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AVIATA AT KISSIMMEE GARDENS

Open-data reference.

AVIATA AT KISSIMMEE GARDENS is a for profit - corporation facility in KISSIMMEE, FL with 120 certified beds and a 4-star overall CMS rating. The facility has 30 deficiency records on file.

1120 W DONEGAN AVE, KISSIMMEE, FL 34741

Phone: 4078472854

Overall Rating

4/5

Health Inspection

3/5

Staffing

3/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
106074
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
120
Residents
114
In Hospital
No
County
Osceola
Last Inspection
Apr 18, 2024

Staffing Data

RN Hours
0.94 (nat'l avg: 0.68)
LPN Hours
0.37
CNA Hours
2.08
Total Nursing Hours
3.39 (nat'l avg: 3.89)
PT Hours
0.05

What the CMS Record Reveals About AVIATA AT KISSIMMEE GARDENS

AVIATA AT KISSIMMEE GARDENS operates 120 certified beds in KISSIMMEE, FL with approximately 114 residents currently in care, and carries a CMS overall rating of 4 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 (3★), staffing levels (3★), and quality measures (5★). 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 30 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.39 total nursing hours per resident day (national average 3.89), with RN coverage at 0.94 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, AVIATA AT KISSIMMEE GARDENS 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. 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 (30 most recent)

D — Isolated - Minimal harm Apr 18, 2024 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: May 18, 2024

D — Isolated - Minimal harm Apr 18, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 18, 2024

D — Isolated - Minimal harm Apr 18, 2024 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: May 18, 2024

E — Pattern - Minimal harm Apr 18, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: May 18, 2024

D — Isolated - Minimal harm Apr 18, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: May 18, 2024

E — Pattern - Minimal harm Apr 18, 2024 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: May 18, 2024

D — Isolated - Minimal harm Apr 18, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: May 18, 2024

D — Isolated - Minimal harm Apr 18, 2024 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: May 18, 2024

D — Isolated - Minimal harm Apr 18, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: May 18, 2024

D — Isolated - Minimal harm Apr 18, 2024 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 18, 2024

D — Isolated - Minimal harm Apr 18, 2024 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: May 18, 2024

D — Isolated - Minimal harm Apr 18, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: May 18, 2024

D — Isolated - Minimal harm Oct 26, 2023 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Nov 24, 2023

C — Widespread - No harm Oct 26, 2023 Tag: 0847

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Category: Administration Deficiencies

Corrected: Nov 24, 2023

D — Isolated - Minimal harm Oct 26, 2023 Tag: 0694

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 24, 2023

D — Isolated - Minimal harm Oct 26, 2023 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 24, 2023

E — Pattern - Minimal harm Apr 7, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 7, 2023

F — Widespread - Minimal harm Apr 7, 2023 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: May 7, 2023

E — Pattern - Minimal harm Apr 7, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: May 7, 2023

D — Isolated - Minimal harm Apr 7, 2023 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: May 7, 2023

D — Isolated - Minimal harm Apr 7, 2023 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: May 7, 2023

D — Isolated - Minimal harm Apr 7, 2023 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: May 7, 2023

D — Isolated - Minimal harm Apr 7, 2023 Tag: 0694

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: May 7, 2023

D — Isolated - Minimal harm Apr 7, 2023 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: May 7, 2023

D — Isolated - Minimal harm Apr 7, 2023 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 7, 2023

D — Isolated - Minimal harm Apr 7, 2023 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 7, 2023

D — Isolated - Minimal harm Apr 7, 2023 Tag: 0607

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 7, 2023

D — Isolated - Minimal harm Apr 7, 2023 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: May 7, 2023

J — Isolated - Jeopardy Feb 8, 2023 Tag: 0689

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

Corrected: Mar 10, 2023

J — Isolated - Jeopardy Feb 8, 2023 Tag: 0600

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

Corrected: Mar 10, 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 9.1% Yes
Percentage of long-stay residents who lose too much weight Long Stay 7.5% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.9% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% 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 2.3% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 94.7% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.4% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 12.6% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 15.3% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 96.1% No
Percentage of long-stay residents with pressure ulcers Long Stay 3.3% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 19.9% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 9.3% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for AVIATA AT KISSIMMEE GARDENS?
AVIATA AT KISSIMMEE GARDENS has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (3★), staffing levels (3★), and quality measures (5★).
What are the staffing levels at AVIATA AT KISSIMMEE GARDENS?
AVIATA AT KISSIMMEE GARDENS reports 3.39 total nursing hours per resident day (national average: 3.89). RN hours are 0.94 per resident day (national average: 0.68).
How many beds does AVIATA AT KISSIMMEE GARDENS have?
AVIATA AT KISSIMMEE GARDENS has 120 certified beds with approximately 114 residents. The facility is located at 1120 W DONEGAN AVE, KISSIMMEE, FL 34741.
Does AVIATA AT KISSIMMEE GARDENS have any deficiencies on record?
Yes, AVIATA AT KISSIMMEE GARDENS has 30 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has AVIATA AT KISSIMMEE GARDENS received any fines or penalties?
No, AVIATA AT KISSIMMEE GARDENS has no fines or penalties on record.
Who owns AVIATA AT KISSIMMEE GARDENS?
AVIATA AT KISSIMMEE GARDENS is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was AVIATA AT KISSIMMEE GARDENS last inspected?
The most recent health inspection for AVIATA AT KISSIMMEE GARDENS was on Apr 18, 2024. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for AVIATA AT KISSIMMEE GARDENS?
AVIATA AT KISSIMMEE GARDENS is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

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.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial