350 South John Young Parkway, Orlando, FL 32805 · Orange County · (407) 295-5371
120 certified beds, about 91 residents a day · Non profit - Corporation · Medicare and Medicaid since 1993
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105797 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 12, 2025, inspectors cited 11 health deficiencies (the Florida average is 7.1, the national average 9.2).
None of its 18 health citations since February 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 3.39 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.58 of those hours.
78.6% of nursing staff left within the year CMS measured (Florida average 41.4%).
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.
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.
Inspectors wroteBased on record review, and staff interview, the facility failed to submit the Payroll Based Journal (PBJ) for the 4th quarter in the fiscal year (FY) 2024.
Inspectors wroteBased on observation, interview, and record review, the facility failed to complete a Pre admission Screening And Resident Review (PASARR) Level I Screen for 5 of 6 residents reviewed for PASARR that were later identified with a possible Serious Mental Illness (SMI), of a total sample of 34 residents, (#20, #42, #72, #28, and #75).
Inspectors wroteBased on observation, and interview, the facility failed to store food in accordance with professional standards for food service safety, which had the potential to affect all residents who ate meals prepared in the facility's kitchen.
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.
Inspectors wroteBased on interview, and record review, the facility failed to provide proof of consent, refusal, or medical contraindication for pneumococcal vaccine for 3 of 5 residents reviewed for immunizations, of a total sample of 34 residents, (#20, #9, and #59).
Inspectors wroteBased on observation, and interview, the facility failed to ensure residents were treated with dignity by not referring to them according to their care needs, for example, as feeders. This had the potential to affect 2 of 2 residents who required assistance with dining on the East Wing, of a total sample of 34 residents.
Inspectors wroteBased on interview, and record review, the facility failed to refer a resident with identified mental illness for a Level II Preadmission Screening and Resident Review (PASARR) evaluation and determination for 1 of 6 residents reviewed for PASARR, of a total sample of 34 residents, (#87).
Inspectors wroteBased on interview, and record review, the facility failed to ensure residents who required dialysis received services consistent with professional standards of practice including ongoing assessment of the resident's condition and monitoring for complications before and after dialysis treatments. A pattern of a lack of assessments was demonstrated for 1 of 4 residents reviewed for dialysis, of a total sample of 34 residents, (# 10).
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide ongoing monitoring and mitigate triggers of identified past trauma for 2 of 3 residents reviewed for trauma informed care, of a total sample of 34 residents, (#42, and #72).
Inspectors wroteBased on interview, and record review, the facility failed to ensure coordination of hospice services for 1 of 1 resident reviewed for hospice care, of a total sample of 34 residents, (#249).
Inspectors wroteBased on observation, and interview, the facility failed to provide a sanitary environment to help prevent the transmission of communicable diseases by failing to perform hand hygiene between delivering meals to 3 of 15 resident rooms in the East wing.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a secure environment to prevent a vulnerable resident from exiting the facility unsupervised for 1 of 3 residents reviewed for elopement, of a total sample of 34 residents, (#87).
Inspectors wroteBased on observation, interview and record review, the facility failed to prevent medication administration error rate of 5% or greater for 2 of 4 residents sampled for medication administration, (#37,#16). There were 2 medication errors in 27 opportunities for a medication error rate of 7.41%.
Inspectors wroteBased on record review and interview, the facility failed to ensure a Minimum Data Set (MDS) Discharge assessment was transmitted within the required 14-day time frame for one of 1 of 31 sampled residents, (#1).
Inspectors wroteBased on interview and record review, the facility failed to ensure a Minimum Data Set (MDS) assessment accurately reflected resident status related to location prior to re-entry for 1 of 4 residents reviewed for accidents, out of a total sample of 31 residents, (#38).
Inspectors wroteBased on observation, interview, and record review, the facility failed to re-assess significant weight loss of 1 of 2 residents identified at nutritional risk, of a total sample of 31 residents, (#25).
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide appropriate care and services related to following physician orders for 1 of 1 resident sampled for gastric tube (GT) feedings out of a total sample of 31 residents, (#389).
Inspectors wroteBased on observation, interview, and record review, the facility failed to obtain a physician order for oxygen therapy for 1 of 1 resident sampled for respiratory care out of a total sample of 31 residents, (#389).
3 fire safety citations on file: 1 on July 29, 2023, 2 on February 17, 2022.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Florida | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.39 | 3.82 | 3.86 |
| Registered nurses | 0.58 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.25 | 3.49 | 3.42 |
| Nurse aides | 2.25 | ||
| Licensed practical nurses | 0.56 | ||
| Nursing staff turnover (share who left in a year) | 78.6% | 41.4% | 45.8% |
| Registered nurse turnover | 79.2% | 46.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.29 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.44 on weekdays and 3.25 on weekends, 6% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.41 in April to June 2025 to 3.39 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.39 | 0.58 | 3.44 | 3.25 | 0.6% | 0 of 90 | 91 |
| Oct to Dec 2025 | 3.49 | 0.68 | 3.55 | 3.34 | 0.7% | 0 of 92 | 90 |
| Jul to Sep 2025 | 3.47 | 0.67 | 3.52 | 3.37 | 1.7% | 0 of 92 | 92 |
| Apr to Jun 2025 | 3.41 | 0.63 | 3.40 | 3.43 | 0.6% | 0 of 91 | 94 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Florida, Jan to Mar 2026 | 3.76 | 0.70 | 3.90 | 3.44 | 1.1% | 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
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.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Florida, all employers | |||
| CNAs (nursing assistants) | $18.03 | $17.33 to $20.34 | 96,960 |
| LPNs and LVNs | $29.70 | $28.14 to $31.11 | 38,620 |
| Registered nurses | $40.48 | $37.82 to $48.64 | 229,940 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Florida | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 22.4 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.6 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 23.7 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.9 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.4 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 35.1 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.1 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Guardian Care Nursing & Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (47.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
47.6% 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. 39 eligible stays.
9.6% 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. 65 eligible stays.
9.7% 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. 38 eligible stays.
66.7% 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. 21 residents counted.
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. 41 residents counted.
1.8% 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. 41 residents counted.
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. 5 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.
Legal business name: GUARDIAN CARE, INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Abrahams, Eloise | W-2 managing employee | Individual | 12/10/2012 | |
| Abrahams, Eloise | Corporate director | Individual | 12/10/2012 | |
| Garrett, Mark | Corporate officer | Individual | 12/07/2011 | |
| Reddick, Alzo | Corporate officer | Individual | 12/07/2011 | |
| Richardson, Johnny | Corporate officer | Individual | 12/07/2011 | |
| Ricks, Jim | Corporate officer | Individual | 12/07/2011 |
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.
Chosen from this home's own inspection record.
These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.