Cycle 1
Health 2025-01-30 · Fire 2025-01-30
4 health deficiencies
Top issue: Resident Rights (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Longwood, FL
Island Lake Center
3-star overall rating with 4-star inspections with 4 recent health deficiencies
155 Landover Place, Longwood, FL
(407) 830-7744
Overall
3 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
112
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Aston Health
Operator or chain grouping
Approved since
1989-04-10
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
30 facilities
Chain averages 3 overall / 3 health / 2 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
0.00
Registered nurse staffing
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
0.00
Nurse aide staffing
Total nurse hours
0.00
All reported nurse hours
Licensed hours
0.00
RN + LPN hours
Weekend hours
0.00
Weekend nurse staffing
Weekend RN hours
0.00
Weekend registered nurse coverage
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.00
CMS adjusted RN staffing hours
Adjusted total hours
0.00
CMS adjusted total nurse staffing hours
Case-mix index
0.00
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
12,066
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
14.08
Composite VBP score used to determine payment impact.
Payment multiplier
0.9813
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 20.36% · Performance 24.20% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0.57
Baseline 9.34% · Performance 8.87% · Measure score 0.57 · Achievement 0 · Improvement 0.57
Total nurse turnover
3.91
Baseline 51.85% · Performance 47.71% · Measure score 3.91 · Achievement 3.91 · Improvement 1.04
Adjusted total nurse staffing
1.15
Baseline 3.52 hours · Performance 3.41 hours · Measure score 1.15 · Achievement 1.15 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.17% |
10.72%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 278 · Observed rate 12.59% · Lower 95% interval 9.04% |
| Discharge to community | 46.49% |
50.57%
4.1 pts worse
|
No Different than the National Rate · Eligible stays 267 · Observed rate 41.2% · Lower 95% interval 40.54% |
| Medicare spending per beneficiary | 1.21 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 211 · Denominator 211 |
| Falls with major injury | 1.42% |
0.77%
0.6 pts worse
|
Numerator 3 · Denominator 211 |
| Discharge self-care score | 53.13% |
53.69%
0.6 pts worse
|
Numerator 68 · Denominator 128 |
| Discharge mobility score | 27.34% |
50.94%
23.6 pts worse
|
Numerator 35 · Denominator 128 |
| Pressure ulcers or injuries, new or worsened | 4.74% |
2.29%
2.5 pts worse
|
Numerator 10 · Denominator 211 · Adjusted rate 4.12% |
| Healthcare-associated infections requiring hospitalization | 8.87% |
7.12%
1.7 pts worse
|
No Different than the National Rate · Eligible stays 183 · Observed rate 9.84% · Lower 95% interval 6.5% |
| Staff COVID-19 vaccination coverage | 2.34% |
8.2%
5.9 pts worse
|
Numerator 5 · Denominator 214 |
| Staff flu vaccination coverage | 5.41% |
42%
36.6 pts worse
|
Numerator 10 · Denominator 185 |
| Discharge function score | 42.97% |
56.45%
13.5 pts worse
|
Numerator 55 · Denominator 128 |
| Transfer of health information to provider | 98.72% |
95.95%
2.8 pts better
|
Numerator 77 · Denominator 78 |
| Transfer of health information to patient | 85.11% |
96.28%
11.2 pts worse
|
Numerator 80 · Denominator 94 |
| Resident COVID-19 vaccinations up to date | 21.15% |
25.2%
4.1 pts worse
|
Numerator 22 · Denominator 104 |
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 · Adjusted 1.4 · Observed 1.1 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.2
0.6 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.4 · Used in QM five-star |
| 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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 3.2% |
2.6%
0.6 pts worse
|
3.3%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.1% · Q3 3.2% · Q4 3.3% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.6% |
3.7%
3.1 pts better
|
11.4%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% |
| Percentage of long-stay residents who lose too much weight | 8.9% |
5.9%
3 pts worse
|
5.4%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 9.5% · Q3 9.1% · Q4 12.5% · 4Q avg 8.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.1% |
15.7%
5.4 pts worse
|
19.6%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.3% · Q2 21.5% · Q3 21.7% · Q4 17.3% · 4Q avg 21.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.3% |
9.8%
3.5 pts worse
|
16.7%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.7% · Q2 17.2% · Q3 12.3% · Q4 12.1% · 4Q avg 13.3% · 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 | 14.2% |
11.7%
2.5 pts worse
|
16.3%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 24.9% · Q3 6.8% · Q4 10.2% · 4Q avg 14.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.1% |
9.8%
0.7 pts better
|
14.9%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 13.9% · Q3 9.1% · Q4 8.1% · 4Q avg 9.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
0.4%
0.3 pts worse
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.8% · Q3 0.8% · Q4 0.0% · 4Q avg 0.7% · 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 | 29.2% |
12.5%
16.7 pts worse
|
19.8%
9.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.1% · Q2 32.7% · Q3 22.6% · Q4 24.2% · 4Q avg 29.2% |
| Percentage of long-stay residents with pressure ulcers | 5.2% |
5.1%
0.1 pts worse
|
5.1%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 5.3% · Q3 4.0% · Q4 5.1% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
94.3%
5.1 pts better
|
81.7%
17.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.5% · Q2 99.5% · Q3 99.5% · Q4 100.0% · 4Q avg 99.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.9% |
9.3%
3.4 pts better
|
12.0%
6.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.9% · Observed 5.7% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.0% |
1.5%
0.5 pts worse
|
1.6%
0.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.8% · Q3 1.8% · Q4 0.8% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.5% |
94.7%
4.8 pts better
|
79.7%
19.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.9% |
26.2%
4.3 pts better
|
23.9%
2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.9% · Observed 20.6% · Expected 22.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-05-10 · Fire 2023-05-10
2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-07-15 · Fire 2021-07-15
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2021-07-15
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2021-08-15
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-01-30
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-02-26
D · Potential for more than minimal harm
2025-01-30
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-02-26
D · Potential for more than minimal harm
2025-01-30
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-02-26
D · Potential for more than minimal harm
2025-01-30
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-26
D · Potential for more than minimal harm
2023-05-10
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-06-12
D · Potential for more than minimal harm
2023-05-10
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-06-12
E · Potential for more than minimal harm
2021-07-15
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 2021-08-15
D · Potential for more than minimal harm
2021-07-15
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2021-08-15
D · Potential for more than minimal harm
2021-07-15
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-08-15
D · Potential for more than minimal harm
2021-07-15
F688 · Quality of Life and Care Deficiencies
Health
Provide 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.
Corrected 2021-08-15
Penalties and ownership
What sits behind the stars
Ownership
Ashline, Annette
Operational/Managerial Control · Individual
Cleaver, Daniel
Operational/Managerial Control · Individual
Lemaistre, Kettly
Operational/Managerial Control · Individual
Marques, Andre
Operational/Managerial Control · Individual
Wildes, Donna
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Longwood Health And Rehabilitation Center
Longwood, FL
1-star overall rating with 1-star inspections with $16,801 in total fines with 8 recent health deficiencies
#2
Life Care Center Of Altamonte Springs
Altamonte Springs, FL
2-star overall rating with 1-star inspections with $83,493 in total fines with 6 recent health deficiencies
#3
Village On The Green
Longwood, FL
5-star overall rating with 4-star inspections with 3 recent health deficiencies
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