AVIATA AT KISSIMMEE GARDENS
1120 W DONEGAN AVE, KISSIMMEE, FL 34741 · CCN 106074
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 120
- Avg residents/day
- 113.7
- Phone
- 4078472854
Inspection history vs Florida & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Florida avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-04-18 | 12 | 7.3 | 9.5 | +4.7 worse |
| 2 | 2023-10-26 | 3 | 6.3 | 9.8 | -3.3 better |
| 3 | 2023-04-07 | 13 | 6.0 | 9.3 | +7.0 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Resident assessment and care planning | 1 |
| Nursing and physician services | 1 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Environmental | 1 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.39 | — |
| RN staffing (reported) | 0.94 | — |
| Total nurse staffing (adjusted) | 3.61 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- AVIATA HEALTH GROUP
- Facilities in chain
- 52
- Chain avg overall
- 2.20 / 5
Inspection citations (28)
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-04-18 · Health · corrected 2024-05-18
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-04-18 · Health · corrected 2024-05-18
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-04-18 · Health · corrected 2024-05-18
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-18 · Health · corrected 2024-05-18
Potential for more than minimal harm
- DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-04-18 · Health · corrected 2024-05-18
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-04-18 · Health · corrected 2024-05-18
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-04-18 · Health · corrected 2024-05-18
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-04-18 · Health · corrected 2024-05-18
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-04-18 · Health · corrected 2024-05-18
Potential for more than minimal harm
- DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-04-18 · Health · corrected 2024-05-18
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-04-18 · Health · corrected 2024-05-18
Potential for more than minimal harm
- DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-04-18 · Health · corrected 2024-05-18
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-10-26 · Health · corrected 2023-11-24
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2023-10-26 · Health · corrected 2023-11-24
Potential for more than minimal harm
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2023-10-26 · Health · corrected 2023-11-24
Potential for more than minimal harm
- CF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2023-10-26 · Health · corrected 2023-11-24
Potential for minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2023-04-07 · Health · corrected 2023-05-07
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-04-07 · Health · corrected 2023-05-07
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-04-07 · Health · corrected 2023-05-07
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-04-07 · Health · corrected 2023-05-07
Potential for more than minimal harm
- DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2023-04-07 · Health · corrected 2023-05-07
Potential for more than minimal harm
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2023-04-07 · Health · corrected 2023-05-07
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-04-07 · Health · corrected 2023-05-07
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-04-07 · Health · corrected 2023-05-07
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-04-07 · Health · corrected 2023-05-07
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-04-07 · Health · corrected 2023-05-07
Potential for more than minimal harm
- FF0814Dispose of garbage and refuse properly.2023-04-07 · Health · corrected 2023-05-07
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-04-07 · Health · corrected 2023-05-07
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| FREUND, NOCHUM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-09-01 |
| MISHRA, ABHISHEK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-10-26 |
| STEPTOE, CHANEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-09-01 |
| FREUND, NOCHUM | Individual | CORPORATE OFFICER | — | 2023-09-01 |
Other facilities in KISSIMMEE
| Name | Overall | Beds |
|---|---|---|
| KISSIMMEE HEALTH AND REHABILITATION CENTER | ★★★☆☆ | 59 |
| KISSIMMEE NURSING & REHABILITATION CENTER | ★★★☆☆ | 120 |
| SOLARIS HEALTHCARE CELEBRATION | ★★★☆☆ | 120 |
| THE GOOD SAMARITAN SOCIETY-KISSIMMEE VILLAGE | ★☆☆☆☆ | 161 |
| TERRACE OF KISSIMMEE, THE | ★☆☆☆☆ | 120 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.