SNF

ALWYN C CASHE STATE VETERANS NURSING HOME

CCN: 106151 · ORLANDO, FL 32803 · Orange County

⚠ Abuse citation flag

Overview

Address
5255 RAYMOND ST, ORLANDO, FL 32803
Phone
4077414614
Certified beds
112
Avg daily residents
90 (81% of beds filled)
Ownership
Government (state)
Provider type
Medicare and Medicaid
Medicare/Medicaid since
2023-10-11
Setting
Urban
1 /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.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 1/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 1/5
Short-Stay Quality Measures — Data not available.

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
 5.61 3.56 6.08 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 1.09 0.62 1.18 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.97 0.79 1.05 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 3.55 2.15 3.85 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 2.05 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.06 — — —

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)
4.92
hrs / resident / day
RN (weekend)
0.67
hrs / resident / day
Total nurse (adjusted, weekend)
5.33
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
83.2%
annual
RN turnover
84.4%
annual
Administrators departed
2
last 12 months

Resident acuity

Nursing Case-Mix Index
1.26
higher acuity than avg
Case-Mix Index Ratio
0.92
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) 2025-02-27 11 5 6 84 1 84
Cycle 2/3 (prior) 2023-09-08 11 2 9 92 1 92
Total weighted health score
86.0
lower is better

Deficiencies (22)

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).

1 A/B/C No actual harm — minor
17 D/E/F Actual harm — potential for minor
2 G/H/I Actual harm
2 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0559 Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. D 2025-12-23 2026-02-16
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-12-23 2026-02-16
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-12-23 2026-02-16
0840 Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. D 2025-12-23 2026-02-16
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. J 2025-09-05 —
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2025-09-05 —
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2025-02-27 2025-03-27
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-02-27 2025-03-27
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2025-02-27 2025-03-27
0759 Ensure medication error rates are not 5 percent or greater. D 2025-02-27 2025-03-27
0880 Provide and implement an infection prevention and control program. E 2025-02-27 2025-03-27
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. E 2025-01-24 2025-02-24
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 2025-01-24 2025-02-24
0773 Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. D 2025-01-24 2025-02-24
0777 Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. D 2025-01-24 2025-02-24
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. E 2025-01-24 2025-02-24
0604 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. G 2024-09-14 2024-10-14
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-09-14 2024-10-14
0741 Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. G 2024-09-14 2024-10-14
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. E 2024-09-14 2024-10-14
0732 Post nurse staffing information every day. C 2023-09-08 2023-10-09
0759 Ensure medication error rates are not 5 percent or greater. E 2023-09-08 2023-10-09

Penalties (11)

Fines issued
11
last 3 years
Total fines
$68,731
Date Type Fine amount
2024-01-02 Fine $1,748
2024-01-08 Fine $2,258
2023-12-11 Fine $3,145
2024-02-12 Fine $3,764
2024-02-20 Fine $4,140
2025-01-24 Fine $5,249
2025-01-24 Fine $5,249
2024-09-14 Fine $8,018
2024-09-14 Fine $8,783
2024-01-22 Fine $9,032
2025-09-05 Fine $17,345

Source: CMS Nursing Home Penalties.

Ownership & Corporate Structure

Chain: FLORIDA DEPARTMENT OF VETERANS' AFFAIRS

Chain ID
739
Facilities in chain
8
Legal business name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Chain-average star ratings (for peer context)
Overall
3.3
Health
3.4
Staffing
4.3
QM
2.0

Owner / manager organizations (1)

Organization Role Association
FLORIDA DEPARTMENT OF VETERANS AFFAIRS 5% OR GREATER DIRECT OWNERSHIP INTEREST since 06/01/2023

Owner / manager individuals (3)

Name Role Association
COLON APONTE, OMAYRA OPERATIONAL/MANAGERIAL CONTROL since 08/01/2024
MALLARD, LINDSAY OPERATIONAL/MANAGERIAL CONTROL since 11/18/2022
PERRY HUFF, KATIRIA CORPORATE DIRECTOR since 08/01/2024

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
Yes — last 2 cycles
Methodology & sources

Full methodology →

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.

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Show 99 rows
Source Metric Value Raw key
Provider Information Abuse Icon Y Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.04980 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 3.84885 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 1.17638 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 6.07503 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 5.32748 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 90.3 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 0.79093 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.14957 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.62342 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.56392 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.14122 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 3.4 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.3 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 2.0 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 4.3 Chain Average Staffing Rating
Provider Information Chain ID 739 Chain ID
Provider Information Chain Name FLORIDA DEPARTMENT OF VETERANS' AFFAIRS Chain Name
Provider Information City/Town ORLANDO City/Town
Provider Information CMS Certification Number (CCN) 106151 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Orange County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 2023-10-11 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 28.579 Latitude
Provider Information Legal Business Name FLORIDA DEPARTMENT OF VETERANS AFFAIRS Legal Business Name
Provider Information Location 5255 RAYMOND ST,ORLANDO,FL,32803 Location
Provider Information Long-Stay QM Rating 1 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -81.321 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 2 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 112 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 8 Number of Facilities in Chain
Provider Information Number of Fines 11 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.26254 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.91644 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type Government - State 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 5255 RAYMOND ST Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name ALWYN C CASHE STATE VETERANS NURSING HOME Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 470 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 1 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 84 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 6 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 5 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-02-27 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 84 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 11 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 2 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-09-08 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 92 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 9 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 92 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 11 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.66835 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 84.4 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 2.05493 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.96904 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 3.55277 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.06013 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 1.08589 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 5.60770 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating — Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote 2 Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 4 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State FL State
Provider Information Telephone Number 4077414614 Telephone Number
Provider Information Total Amount of Fines in Dollars 68731.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 4.91766 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 11 Total Number of Penalties
Provider Information Total nursing staff turnover 83.2 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 86.000 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 32803 ZIP Code