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Kissimmee Health and Rehabilitation Center

320 N Mitchell St., Kissimmee, FL 34741 · Osceola County · (407) 847-7200

59 certified beds, about 57 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1981

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 105379 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 28, 2026, inspectors cited 6 health deficiencies (the Florida average is 7.1, the national average 9.2).

None of its 25 health citations since February 2024 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 3.47 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.98 of those hours.

24.5% of nursing staff left within the year CMS measured (Florida average 41.4%).

CMS links it to Simcha Hyman & Naftali Zanziper, an affiliated group of 79 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 25 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
17D
5E
3F
Potential for minimal harm
0A
0B
0C
May 28, 2026Standard inspection · 6 citations
  1. 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) June 26, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure Minimum Data Set (MDS) assessments accurately reflected prognosis of life for 1 of 1 resident reviewed for hospice services, (#11) and failed to accurately reflect a treatment for skin impairment for 1 of 1 resident reviewed for skin conditions, (#54), out of a total sample of 23 residents.
  2. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 26, 2026
    Inspectors wroteBased on interview, and record review, the facility failed to resubmit an accurate Preadmission Screening and Resident Review (PASRR) upon admission and after a change in condition for a resident diagnosed with Serious Mental Illnesses (SMI) and Intellectual Disability (ID) for 1 of 1 residents reviewed for PASARR, out of a total sample of 23 residents, (#46).
  3. 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) June 26, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to revise a comprehensive person-centered care plan for 1 out of 23 residents reviewed for care plans, of a total sample of 23 residents, (#3).
  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) June 26, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide appropriate assessment, treatment, and implement ordered interventions for 1 of 1 resident reviewed for skin conditions, out of a total sample of 23 residents, (#54).
  5. 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) June 26, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide pharmaceutical services related to accurate interpretation of a physician order, and inaccurate administration and documentation of medications for 1 of 4 residents reviewed for medication pass, (#47); and failed to appropriately dispose of medications, (#67), for 1 of 4 residents reviewed for medication pass, out of a total sample of 23 residents.
  6. 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) June 26, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow appropriate hand hygiene during medication administration in accordance with infection control standards to prevent the spread of infection for 1 of 4 nurses reviewed for medication administration, (Registered Nurse E).
May 29, 2025Standard inspection · 6 citations
  1. F
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 29, 2025
    Inspectors wroteBased on observation, and interviews, the facility failed to post a complete Nurse Staffing report in a place readily accessible to residents, staff, and visitors.
  2. F
    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, widespread · Corrected (the home has a date of correction) June 29, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure qualified staff had the appropriate competencies and skill sets to carry out management and oversight of the food and nutrition services as demonstrated by numerous irregularities including labeling/dating food, training to staff on food safety and preparation, and logs for the dish machine, which had the potential to affect all 53 of 53 residents residing and eating at the facility.
  3. 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) June 29, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to label and date stored food in accordance with professional standards for food safety, failed to ensure the dish machine was operated at proper temperatures and sanitizer was dispensed at proper concentrations, and failed to ensure nutritional supplements and residents' food brought in from family were dated and discarded when expired to prevent foodborne illness. These deficiencies had the potential to affect all the 53 residents residing and eating at the facility.
  4. E
    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, pattern · Corrected (the home has a date of correction) June 29, 2025
    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.
  5. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 29, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to implement appropriate dietary recommendations to treat significant weight loss for 2 out of 3 residents reviewed for nutrition, of a total sample of 31 residents, (#43, and #25).
  6. 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) June 29, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain accurate documentation for medication administration for 1 of 7 residents reviewed for medication administration, of a total sample of 31 residents, (#10).
April 30, 2024Complaint inspection · 1 citation
  1. D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · 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) May 30, 2024
    Inspectors wroteBased on interview and record review, the facility failed to follow their grievance process related to expressed concerns for care for 2 of 3 residents reviewed for grievances, of a total sample of 8 residents, (#2 and #4).
February 29, 2024Standard inspection, Complaint inspection · 12 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) March 25, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure nurses monitored complication risks for 1 of 1 resident reviewed for Dialysis, of a total sample of 27 residents, (#5).
  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) March 25, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure food was stored in a safe and sanitary manner in the kitchen's walk in refrigerator and 1 of 1 nourishment room and failed to ensure 2 of 3 employees observed followed appropriate hygienic practices in food preparation areas.
  3. E
    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, pattern · Corrected (the home has a date of correction) March 25, 2024
    Inspectors wroteBased on interview, and record review, the facility failed to fully implement and monitor Performance Improvement Plans (PIPs) for identified resident care deficits.
  4. E
    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
    F882 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 25, 2024
    Inspectors wroteBased on interview, and record review, the facility failed to provide evidence of the Infection Preventionist's (IP) qualifications for 1 out of 1 staff reviewed for specialized training in infection prevention and control.
  5. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 25, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure 1 of 1 resident with physical limitations reviewed for Environment was provided call light device access, of a total sample of 27 residents, (#5).
  6. 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 · found on a complaint visit · Corrected (the home has a date of correction) March 25, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to honor resident's rights to choose their preferred morning wake-up time for 1 of 6 residents reviewed for choices out of a total sample of 27 residents, (#22).
  7. D
    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
    F568 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 25, 2024
    Inspectors wroteBased on interview and record review, the facility failed to provide personal fund quarterly statements to 1 out of 1 resident reviewed for personal funds out of a total sample of 27 residents, (#44).
  8. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 25, 2024
    Inspectors wroteBased on interview, and record review, the facility failed to clarify code status related to a Do Not Resuscitate Order (DNRO) for 1 of 2 residents reviewed for Advance Directives of a total sample of 27 residents, (#57)
  9. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 25, 2024
    Inspectors wroteBased on interview, and record review, the facility failed to provide Advance Beneficiary Notification of Non-Coverage to 2 out of 3 residents reviewed for skilled nursing facility beneficiary notices out of a total of 27 sampled residents, (#7 and #48).
  10. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 25, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow physician orders to prevent gastrostomy tube feeding complications and adequate hydration for 1 of 1 resident reviewed for gastric tube feeding out of a total sample of 27 residents, (#212).
  11. 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) March 25, 2024
    Inspectors wroteBased on interview, and record review, the facility failed to ensure the Consultant Pharmacist's recommendations were acted upon in a timely manner for 3 of 5 residents reviewed for unnecessary medications of a total sample of 27 residents, (#1, #28, #45).
  12. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 25, 2024
    Inspectors wroteBased on interview and record review, the facility failed to clarify an order for Voltaren gel 1%, that did not have directions for required amount of medication to be used for 2 of 5 residents reviewed for unnecessary medications of a total sample of 27 residents, (#23, #213).

Fire safety inspections

7 fire safety citations on file: 7 on February 29, 2024.

Every fire safety citation7 citations
  1. F
    Conduct testing and exercise requirements.
    E 39 · February 29, 2024 · Corrected (the home has a date of correction)
  2. E
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · February 29, 2024 · Corrected (the home has a date of correction)
  3. E
    Address subsistence needs for staff and patients.
    E 15 · February 29, 2024 · Corrected (the home has a date of correction)
  4. E
    Establish policies and procedures including evacuation.
    E 20 · February 29, 2024 · Corrected (the home has a date of correction)
  5. E
    List the names and contact information of those in the facility.
    E 30 · February 29, 2024 · Corrected (the home has a date of correction)
  6. E
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · February 29, 2024 · Corrected (the home has a date of correction)
  7. D
    Implement emergency and standby power systems.
    E 41 · February 29, 2024 · 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)3.473.823.86
Registered nurses0.980.730.69
All nursing staff on weekends3.193.493.42
Nurse aides2.09
Licensed practical nurses0.40
Nursing staff turnover (share who left in a year)24.5%41.4%45.8%
Registered nurse turnover35.3%46.0%42.9%
Administrators who left0

CMS expects 3.33 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 3.59 on weekdays and 3.19 on weekends, 11% 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 3.74 in April to June 2025 to 3.47 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.470.983.593.19 0.0%0 of 9057
Oct to Dec 20253.520.943.663.16 0.0%0 of 9256
Jul to Sep 20253.931.044.063.59 0.0%0 of 9255
Apr to Jun 20253.741.093.903.35 0.0%0 of 9153
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
17.48.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.30.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.60.71.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.72.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
19.09.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.34.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
5.38.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
26.626.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
10.49.112.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.82.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.51.11.8

Owners and operators

Legal business name: OAKS OF KISSIMMEE OPERATIONS LLC. CMS links this home to Simcha Hyman & Naftali Zanziper, a group of 79 nursing homes averaging 2.7 stars overall.

NameRoleTypeShareSince
Marquez, SimonW-2 managing employeeIndividual11/03/2020
Gorelick, BatyaCorporate officerIndividual05/01/2021

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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on April 30, 2024: "Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on May 28, 2026: "Ensure each resident receives an accurate assessment."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on May 28, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on May 28, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.19 hours per resident per day, below the Florida average of 3.49.

Other nursing homes nearby

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Common questions

What is Kissimmee Health and Rehabilitation Center's Medicare star rating?
CMS rates Kissimmee Health and Rehabilitation Center 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Kissimmee Health and Rehabilitation Center get at its last inspection?
6 health deficiencies at the standard inspection on May 28, 2026. The Florida average is 7.1.
Has Kissimmee Health and Rehabilitation Center been fined?
CMS lists no fines in the last three years.
Does Kissimmee Health and Rehabilitation 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 Kissimmee Health and Rehabilitation Center?
CMS lists 2 owners and managers, and links the home to Simcha Hyman & Naftali Zanziper. Legal business name: OAKS OF KISSIMMEE OPERATIONS LLC.

Sources

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