What is Terrace of St. Cloud, the's Medicare star rating?

CMS rates Terrace of St. Cloud, the 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Terrace of St. Cloud, the get at its last inspection?

2 health deficiencies at the standard inspection on April 24, 2025. The Florida average is 7.1.

Does Terrace of St. Cloud, the 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 Terrace of St. Cloud, the?

CMS lists 10 owners and managers. Legal business name: ST CLOUD OPCO LLC.

Terrace of St. Cloud, the: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on April 24, 2025, inspectors cited 2 health deficiencies (the Florida average is 7.1, the national average 9.2).

Of 15 health citations since December 2021, 3 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists 1 fine totaling $8,512 in the last three years; the largest was $8,512, and the latest is dated July 24, 2024.

Nurses and nurse aides worked 3.79 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.54 of those hours.

42.3% of nursing staff left within the year CMS measured (Florida average 41.4%).

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.

812/21

208/23

105/24

107/24

204/25

111/25

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 15 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

November 5, 2025Complaint inspection · 1 citation

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 · found on a complaint visit · Corrected (the home has a date of correction) December 5, 2025

Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for 2 out of 2 residents, of a total sample of 7 residents, (#2, and #6).

April 24, 2025Standard inspection · 2 citations

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) May 24, 2025

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide intravenous (IV) care and services according to standards of practice and plan of care, and failed to obtain physician orders for the care and maintenance of a peripheral IV for 3 of 3 residents reviewed for IV care, of a total sample of 49 residents, (#466, #106 and #520).
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 24, 2025

Inspectors wroteBased on observation, interview, and record review, the facility failed to follow infection control practices to prevent the development, transmission and potential spread of infection by not adhering to proper contact precautions for 1 of 2 residents reviewed for isolation precautions, (#56); and failed to ensure acceptable standards of practice were implemented when performing blood glucose monitoring and administration of injectable medication for 1 of 6 residents observed during medication administration, (#64); of a total sample of 49 residents.

July 24, 2024Complaint inspection · 1 citation

G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 24, 2024

Inspectors wroteBased on observation, interview and record review, the facility failed to provide adequate supervision and a safe environment to prevent accidents for 1 of 1 resident reviewed for falls with injuries, out of 2 sampled residents, (#1). The facility's failure to ensure nursing staff were knowledgeable to utilize the required transfer sling and ensure proper positioning of the resident during transfers to prevent fall with injury and transfer to a higher level of care for treatment, resulted in isolated actual harm at F689, for resident #1.

May 31, 2024Complaint inspection · 1 citation

D

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 5, 2024

Inspectors wroteBased on interview, and record review, the facility failed to implement their abuse policy to fully investigate and provide education for injury of unknown origin for 1 of 2 residents, of a total sample of 4 residents, (#2).

August 24, 2023Standard inspection · 2 citations

E

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, pattern · Corrected (the home has a date of correction) September 25, 2023

Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and implement an indwelling urinary catheter plan of care for 1 of 1 resident reviewed for Urinary Catheters from a total sample of 41 residents, (#110).
E

Have a plan that describes the process for conducting QAPI and QAA activities.

F865 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 25, 2023

Inspectors wroteBased on interview, and record review, the facility failed to demonstrate the effectiveness of a Performance Improvement Plan (PIP) for timely transmissions of Minimum Data Set (MDS) assessments.

December 9, 2021Standard inspection · 8 citations

J

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 · Immediate jeopardy to resident health or safety, isolated · Corrected (the home has a date of correction) January 5, 2022

Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and implement an individualized care plan for smoking with appropriate interventions to minimize risks and ensure the safety of 1 of 2 residents reviewed for accidents, of 51 sampled residents, (#61). This failure contributed to resident #61 smoking inside his room and placed him and others at risk for serious injury/impairment/death. While resident #61 smoked in his room with an oxygen concentrator nearby, there was likelihood he could have suffered and/or caused burn injuries and/or death from unsafe smoking practices or oxygen combustion. On 12/06/21 at 12:35 PM, resident #61 informed a staff member he wanted to smoke. He was instructed to wait until someone was available to supervise him in the smoking area. [...]
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 · Corrected (the home has a date of correction) January 5, 2022

Inspectors wroteBased on observation, interview and record review, the facility failed to conduct an admission smoking risk evaluation; failed to maintain smoking materials in a secure location to ensure a safe environment; and failed to provide appropriate supervision for 1 of 2 residents reviewed for accidents, of a total sample of 51 residents, (#61). These failures contributed to resident #61 smoking inside his room and placed him and others at risk for serious injury/impairment/death. While resident #61 smoked in his room with an oxygen concentrator nearby, there was likelihood he could have suffered and/or caused burn injuries and/or death from unsafe smoking practices or oxygen combustion. On 12/06/21 at 12:35 PM, resident #61 informed a staff member he wanted to smoke. He was instructed to wait until someone was available to supervise him in the smoking area. [...]
E

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 5, 2022

Inspectors wroteBased on interview and record review, the facility failed to ensure Minimum Data Set (MDS) assessments were accurate related to administration of anticoagulant medication (#26, #29, #74 N), discharge location (#112), and hospice services (#41), for 6 of 51 sampled residents.
E

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 5, 2022

Inspectors wroteBased on observation and interview, the facility failed to properly secure 2 of 2 medication carts on 1 of 2 units, (Unit 1).
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) January 5, 2022

Inspectors wroteBased on observation, record review and interview the failed to provide and promote dignity during meals for 1 of 51 sampled residents, (#17).
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) January 5, 2022

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide wound dressing per physician's order for 1 of 4 residents reviewed for non-pressure related skin condition of a total sample of 51 residents, (#30).
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) January 5, 2022

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure oxygen was administered as ordered and consistent with professional standards of practice, for 1 of 1 resident reviewed for respiratory care, of a total sample of 51 residents, (#6).
C

Post nurse staffing information every day.

F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) January 5, 2022

Inspectors wroteBased on observation, interview and record review, the facility failed to post the actual hours worked by licensed and unlicensed nursing staff directly responsible for resident care per shift.

Fire safety inspections

4 fire safety citations on file: 3 on April 24, 2025, 1 on August 24, 2023.

Every fire safety citation4 citations

D
Install emergency lighting that can last at least 1 1/2 hours.

K 291 · April 24, 2025 · Corrected (the home has a date of correction)
D
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · April 24, 2025 · Corrected (the home has a date of correction)
D
Inspect, test, and maintain automatic sprinkler systems.

K 353 · April 24, 2025 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · August 24, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

Date	Penalty	Amount or length
July 24, 2024	Fine	$8,512

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.

Measure	This home	Florida	United States
All nursing staff (RN, LPN and aides)	3.79	3.82	3.86
Registered nurses	0.54	0.73	0.69
All nursing staff on weekends	3.45	3.49	3.42
Nurse aides	2.38
Licensed practical nurses	0.87
Nursing staff turnover (share who left in a year)	42.3%	41.4%	45.8%
Registered nurse turnover	65.2%	46.0%	42.9%
Administrators who left	3

CMS expects 3.47 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 3.93 on weekdays and 3.45 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.91 in April to June 2025 to 3.79 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	3.79	0.54	3.93	3.45	0.8%	0 of 90	116
Oct to Dec 2025	3.85	0.50	3.99	3.50	0.6%	0 of 92	116
Jul to Sep 2025	3.91	0.49	4.04	3.59	0.7%	0 of 92	115
Apr to Jun 2025	3.91	0.58	4.07	3.54	2.2%	0 of 91	114
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	8.3	8.7	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.2	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	0.3	1.5	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	4.0	9.5	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	2.5	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	31.7	26.1	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	7.6	9.1	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	3.5	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: ST CLOUD OPCO LLC.

Name	Role	Type	Share	Since
Sc LTC Holdings LLC	5% or greater direct ownership interest	Organization	100%	08/04/2017
Tapia, Jill	Indirect ownership interest	Individual		07/18/2024
Hernandez, Ruth	Managing control - governing body	Individual		11/04/2024
Tapia, Jill	Managing control - governing body	Individual		07/18/2024
Sc LTC Holdings LLC	Operational/managerial control	Organization		12/01/2018
Roth, Daniel	Operational/managerial control	Individual		07/18/2024
Hernandez, Ruth	Adp of the SNF	Individual		11/04/2024
Roth, Daniel	Adp of the SNF	Individual		07/18/2024
Subhani, Noman	Adp of the SNF	Individual		10/01/2024
Tapia, Jill	Adp of the SNF	Individual		07/18/2024

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.

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 24, 2025: "Provide for the safe, appropriate administration of IV fluids for a resident when needed."
When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on November 5, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on April 24, 2025: "Provide and implement an infection prevention and control program."
How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on May 31, 2024: "Develop and implement policies and procedures to prevent abuse, neglect, and theft."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.45 hours per resident per day, below the Florida average of 3.49.
How long has the current administrator been here?CMS counts 3 administrators who left in the period it measured.

Other nursing homes nearby

Solaris Healthcare Osceola
Saint Cloud, 0.5 mi · 5 of 5 stars · 5 citations
Avante at St. Cloud Inc
Saint Cloud, 1.2 mi · 4 of 5 stars · 20 citations
Aviata at St. Cloud
Saint Cloud, 1.4 mi · 3 of 5 stars · 37 citations
Kissimmee Health and Rehabilitation Center
Kissimmee, 6.9 mi · 4 of 5 stars · 25 citations
The Good Samaritan Society-Kissimmee Village
Kissimmee, 7.6 mi · 4 of 5 stars · 16 citations
Terrace of Kissimmee, the
Kissimmee, 7.7 mi · 1 of 5 stars · 24 citations
Aviata at Kissimmee Gardens
Kissimmee, 8.3 mi · 5 of 5 stars · 19 citations
Kissimmee Nursing & Rehabilitation Center
Kissimmee, 8.4 mi · 2 of 5 stars · 24 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 Terrace of St. Cloud, the's Medicare star rating?: CMS rates Terrace of St. Cloud, the 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Terrace of St. Cloud, the get at its last inspection?: 2 health deficiencies at the standard inspection on April 24, 2025. The Florida average is 7.1.
Has Terrace of St. Cloud, the been fined?: Yes. CMS lists 1 fine totaling $8,512 in the last three years.
Does Terrace of St. Cloud, the 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 Terrace of St. Cloud, the?: CMS lists 10 owners and managers. Legal business name: ST CLOUD OPCO 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.