Leesburg, FL

Avante At Leesburg, Inc

3-star overall rating with 3-star inspections with 9 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

2000 Edgewood Ave, Leesburg, FL

(352) 787-3545

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

116

Certified beds

Average residents

99

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Avante Centers

Operator or chain grouping

Approved since

1980-10-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

11 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.44

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

1.07

Licensed practical nurse staffing · state 0.79 · national 0.87

Aide hours / resident day

2.17

Nurse aide staffing · state 2.34 · national 2.35

Total nurse hours

3.68

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.51

RN + LPN hours · state 1.52 · national 1.54

Weekend hours

3.35

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.34

Weekend registered nurse coverage · state 0.53 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.48

CMS adjusted RN staffing hours

Adjusted total hours

4.00

CMS adjusted total nurse staffing hours

Case-mix index

1.26

Higher values indicate more complex resident acuity

RN turnover

85%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

63%

Annual nurse turnover · state 42% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,295

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

27.23

Composite VBP score used to determine payment impact.

Payment multiplier

0.9845

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.38

Baseline 18.75% · Performance 18.48% · Measure score 6.38 · Achievement 6.38 · Improvement 1.07

Healthcare-associated infections

1.14

Baseline 7.51% · Performance 7.49% · Measure score 1.14 · Achievement 1.14 · Improvement 0

Total nurse turnover

1.57

Performance 57.27% · Measure score 1.57 · Achievement 1.57 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

1.80

Baseline 3.85 hours · Performance 3.59 hours · Measure score 1.80 · Achievement 1.80 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.78%	10.72% 0.9 pts better	No Different than the National Rate · Eligible stays 90 · Observed rate 7.78% · Lower 95% interval 6.58%
Discharge to community	43.76%	50.57% 6.8 pts worse	No Different than the National Rate · Eligible stays 53 · Observed rate 32.08% · Lower 95% interval 31.29%
Medicare spending per beneficiary	1.07	1.02 0.1 pts worse
Drug regimen review with follow-up	97.39%	95.27% 2.1 pts better	Numerator 112 · Denominator 115
Falls with major injury	0.87%	0.77% 0.1 pts worse	Numerator 1 · Denominator 115
Discharge self-care score	36.11%	53.69% 17.6 pts worse	Numerator 26 · Denominator 72
Discharge mobility score	30.56%	50.94% 20.4 pts worse	Numerator 22 · Denominator 72
Pressure ulcers or injuries, new or worsened	4.35%	2.29% 2.1 pts worse	Numerator 5 · Denominator 115 · Adjusted rate 3.84%
Healthcare-associated infections requiring hospitalization	7.49%	7.12% 0.4 pts worse	No Different than the National Rate · Eligible stays 45 · Observed rate 8.89% · Lower 95% interval 3.49%
Staff COVID-19 vaccination coverage	86.36%	8.2% 78.2 pts better	Numerator 95 · Denominator 110
Staff flu vaccination coverage	0%	42% 42 pts worse	Numerator 0 · Denominator 143
Discharge function score	54.17%	56.45% 2.3 pts worse	Numerator 39 · Denominator 72
Transfer of health information to provider	96.43%	95.95% 0.5 pts better	Numerator 54 · Denominator 56
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	7.69%	25.2% 17.5 pts worse	Numerator 5 · Denominator 65

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.4	2.1 0.3 pts worse	1.9 0.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.5 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.9	1.2 0.7 pts worse	1.8 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.9 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.7%	97.8% 1.9 pts better	93.4% 6.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.8% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	99.2% 0.8 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.3%	2.6% 0.7 pts worse	3.3% About the same	Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 3.8% · Q3 2.3% · Q4 0.0% · 4Q avg 3.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.7%	3.7% 1 pts better	11.4% 8.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 2.9% · Q3 2.4% · Q4 1.3% · 4Q avg 2.7%
Percentage of long-stay residents who lose too much weight	8.2%	5.9% 2.3 pts worse	5.4% 2.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 11.9% · Q3 4.3% · Q4 8.5% · 4Q avg 8.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	9.5%	15.7% 6.2 pts better	19.6% 10.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 11.3% · Q3 10.8% · Q4 5.4% · 4Q avg 9.5%
Percentage of long-stay residents who received an antipsychotic medication	6.8%	9.8% 3 pts better	16.7% 9.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 10.2% · Q3 6.5% · Q4 3.6% · 4Q avg 6.8% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	8.4%	11.7% 3.3 pts better	16.3% 7.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.7% · Q2 3.6% · Q3 5.4% · Q4 5.0% · 4Q avg 8.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	4.3%	9.8% 5.5 pts better	14.9% 10.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 0.0% · Q3 0.0% · Q4 7.5% · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.4% 0.4 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.8% 0.8 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	9.9%	12.5% 2.6 pts better	19.8% 9.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 12.3% · Q3 7.2% · Q4 10.7% · 4Q avg 9.9%
Percentage of long-stay residents with pressure ulcers	9.7%	5.1% 4.6 pts worse	5.1% 4.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 9.0% · Q3 6.9% · Q4 8.0% · 4Q avg 9.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	78.5%	94.3% 15.8 pts worse	81.7% 3.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 85.6% · Q2 73.8% · Q3 73.9% · Q4 79.6% · 4Q avg 78.5%
Percentage of short-stay residents who had an outpatient emergency department visit	15.3%	9.3% 6 pts worse	12.0% 3.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 15.3% · Observed 15.9% · Expected 11.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.8%	1.5% 0.3 pts worse	1.6% 0.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 2.0% · Q4 4.4% · 4Q avg 1.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	85.2%	94.7% 9.5 pts worse	79.7% 5.5 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 85.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.6%	26.2% 4.6 pts better	23.9% 2.3 pts better	Short Stay · 20240701-20250630 · Adjusted 21.6% · Observed 20.3% · Expected 22.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-17 · Fire 2025-04-17

9 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2024-01-25 · Fire 2024-01-25

5 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-08-04 · Fire 2022-08-04

7 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-17

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-05-16

E · Potential for more than minimal harm 2025-04-17

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-05-16

E · Potential for more than minimal harm 2025-04-17

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-05-16

F · Potential for more than minimal harm 2022-08-04

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-09-08

F · Potential for more than minimal harm 2022-08-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-09-16

E · Potential for more than minimal harm 2022-08-04

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-09-08

E · Potential for more than minimal harm 2022-08-04

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2022-09-08

D · Potential for more than minimal harm 2022-08-04

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-09-08

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-04-17

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-06-04

E · Potential for more than minimal harm 2025-04-17

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-06-04