Terrace of St Cloud, the

Name: Terrace of St Cloud, the
Address: 3855 OLD CANOE CREEK ROAD, Saint Cloud, FL, 34769, US
Telephone: 4079572280

3855 Old Canoe Creek Road, Saint Cloud, FL 34769 · Osceola County · 120 certified beds · avg 116 residents/day · certified since Feb 24, 1986

4/5

Health inspection rating (on-site)

Serious findings on record

$8,512

Fines, last 3 years

4.19

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · 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.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Dec 9, 2021 · F-0656

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.

Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.

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: Jan 5, 2022 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, one-off · Dec 9, 2021 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Corrected: Jan 5, 2022 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Jul 24, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Aug 24, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (16)

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
Nov 5, 2025	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. · from a complaint
Apr 24, 2025	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.
Apr 24, 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.
Jul 24, 2024	▲ G · Actual 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
May 31, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Aug 24, 2023	E · Potential for harm, repeated	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.
Aug 24, 2023	E · Potential for harm, repeated	The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them.
Aug 24, 2023	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · from a complaint
Dec 9, 2021	▲ J · Immediate jeopardy, 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.
Dec 9, 2021	▲ J · Immediate jeopardy, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Dec 9, 2021	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Dec 9, 2021	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Dec 9, 2021	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.
Dec 9, 2021	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.
Dec 9, 2021	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.
Dec 9, 2021	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).

Year	Citations	Serious (G–L)	Worst severity that year
2021	8	2	J ▲
2023	3	0	E
2024	2	1	G ▲
2025	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)

1 fine totaling $8,512.

Date	Type	Amount / length
Jul 24, 2024	Fine	$8,512

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)	4.19	4.03	3.95	top 27% in Florida; top 32% in the U.S.
Registered Nurse hours	0.59	0.76	0.69	bottom 38% in Florida; top 49% in the U.S.
Weekend total nurse staffing	3.82	3.68	3.50	top 27% in Florida; top 29% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.27	0.53	0.48	bottom 17% in Florida; bottom 26% in the U.S.
Total nursing staff turnover (%)	42.3	41.4	45.8	bottom 49% in Florida; top 42% in the U.S.
RN turnover (%)	65.2	46.0	42.9	bottom 17% in Florida; bottom 15% 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 3.79, RN 0.54, weekend 3.45. 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: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
SC LTC Holdings LLC	Organization	5% or Greater Direct Ownership Interest	100%	08/04/2017
Tapia, Jill	Individual	Indirect Ownership Interest	NOT APPLICABLE	07/18/2024
Hernandez, Ruth	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/04/2024
Hernandez, Ruth	Individual	ADP of the SNF	NOT APPLICABLE	11/04/2024
Roth, Daniel	Individual	Operational/Managerial Control	NOT APPLICABLE	07/18/2024
Roth, Daniel	Individual	ADP of the SNF	NOT APPLICABLE	07/18/2024
SC LTC Holdings LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2018
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.

"Can you show me an example care plan, and how are families included when it's created and updated?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Who on your staff manages IV therapy, and what training and monitoring is in place?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"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
Solaris Healthcare Osceola	0.5 mi	Saint Cloud, FL	★★★★★	4/5
Avante at St Cloud INC	1.2 mi	Saint Cloud, FL	★★★★☆	3/5
Aviata at St Cloud	1.4 mi	Saint Cloud, FL	★★★☆☆	2/5
Kissimmee Health and Rehabilitation Center	6.9 mi	Kissimmee, FL	★★★★☆	3/5
The Good Samaritan Society-Kissimmee Village	7.6 mi	Kissimmee, FL	★★☆☆☆	1/5
Terrace of Kissimmee, the	7.8 mi	Kissimmee, FL	★☆☆☆☆	1/5
Aviata at Kissimmee Gardens	8.3 mi	Kissimmee, FL	★★★★★	4/5
Kissimmee Nursing & Rehabilitation Center	8.4 mi	Kissimmee, FL	★★☆☆☆	2/5
Hunters Creek Nursing and Rehab Center	10.9 mi	Orlando, FL	★★★★☆	3/5
Rehabilitation Center of Orlando	14.3 mi	Orlando, FL	★☆☆☆☆	1/5
Solaris Healthcare Celebration	15.6 mi	Kissimmee, FL	★★★☆☆	3/5
Davenport Nursing and Rehab Center	18.1 mi	Davenport, FL	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Saint Cloud →

Facility data as of CMS processing date 2026-08-01. CCN 105528.

The Care File

Visit checklist — Terrace of St Cloud, the

3855 Old Canoe Creek Road, Saint Cloud, FL 34769 · 4079572280

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $8,512

Most serious findings on record:

▲ Dec 9, 2021 (F-0656, Immediate jeopardy, 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.
▲ Dec 9, 2021 (F-0689, Immediate jeopardy, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ Jul 24, 2024 (F-0689, Actual 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.

Questions for the administrator:

☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Who on your staff manages IV therapy, and what training and monitoring is in place?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "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 105528 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)