Avante at Inverness INC
304 S Citrus Ave, Inverness, FL 34452 · Citrus County · 104 certified beds · avg 100 residents/day · certified since Oct 1, 1980
Part of chain: AVANTE CENTERS (11 facilities, chain avg rating 2.5★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
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.
All citations in the current public record (18)
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 |
|---|---|---|
| Jul 9, 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. |
| Jul 9, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jul 9, 2025 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Jul 9, 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. |
| Jul 9, 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. |
| Jul 9, 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. |
| Jul 9, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Mar 20, 2024 | F · Potential for harm, facility-wide | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 20, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Mar 20, 2024 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Mar 20, 2024 | 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. |
| Mar 20, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Mar 20, 2024 | 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. |
| Mar 20, 2024 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 20, 2024 | D · Potential for harm, one-off | 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. |
| Nov 9, 2022 | F · Potential for harm, facility-wide | The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign. |
| Nov 9, 2022 | D · Potential for harm, one-off | 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. |
| Nov 9, 2022 | D · Potential for harm, one-off | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 3 | 0 | F |
| 2024 | 8 | 0 | F |
| 2025 | 7 | 0 | E |
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)
No fines or payment denials in the published 3-year window.
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) | 3.55 | 4.03 | 3.95 | bottom 20% in Florida; bottom 39% in the U.S. |
| Registered Nurse hours | 0.30 | 0.76 | 0.69 | bottom 1% in Florida; bottom 10% in the U.S. |
| Weekend total nurse staffing | 3.25 | 3.68 | 3.50 | bottom 18% in Florida; bottom 45% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.26 | 0.53 | 0.48 | bottom 13% in Florida; bottom 23% in the U.S. |
| Total nursing staff turnover (%) | 46.9 | 41.4 | 45.8 | bottom 37% in Florida; bottom 45% in the U.S. |
| RN turnover (%) | 50.0 | 46.0 | 42.9 | bottom 44% in Florida; bottom 39% 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 3.50, RN 0.30, weekend 3.21. Staffing rating: 2/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ag Holdings, INC. | Organization | 5% or Greater Direct Ownership Interest | 100% | 10/22/1990 |
| Deena Klurman Kranz 2000 Trust | Organization | 5% or Greater Indirect Ownership Interest | 8% | 06/20/1989 |
| Mona Mizrachi 1994 Trust | Organization | 5% or Greater Indirect Ownership Interest | 8% | 06/20/1989 |
| Sisel Klurman 2001 Revocable Trust | Organization | 5% or Greater Indirect Ownership Interest | 25% | 04/09/2010 |
| Biegasiewicz, Kimberly | Individual | Corporate Director | NOT APPLICABLE | 02/04/2022 |
| Biegasiewicz, Kimberly | Individual | Corporate Officer | NOT APPLICABLE | 02/04/2022 |
| Biegasiewicz, Kimberly | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/04/2022 |
| Chopra, Shawn | Individual | ADP of the SNF | NOT APPLICABLE | 10/13/2025 |
| Hornack, John | Individual | Corporate Officer | NOT APPLICABLE | 04/29/2019 |
| McCutchen, Loren | Individual | ADP of the SNF | NOT APPLICABLE | 10/13/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "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?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "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 |
|---|---|---|---|---|---|
| Citrus Health and Rehabilitation Center | 0.3 mi | Inverness, FL | ★★★★☆ | 3/5 | |
| Arbor Trail Rehab and Skilled Nursing Center | 1.1 mi | Inverness, FL | ★★★★★ | 4/5 | |
| Grove Healthcare and Rehabilitation Center and Reh | 7.9 mi | Hernando, FL | ★★★☆☆ | 2/5 | |
| Aviata at Brentwood | 9.4 mi | Lecanto, FL | ★★☆☆☆ | 2/5 | |
| Life Care Center of Citrus County | 9.8 mi | Lecanto, FL | ★★★★★ | 4/5 | |
| Diamond Ridge Health and Rehabilitation Center | 10.1 mi | Lecanto, FL | ★★★★★ | 4/5 | |
| Crystal River Health and Rehabilitation Center | 15.0 mi | Crystal River, FL | ★★★★☆ | 3/5 | |
| Cypress Cove Care Center | 15.7 mi | Crystal River, FL | ★★★★★ | 4/5 | |
| Timberridge Nursing & Rehabilitation Center | 16.4 mi | Ocala, FL | ★★★☆☆ | 2/5 | |
| Osprey Point Nursing Center | 17.1 mi | Bushnell, FL | ★★★★★ | 4/5 | |
| Aviata at Brooksville | 17.7 mi | Brooksville, FL | ★★★☆☆ | 3/5 | |
| Cypress Care Center | 18.1 mi | Wildwood, FL | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 105308.