Alwyn C Cashe State Veterans Nursing Home
Nursing Home · 5255 Raymond St, Orlando, FL 32803 · 4077414614
C-
graded on 75% of our rubric
Public records for this provider include abuse or neglect findings. Review the underlying records before deciding.
Why you can trust this grade. HearthGrades is independent and free to use. Every grade is computed from public CMS and state records on a fixed, published rubric — safety inspections, staffing, clinical outcomes, enforcement and financial stability. This provider was graded on 75% of that rubric. No facility can pay to change its grade or where it appears, and we take no money from the providers we grade. See the full methodology.
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 1.0 / 5 | high |
| Staffing | 3.3 / 5 | high |
| Clinical outcomes | 1.7 / 5 | high |
| Enforcement | 1.1 / 5 | high |
| Financial stability | 4.1 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 112 |
| Ownership | Government - State |
| Operator | Florida Department Of Veterans Affairs |
| Chain size | 8 facilities |
| Certified since | 2023-10-11 |
| CMS overall star | 1 / 5 |
| Accepts Medicaid | Yes |
| Price tier | $$$ of 5 · ~$436/day reported charge (within FL) |
Inspection & enforcement record
- Health-inspection citations: 2 immediate jeopardy · 2 actual harm · 17 potential for harm · 1 minor
- Federal fines: $68,731 · payment denials: 0 · penalty actions: 11
Recent inspection findings
The 8 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2025-12-23 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. (Resident Rights Deficiencies, tag 0559) | D | corrected 2026-02-16 |
| 2025-12-23 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Resident Assessment and Care Planning Deficiencies, tag 0656) | D | corrected 2026-02-16 |
| 2025-12-23 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (Quality of Life and Care Deficiencies, tag 0684) | D | corrected 2026-02-16 |
| 2025-12-23 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. (Administration Deficiencies, tag 0840) | D | corrected 2026-02-16 |
| 2025-09-05 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Freedom from Abuse, Neglect, and Exploitation Deficiencies, tag 0600) | J · immediate jeopardy | open |
| 2025-09-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Quality of Life and Care Deficiencies, tag 0689) | J · immediate jeopardy | open |
| 2025-02-27 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Resident Rights Deficiencies, tag 0550) | E | corrected 2025-03-27 |
| 2025-02-27 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Resident Assessment and Care Planning Deficiencies, tag 0656) | D | corrected 2025-03-27 |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Total nurse staffing: 5.51 hrs/resident/day (expected 3.56 for this facility's resident acuity — at or above expected) (US median 3.69 · FL 3.66)
- Registered-nurse staffing: 1.09 hrs/resident/day (expected 0.62 for this facility's resident acuity — at or above expected) (US median 0.58)
- Breakdown: nurse aide 3.33 · LPN 1.09 hrs/resident/day
- Weekend total staffing: 4.87 hrs/resident/day (expected 3.16 for this facility's resident acuity — at or above expected)
- Annual nursing-staff turnover: 83.6% · RN turnover 84.8% (US median 45.3% · lower is better)
- Resident acuity (nursing case-mix index): 1.28 (1.0 ≈ national average; higher = more care-intensive residents)
Clinical outcomes — the measures behind the score
The 8 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the FL state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 46.8% | 50 → 39.1 → 45.9 → 51.7 | worse than 100% of US homes · FL median 7.7% |
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 59.5% | not reported | worse than 100% of US homes · FL median 8.7% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 5.8% | 5.4 → 7 → 3.9 → 6.8 | worse than 98% of US homes · FL median 0% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 8.1% | 8.3 → 8.5 → 13 → 3.4 | worse than 98% of US homes · FL median 0.2% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 8% | 3.6 → 5.9 → 10.2 → 9.9 | worse than 87% of US homes · FL median 4.4% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 10.9% | · → 9.1 → 10 → 12.1 | better than 61% of US homes · FL median 7.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 1.8% | 0 → 0 → 1.3 → 4.4 | better than 70% of US homes · FL median 2.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 0% | not reported | better than 100% of US homes · FL median 1% |
What this costs
- This facility's reported avg daily charge: $436/day · $$$ (price tier 3 of 5 among Florida nursing homes) — from its own federal cost report, FY ending 2025-06. Gross charges across all payers and services: higher than a quoted private rate, but computed identically for every facility, which makes the tier a fair within-state comparison.
- Payer mix (resident days): 2% Medicaid · 1% Medicare · 97% other/private · 47% occupancy
- Florida median (quoted rates): $340/day semi-private · $400/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Hospitals serving Orange County
Hospitals in the same county — those with an emergency department first, then by CMS hospital star rating. Useful for transfers and emergencies.
| Hospital | City | ER | CMS star | Type |
|---|---|---|---|---|
| Orlando VA Medical Center | Orlando | Yes | 5★ | Acute care - Veterans Administration |
| Orlando Health | Orlando | Yes | 4★ | Acute care |
| Adventhealth Orlando | Orlando | Yes | 3★ | Acute care |
| Orlando Health-health Central Hospital | Ocoee | Yes | 3★ | Acute care |
| Ucf Lake Nona Hospital | Orlando | Yes | 3★ | Acute care |
| Nemours Childrens Hospital, Florida | Orlando | Yes | — | Children's |
Compare nearby
- A+ Orlando Health Center For Rehabilitation · Ocoee
- A+ Mayflower Healthcare Center · Winter Park
- A Westminster Baldwin Park · Orlando
- A Solaris Healthcare Windermere · Orlando
- A Solaris Healthcare Apopka · Apopka
- A- Life Care Center Of Orlando · Orlando
Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Orange County nursing homes coverage. Spot an error? Tell us.