Avante at St Cloud INC

Name: Avante at St Cloud INC
Address: 1301 KANSAS AVE, Saint Cloud, FL, 34769, US
Telephone: 4078925121

1301 Kansas Ave, Saint Cloud, FL 34769 · Osceola County · 131 certified beds · avg 126 residents/day · certified since Jul 1, 1989

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

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.42

Nurse hours/resident/day (adjusted)

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 (20)

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
Aug 15, 2024	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Aug 15, 2024	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Aug 15, 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.
Aug 15, 2024	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Aug 15, 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.
Aug 15, 2024	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.
Aug 15, 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.
Aug 15, 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.
Aug 15, 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.
Aug 15, 2024	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.
Aug 15, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint
May 4, 2023	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
May 4, 2023	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.
May 4, 2023	D · Potential for harm, one-off	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.
May 4, 2023	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.
May 4, 2023	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.
May 4, 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.
May 4, 2023	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Jun 17, 2021	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.
Jun 17, 2021	B · Minimal risk, repeated	The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (7 → 10).

Year	Citations	Worst severity that year
2021	2	E
2023	7	E
2024	11	D

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)	3.42	4.03	3.95	bottom 9% in Florida; bottom 33% in the U.S.
Registered Nurse hours	0.43	0.76	0.69	bottom 14% in Florida; bottom 28% in the U.S.
Weekend total nurse staffing	3.22	3.68	3.50	bottom 15% in Florida; bottom 43% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.40	0.53	0.48	bottom 41% in Florida; top 48% in the U.S.
Total nursing staff turnover (%)	55.3	41.4	45.8	bottom 17% in Florida; bottom 24% in the U.S.
RN turnover (%)	79.2	46.0	42.9	bottom 5% in Florida; bottom 6% 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 3.38, RN 0.43, weekend 3.18. 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: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Ag Holdings, INC.	Organization	5% or Greater Direct Ownership Interest	100%	01/22/2003
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
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
Hornack, John	Individual	Corporate Officer	NOT APPLICABLE	04/24/2019
Hussain, Sonia	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2026
Massoud, Ramez	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.

"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"What is your policy on physical restraints, and what alternatives do you try first?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"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
Aviata at St Cloud	0.8 mi	Saint Cloud, FL	★★★☆☆	2/5
Terrace of St Cloud, the	1.2 mi	Saint Cloud, FL	★★★★☆	4/5
Solaris Healthcare Osceola	1.4 mi	Saint Cloud, FL	★★★★★	4/5
Kissimmee Health and Rehabilitation Center	7.2 mi	Kissimmee, FL	★★★★☆	3/5
Terrace of Kissimmee, the	7.9 mi	Kissimmee, FL	★☆☆☆☆	1/5
The Good Samaritan Society-Kissimmee Village	8.3 mi	Kissimmee, FL	★★☆☆☆	1/5
Aviata at Kissimmee Gardens	8.5 mi	Kissimmee, FL	★★★★★	4/5
Kissimmee Nursing & Rehabilitation Center	8.5 mi	Kissimmee, FL	★★☆☆☆	2/5
Hunters Creek Nursing and Rehab Center	10.8 mi	Orlando, FL	★★★★☆	3/5
Rehabilitation Center of Orlando	13.9 mi	Orlando, FL	★☆☆☆☆	1/5
Solaris Healthcare Celebration	16.2 mi	Kissimmee, FL	★★★☆☆	3/5
Orlando Health and Rehabilitation Center	19.2 mi	Orlando, FL	★☆☆☆☆	1/5	abuse

Compare this facility with the 3 closest →

All facilities in Saint Cloud →

Facility data as of CMS processing date 2026-08-01. CCN 105670.

The Care File

Visit checklist — Avante at St Cloud INC

1301 Kansas Ave, Saint Cloud, FL 34769 · 4078925121

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "What is your policy on physical restraints, and what alternatives do you try first?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "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 105670 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)