Aviata at Kissimmee Gardens
1120 W Donegan Ave, Kissimmee, FL 34741 · Osceola County · 120 certified beds · avg 116 residents/day · certified since Oct 19, 2006
Part of chain: AVIATA HEALTH GROUP (50 facilities, chain avg rating 2.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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 (19)
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 |
|---|---|---|
| Jan 15, 2026 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Jan 15, 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. |
| Jan 15, 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. |
| Apr 18, 2024 | 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. |
| Apr 18, 2024 | 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. |
| Apr 18, 2024 | D · Potential for harm, one-off | 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. |
| Apr 18, 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. |
| Apr 18, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Apr 18, 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. |
| Apr 18, 2024 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Apr 18, 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. |
| Apr 18, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Apr 18, 2024 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Apr 18, 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. |
| Apr 18, 2024 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| Oct 26, 2023 | 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. · from a complaint |
| Oct 26, 2023 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Oct 26, 2023 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| Oct 26, 2023 | C · Minimal risk, 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (12 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | D |
| 2024 | 12 | 0 | E |
| 2026 | 3 | 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.
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) | 3.52 | 4.03 | 3.95 | bottom 17% in Florida; bottom 37% in the U.S. |
| Registered Nurse hours | 0.92 | 0.76 | 0.69 | top 23% in Florida; top 19% in the U.S. |
| Weekend total nurse staffing | 3.32 | 3.68 | 3.50 | bottom 24% in Florida; bottom 48% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.73 | 0.53 | 0.48 | top 19% in Florida; top 14% in the U.S. |
| Total nursing staff turnover (%) | 32.0 | 41.4 | 45.8 | top 26% in Florida; top 18% in the U.S. |
| RN turnover (%) | 24.0 | 46.0 | 42.9 | top 13% in Florida; top 20% 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 3.39, RN 0.89, weekend 3.20. Staffing rating: 4/5.
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 |
|---|---|---|---|---|
| Keystone SNF Holdco LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2023 |
| West Donegan SNF Parent LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 09/01/2023 |
| Aspire Mgt LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2023 |
| Dagan, Amitai | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 11/04/2025 |
| Freund, Nochum | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2023 |
| Freund, Nochum | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2023 |
| Goldberger, Abraham | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/10/2025 |
| Goldberger, Faigy | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 11/04/2025 |
| Herskowitz, Eliezer | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/10/2025 |
| Herskowitz, Yaakov | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/10/2025 |
| Mishra, Abhishek | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/26/2020 |
| Mishra, Abhishek | Individual | ADP of the SNF | NOT APPLICABLE | 10/26/2020 |
| Steptoe, Chanel | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2023 |
| Steptoe, Chanel | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2023 |
| Travitsky, Aaron | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/10/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "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 |
|---|---|---|---|---|---|
| Kissimmee Nursing & Rehabilitation Center | 0.1 mi | Kissimmee, FL | ★★☆☆☆ | 2/5 | |
| Terrace of Kissimmee, the | 0.6 mi | Kissimmee, FL | ★☆☆☆☆ | 1/5 | |
| Kissimmee Health and Rehabilitation Center | 1.6 mi | Kissimmee, FL | ★★★★☆ | 3/5 | |
| Hunters Creek Nursing and Rehab Center | 3.2 mi | Orlando, FL | ★★★★☆ | 3/5 | |
| The Good Samaritan Society-Kissimmee Village | 4.2 mi | Kissimmee, FL | ★★☆☆☆ | 1/5 | |
| Rehabilitation Center of Orlando | 7.4 mi | Orlando, FL | ★☆☆☆☆ | 1/5 | |
| Aviata at St Cloud | 7.6 mi | Saint Cloud, FL | ★★★☆☆ | 2/5 | |
| Terrace of St Cloud, the | 8.3 mi | Saint Cloud, FL | ★★★★☆ | 4/5 | |
| Avante at St Cloud INC | 8.5 mi | Saint Cloud, FL | ★★★★☆ | 3/5 | |
| Solaris Healthcare Celebration | 8.6 mi | Kissimmee, FL | ★★★☆☆ | 3/5 | |
| Solaris Healthcare Osceola | 8.8 mi | Saint Cloud, FL | ★★★★★ | 4/5 | |
| Solaris Healthcare Windermere | 12.6 mi | Orlando, FL | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 106074.