Oaks at Avon
1010 Us 27 N, Avon Park, FL 33825 · Highlands County · (863) 453-5200
104 certified beds, about 96 residents a day · For profit - Corporation · Medicare and Medicaid since 1993
Last standard inspection more than 2 years ago 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 105780 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 11, 2024, inspectors cited 6 health deficiencies (the Florida average is 7.1, the national average 9.2).
None of its 11 health citations since March 2020 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 3.21 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.
46.8% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Florida Institute for Long-Term Care, an affiliated group of 17 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.
403/20
012/21
606/24
101/26
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 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
4E
1F
Potential for minimal harm
0A
0B
0C
January 20, 2026Complaint inspection · 1 citation
- E Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure all resident rooms had maintained and working call light/call light devices in one of two units and on three of three halls (100, 200, and 300) to include resident rooms 101, 102, 200, 202, 204, 209, 304, and 300.
June 11, 2024Standard inspection · 6 citations
- F Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Inspectors wroteBased on observation and interview, the facility failed to ensure previous survey/inspection results were readily available for residents and families to review for a census of 95 residents.
- E PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on record review and interview, the facility failed to ensure the Preadmission Screening and Resident Review form (PASRR) was completed to include accurate admission diagnoses, and updated when new diagnoses were added for five residents (#83, #86, #200, #201 and #74) of 15 residents sampled.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure the kitchen was maintained in a clean and sanitary manner related to not ensuring the dishwashing machine reached the required wash temperature, not sanitizing beverage carts prior to beverage service, not ensuring cookware was in good condition, and not ensuring expired food was removed from the walk in refrigerator that could potentially affect 87 residents of a census of 95.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on interviews and record review the facility did not ensure the recommendations from a Level II Preadmission Screening and Resident Review (PASRR) were initiated for one resident (#7) out of 15 residents sampled.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure respiratory care and services were provided in accordance with professional standards for two residents (#44 and #206) of ten residents sampled for oxygen therapy.
- D Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, interview and record review the facility failed to maintain a safe and homelike environment related to an unsecured toilet in one bathroom (Rm 405) shared by two independent residents of a sample of 10 resident bathrooms.
December 3, 2021Standard inspection · 0 citations
March 6, 2020Standard inspection · 4 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and facility record review, the facility failed to 1. maintain the kitchen and one (North) of two nourishment rooms in a clean and sanitary manner related to thick charred residue on baking sheets and reach in oven, charred aluminum foil in the reach in oven, staff item found in prep area and storage of a personal ice pack, and 2. date a food item, and 3. ensure evening dairy snacks were kept cold after delivery for two (North and South) of two nursing units.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview and record review the facility failed to honor a resident's right for dignity for 2 residents (#21, #31) of 42 sampled residents, related to not ensuring a resident's privacy of their body (#21), and by not covering a urinary catheter bag (#31).
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview, record review, and policy review, the facility did not ensure a medication error rate of less than 5 percent in regards to 3 errors in 32 opportunities for three residents Resident #78, Resident #237, and Resident #24 out of 7 residents sampled, resulting in a 9.38% medication error rate.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, and review of manufacturer's instructions, the facility did not ensure that infection control standards were maintained regarding the cleaning and sanitization of a glucometer after use on one resident (#11) out of two residents observed for blood glucose monitoring.
Fire safety inspections
4 fire safety citations on file: 4 on June 11, 2024.
Every fire safety citation4 citations
- F 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.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Have generator or other power source capable of supplying service within 10 seconds.
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.
| Measure | This home | Florida | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.21 | 3.82 | 3.86 |
| Registered nurses | 0.39 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.02 | 3.49 | 3.42 |
| Nurse aides | 2.01 | ||
| Licensed practical nurses | 0.80 | ||
| Nursing staff turnover (share who left in a year) | 46.8% | 41.4% | 45.8% |
| Registered nurse turnover | 64.3% | 46.0% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.77 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 3.29 on weekdays and 3.02 on weekends, 8% 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 3.52 in April to June 2025 to 3.21 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 | 3.21 | 0.39 | 3.29 | 3.02 | 0.1% | 1 of 90 | 96 |
| Oct to Dec 2025 | 3.29 | 0.36 | 3.36 | 3.10 | 0.1% | 0 of 92 | 92 |
| Jul to Sep 2025 | 3.43 | 0.41 | 3.54 | 3.16 | 0.0% | 0 of 92 | 88 |
| Apr to Jun 2025 | 3.52 | 0.45 | 3.66 | 3.17 | 0.0% | 0 of 91 | 93 |
| 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.
Quality measures
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 | 4.0 | 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 | 0.0 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.5 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.8 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.2 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.9 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.2 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.4 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.3 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.1 | 1.8 |
Owners and operators
Legal business name: FI-THE OAKS, LLC. CMS links this home to Florida Institute for Long-Term Care, a group of 17 nursing homes averaging 2.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Fi-the Oaks, LLC | 5% or greater direct ownership interest | Organization | 100% | 12/23/2002 |
| Florida Institute for Long Term Care LLC | 5% or greater indirect ownership interest | Organization | 12/23/2002 | |
| Jaffe, Howard | Corporate officer | Individual | 07/01/2014 | |
| Katz-Hall, Kathy | Corporate officer | Individual | 07/01/2014 | |
| Mullarkey, James | Corporate officer | Individual | 07/01/2014 | |
| Richmond, Penny | Corporate officer | Individual | 07/01/2014 | |
| Consulting Support Services, LLC | Operational/managerial control | Organization | 06/28/2011 | |
| Eleus Health Management LLC | Operational/managerial control | Organization | 09/01/2009 | |
| Facility Support Company, LLC | Operational/managerial control | Organization | 12/13/2010 | |
| Kane Financial Services, LLC | Operational/managerial control | Organization | 06/06/2012 | |
| Dean, Sharon | Operational/managerial control | Individual | 09/22/2014 | |
| Spadola, James | Operational/managerial control | Individual | 08/26/2014 | |
| Consulting Support Services, LLC | Adp of the SNF | Organization | 04/07/2025 | |
| Eleus Health Management LLC | Adp of the SNF | Organization | 04/07/2025 | |
| Facility Support Company, LLC | Adp of the SNF | Organization | 03/20/2025 | |
| Florida Institute for Long Term Care LLC | Adp of the SNF | Organization | 04/07/2025 | |
| Kane Financial Services, LLC | Adp of the SNF | Organization | 03/20/2025 | |
| Select Rehabilitation, LLC | Adp of the SNF | Organization | 08/19/2016 | |
| Dean, Sharon | Adp of the SNF | Individual | 09/22/2014 | |
| Spadola, James | Adp of the SNF | Individual | 08/26/2014 |
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.
- Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 2 problems in this area, most recently on January 20, 2026: "Make sure that a working call system is available in each resident's bathroom and bathing area."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on June 11, 2024: "Allow residents to easily view the nursing home's survey results and communicate with advocate agencies."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on June 11, 2024: "PASARR screening for Mental disorders or Intellectual Disabilities"
- 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 June 11, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.02 hours per resident per day, below the Florida average of 3.49.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Royal Care of Avon Park Avon Park, 1.7 mi · 2 of 5 stars · 26 citations
- Palms at Sebring Nursing and Rehabilitation the Sebring, 8.8 mi · 1 of 5 stars · 32 citations
- Vivo Healthcare Sebring Sebring, 9.3 mi · 3 of 5 stars · 28 citations
- Vivo Healthcare Wauchula Wauchula, 18.7 mi · 2 of 5 stars · 23 citations
- Groves Center Lake Wales, 20.3 mi · not rated · 49 citations
- Lake Placid Health and Rehabilitation Center Lake Placid, 21.4 mi · 2 of 5 stars · 31 citations
- Lake Wales Health and Rehabilitation Center Lake Wales, 21.8 mi · 1 of 5 stars · 34 citations
Florida contacts for a concern about a nursing home
These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Florida Agency for Health Care Administration, Long Term Care Services Unit, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Florida Long-Term Care Ombudsman Program, 1-888-831-0404. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: FloridaHealthFinder, where Florida publishes its own records on licensed homes.
Common questions
- What is Oaks at Avon's Medicare star rating?
- CMS rates Oaks at Avon 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 Oaks at Avon get at its last inspection?
- 6 health deficiencies at the standard inspection on June 11, 2024. The Florida average is 7.1.
- Has Oaks at Avon been fined?
- CMS lists no fines in the last three years.
- Does Oaks at Avon 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 Oaks at Avon?
- CMS lists 20 owners and managers, and links the home to Florida Institute for Long-Term Care. Legal business name: FI-THE OAKS, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.