Davenport, FL

Davenport Nursing And Rehab Center

4-star overall rating with 3-star inspections with $8,172 in total fines with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

206 W Orange St, Davenport, FL

(863) 422-4961

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

55

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Eliyahu Mirlis

Operator or chain grouping

Approved since

1992-06-26

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.85

Registered nurse staffing

LPN hours / resident day

0.35

Licensed practical nurse staffing

Aide hours / resident day

2.02

Nurse aide staffing

Weekend hours

3.07

Weekend nurse staffing

RN turnover

36%

Annual RN turnover

Total nurse turnover

52%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.4	2.1 0.7 pts better	1.9 0.5 pts better	Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days	0.3	1.2 0.9 pts better	1.8 1.5 pts better	Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	97.8% 2.2 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents experiencing one or more falls with major injury	0.5%	2.6% 2.1 pts better	3.3% 2.8 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	9.1%	3.7% 5.4 pts worse	11.4% 2.3 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	6.3%	5.9% 0.4 pts worse	5.4% 0.9 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	10.0%	15.7% 5.7 pts better	19.6% 9.6 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	1.8%	9.8% 8 pts better	16.7% 14.9 pts better	Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened	10.3%	11.7% 1.4 pts better	16.3% 6 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	8.5%	9.8% 1.3 pts better	14.9% 6.4 pts better	Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents with a urinary tract infection	3.3%	0.8% 2.5 pts worse	1.7% 1.6 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	7.5%	12.5% 5 pts better	19.8% 12.3 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	4.9%	5.1% 0.2 pts better	5.1% 0.2 pts better	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	97.1%	94.3% 2.8 pts better	81.7% 15.4 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	2.3%	9.3% 7 pts better	12.0% 9.7 pts better	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.5% 1.5 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	94.1%	94.7% 0.6 pts worse	79.7% 14.4 pts better	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	20.9%	26.2% 5.3 pts better	23.9% 3 pts better	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-10-04 · Fire 2023-10-04

7 health deficiencies

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

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2021-09-10 · Fire 2021-09-10

5 health deficiencies

Top issue: Resident Rights (2 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2020-02-20 · Fire 2020-02-20

2 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

C · Minimal harm 2023-10-04

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-11-04

D · Potential for more than minimal harm 2021-09-10

K200 · Egress Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2021-10-11

D · Potential for more than minimal harm 2021-09-10

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2021-10-11

D · Potential for more than minimal harm 2021-09-10

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2021-10-11

D · Potential for more than minimal harm 2021-09-10

K352 · Smoke Deficiencies

Fire Safety

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2021-10-11

D · Potential for more than minimal harm 2021-09-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-10-11

D · Potential for more than minimal harm 2021-09-10

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2021-10-11

D · Potential for more than minimal harm 2021-09-10

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2021-10-11

D · Potential for more than minimal harm 2020-02-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-08-17

D · Potential for more than minimal harm 2020-02-20

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2020-03-23

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-12-08

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-12-20

F · Potential for more than minimal harm 2023-10-04

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-11-04

E · Potential for more than minimal harm 2023-10-04

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2023-11-04

E · Potential for more than minimal harm 2023-10-04

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2023-11-04

E · Potential for more than minimal harm 2023-10-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-11-04

E · Potential for more than minimal harm 2023-10-04

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-11-04

D · Potential for more than minimal harm 2023-10-04

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2023-11-04

D · Potential for more than minimal harm 2023-10-04

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2023-11-04

E · Potential for more than minimal harm 2021-09-10

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 2021-10-11

D · Potential for more than minimal harm 2021-09-10

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2021-10-11

D · Potential for more than minimal harm 2021-09-10

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2021-10-11

D · Potential for more than minimal harm 2021-09-10

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-10-11

D · Potential for more than minimal harm 2020-02-20

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2020-03-15

D · Potential for more than minimal harm 2020-02-20

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2020-03-15

Penalties and ownership

What sits behind the stars

$8,172 2023-10-04

Fine

Fine · fine $8,172

Fine

Ownership

206 W Orange St Davenport Holdco LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2023-09-01

Albors-Mora, Melanie

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-09

Becher, Sarah

5% Or Greater Indirect Ownership Interest · Individual

0% 5 facilities 2023-09-01

Mirlis, Eliyahu

5% Or Greater Indirect Ownership Interest · Individual

0% 26 facilities 2023-09-01

Valentino-Keesling, Catherine

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-09

Vrd 10 Hldco LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 5 facilities 2023-09-01

Nearby options

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Haines City Rehabilitation And Nursing Center

Haines City, FL

3-star overall rating with 2-star inspections with $13,380 in total fines with 11 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall: 3 / 5
Health: 2 / 5
Staffing: 2 / 5
Fines: $13,380

#2