.
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| Ownership Data Not Available | Not reported by CMS |
Helpful resources
Educational information, not medical or legal advice. Data & methodology