Terrace of Kissimmee, the
221 Park Place Blvd, Kissimmee, FL 34741 · Osceola County · 120 certified beds · avg 116 residents/day · certified since Jan 13, 1994
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Oct 24, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 18, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Oct 24, 2024 · F-0678 · triggered by a complaint
The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 18, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (24)
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 |
|---|---|---|
| Dec 23, 2025 | 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. · from a complaint |
| Dec 23, 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. · from a complaint |
| Apr 17, 2025 | F · Potential for harm, facility-wide | 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 17, 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. |
| Apr 17, 2025 | 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 17, 2025 | 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. |
| Apr 17, 2025 | 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. |
| Apr 17, 2025 | 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 17, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Apr 17, 2025 | 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. |
| Apr 17, 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. |
| Jan 28, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jan 28, 2025 | 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 |
| Jan 28, 2025 | 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. · from a complaint |
| Oct 24, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Oct 24, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint |
| Oct 24, 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. · from a complaint |
| Jul 16, 2024 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint |
| Jul 16, 2024 | 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 |
| Apr 12, 2024 | E · Potential for harm, repeated | 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. · from a complaint |
| Dec 4, 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 |
| Sep 14, 2023 | 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. |
| Jan 13, 2022 | 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. |
| Jan 13, 2022 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 2 | 0 | D |
| 2023 | 2 | 0 | D |
| 2024 | 6 | 2 | J ▲ |
| 2025 | 14 | 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)
1 fine totaling $38,724.
| Date | Type | Amount / length |
|---|---|---|
| Oct 24, 2024 | Fine | $38,724 |
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) | 4.01 | 4.03 | 3.95 | top 37% in Florida; top 39% in the U.S. |
| Registered Nurse hours | 0.65 | 0.76 | 0.69 | bottom 47% in Florida; top 42% in the U.S. |
| Weekend total nurse staffing | 3.62 | 3.68 | 3.50 | top 42% in Florida; top 37% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.47 | 0.53 | 0.48 | top 46% in Florida; top 36% in the U.S. |
| Total nursing staff turnover (%) | 42.6 | 41.4 | 45.8 | bottom 48% in Florida; top 43% in the U.S. |
| RN turnover (%) | 55.2 | 46.0 | 42.9 | bottom 31% in Florida; bottom 28% 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 3.82, RN 0.62, weekend 3.44. 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: 3/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Lowerob Associates II LLC | Organization | 5% or Greater Indirect Ownership Interest | 100% | 01/01/2019 |
| Tok LTC Holding LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/02/2017 |
| Quintana, Francisco | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/20/2019 |
| Quintana, Francisco | Individual | ADP of the SNF | NOT APPLICABLE | 05/25/2019 |
| Richards Mitchell & Cross Pa | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2014 |
| Roth, Daniel | Individual | Corporate Officer | NOT APPLICABLE | 07/18/2024 |
| Roth, Daniel | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/18/2024 |
| Roth, Daniel | Individual | ADP of the SNF | NOT APPLICABLE | 07/18/2024 |
| Subhani, Noman | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2024 |
| Subhani, Noman | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Tapia, Jill | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/18/2024 |
| Tapia, Jill | Individual | ADP of the SNF | NOT APPLICABLE | 07/18/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you coordinate hospice care, and can residents stay here while receiving it?"
- "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?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "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 Kissimmee Gardens | 0.6 mi | Kissimmee, FL | ★★★★★ | 4/5 | |
| Kissimmee Nursing & Rehabilitation Center | 0.6 mi | Kissimmee, FL | ★★☆☆☆ | 2/5 | |
| Kissimmee Health and Rehabilitation Center | 1.1 mi | Kissimmee, FL | ★★★★☆ | 3/5 | |
| Hunters Creek Nursing and Rehab Center | 3.6 mi | Orlando, FL | ★★★★☆ | 3/5 | |
| The Good Samaritan Society-Kissimmee Village | 4.0 mi | Kissimmee, FL | ★★☆☆☆ | 1/5 | |
| Aviata at St Cloud | 7.1 mi | Saint Cloud, FL | ★★★☆☆ | 2/5 | |
| Terrace of St Cloud, the | 7.7 mi | Saint Cloud, FL | ★★★★☆ | 4/5 | |
| Rehabilitation Center of Orlando | 7.8 mi | Orlando, FL | ★☆☆☆☆ | 1/5 | |
| Avante at St Cloud INC | 7.9 mi | Saint Cloud, FL | ★★★★☆ | 3/5 | |
| Solaris Healthcare Osceola | 8.2 mi | Saint Cloud, FL | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 105839.