Alwyn C Cashe State Veterans Nursing Home
5255 Raymond St, Orlando, FL 32803 · Orange County · 112 certified beds · avg 102 residents/day · certified since Oct 11, 2023
Abuse citation flag (CMS)
Part of chain: FLORIDA DEPARTMENT OF VETERANS' AFFAIRS (7 facilities, chain avg rating 3.9★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Sep 5, 2025 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
▲ Immediate jeopardy, one-off · Sep 5, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
▲ Actual harm, one-off · Sep 14, 2024 · F-0604 · triggered by a complaint
The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Why it matters: Unneeded restraints can cause injuries, muscle loss, and deep emotional distress.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 14, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Sep 14, 2024 · F-0741 · triggered by a complaint
The facility did not have enough staff with the right skills to meet the mental and behavioral health needs of its residents, such as those living with dementia or depression.
Why it matters: Residents with dementia or other behavioral health needs may be mishandled, overmedicated, or left in distress.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 14, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (22)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 23, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand. · from a complaint |
| Dec 23, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Dec 23, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Dec 23, 2025 | D · Potential for harm, one-off | The facility did not bring in qualified outside professionals to provide a required service when it didn't have a qualified professional on staff. · from a complaint |
| Sep 5, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Sep 5, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Feb 27, 2025 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Feb 27, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Feb 27, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Feb 27, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Feb 27, 2025 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Jan 24, 2025 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Jan 24, 2025 | E · Potential for harm, repeated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · from a complaint |
| Jan 24, 2025 | E · Potential for harm, repeated | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. · from a complaint |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not provide or obtain x-rays and other imaging tests when ordered, or did not promptly tell the ordering doctor the results. · from a complaint |
| Sep 14, 2024 | ▲ G · Actual harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint |
| Sep 14, 2024 | ▲ G · Actual harm, one-off | The facility did not have enough staff with the right skills to meet the mental and behavioral health needs of its residents, such as those living with dementia or depression. · from a complaint |
| Sep 14, 2024 | E · Potential for harm, repeated | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint |
| Sep 14, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Sep 8, 2023 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Sep 8, 2023 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | E |
| 2024 | 4 | 2 | G ▲ |
| 2025 | 16 | 2 | J ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
11 fines totaling $68,731.
| Date | Type | Amount / length |
|---|---|---|
| Sep 5, 2025 | Fine | $17,345 |
| Jan 24, 2025 | Fine | $5,249 |
| Jan 24, 2025 | Fine | $5,249 |
| Sep 14, 2024 | Fine | $8,018 |
| Sep 14, 2024 | Fine | $8,783 |
| Feb 20, 2024 | Fine | $4,140 |
| Feb 12, 2024 | Fine | $3,764 |
| Jan 22, 2024 | Fine | $9,032 |
| Jan 8, 2024 | Fine | $2,258 |
| Jan 2, 2024 | Fine | $1,748 |
| Dec 11, 2023 | Fine | $3,145 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Florida avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.70 | 4.03 | 3.95 | top 4% in Florida; top 6% in the U.S. |
| Registered Nurse hours | 1.34 | 0.76 | 0.69 | top 8% in Florida; top 7% in the U.S. |
| Weekend total nurse staffing | 4.98 | 3.68 | 3.50 | top 5% in Florida; top 6% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.83 | 0.53 | 0.48 | top 13% in Florida; top 10% in the U.S. |
| Total nursing staff turnover (%) | 72.5 | 41.4 | 45.8 | bottom 1% in Florida; bottom 4% in the U.S. |
| RN turnover (%) | 72.1 | 46.0 | 42.9 | bottom 10% in Florida; bottom 10% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.30, RN 1.25, weekend 4.63. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5
Who owns this facility
Government - State
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Colon Aponte, Omayra | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2024 |
| Mallard, Lindsay | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/18/2022 |
| Nuriel, Gabriel | Individual | ADP of the SNF | NOT APPLICABLE | 03/25/2025 |
| Perry Huff, Katiria | Individual | Corporate Director | NOT APPLICABLE | 08/01/2024 |
| Perry Huff, Katiria | Individual | ADP of the SNF | NOT APPLICABLE | 04/08/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "What training does your staff have in dementia and behavioral health, and how many residents with these needs do you serve?"
- "How do you handle room assignments and roommate requests, and do residents get advance written notice before any move?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "For services you don't staff in-house, which outside professionals do you contract with?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Westminster Winter Park | 0.5 mi | Winter Park, FL | ★★★★★ | 4/5 | |
| Avante at Orlando INC | 0.7 mi | Orlando, FL | ★★★☆☆ | 3/5 | |
| Westminster Baldwin Park | 0.9 mi | Orlando, FL | ★★★★★ | 4/5 | |
| Parkview Rehabilitation Center at Winter Park | 1.2 mi | Winter Park, FL | ★★★★★ | 4/5 | |
| Winter Park Care and Rehabilitation | 1.5 mi | Winter Park, FL | ★☆☆☆☆ | 2/5 | |
| Regents Park of Winter Park | 1.8 mi | Winter Park, FL | ★☆☆☆☆ | 1/5 | |
| Mayflower Healthcare Center | 1.8 mi | Winter Park, FL | ★★★★★ | 5/5 | |
| Solaris Healthcare East Orlando | 3.7 mi | Orlando, FL | ★★★★★ | 4/5 | |
| Rehabilitation Center of Winter Park | 3.7 mi | Maitland, FL | ★★★☆☆ | 2/5 | |
| Conway Lakes Health & Rehabilitation Center | 3.8 mi | Orlando, FL | ★★☆☆☆ | 2/5 | |
| Lotus Nursing and Rehabilitation Center | 3.8 mi | Orlando, FL | ★★☆☆☆ | 2/5 | |
| Commons at Orlando Lutheran Towers | 4.1 mi | Orlando, FL | ★☆☆☆☆ | 1/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 106151.