5255 Raymond St, Orlando, FL 32803 (opens Google Maps) · Orange County · (407) 741-4614· 112 certified beds · avg 102 residents/day · certified since Oct 11, 2023 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
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.
2/5
Health inspection rating (on-site)
inspected Feb 27, 2025
4
Serious findings on record
most recent Sep 5, 2025
$68,731
Fines, last 3 years
5.70
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Oct 14, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Oct 14, 2024 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 22 inspection findings. Open the full record below to read every finding.
D · Potential for more than minimal harm, isolated
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 complaintF-0559
D · Potential for more than minimal harm, isolated
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 complaintF-0656
D · Potential for more than minimal harm, isolated
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 complaintF-0684
View all 22 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
Date
Severity
What the facility was cited for
Dec 23, 2025
D · Potential for more than minimal harm, isolated
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 · F-0559
Dec 23, 2025
D · Potential for more than minimal harm, isolated
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 · F-0656
Dec 23, 2025
D · Potential for more than minimal harm, isolated
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 · F-0684
Dec 23, 2025
D · Potential for more than minimal harm, isolated
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 · F-0840
Sep 5, 2025
▲ J · Immediate jeopardy, isolated
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 · F-0600
Sep 5, 2025
▲ J · Immediate jeopardy, isolated
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 · F-0689
Feb 27, 2025
E · Potential for more than minimal harm, pattern
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. · F-0550
Feb 27, 2025
E · Potential for more than minimal harm, pattern
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. · F-0880
Feb 27, 2025
D · Potential for more than minimal harm, isolated
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. · F-0656
Feb 27, 2025
D · Potential for more than minimal harm, isolated
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. · F-0695
Feb 27, 2025
D · Potential for more than minimal harm, isolated
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. · F-0759
Jan 24, 2025
E · Potential for more than minimal harm, pattern
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 · F-0607
Jan 24, 2025
E · Potential for more than minimal harm, pattern
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 · F-0756
Jan 24, 2025
E · Potential for more than minimal harm, pattern
The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint · F-0867
Jan 24, 2025
D · Potential for more than minimal harm, isolated
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 · F-0773
Jan 24, 2025
D · Potential for more than minimal harm, isolated
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 · F-0777
Sep 14, 2024
▲ G · Actual harm, isolated
The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint · F-0604
Sep 14, 2024
▲ G · Actual harm, isolated
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 · F-0741
Sep 14, 2024
E · Potential for more than minimal harm, pattern
The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint · F-0867
Sep 14, 2024
D · Potential for more than minimal harm, isolated
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 · F-0609
Sep 8, 2023
E · Potential for more than minimal harm, pattern
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. · F-0759
Sep 8, 2023
C · Potential for minimal harm, widespread
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. · F-0732
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 5).
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations:
2
Serious citations (G–L):
0
2024
All citations:
4
Serious citations (G–L):
2
2025
All citations:
16
Serious citations (G–L):
2
All bars start at zero. Exact values and supporting details remain below.
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.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
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)
Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityFlorida averageU.S. average
Total nurse staffing (hours per resident per day)
This facility:
5.70
Florida average:
4.03
U.S. average:
3.95
Registered Nurse hours
This facility:
1.34
Florida average:
0.76
U.S. average:
0.69
Weekend total nurse staffing
This facility:
4.98
Florida average:
3.68
U.S. average:
3.50
All bars start at zero. Exact values and supporting details remain below.
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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (5.30 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
No verified facility-specific private-pay price is available in our data for Alwyn C Cashe State Veterans Nursing Home. CMS inspection and staffing records do not tell us what this home will charge you.
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Other facilities in the same chain
CMS lists this facility under the chain Florida Department of Veterans' Affairs — 7 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
CMS records place this facility in Orange, FL — 36 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.