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Hunters Creek Nursing and Rehab Center

14155 Town Loop Blvd, Orlando, FL 32837 · Orange County · (407) 541-2600

116 certified beds, about 109 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1998

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 105987 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 18, 2024, inspectors cited 4 health deficiencies (the Florida average is 7.1, the national average 9.2).

Of 14 health citations since November 2021, 3 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists 3 fines totaling $67,191 in the last three years; the largest was $51,545, and the latest is dated November 14, 2024.

Nurses and nurse aides worked 4.03 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.76 of those hours.

35.6% of nursing staff left within the year CMS measured (Florida average 41.4%).

CMS links it to Sovereign Healthcare Holdings, an affiliated group of 43 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 14 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
9D
1E
1F
Potential for minimal harm
0A
0B
0C
May 22, 2026Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) June 15, 2026
    Inspectors wroteBased on interview, and record review, the facility failed to accurately obtain and document fluid intake for a resident on a fluid restriction for 1 of 2 residents reviewed for hydration status, out of a total sample of 11 residents, (#2).
December 18, 2024Standard inspection · 4 citations
  1. F
    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, widespread · Corrected (the home has a date of correction) January 19, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food products were stored correctly in the walk-in cooler, and failed to ensure the temperature of hot foods being held was taken before service in accordance with professional food service safety.
  2. E
    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, pattern · Corrected (the home has a date of correction) January 19, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents were treated with dignity for 4 of 15 dependent diners at the facility, out of a total sample of 32 residents, (#11 and #48). 1. Review of resident #11's medical record revealed she was readmitted to the facility on [DATE] with diagnoses including dementia, hemiplegia (one-sided paralysis) and hemiparesis (one-sided weakness) following a stroke affecting her right dominant side, dysphagia (difficulty swallowing), and aphasia (language disorder). Review of resident #11's Minimum Data Set quarterly assessment with Assessment Reference Date of 11/05/24 revealed a Brief Interview for Mental Status was not obtained because she was rarely or never understood. The assessment showed resident #11 was dependent on staff for eating and received a mechanically altered diet. [...]
  3. D
    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, isolated · Corrected (the home has a date of correction) January 19, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to address a pharmacy recommendation for 1 of 5 residents reviewed for unnecessary medications, out of a total sample of 32 residents, (#75).
  4. D
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    F801 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 19, 2025
    Inspectors wroteBased on interview, and record review, the facility failed to ensure staff had the appropriate competencies and skills sets to carry out the functions of food and nutrition service to prevent potential food borne illness for 1 of 3 residents reviewed for food, of a total sample of 32 residents, (#1).
November 14, 2024Complaint inspection · 3 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 14, 2024
    Inspectors wroteBased on interview, and record review, the facility failed to provide appropriate care and services, consistent with professional standards of practice, to adequately evaluate skin integrity and promptly intervene to prevent the development and worsening of a pressure injury for 1 of 4 residents reviewed for pressure injuries, of a total sample of 9 residents, (#1). The facility's failure to identify early stages of skin breakdown, promptly initiate wound care and treatment, and develop nursing interventions to promote wound healing resulted in actual physical and psychosocial harm for resident #1. The resident's skin was intact on admission to the facility and within 12 days, she was diagnosed with a stage 4, full-thickness skin loss pressure injury. Two days later, resident #1 was transferred to the hospital for signs of a possible wound infection. [...]
  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 · found on a complaint visit · Corrected (the home has a date of correction) December 14, 2024
    Inspectors wroteBased on interview, and record review, the facility failed to ensure a Minimum Data Set (MDS) assessment accurately reflected a skin condition related to an acquired pressure injury for 1 of 4 residents reviewed for pressure injuries, of a total sample of 9 residents, (#1).
  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 · found on a complaint visit · Corrected (the home has a date of correction) December 14, 2024
    Inspectors wroteBased on interview, and record review, the facility failed to develop, implement, and update an appropriate baseline care plan to mitigate risk factors for skin impairment, and failed to incorporate person-centered interventions to promote healing for an acquired pressure injury for 1 of 4 residents reviewed for pressure injuries, of a total sample of 9 residents, (#1).
September 20, 2024Complaint inspection · 2 citations
  1. J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview, and record review, the facility failed to protect the resident's right to be free from neglect by not ensuring staff implemented measures to mitigate the risk and prevent elopement for 1 of 3 residents reviewed for elopement, of a total sample of 13 residents, (#1). These failures contributed to the elopement of resident #1 and placed him at risk for serious injury, harm, and/or death. While resident #1 was out of the facility unsupervised, there was likelihood he could have died, been accosted by unknown persons, become lost, or hit by a vehicle. On 9/04/24, resident #1, a [AGE] year-old male was admitted to the facility from the hospital. [...]
  2. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide adequate supervision and a secure environment to prevent elopement for 1 of 3 residents reviewed for elopement, of a total sample of 13 residents, (#1). These failures contributed to the elopement of resident #1 and placed him at risk for serious life-threatening injury or even death. While resident #1 was out of the facility unsupervised, there was high likelihood he could have sustained serious life-threatening injuries, become lost, been accosted by a stranger, or hit by a motor vehicle and died. On 9/09/24 at 6:28 PM, resident #1 exited the facility's front entrance when the receptionist unlocked the door for him to leave the facility. He walked approximately 0.2 miles across a highly trafficked 4-lane road with a curbed median and into an apartment complex. [...]
December 18, 2023Complaint inspection · 1 citation
  1. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 16, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure 1 of 3 residents reviewed for Dialysis received timely care and services to mitigate the risk for development of serious complications, from a total sample of 5 residents, (#3).
June 29, 2023Standard inspection · 2 citations
  1. 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) July 31, 2023
    Inspectors wroteBased on interview and record review, the facility failed to implement physician's orders for laboratory testing for 1 of 5 residents reviewed for medication regimen review from a total sample of 38 residents, (#87).
  2. 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) July 31, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain proper infection control practices to prevent contamination during wound care for 1 of 3 residents observed for wound care out of a total sample of 38 residents, (#1).
November 17, 2021Standard inspection · 1 citation
  1. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 17, 2021
    Inspectors wroteBased on interview and record review, the facility failed to provide pharmaceutical services to ensure medications were administered according to physician orders for 1 of 6 sampled residents, of a total sample of 49 residents, (#70).

Fire safety inspections

1 fire safety citation on file: 1 on June 29, 2023.

Every fire safety citation1 citation
  1. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · June 29, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
November 14, 2024Fine $51,545
September 20, 2024Fine $7,823
September 20, 2024Fine $7,823

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

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)4.033.823.86
Registered nurses0.760.730.69
All nursing staff on weekends3.583.493.42
Nurse aides2.42
Licensed practical nurses0.85
Nursing staff turnover (share who left in a year)35.6%41.4%45.8%
Registered nurse turnover55.0%46.0%42.9%
Administrators who left2

CMS expects 4.10 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 4.21 on weekdays and 3.58 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.95 in April to June 2025 to 4.03 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.030.764.213.58 0.1%0 of 90109
Oct to Dec 20254.190.794.353.79 0.0%0 of 92109
Jul to Sep 20254.020.644.133.73 0.0%0 of 92108
Apr to Jun 20253.950.764.103.58 0.0%0 of 91107
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.

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
3.28.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.30.71.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.12.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.61.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
2.79.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
9.24.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
10.08.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
31.026.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
6.29.112.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.52.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.91.11.8

Owners and operators

Legal business name: SOVEREIGN HEALTHCARE OF ORLANDO LLC. CMS links this home to Sovereign Healthcare Holdings, a group of 43 nursing homes averaging 3.7 stars overall.

NameRoleTypeShareSince
Cronquist 2015 Family TrIndirect ownership interestOrganization12/31/2015
Mangine, JohnIndirect ownership interestIndividual06/25/2012
Berkadia Commercial Mortgage LLC5% or greater security interestOrganization07/14/2014
Fl Hunters Creek Holdings LLC5% or greater security interestOrganization05/19/2009
Health Services Properties LLC5% or greater security interestOrganization05/19/2009
Chery, DawnManaging control - governing bodyIndividual06/08/2017
Gerrity, HenryManaging control - governing bodyIndividual04/01/2014
Kaar, SusanManaging control - governing bodyIndividual10/01/2003
Cronquist, RoyceCorporate officerIndividual02/01/2018
Kelly, MichelleCorporate officerIndividual02/01/2018
Melton, DonaldCorporate officerIndividual02/15/2009
Southern Healthcare Management LLCOperational/managerial controlOrganization10/01/2003
Sovereign Healthcare Disbursements LLCOperational/managerial controlOrganization10/01/2003
Britton, MarkOperational/managerial controlIndividual12/01/2024
Jicha, JosephOperational/managerial controlIndividual05/14/2025
Melton, DonaldOperational/managerial controlIndividual02/15/2009
Notermann, WilliamOperational/managerial controlIndividual06/15/2023
Notermann, BrendaIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/23/2025
Fl Hunters Creek Holdings LLCAdp of the SNFOrganization05/19/2009
Forvis Mazars LLPAdp of the SNFOrganization01/01/2025
Health Services Properties LLCAdp of the SNFOrganization04/29/2025
Southern Healthcare Management LLCAdp of the SNFOrganization04/23/2025
Sovereign Healthcare Disbursements LLCAdp of the SNFOrganization04/29/2025
Britton, MarkAdp of the SNFIndividual12/01/2024
Chery, DawnAdp of the SNFIndividual06/08/2017
Cronquist, RoyceAdp of the SNFIndividual02/01/2018
Gerrity, HenryAdp of the SNFIndividual04/01/2014
Jicha, JosephAdp of the SNFIndividual05/14/2025
Kaar, SusanAdp of the SNFIndividual10/01/2003
Kelly, MichelleAdp of the SNFIndividual09/18/2018
Mangine, JohnAdp of the SNFIndividual10/11/2017
Melton, DonaldAdp of the SNFIndividual02/15/2009
Notermann, WilliamAdp of the SNFIndividual06/15/2023

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. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on May 22, 2026: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on November 14, 2024: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on December 18, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on December 18, 2024: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
  5. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

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Common questions

What is Hunters Creek Nursing and Rehab Center's Medicare star rating?
CMS rates Hunters Creek Nursing and Rehab Center 4 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Hunters Creek Nursing and Rehab Center get at its last inspection?
4 health deficiencies at the standard inspection on December 18, 2024. The Florida average is 7.1.
Has Hunters Creek Nursing and Rehab Center been fined?
Yes. CMS lists 3 fines totaling $67,191 in the last three years.
Does Hunters Creek Nursing and Rehab Center 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 Hunters Creek Nursing and Rehab Center?
CMS lists 33 owners and managers, and links the home to Sovereign Healthcare Holdings. Legal business name: SOVEREIGN HEALTHCARE OF ORLANDO LLC.

Sources

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