Kissimmee Nursing & Rehabilitation Center

2511 John Young Parkway North · Kissimmee, FL · 34741 · 4079313336

120 certified beds For profit - Limited Liability company Chain: Harborview Health Systems

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Red flags

2 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Score breakdown

Inspection record 30% of score 44
Serious harm & abuse 20% 72
Staffing 20% 77
Federal penalties 15% 100
Trend 10% 87
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.543.48 min · 4.1 strong
RN hours / resident-day1.000.55–0.75
Weekend hours / resident-day3.19≈ weekday level
Nursing turnover / year33%median 45%
Fines (3-yr window)none

Inspection citations (27 in the current record)

  • Potential for harm · D February 28, 2025

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

    Corrected March 28, 2025 · Resident Rights

  • Potential for harm · D February 28, 2025

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected March 28, 2025 · Resident Rights

  • Potential for harm · D February 28, 2025

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

    Corrected March 28, 2025 · Resident Rights

  • Potential for harm · D February 28, 2025

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

    Corrected March 28, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 28, 2025

    Ensure each resident receives an accurate assessment.

    Corrected March 28, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 28, 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 28, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 28, 2025

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

    Corrected March 28, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 28, 2025

    Provide activities to meet all resident's needs.

    Corrected March 28, 2025 · Quality of Life and Care

  • Potential for harm · D February 28, 2025

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected March 28, 2025 · Quality of Life and Care

  • Potential for harm · D February 28, 2025

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected March 28, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 28, 2025

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Corrected March 28, 2025 · Administration

  • Potential for harm · D February 28, 2025

    Provide and implement an infection prevention and control program.

    Corrected March 28, 2025 · Infection Control

  • Potential for harm · D February 28, 2025

    Implement a program that monitors antibiotic use.

    Corrected March 28, 2025 · Infection Control

  • Potential for harm · D June 26, 2024 · found via complaint

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

    Corrected July 19, 2024 · Quality of Life and Care

  • Potential for harm · E June 13, 2024 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected July 7, 2024 · Quality of Life and Care

  • Potential for harm · D August 10, 2023

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected September 15, 2023 · Resident Rights

  • Potential for harm · D August 10, 2023

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected September 15, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D August 10, 2023

    Provide activities to meet all resident's needs.

    Corrected September 15, 2023 · Quality of Life and Care

  • Potential for harm · D August 10, 2023

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

    Corrected September 15, 2023 · Quality of Life and Care

  • Potential for harm · D August 10, 2023

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

    Corrected September 15, 2023 · Quality of Life and Care

  • Potential for harm · D August 10, 2023

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

    Corrected September 15, 2023 · Pharmacy Service

  • Potential for harm · E August 10, 2023

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

    Corrected September 15, 2023 · Nutrition and Dietary

  • Immediate jeopardy · J June 9, 2023 · found via complaint

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

    Corrected July 7, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J June 9, 2023 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected July 7, 2023 · Quality of Life and Care

  • Potential for harm · D June 9, 2023 · found via complaint

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

    Corrected July 7, 2023 · Freedom from Abuse, Neglect, and Exploitation

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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 106011 · certified since August 25, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.