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Aviata at Kissimmee Gardens

1120 W Donegan Ave, Kissimmee, FL 34741 · Osceola County · (407) 847-2854

120 certified beds, about 116 residents a day · For profit - Corporation · Medicare and Medicaid since 2006

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 106074 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 15, 2026, inspectors cited 3 health deficiencies (the Florida average is 7.1, the national average 9.2).

None of its 19 health citations since October 2023 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 3.39 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.89 of those hours.

32.0% of nursing staff left within the year CMS measured (Florida average 41.4%).

CMS links it to Aviata Health Group, an affiliated group of 50 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 19 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
16D
2E
0F
Potential for minimal harm
0A
0B
1C
January 15, 2026Standard inspection · 3 citations
  1. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 11, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to honor a resident's preference and did not respond timely to resident's request for a Coronavirus Disease 2019 (COVID-19) booster vaccine for 1 of 4 residents reviewed for choices, of a total sample of 40 residents, (#113).
  2. 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) February 11, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain accurate documentation for application and removal of Thromboembolic Deterrent (TED) hose for 1 out of 1 residents sampled for application of TED hose, of a total sample of 40 residents, (#45).
  3. 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) February 11, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow appropriate hand hygiene during medication administration and failed to sanitize equipment between residents per infection control standards to prevent cross-contamination and the spread of infection, for 1 of 4 nurses reviewed for medication administration.
April 18, 2024Standard inspection · 12 citations
  1. E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 18, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure sufficient nursing staff was available on 2 of 3 units to meet residents' needs related to timely administration of scheduled medications, (Cliffstone and Pebblestone).
  2. E
    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, pattern · Corrected (the home has a date of correction) May 18, 2024
    Inspectors wroteBased on observation and interview, the facility failed to ensure beverages and dishware were stored and served in a safe and sanitary manner to prevent foodborne illness.
  3. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 18, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to promote dignity in dining for 3 of 3 residents reviewed for dignity, of a total sample of 46 residents, (#77, #86, and #265).
  4. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 18, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure an evaluation for self-administration of medication was conducted and failed to obtain a physician's order for self-administration of medication for 1 of 10 residents reviewed for choices, of a total sample of 46 residents, (#30).
  5. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 18, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to revise care plans to reflect accurate, appropriate, and individualized interventions related to showers/bathing and eating needs for 3 of 8 residents reviewed for activities of daily living (ADLs), of a total sample of 46 residents, (#31, #77 and #86).
  6. 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) May 18, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to identify, and obtain physician orders for treatment of non-pressure related skin conditions for 2 of 2 residents reviewed for non-pressure related skin conditions, of a total sample of 46 residents, (#42, & #56).
  7. D
    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.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 18, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure Occupational Therapy (OT) recommendation for Restorative Nurse Program (RNP) for Range of Motion (ROM) was initiated and maintained for 1 of 1 resident reviewed for limited ROM, of a total sample of 46 residents, (#47).
  8. 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) May 18, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure oxygen therapy was administered per physician orders for 2 of 2 residents reviewed for oxygen therapy, of a total sample of 46 residents, (#14 and #58).
  9. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 18, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure medications were administered within the designated guidelines, and per professional standard and practices, for 2 of 7 residents observed during medication administration, of a total sample of 46 residents, (#30, & #90).
  10. D
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 18, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure the Quality Assessment & Assurance (QAA) / Quality Assurance and Performance Improvement (QAPI) committee conducted performance improvement activities to ensure prior improvement measures were sustained for self administration of medications.
  11. 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) May 18, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide a safe and sanitary environment while handling linens to prevent cross-contamination and spread of infection and failed to follow appropriate hand hygiene and personal protective equipment (PPE) practices per infection control standards.
  12. D
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 18, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a resident's bathroom was adequately equipped to allow residents to call for staff assistance through a communication system in 1 of 6 resident rooms reviewed for environmental status, (room [ROOM NUMBER]).
October 26, 2023Standard inspection, Complaint inspection · 4 citations
  1. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 24, 2023
    Inspectors wroteBased on interview, and record review, the facility failed to ensure an evaluation for self-administration of medication was conducted for 1 of 1 resident of a total sample of 44 residents, (#151).
  2. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 24, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure an individualized activity program based on preferences and plan of care was provided for 1 of 2 dependent residents reviewed for Activities, of a total sample of 44 residents, (#73).
  3. D
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 24, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a Midline intravenous dressing was changed in accordance with professional standards to prevent the potential for infection for 1 of 1 resident reviewed of a total sample of 44 residents, (#152).
  4. C
    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
    F847 · Administration · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) November 24, 2023
    Inspectors wroteBased on interview, and record review, the facility failed to ensure binding arbitration agreements explicitly granted the resident or their representative the right to rescind the contract within 30 calendar days of signing for 2 of 3 residents reviewed for arbitration agreements, (#202, #250).

Fire safety inspections

6 fire safety citations on file: 3 on January 15, 2026, 1 on April 18, 2024, 2 on October 26, 2023.

Every fire safety citation6 citations
  1. F
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · January 15, 2026 · Corrected (the home has a date of correction)
  2. D
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · January 15, 2026 · Corrected (the home has a date of correction)
  3. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 15, 2026 · Corrected (the home has a date of correction)
  4. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 18, 2024 · Corrected (the home has a date of correction)
  5. F
    Conduct testing and exercise requirements.
    E 39 · October 26, 2023 · Corrected (the home has a date of correction)
  6. D
    Install an approved automatic sprinkler system.
    K 351 · October 26, 2023 · 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)3.393.823.86
Registered nurses0.890.730.69
All nursing staff on weekends3.203.493.42
Nurse aides2.10
Licensed practical nurses0.40
Nursing staff turnover (share who left in a year)32.0%41.4%45.8%
Registered nurse turnover24.0%46.0%42.9%
Administrators who left0

CMS expects 3.69 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 3.47 on weekdays and 3.20 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.35 in April to June 2025 to 3.39 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.390.893.473.20 0.0%0 of 90116
Oct to Dec 20253.390.923.483.18 0.0%0 of 92113
Jul to Sep 20253.390.943.483.14 0.0%0 of 92114
Apr to Jun 20253.350.883.453.09 0.0%0 of 91115
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 Aviata at Kissimmee Gardens. 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
6.38.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.40.30.8
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
1.12.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.81.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
6.89.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.84.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
10.38.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
36.726.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
3.29.112.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.62.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.21.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Aviata at Kissimmee Gardens's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (32.9% 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

32.9% this home

Worse than 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. 38 eligible stays.

Potentially preventable readmissions

10.3% 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. 67 eligible stays.

Infections that led to a hospital stay

7.0% 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. 27 eligible stays.

Self-care and mobility at discharge

50.9% 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. 59 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. 88 residents counted.

New or worsened pressure ulcers

0.9% 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. 88 residents counted.

Medication list given at discharge

95.5% this home

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. 22 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: WEST DONEGAN AVE SNF OPCO LLC. CMS links this home to Aviata Health Group, a group of 50 nursing homes averaging 2.4 stars overall.

NameRoleTypeShareSince
West Donegan SNF Parent LLCDirect ownership interestOrganization09/01/2023
Keystone SNF Holdco LLCIndirect ownership interestOrganization09/01/2023
Freund, NochumCorporate officerIndividual09/01/2023
Freund, NochumOperational/managerial controlIndividual09/01/2023
Mishra, AbhishekOperational/managerial controlIndividual10/26/2020
Steptoe, ChanelOperational/managerial controlIndividual09/01/2023
Dagan, AmitaiIndividual is an owner, partner or trustee of any ADP of the SNFIndividual11/04/2025
Goldberger, AbrahamIndividual is an owner, partner or trustee of any ADP of the SNFIndividual07/10/2025
Goldberger, FaigyIndividual is an owner, partner or trustee of any ADP of the SNFIndividual11/04/2025
Herskowitz, EliezerIndividual is an owner, partner or trustee of any ADP of the SNFIndividual07/10/2025
Herskowitz, YaakovIndividual is an owner, partner or trustee of any ADP of the SNFIndividual07/10/2025
Travitsky, AaronIndividual is an owner, partner or trustee of any ADP of the SNFIndividual07/10/2025
Aspire Mgt LLCAdp of the SNFOrganization09/01/2023
Mishra, AbhishekAdp of the SNFIndividual10/26/2020
Steptoe, ChanelAdp of the SNFIndividual09/01/2023

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. 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 April 18, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on January 15, 2026: "Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on January 15, 2026: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on January 15, 2026: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.20 hours per resident per day, below the Florida average of 3.49.

Other nursing homes nearby

Assisted living in Kissimmee

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 Aviata at Kissimmee Gardens's Medicare star rating?
CMS rates Aviata at Kissimmee Gardens 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Aviata at Kissimmee Gardens get at its last inspection?
3 health deficiencies at the standard inspection on January 15, 2026. The Florida average is 7.1.
Has Aviata at Kissimmee Gardens been fined?
CMS lists no fines in the last three years.
Does Aviata at Kissimmee Gardens 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 Aviata at Kissimmee Gardens?
CMS lists 15 owners and managers, and links the home to Aviata Health Group. Legal business name: WEST DONEGAN AVE SNF OPCO LLC.

Sources

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