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Nursing home report card · Orlando, FL

Alwyn C Cashe State Veterans Nursing Home

5255 Raymond ST, Orlando, FL 32803

Call this home: (407) 741-4614

View this home on Medicare.gov ↗

Medicare abuse warningInfection-control problems noted

Quick summary

Medicare shows an abuse warning

Medicare’s Care Compare site shows an abuse icon here. That is one of the strongest public warnings CMS publishes — dig into the inspection history and talk with an attorney if a loved one was hurt.

Our summary of public Medicare records. It does not establish that this home harmed a particular resident. About this summary.

How recent is this information?
Medicare file prepared
Aug 1, 2026
Our record last updated
Oct 15, 2026
Last routine health inspection
Feb 27, 2025

These dates mean different things. A new file can include older inspections and staffing figures. Read about the dates.

Medicare ratings

One star is the lowest rating. Five stars is the highest. Ratings are a starting point—read the inspection findings too.

Overall rating
1out of 5

Combines inspection, staffing, and care measures.

Among the lowest Medicare ratings

Health inspections
2out of 5

Based on problems found during health inspections.

Below-average Medicare rating

Nursing staff
4out of 5

Based on staffing levels and related measures.

Above average

Health and care results
1out of 5

Based on reported health and care results.

Among the lowest Medicare ratings

What do the ratings and warnings mean?
Medicare ratings
One star is the lowest rating. Five stars is the highest. These are government ratings, not family reviews.
Inspection problems
Inspectors found that a home did not meet a care or safety rule. The official term is “deficiency.”
Abuse warning
Medicare has flagged the home because of abuse-related inspection findings. Read the findings and dates.
Nursing staff time
Average staff hours for each resident per day. This does not mean each resident gets that much one-to-one care.

Learn about the records and their limits →

At a glance

These numbers come from the records we have. Inspection problems are rules the home did not meet. The dates covered can differ.

Care and safety problems
22

Care, safety, and resident-rights issues on recent inspections

Fire-safety problems
0

Building, alarms, exits, and related safety citations

Reported fines
$68,731

Total fine amounts in the imported penalty records

Medicare file prepared
Aug 1, 2026

Medicare home ID: 106151

Inspection findings to read first

Start with these past findings. We show the most serious first, then the most recent. They do not describe the home’s condition today.

  • Immediate danger to residents · isolated case

    Sep 5, 2025 · Inspection rule 0600

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • Immediate danger to residents · isolated case

    Sep 5, 2025 · Inspection rule 0689

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • Caused actual harm · isolated case

    Sep 14, 2024 · Inspection rule 0604

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Read the inspection history →

Nursing staff time

These are average staff hours for each resident per day. They are not one-to-one bedside care. The file does not give the reporting period for each figure.

Registered nurses (RNs)
1.25hours per resident per day

about 1 hr 15 min per resident per day

All nursing staff
5.30hours per resident per day

about 5 hr 18 min per resident per day

Registered nurse time on weekends
0.83hours per resident per day

about 50 minutes per resident per day

Latest inspection summary

A summary of the most recent routine inspections. You can open the dated findings below.

We do not have a routine inspection summary for this home. Check the dated findings below and the Medicare.gov record.

How this home compares

Compared with state and national averages. The numbers may cover different periods.

  • Overall CMS rating: 1 stars
  • Health inspection rating: 2 stars
  • Staffing rating: 4 stars
  • Registered nurse time per resident: 1.25 hours/day
  • Total nurse time per resident: 5.3 hours/day
See the dates used for these averages

Medicare file dates: this home Aug 1, 2026; Florida averages Unavailable; U.S. averages Oct 1, 2026.

Other concerns in the records

These points may be worth asking about. They do not establish what happened to a particular resident. See our Terms of Use.

  • Medicare shows an abuse warning icon for this home
  • Overall star rating is 2 or lower
  • Health inspection rating is 2 stars or lower
  • Recent citations include infection-control problems
  • Inspectors have listed an unusually high number of problems
  • CMS has fined this home in the recent reporting period

How serious were the problems?

Inspectors rate each problem by how much harm it caused or could cause. We group the CMS letter codes into plain language.

  • Immediate danger to residents2 citations
  • Caused actual harm2 citations
  • Could have caused harm17 citations
  • Low risk of harm1 citation

Why inspectors showed up

Routine checks happen on a schedule. Complaint visits happen when someone reports a concern.

Complaints
0
Routine
22
Fire safety
0
Other
0

Who owns it

Names CMS lists as owners or managers · reported as Government - State.

  • We do not have individual owner names for this home.

Other homes in this group: All Florida Department of Veterans' Affairs nursing homes

Inspection history

Open a date to read what inspectors found. The harm labels explain how serious the problem was at the time.

December 23, 20254 findings
  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0559 · code D

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0656 · code D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0684 · code D

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

  • Administration problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0840 · code D

    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.

September 5, 20252 findings
  • Freedom from Abuse, Neglect, and Exploitation problems
    Immediate danger to residents · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0600 · code J

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • Quality of Life and Care problems
    Immediate danger to residents · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0689 · code J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

February 27, 20255 findings
  • Resident Rights problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0550 · code E

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

  • Infection Control problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0880 · code E

    Provide and implement an infection prevention and control program.

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0656 · code D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0695 · code D

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

  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0759 · code D

    Ensure medication error rates are not 5 percent or greater.

January 24, 20255 findings
  • Freedom from Abuse, Neglect, and Exploitation problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0607 · code E

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

  • Pharmacy Service problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0756 · code E

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  • Administration problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0867 · code E

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

  • Administration problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0773 · code D

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

  • Administration problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0777 · code D

    Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

September 14, 20244 findings
  • Freedom from Abuse, Neglect, and Exploitation problems
    Caused actual harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0604 · code G

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

  • Quality of Life and Care problems
    Caused actual harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0741 · code G

    Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

  • Administration problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0867 · code E

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

  • Freedom from Abuse, Neglect, and Exploitation problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0609 · code D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

September 8, 20232 findings
  • Pharmacy Service problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0759 · code E

    Ensure medication error rates are not 5 percent or greater.

  • Nursing and Physician Services problems
    Low risk of harm · widespread case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0732 · code C

    Post nurse staffing information every day.

Fines & penalties

These fines appear in Medicare’s records. A listed amount does not tell us whether it has been paid.

  • Fine · Sep 5, 2025$17,345
  • Fine · Jan 24, 2025$5,249
  • Fine · Jan 24, 2025$5,249
  • Fine · Sep 14, 2024$8,018
  • Fine · Sep 14, 2024$8,783
  • Fine · Feb 20, 2024$4,140
  • Fine · Feb 12, 2024$3,764
  • Fine · Jan 22, 2024$9,032
  • Fine · Jan 8, 2024$2,258
  • Fine · Jan 2, 2024$1,748
  • Fine · Dec 11, 2023$3,145

Other homes in this chain

Florida Department of Veterans' Affairs · other locations in Florida

Related topics

Questions about Alwyn C Cashe State Veterans Nursing Home

What is Alwyn C Cashe State Veterans Nursing Home's Medicare star rating?
As of August 1, 2026, Alwyn C Cashe State Veterans Nursing Home in Orlando, Florida has an overall CMS rating of 1 out of 5 stars. Other CMS scores: health inspection 2 of 5, staffing 4 of 5, quality measures 1 of 5. These are CMS ratings based on inspection, staffing, and quality information, not consumer reviews.
Has Alwyn C Cashe State Veterans Nursing Home been fined?
As of August 1, 2026, the imported penalty records list $68,731 in reported fines for Alwyn C Cashe State Veterans Nursing Home. The individual penalty dates can differ from the Medicare file date; a listed fine does not establish that it was paid.
Does Alwyn C Cashe State Veterans Nursing Home have a Medicare abuse warning?
Yes. Medicare Care Compare shows an abuse warning icon for Alwyn C Cashe State Veterans Nursing Home in Orlando, Florida. CMS uses that icon after citations involving abuse, neglect, or exploitation.
How does Alwyn C Cashe State Veterans Nursing Home compare with other nursing homes in Florida?
Its overall CMS rating is 1 out of 5. A rating comparison is withheld because a matching source date or a usable rating is missing. Use the Florida report card and dated inspection history for context; inspection totals alone are not a like-for-like performance comparison.

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