How to file a complaint about care →
No fines or payment denials in the published 3-year window.
1301 Kansas Ave, Saint Cloud, FL 34769 (opens Google Maps) · Osceola County · (407) 892-5121· 131 certified beds · avg 126 residents/day · certified since Jul 1, 1989 · 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: AVANTE CENTERS (11 facilities, chain avg rating 2.5★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5 · how star ratings work →
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.
Showing the latest 3 of 20 inspection findings. Open the full record below to read every finding.
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. F-0554
The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. F-0604
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. F-0609
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 |
|---|---|---|
| Aug 15, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0554 |
| Aug 15, 2024 | D · Potential for more than minimal harm, isolated | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · F-0604 |
| Aug 15, 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. · F-0609 |
| Aug 15, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0623 |
| Aug 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Aug 15, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0644 |
| Aug 15, 2024 | 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. · F-0684 |
| Aug 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Aug 15, 2024 | 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 |
| Aug 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Aug 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint · F-0697 |
| May 4, 2023 | E · Potential for more than minimal harm, pattern | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| May 4, 2023 | 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. · F-0867 |
| May 4, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0638 |
| May 4, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0655 |
| May 4, 2023 | 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 |
| May 4, 2023 | 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 |
| May 4, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
| Jun 17, 2021 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Jun 17, 2021 | B · Potential for minimal harm, pattern | 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. · F-0577 |
Citations from standard inspections increased between the last two inspection cycles (7 → 10).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 2 | 0 | E |
| 2023 | 7 | 0 | E |
| 2024 | 11 | 0 | 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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
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) | 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 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 3.38, RN 0.43, weekend 3.18.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.38 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
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.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Avante at St Cloud INC. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 11 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Avante Centers — 11 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.
Listed by state, then facility name — not a ranking. Showing 8 of the 10 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 105670.
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