Guardian Care Nursing & Rehabilitation Center
350 South John Young Parkway, Orlando, FL 32805 · Orange County · 120 certified beds · avg 91 residents/day · certified since Jul 1, 1993
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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 |
|---|---|---|
| Mar 12, 2025 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Mar 12, 2025 | E · Potential for harm, repeated | 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. |
| Mar 12, 2025 | 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 12, 2025 | 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. |
| Mar 12, 2025 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Mar 12, 2025 | 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. |
| Mar 12, 2025 | 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. |
| Mar 12, 2025 | 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. |
| Mar 12, 2025 | D · Potential for harm, one-off | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. |
| Mar 12, 2025 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| Mar 12, 2025 | 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. |
| Mar 12, 2025 | 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. · from a complaint |
| Jul 29, 2023 | 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. |
| Feb 17, 2022 | 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. |
| Feb 17, 2022 | 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. |
| Feb 17, 2022 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Feb 17, 2022 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Feb 17, 2022 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 11).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 5 | 0 | D |
| 2023 | 1 | 0 | D |
| 2025 | 12 | 0 | 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) | 3.94 | 4.03 | 3.95 | top 44% in Florida; top 42% in the U.S. |
| Registered Nurse hours | 0.67 | 0.76 | 0.69 | top 50% in Florida; top 40% in the U.S. |
| Weekend total nurse staffing | 3.79 | 3.68 | 3.50 | top 29% in Florida; top 30% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.44 | 0.53 | 0.48 | bottom 48% in Florida; top 42% in the U.S. |
| Total nursing staff turnover (%) | 78.6 | 41.4 | 45.8 | bottom 1% in Florida; bottom 2% 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 3.39, RN 0.58, weekend 3.25. Staffing rating: 3/5.
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: 4/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Abrahams, Eloise | Individual | W-2 Managing Employee | NOT APPLICABLE | 12/10/2012 |
| Abrahams, Eloise | Individual | Corporate Director | NOT APPLICABLE | 12/10/2012 |
| Garrett, Mark | Individual | Corporate Officer | NOT APPLICABLE | 12/07/2011 |
| Reddick, Alzo | Individual | Corporate Officer | NOT APPLICABLE | 12/07/2011 |
| Richardson, Johnny | Individual | Corporate Officer | NOT APPLICABLE | 12/07/2011 |
| Ricks, Jim | Individual | Corporate Officer | NOT APPLICABLE | 12/07/2011 |
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 do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "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 |
|---|---|---|---|---|---|
| Westminster Towers | 2.1 mi | Orlando, FL | ★★★☆☆ | 2/5 | |
| Orlando Health and Rehabilitation Center | 2.2 mi | Orlando, FL | ★☆☆☆☆ | 1/5 | abuse |
| South Orange Health and Rehabilitation Center | 2.3 mi | Orlando, FL | ★★★★★ | 4/5 | |
| Courtyards of Orlando Care Center and Rehab | 2.4 mi | Orlando, FL | ★★☆☆☆ | 3/5 | |
| Delaney Park Health and Rehabilitation Center | 2.4 mi | Orlando, FL | ★★★☆☆ | 2/5 | |
| Commons at Orlando Lutheran Towers | 2.5 mi | Orlando, FL | ★☆☆☆☆ | 1/5 | abuse |
| Metro West Nursing and Rehab Center | 3.0 mi | Orlando, FL | ★★★★☆ | 3/5 | |
| Solaris Healthcare Windermere | 3.1 mi | Orlando, FL | ★★★★★ | 5/5 | |
| Solaris Healthcare College Park | 4.8 mi | Orlando, FL | ★★★☆☆ | 3/5 | |
| Aviata at Rosewood | 4.9 mi | Orlando, FL | ★★★☆☆ | 2/5 | |
| Conway Lakes Health & Rehabilitation Center | 5.7 mi | Orlando, FL | ★★☆☆☆ | 2/5 | |
| Westminster Baldwin Park | 5.8 mi | Orlando, FL | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 105797.