Royal Care of Avon Park
1213 W Stratford Rd · Avon Park, FL · 33825 · 8634536674
90 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.00 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.82 | 0.55–0.75 |
| Weekend hours / resident-day | 3.39 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | 2 · $17,342 |
Inspection citations (26 in the current record)
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Potential for harm · D February 19, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 19, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G May 9, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 31, 2024 · Quality of Life and Care
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Potential for harm · D May 9, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 31, 2024 · Resident Rights
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Potential for harm · E May 9, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected May 31, 2024 · Resident Rights
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Potential for harm · D May 9, 2024
Ensure each resident receives an accurate assessment.
Corrected May 31, 2024 · Resident Assessment and Care Planning
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Potential for harm · E May 9, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected May 31, 2024 · Resident Assessment and Care Planning
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Potential for harm · E May 9, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 31, 2024 · Quality of Life and Care
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Potential for harm · D May 9, 2024
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected May 31, 2024 · Quality of Life and Care
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Potential for harm · D May 9, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 31, 2024 · Quality of Life and Care
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Potential for harm · D May 9, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 31, 2024 · Pharmacy Service
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Potential for harm · D May 9, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected July 18, 2024 · Pharmacy Service
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Potential for harm · D May 9, 2024
Ensure that residents are free from significant medication errors.
Corrected May 31, 2024 · Pharmacy Service
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Potential for harm · E May 9, 2024
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.
Corrected May 31, 2024 · Pharmacy Service
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Potential for harm · D May 9, 2024
Provide or obtain dental services for each resident.
Corrected May 31, 2024 · Quality of Life and Care
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Potential for harm · E May 9, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 31, 2024 · Nutrition and Dietary
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Potential for harm · F May 9, 2024
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected July 18, 2024 · Administration
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Potential for harm · E May 9, 2024
Provide and implement an infection prevention and control program.
Corrected May 31, 2024 · Infection Control
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Potential for harm · E May 9, 2024
Put firmly secured handrails on each side of hallways.
Corrected May 31, 2024 · Environmental
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Potential for harm · D December 22, 2021
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected January 14, 2022 · Quality of Life and Care
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Potential for harm · D December 22, 2021
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected January 14, 2022 · Quality of Life and Care
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Potential for harm · D March 13, 2020
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 6, 2020 · Quality of Life and Care
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Potential for harm · D March 13, 2020
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 6, 2020 · Quality of Life and Care
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Potential for harm · D March 13, 2020
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 6, 2020 · Quality of Life and Care
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Potential for harm · E March 13, 2020
Ensure that residents are free from significant medication errors.
Corrected April 6, 2020 · Pharmacy Service
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Potential for harm · D March 13, 2020
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.
Corrected April 6, 2020 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 9, 2024 | Fine | $4,017 |
| May 9, 2024 | Fine | $13,325 |
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 105812 · certified since July 1, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.