ALWYN C CASHE STATE VETERANS NURSING HOME
Open-data reference.
ALWYN C CASHE STATE VETERANS NURSING HOME is a government - state facility in ORLANDO, FL with 112 certified beds and a 1-star overall CMS rating. The facility has 18 deficiency records on file. Total penalties: $69K.
5255 RAYMOND ST, ORLANDO, FL 32803
Phone: 4077414614
Overall Rating
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 106151
- Ownership
- Government - State
- Provider Type
- Medicare and Medicaid
- Beds
- 112
- Residents
- 90
- In Hospital
- No
- County
- Orange
- Last Inspection
- Feb 27, 2025
Staffing Data
- RN Hours
- 1.09 (nat'l avg: 0.68)
- LPN Hours
- 0.97
- CNA Hours
- 3.55
- Total Nursing Hours
- 5.61 (nat'l avg: 3.89)
- PT Hours
- 0.06
- Nursing Turnover
- 83.2%
- RN Turnover
- 84.4%
What the CMS Record Reveals About ALWYN C CASHE STATE VETERANS NURSING HOME
ALWYN C CASHE STATE VETERANS NURSING HOME operates 112 certified beds in ORLANDO, FL with approximately 90 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (4★), and quality measures (1★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
The inspection file contains 18 deficiency records from recent surveys, of which 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 11 penalties totaling $69K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 5.61 total nursing hours per resident day (national average 3.89), with RN coverage at 1.09 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "Government - State" ownership and operating as a "Medicare and Medicaid" provider, ALWYN C CASHE STATE VETERANS NURSING HOME falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 83.2%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (18 most recent)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Mar 27, 2025
Ensure medication error rates are not 5 percent or greater.
Category: Pharmacy Service Deficiencies
Corrected: Mar 27, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 27, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 27, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Mar 27, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Category: Administration Deficiencies
Corrected: Feb 24, 2025
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Category: Administration Deficiencies
Corrected: Feb 24, 2025
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Category: Administration Deficiencies
Corrected: Feb 24, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Category: Pharmacy Service Deficiencies
Corrected: Feb 24, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Feb 24, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Category: Administration Deficiencies
Corrected: Oct 14, 2024
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Category: Quality of Life and Care Deficiencies
Corrected: Oct 14, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Oct 14, 2024
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Oct 14, 2024
Ensure medication error rates are not 5 percent or greater.
Category: Pharmacy Service Deficiencies
Corrected: Oct 9, 2023
Post nurse staffing information every day.
Category: Nursing and Physician Services Deficiencies
Corrected: Oct 9, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 45.8% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 4.4% | No |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 5.7% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 9.3% | Yes |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 2.6% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.4% | Yes |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 61.8% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 62.2% | No |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 52.0% | Yes |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 6.3% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 86.3% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 50.0% | No |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.8% | Yes |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 34.3% | No |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.0% | Yes |
Penalty History 11 penalties totaling $69K
| Date | Type | Amount |
|---|---|---|
| Sep 5, 2025 | Fine | $17K |
| Jan 24, 2025 | Fine | $5K |
| Jan 24, 2025 | Fine | $5K |
| Sep 14, 2024 | Fine | $8K |
| Sep 14, 2024 | Fine | $9K |
| Feb 20, 2024 | Fine | $4K |
| Feb 12, 2024 | Fine | $4K |
| Jan 22, 2024 | Fine | $9K |
| Jan 8, 2024 | Fine | $2K |
| Jan 2, 2024 | Fine | $2K |
| Dec 11, 2023 | Fine | $3K |
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Frequently Asked Questions
What is the overall CMS rating for ALWYN C CASHE STATE VETERANS NURSING HOME?
What are the staffing levels at ALWYN C CASHE STATE VETERANS NURSING HOME?
How many beds does ALWYN C CASHE STATE VETERANS NURSING HOME have?
Does ALWYN C CASHE STATE VETERANS NURSING HOME have any deficiencies on record?
Has ALWYN C CASHE STATE VETERANS NURSING HOME received any fines or penalties?
Who owns ALWYN C CASHE STATE VETERANS NURSING HOME?
When was ALWYN C CASHE STATE VETERANS NURSING HOME last inspected?
What quality measures are tracked for ALWYN C CASHE STATE VETERANS NURSING HOME?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology — how this data is sourced, computed, and verified.