Nursing home in Kissimmee, Florida
Aviata at Kissimmee Gardens
Medicare and Medicaid
1120 W DONEGAN AVE, Kissimmee, FL 34741
(407) 847-2854
- CMS shows its high-performing icon for this nursing home.
CMS star ratings
CMS gives this nursing home an overall star rating of 5 out of 5. Each rating is compared with the mean of rated nursing homes in Florida (691 for the overall rating) and in the U.S. (14,565). How to read an inspection report.
Overall rating
- This nursing home5
- Florida average3.3 (691 rated)
- U.S. average3.0 (14,565 rated)
Health inspections
- This nursing home4
- Florida average2.9 (691 rated)
- U.S. average2.8 (14,565 rated)
Staffing
- This nursing home4
- Florida average3.3 (686 rated)
- U.S. average2.9 (14,494 rated)
Quality measures
- This nursing home5
- Florida average4.2 (686 rated)
- U.S. average3.6 (14,495 rated)
Health inspections
Most recent standard health inspection (rating cycle 1): Jan 15, 2026. CMS counts 3 health deficiencies in rating cycle 1.
- This nursing home3
- Florida average7.1 (694 with data)
- U.S. average9.2 (14,652 with data)
Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.
Deficiencies since Sep 30, 2023
Inspectors cited 19 health deficiencies on 3 inspection dates since Sep 30, 2023. By level of harm: 18 potential for harm, 1 minimal harm potential.
- 0 Immediate jeopardy to resident health or safety
- 0 Actual harm
- 18 No actual harm, potential for more than minimal harm
- 1 No actual harm, potential for minimal harm
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Jan 15, 2026 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Resident Rights Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Feb 11, 2026 |
| Jan 15, 2026 | F0842 | 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 | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Feb 11, 2026 |
| Jan 15, 2026 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Feb 11, 2026 |
| Apr 18, 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Nursing and Physician Services Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction May 18, 2024 |
| Apr 18, 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction May 18, 2024 |
| Apr 18, 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 18, 2024 |
| Apr 18, 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate.Resident Rights Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 18, 2024 |
| Apr 18, 2024 | F0657 | 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 | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 18, 2024 |
| Apr 18, 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 18, 2024 |
| Apr 18, 2024 | F0688 | Provide 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.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 18, 2024 |
Show the other 9 deficiencies
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Apr 18, 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 18, 2024 |
| Apr 18, 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 18, 2024 |
| Apr 18, 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Administration Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 18, 2024 |
| Apr 18, 2024 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 18, 2024 |
| Apr 18, 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area.Environmental Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 18, 2024 |
| Oct 26, 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate.Resident Rights Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Nov 24, 2023 |
| Oct 26, 2023 | F0679 | Provide activities to meet all resident's needs.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Nov 24, 2023 |
| Oct 26, 2023 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Nov 24, 2023 |
| Oct 26, 2023 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.Administration Deficiencies | C Minimal harm potential, widespread | Standard | Deficient, Provider has date of correction Nov 24, 2023 |
Staffing
Total nurse staffing
Reported hours per resident per day.
- This nursing home3.39 hours
- Florida average3.82 hours (680 with data)
- U.S. average3.86 hours (14,351 with data)
Registered nurse staffing
Reported hours per resident per day.
- This nursing home0.89 hours
- Florida average0.73 hours (680 with data)
- U.S. average0.69 hours (14,351 with data)
Nursing staff turnover
Share of nursing staff who left during the year, as reported to CMS.
- This nursing home32.0%
- Florida average41.4% (646 with data)
- U.S. average45.8% (13,538 with data)
Penalties
CMS lists 0 penalties for this nursing home: 0 fines totaling $0, and 0 payment denials. CMS counts penalties from the last 3 years.
Facility details
| Certified beds | 120 |
|---|---|
| Average residents per day | 115.9 |
| Ownership | For profit - Corporation |
| Provider type | Medicare and Medicaid |
| Inside a hospital | No |
| Continuing care retirement community | No |
| Resident and family council | Both |
| Automatic sprinklers in all required areas | Yes |
| Chain | Aviata Health Group (50 facilities) |
| Legal business name | WEST DONEGAN AVE SNF OPCO LLC |
| First approved for Medicare and Medicaid | Oct 19, 2006 |
| County | Osceola |
| CMS certification number | 106074 |
Also in Kissimmee
| Nursing home | CMS overall rating | Health inspection rating | Certified beds | Ownership |
|---|---|---|---|---|
| Kissimmee Health and Rehabilitation Center | 59 | For profit - Limited Liability company | ||
| The Good Samaritan Society-Kissimmee Village | 161 | Non profit - Corporation | ||
| Solaris Healthcare Celebration | 120 | For profit - Limited Liability company | ||
| Kissimmee Nursing & Rehabilitation Center | 120 | For profit - Limited Liability company | ||
| Terrace of Kissimmee, The | 120 | For profit - Limited Liability company |
| Hospital | CMS overall rating | Type | Emergency services |
|---|---|---|---|
| HCA Florida Osceola Hospital | Acute Care Hospitals | Yes | |
| HCA Florida Poinciana Hospital | Acute Care Hospitals | Yes |