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Avante at Inverness Inc

304 S Citrus Ave, Inverness, FL 34452 · Citrus County · (352) 726-3141

104 certified beds, about 100 residents a day · For profit - Corporation · Medicare and Medicaid since 1980

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 105308 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 9, 2025, inspectors cited 7 health deficiencies (the Florida average is 7.1, the national average 9.2).

None of its 18 health citations since November 2022 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.50 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.30 of those hours.

46.9% of nursing staff left within the year CMS measured (Florida average 41.4%).

CMS links it to Avante Centers, an affiliated group of 11 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 18 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
15D
1E
2F
Potential for minimal harm
0A
0B
0C
July 9, 2025Standard inspection · 7 citations
  1. E
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure the physician/prescriber documented the rationale for declining the pharmacist's recommendations for 2 (Residents #33 and #53) of 5 residents reviewed for unnecessary medications and failed to ensure the nursing department responded to the pharmacist's recommendation in a timely manner for 1 (Resident #54) of 5 residents reviewed for unnecessary medications.
  2. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure resident assessments were accurate for 1 (Resident #54) of 6 residents reviewed for medication management.
  3. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to develop and implement a baseline care plan within 48 hours of a resident's admission for 1 (Resident #345) of 3 residents reviewed for new admission.
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure comprehensive care plan was developed for 1 (Resident #394) of 5 residents reviewed for medication management, and comprehensive care plan was implemented for 1 (Resident #6) of 2 residents reviewed for falls.
  5. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure physician ordered parameters for administering hypertension medications were followed for 3 (Residents #3, #90 and #394) of 7 residents reviewed for medication management.
  6. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents received respiratory care as ordered by physician for 4 (Residents #35, #58, #3 and #15) of 5 residents reviewed for respiratory care.
  7. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure wound care was accurately documented for 1 (Resident #14) of 2 residents reviewed for wound care.
March 20, 2024Standard inspection · 8 citations
  1. F
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 12, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications were labeled and stored in accordance with currently accepted professional principles in 4 of 4 medication carts reviewed for medication storage.
  2. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 12, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure resident assessments accurately reflected the residents' status for 1 of 3 residents reviewed, Resident #105.
  3. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 12, 2024
    Inspectors wroteBased on record review and interview, the facility failed to develop and implement a baseline care plan to provide effective and person-centered care within 48 hours for 2 of 2 residents with tracheostomy, Residents #256 and #257.
  4. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 12, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure residents who required long-acting insulin received insulin per physician orders for 2 of 6 residents reviewed for unnecessary medications, Residents #17 and #60.
  5. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 12, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure resident rooms were free of accident hazards for 1 of 3 residents reviewed for accidents, Resident #76.
  6. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 12, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents received respiratory care consistent with professional standards of practice for 1 of 3 residents reviewed for respiratory care, Resident #257.
  7. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 12, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food was safely and properly stored and labeled in the areas of kitchen reach-in cooler, and the reach-in, and walk-in freezer, failed to ensure the kitchen equipment were kept clean, and failed to ensure dietary staff had hair covering while in the kitchen area.
  8. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 12, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff performed hand hygiene during medication administration to prevent from possible spread of infection and communicable diseases in 3 of 4 medication administration observations.
November 9, 2022Standard inspection · 3 citations
  1. F
    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
    F847 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 16, 2022
    Inspectors wroteBased on record review and interview, the facility failed to ensure the binding arbitration agreements explicitly granted the resident or his or her representative the right to rescind the agreement within 30 calendar days of signing it for to 3 of 3 reviewed residents, Residents #29, #100, and #152.
  2. D
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 16, 2022
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure nurse staffing information was posted on a daily basis.
  3. D
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    F851 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 16, 2022
    Inspectors wroteBased on record review and interview, the facility failed to comply with mandatory submission of staffing information based on payroll data in a uniform format at least quarterly for Quarter 3 2022 (April 1- June 30).

Fire safety inspections

15 fire safety citations on file: 5 on March 20, 2024, 10 on November 9, 2022.

Every fire safety citation15 citations
  1. E
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · March 20, 2024 · Corrected (the home has a date of correction)
  2. E
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · March 20, 2024 · Corrected (the home has a date of correction)
  3. E
    Have simulated fire drills held at unexpected times.
    K 712 · March 20, 2024 · Corrected (the home has a date of correction)
  4. E
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · March 20, 2024 · Corrected (the home has a date of correction)
  5. E
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · March 20, 2024 · Corrected (the home has a date of correction)
  6. F
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · November 9, 2022 · Corrected (the home has a date of correction)
  7. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · November 9, 2022 · Corrected (the home has a date of correction)
  8. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · November 9, 2022 · Corrected (the home has a date of correction)
  9. E
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · November 9, 2022 · Corrected (the home has a date of correction)
  10. E
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · November 9, 2022 · Corrected (the home has a date of correction)
  11. E
    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
    K 926 · November 9, 2022 · Corrected (the home has a date of correction)
  12. D
    Have stairways and smokeproof enclosures used as exits that meet safety requirements.
    K 225 · November 9, 2022 · Corrected (the home has a date of correction)
  13. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · November 9, 2022 · Corrected (the home has a date of correction)
  14. D
    Have proper power supply for life support equipment.
    K 915 · November 9, 2022 · Corrected (the home has a date of correction)
  15. D
    Ensure proper usage of power strips and extension cords.
    K 920 · November 9, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeFloridaUnited States
All nursing staff (RN, LPN and aides)3.503.823.86
Registered nurses0.300.730.69
All nursing staff on weekends3.213.493.42
Nurse aides2.13
Licensed practical nurses1.07
Nursing staff turnover (share who left in a year)46.9%41.4%45.8%
Registered nurse turnover50.0%46.0%42.9%
Administrators who left1

CMS expects 3.79 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.62 on weekdays and 3.21 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.65 in April to June 2025 to 3.50 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.500.303.623.21 0.3%0 of 90100
Oct to Dec 20253.570.293.673.32 0.2%0 of 9297
Jul to Sep 20253.530.353.603.35 0.6%0 of 9295
Apr to Jun 20253.650.353.673.58 0.5%0 of 9194
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Florida, Jan to Mar 20263.760.703.903.441.1%0.2% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Florida

JobMedianMiddle halfEmployed
Florida, all employers
CNAs (nursing assistants)$18.03$17.33 to $20.3496,960
LPNs and LVNs$29.70$28.14 to $31.1138,620
Registered nurses$40.48$37.82 to $48.64229,940
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Avante at Inverness Inc. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeFloridaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
5.18.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.70.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.71.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.62.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.71.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
0.79.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.64.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
2.68.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
32.626.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
10.29.112.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.12.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.41.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Avante at Inverness Inc's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (44.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

44.7% this home

No different from the national rate

US median of homes 51.5% · Florida: 169 better, 109 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 76 eligible stays.

Potentially preventable readmissions

9.2% this home

No different from the national rate

US median of homes 10.7% · Florida: 2 better, 35 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 103 eligible stays.

Infections that led to a hospital stay

8.9% this home

No different from the national rate

US median of homes 7.1% · Florida: 6 better, 21 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 67 eligible stays.

Self-care and mobility at discharge

62.2% this home

Median of homes: Florida55.1% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 45 residents counted.

Falls with major injury

0.0% this home

Median of homes: Florida0.6% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 69 residents counted.

New or worsened pressure ulcers

2.1% this home

Median of homes: Florida1.3% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 69 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Florida97.7% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 6 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: AVANTE AT INVERNESS, INC.. CMS links this home to Avante Centers, a group of 11 nursing homes averaging 2.5 stars overall.

NameRoleTypeShareSince
Ag Holdings, Inc.5% or greater direct ownership interestOrganization100%10/22/1990
Deena Klurman Kranz 2000 Trust5% or greater indirect ownership interestOrganization8%06/20/1989
Mona Mizrachi 1994 Trust5% or greater indirect ownership interestOrganization8%06/20/1989
Sisel Klurman 2001 Revocable Trust5% or greater indirect ownership interestOrganization25%04/09/2010
Biegasiewicz, KimberlyCorporate directorIndividual02/04/2022
Biegasiewicz, KimberlyCorporate officerIndividual02/04/2022
Hornack, JohnCorporate officerIndividual04/29/2019
Biegasiewicz, KimberlyOperational/managerial controlIndividual02/04/2022
Chopra, ShawnAdp of the SNFIndividual10/13/2025
McCutchen, LorenAdp of the SNFIndividual10/13/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on July 9, 2025: "Ensure each resident receives an accurate assessment."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on July 9, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on July 9, 2025: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
  4. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 2 problems in this area, most recently on November 9, 2022: "Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.21 hours per resident per day, below the Florida average of 3.49.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Assisted living in Inverness

Licensed assisted living homes in the same town or within 5 miles, each with its Florida inspection record.

Assisted living in Florida

Florida contacts for a concern about a nursing home

These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.

Common questions

What is Avante at Inverness Inc's Medicare star rating?
CMS rates Avante at Inverness Inc 4 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Avante at Inverness Inc get at its last inspection?
7 health deficiencies at the standard inspection on July 9, 2025. The Florida average is 7.1.
Has Avante at Inverness Inc been fined?
CMS lists no fines in the last three years.
Does Avante at Inverness Inc accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Avante at Inverness Inc?
CMS lists 10 owners and managers, and links the home to Avante Centers. Legal business name: AVANTE AT INVERNESS, INC..

Sources

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