F

ALWYN C CASHE STATE VETERANS NURSING HOME

5255 RAYMOND ST, ORLANDO, FL 32803
Score: 16 / 100

With a score of 16/100, Alwyn C Cashe State Veterans Nursing Home ranks in the bottom tier of Florida nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing levels at Alwyn C Cashe State Veterans Nursing Home exceed national averages, with 5.61 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.09 hours per resident per day also exceeds the national average of 0.7 hours.

Recent CMS inspections identified 22 deficiencies at Alwyn C Cashe State Veterans Nursing Home, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 3 / 15 pts
1 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 5.61 3.8 Above Average
Registered Nurses (RN) 1.09 0.7 Above Average
Licensed Practical Nurses (LPN) 0.97 0.7 Above Average
Certified Nursing Assistants (CNA) 3.55 2.4 Above Average
Weekend Total Nursing 4.92 3.8 Above Average
Weekend RN Hours 0.67 0.7 Average

🔍 Inspection & Deficiency History

22
Total Deficiencies
Dec 22, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 19 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0559 Severity D
    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
    Dec 22, 2025 · Resident Rights Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Dec 22, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Dec 22, 2025 · Quality of Life and Care Deficiencies
  • Tag 0840 Severity D
    Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to
    Dec 22, 2025 · Administration Deficiencies
  • Tag 0600 Severity J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Sep 4, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 6.8% 4.5% Worse
Falls with major injury 0.4% 3.0% Better
On antipsychotic medication 13.0% 14.5% Better
Urinary tract infections 9.3% 2.5% Worse
ADL decline (daily activities) 45.8% 14.0% Worse
Excessive weight loss 4.4% 7.5% Better
New/worsened incontinence 34.3% 45.0% Better

⚠️ Penalties & Fines

11 penalties recorded by CMS

Total fines: $68,731

How This Grade Was Calculated

This facility's grade of F is based on a score of 16 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 1★ → 3 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -6 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Government - State
Certified Beds
112
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Feb 26, 2025
Deficiencies (Cycle 1)
11