Alwyn C Cashe State Veterans Nursing Home
5255 Raymond St · Orlando, FL · 32803 · 4077414614
112 certified beds Government - State Chain: Florida Department of Veterans' Affairs
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Federal penalties on record: $44,644 in fines in the last 24 months.
- Staffing hours comfortably above national benchmarks.
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Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
84% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 5.51 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.09 | 0.55–0.75 |
| Weekend hours / resident-day | 4.87 | ≈ weekday level |
| Nursing turnover / year | 84% | median 45% |
| Fines (3-yr window) | 11 · $68,731 |
Inspection citations (22 in the current record)
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Potential for harm · D December 23, 2025 · found via complaint
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected February 16, 2026 · Resident Rights
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Potential for harm · D December 23, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 23, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 16, 2026 · Quality of Life and Care
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Potential for harm · D December 23, 2025 · found via complaint
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.
Corrected February 16, 2026 · Administration
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Immediate jeopardy · J September 5, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Past Non-Compliance · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J September 5, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · Quality of Life and Care
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Potential for harm · E February 27, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 27, 2025 · Resident Rights
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Potential for harm · D February 27, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 27, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 27, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 27, 2025 · Quality of Life and Care
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Potential for harm · D February 27, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected March 27, 2025 · Pharmacy Service
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Potential for harm · E February 27, 2025
Provide and implement an infection prevention and control program.
Corrected March 27, 2025 · Infection Control
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Potential for harm · E January 24, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected February 24, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E January 24, 2025 · found via complaint
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected February 24, 2025 · Pharmacy Service
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Potential for harm · D January 24, 2025 · found via complaint
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected February 24, 2025 · Administration
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Potential for harm · D January 24, 2025 · found via complaint
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Corrected February 24, 2025 · Administration
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Potential for harm · E January 24, 2025 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected February 24, 2025 · Administration
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Actual harm · G September 14, 2024 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected October 14, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G September 14, 2024 · found via complaint
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected October 14, 2024 · Quality of Life and Care
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Potential for harm · D September 14, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 14, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E September 14, 2024 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected October 14, 2024 · Administration
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Potential for harm · E September 8, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected October 9, 2023 · Pharmacy Service
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No harm found · C September 8, 2023
Post nurse staffing information every day.
Corrected October 9, 2023 · Nursing and Physician Services
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 5, 2025 | Fine | $17,345 |
| January 24, 2025 | Fine | $5,249 |
| January 24, 2025 | Fine | $5,249 |
| September 14, 2024 | Fine | $8,018 |
| September 14, 2024 | Fine | $8,783 |
| February 20, 2024 | Fine | $4,140 |
| February 12, 2024 | Fine | $3,764 |
| January 22, 2024 | Fine | $9,032 |
| January 8, 2024 | Fine | $2,258 |
| January 2, 2024 | Fine | $1,748 |
| December 11, 2023 | Fine | $3,145 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 106151 · certified since October 11, 2023. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.