Avon Park, FL

Oaks At Avon

2-star overall rating with 3-star inspections with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

1010 Us 27 N, Avon Park, FL

(863) 453-5200

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 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

104

Certified beds

Average residents

88

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Florida Institute For Long-Term Care

Operator or chain grouping

Approved since

1993-01-06

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.41

Registered nurse staffing

LPN hours / resident day

0.95

Licensed practical nurse staffing

Aide hours / resident day

2.07

Nurse aide staffing

Weekend hours

3.16

Weekend nurse staffing

RN turnover

82%

Annual RN turnover

Total nurse turnover

45%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.8
2.1
0.3 pts better
1.9
0.1 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.4
1.2
0.2 pts worse
1.8
0.4 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 2.2%
2.6%
0.4 pts better
3.3%
1.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 2.0%
3.7%
1.7 pts better
11.4%
9.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 6.7%
5.9%
0.8 pts worse
5.4%
1.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 16.4%
15.7%
0.7 pts worse
19.6%
3.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 13.0%
9.8%
3.2 pts worse
16.7%
3.7 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 3.4%
11.7%
8.3 pts better
16.3%
12.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 3.9%
9.8%
5.9 pts better
14.9%
11 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 0.0%
0.8%
0.8 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 1.3%
12.5%
11.2 pts better
19.8%
18.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 4.6%
5.1%
0.5 pts better
5.1%
0.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
94.3%
5.7 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 10.9%
9.3%
1.6 pts worse
12.0%
1.1 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.4%
1.5%
1.1 pts better
1.6%
1.2 pts better
Short Stay · 2024Q4-2025Q3
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
Percentage of short-stay residents who were rehospitalized after a nursing home admission 22.8%
26.2%
3.4 pts better
23.9%
1.1 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-06-11 · Fire 2024-06-11

7 health deficiencies

Top issue: Environmental (2 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2021-12-03 · Fire 2021-12-03

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2020-03-06 · Fire 2020-03-06

4 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-06-11

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-07-11

D · Potential for more than minimal harm 2024-06-11

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-07-11

D · Potential for more than minimal harm 2024-06-11

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-07-11

D · Potential for more than minimal harm 2024-06-11

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-07-11

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-20

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2026-02-20

F · Potential for more than minimal harm 2024-06-11

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2024-07-11

E · Potential for more than minimal harm 2024-06-11

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-07-11

E · Potential for more than minimal harm 2024-06-11

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 2024-07-11

D · Potential for more than minimal harm 2024-06-11

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 2024-07-11

D · Potential for more than minimal harm 2024-06-11

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-07-11

D · Potential for more than minimal harm 2024-06-11

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-07-11

E · Potential for more than minimal harm 2020-03-06

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 2020-04-06

D · Potential for more than minimal harm 2020-03-06

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2020-04-06

D · Potential for more than minimal harm 2020-03-06

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2020-04-06

D · Potential for more than minimal harm 2020-03-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2020-04-06

Penalties and ownership

What sits behind the stars

Ownership

Fi-The Oaks, LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2002-12-23
Consulting Support Services, LLC

Operational/Managerial Control · Organization

0% 35 facilities 2011-06-28
Dean, Sharon

Operational/Managerial Control · Individual

0% 1 facilities 2014-09-22
Eleus Health Management LLC

Operational/Managerial Control · Organization

0% 7 facilities 2009-09-01
Facility Support Company, LLC

Operational/Managerial Control · Organization

0% 35 facilities 2010-12-13
Florida Institute For Long Term Care LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 17 facilities 2002-12-23
Jaffe, Howard

Corporate Officer · Individual

0% 37 facilities 2014-07-01
Kane Financial Services, LLC

Operational/Managerial Control · Organization

0% 35 facilities 2012-06-06
Katz-Hall, Kathy

Corporate Officer · Individual

0% 18 facilities 2014-07-01
Mullarkey, James

Corporate Officer · Individual

0% 18 facilities 2014-07-01
Richmond, Penny

Corporate Officer · Individual

0% 25 facilities 2014-07-01
Spadola, James

Operational/Managerial Control · Individual

0% 2 facilities 2014-08-26

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