Avante at Ocala, INC

Name: Avante at Ocala, INC
Address: 2021 SW 1ST AVE, Ocala, FL, 34474, US
Telephone: 3527320042

2021 SW 1st Ave, Ocala, FL 34474 · Marion County · 133 certified beds · avg 126 residents/day · certified since Jan 5, 2010

Part of chain: AVANTE CENTERS (11 facilities, chain avg rating 2.5★)

1/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.78

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★☆☆☆☆1/5 · 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.

All citations in the current public record (33)

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
Jun 3, 2026	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Jun 3, 2026	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Mar 26, 2026	F · Potential for harm, facility-wide	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Mar 26, 2026	F · Potential for harm, facility-wide	The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Mar 26, 2026	F · Potential for harm, facility-wide	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Mar 26, 2026	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Mar 26, 2026	E · Potential for harm, repeated	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Mar 26, 2026	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Mar 26, 2026	E · Potential for harm, repeated	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 26, 2026	D · Potential for harm, one-off	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Mar 26, 2026	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 26, 2026	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.
Mar 26, 2026	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Mar 26, 2026	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 26, 2026	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 26, 2026	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.
Mar 26, 2026	D · Potential for harm, one-off	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 26, 2026	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 26, 2026	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.
Oct 14, 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
Aug 13, 2025	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Aug 13, 2025	D · Potential for harm, one-off	The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. · from a complaint
Apr 30, 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. · from a complaint
Oct 17, 2024	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Oct 17, 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.
Oct 17, 2024	D · Potential for harm, one-off	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.
Oct 17, 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.
Oct 17, 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.
Jun 15, 2023	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.
Jun 15, 2023	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Jun 15, 2023	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.
Jun 15, 2023	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.
Jun 15, 2023	D · Potential for harm, one-off	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 17).

Year	Citations	Worst severity that year
2023	5	D
2024	5	D
2025	4	D
2026	19	F

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)	3.78	4.03	3.95	bottom 41% in Florida; top 49% in the U.S.
Registered Nurse hours	0.37	0.76	0.69	bottom 5% in Florida; bottom 18% in the U.S.
Weekend total nurse staffing	3.44	3.68	3.50	bottom 39% in Florida; top 45% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.15	0.53	0.48	bottom 3% in Florida; bottom 6% in the U.S.
Total nursing staff turnover (%)	47.0	41.4	45.8	bottom 36% in Florida; bottom 44% in the U.S.
RN turnover (%)	62.5	46.0	42.9	bottom 21% in Florida; bottom 19% 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 3.43, RN 0.34, weekend 3.12. 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: 4/5 · long-stay residents: 5/5 · short-stay residents: 2/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Ag Holdings, INC.	Organization	5% or Greater Direct Ownership Interest	100%	09/10/2008
Debbie Klurman 1994 Trust	Organization	5% or Greater Indirect Ownership Interest	8%	06/20/1989
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
Avante Group, INC.	Organization	ADP of the SNF	NOT APPLICABLE	02/17/2025
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	04/29/2025
Hornack, John	Individual	Corporate Officer	NOT APPLICABLE	04/24/2019
Snowden, Faith	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2026

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
"What were the findings behind this administration citation, and what has leadership changed since?"
"How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
"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
The Lodge Healthcare and Rehabilitation Center	0.5 mi	Ocala, FL	★★★★☆	3/5
Ocala Health and Rehabilitation Center	0.9 mi	Ocala, FL	★★★★☆	3/5
Aviata at Arbor Springs	1.1 mi	Ocala, FL	★★☆☆☆	1/5
Palm Garden of Ocala	2.2 mi	Ocala, FL	★★★★☆	3/5
Life Care Center of Ocala	2.5 mi	Ocala, FL	★★★★★	4/5
Hawthorne Center for Rehabilitation and Healing of	2.7 mi	Ocala, FL	★☆☆☆☆	1/5
Ocala Oaks Rehabilitation Center	4.1 mi	Ocala, FL	★★★★☆	3/5
Timberridge Nursing & Rehabilitation Center	11.4 mi	Ocala, FL	★★★☆☆	2/5
Bridgewater Park Health & Rehabilitation Center	12.0 mi	Ocala, FL	★★★★☆	3/5
Club Healthcare and Rehabilitation Center at the V	15.4 mi	The Villages, FL	★★★☆☆	3/5
Buffalo Crossings Healthcare & Rehabilitation Cen	17.8 mi	The Villages, FL	★★★★★	4/5
Freedom Pointe Health Center	18.5 mi	The Villages, FL	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Ocala →

Facility data as of CMS processing date 2026-08-01. CCN 106084.

The Care File

Visit checklist — Avante at Ocala, INC

2021 SW 1st Ave, Ocala, FL 34474 · 3527320042

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $0

Questions for the administrator:

☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
☐ "What were the findings behind this administration citation, and what has leadership changed since?"
☐ "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 106084 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)