SNF
AVANTE AT INVERNESS INC
CCN: 105308 · INVERNESS, FL 34452 · Citrus County
Overview
- Address
- 304 S CITRUS AVE, INVERNESS, FL 34452
- Phone
- 3527263141
- Certified beds
- 104
- Avg daily residents
- 95 (91% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1980-10-01
- Setting
- Urban
4 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.53 | 3.96 | 3.44 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.35 | 0.69 | 0.34 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.10 | 0.88 | 1.07 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.08 | 2.39 | 2.03 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.45 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.02 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.35
hrs / resident / day
RN (weekend)
0.27
hrs / resident / day
Total nurse (adjusted, weekend)
3.26
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
46.6%
annual
RN turnover
33.3%
annual
Administrators departed
3
last 12 months
Resident acuity
Nursing Case-Mix Index
1.40
higher acuity than avg
Case-Mix Index Ratio
1.02
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-07-09 | 7 | 7 | 0 | 32 | 1 | 32 |
| Cycle 2/3 (prior) | 2024-03-20 | 8 | 8 | 0 | 44 | 1 | 44 |
Total weighted health score
35.0
lower is better
Infection-control citations
0
last cycle
Deficiencies (18)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
18 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0641 | Ensure each resident receives an accurate assessment. | D | 2025-07-09 | 2025-08-22 |
| 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2025-07-09 | 2025-08-22 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-07-09 | 2025-08-22 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-07-09 | 2025-08-22 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-07-09 | 2025-08-22 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2025-07-09 | 2025-08-22 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-07-09 | 2025-08-22 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2024-03-20 | 2024-04-12 |
| 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-03-20 | 2024-04-12 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-03-20 | 2024-04-12 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-03-20 | 2024-04-12 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-03-20 | 2024-04-12 |
| 0761 | 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. | F | 2024-03-20 | 2024-04-12 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2024-03-20 | 2024-04-12 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-03-20 | 2024-04-12 |
| 0732 | Post nurse staffing information every day. | D | 2022-11-09 | 2022-12-16 |
| 0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | F | 2022-11-09 | 2022-12-16 |
| 0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | D | 2022-11-09 | 2022-12-16 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 10.9% Medicaid 71.8% Other 17.3%
Operating performance
Operating Margin
-1.8%
Total Margin
3.0%
Occupancy Rate
91.8%
Cost per Resident Day
$28
Revenue & costs
Net Patient Revenue
$10.5M
Total Costs
$960K
Net Income
$328K
Balance sheet
Total Assets
$65.5M
Total Liabilities
$68.7M
Fund Balance
-$3.2M
Current Ratio
0.95
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: AVANTE CENTERS
- Chain ID
59- Facilities in chain
- 11
- Legal business name
- AVANTE AT INVERNESS, INC.
Chain-average star ratings (for peer context)
Overall
2.7
Health
2.5
Staffing
2.5
QM
3.8
Owner / manager organizations (4)
| Organization | Role | Association |
|---|---|---|
| AG HOLDINGS, INC. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 10/22/1990 |
| DEENA KLURMAN KRANZ 2000 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 06/20/1989 |
| MONA MIZRACHI 1994 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 06/20/1989 |
| SISEL KLURMAN 2001 REVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 04/09/2010 |
Owner / manager individuals (6)
| Name | Role | Association |
|---|---|---|
| BEN-AVIV, ZIPORA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 10/02/2000 |
| KLURMAN, DEENA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 04/09/2010 |
| BIEGASIEWICZ, KIMBERLY | OPERATIONAL/MANAGERIAL CONTROL | since 02/04/2022 |
| BIEGASIEWICZ, KIMBERLY | CORPORATE DIRECTOR | since 02/04/2022 |
| BIEGASIEWICZ, KIMBERLY | CORPORATE OFFICER | since 02/04/2022 |
| HORNACK, JOHN | CORPORATE OFFICER | since 04/29/2019 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $28 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.95 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 71.8% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 10.9% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $327,957 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $10,519,935 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 91.8% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -1.8% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $65,492,548 | metrics.total_assets |
| Cost Report | Total Costs ($) | $959,894 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-3,185,343 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $68,677,891 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 3.0% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.07180 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.02892 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.33646 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.43718 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.26072 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 95.0 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.87938 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.38995 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.69314 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.96247 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.49250 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.5 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.7 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.8 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.5 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 59 | Chain ID |
| Provider Information | Chain Name | AVANTE CENTERS | Chain Name |
| Provider Information | City/Town | INVERNESS | City/Town |
| Provider Information | CMS Certification Number (CCN) | 105308 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Citrus | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1980-10-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 3 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 28.8307 | Latitude |
| Provider Information | Legal Business Name | AVANTE AT INVERNESS, INC. | Legal Business Name |
| Provider Information | Location | 304 S CITRUS AVE,INVERNESS,FL,34452 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -82.335 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 3 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 104 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | 0 | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 11 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.40373 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.01893 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 4 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 304 S CITRUS AVE | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | AVANTE AT INVERNESS INC | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 080 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 32 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 7 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-07-09 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 32 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 7 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 8 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-03-20 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 44 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 0 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 44 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 8 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.27068 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 33.3 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.44530 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.09999 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.08228 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.01579 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.34531 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.52758 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 2 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 2 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | FL | State |
| Provider Information | Telephone Number | 3527263141 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.34648 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 46.6 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 35.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 34452 | ZIP Code |