Nursing HomeInspections

Aviata at Kissimmee Gardens

Nursing home in Kissimmee, FL

Medicare & Medicaid certified5★ overall (CMS)

Call (407) 847-2854Send a messageMap ↗

Public-record details

Address
1120 W Donegan Ave, Kissimmee, FL 34741
Phone
(407) 847-2854
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
106074
Overall star rating
5 of 5 ★★★★★
Health inspection rating
4 of 5
Staffing rating
4 of 5
Quality measures rating
5 of 5
Certified beds
120
Average residents per day
116
Ownership
For-profit, corporation
Legal business name
West Donegan Ave SNF Opco LLC
Chain
Aviata Health Group (50 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 19, 2006
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 106074. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jan 15, 2026. CMS lists 19 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 26, 2023 to Jan 15, 2026): 1 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Jan 15, 2026Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights
D
Potential for more than minimal harm, isolated
Jan 15, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Jan 15, 2026Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Apr 18, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights
D
Potential for more than minimal harm, isolated
Apr 18, 2024Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights
D
Potential for more than minimal harm, isolated
Apr 18, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Apr 18, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Apr 18, 2024Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Apr 18, 2024Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Apr 18, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Apr 18, 2024Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration
D
Potential for more than minimal harm, isolated
Apr 18, 2024Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 19. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.39 hours
Registered nurse (RN) time per resident per day
0.89 hours
Nurse aide time per resident per day
2.10 hours
Total nurse staffing on weekends
3.20 hours
Nursing staff turnover (yearly)
32%
RN turnover (yearly)
24%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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