Cycle 1
Health 2025-03-27 · Fire 2025-03-27
5 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Apopka, FL
Solaris Healthcare Forest Lake
4-star overall rating with 3-star inspections with $15,269 in total fines with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
3355 E Semoran Blvd, Apopka, FL
(407) 862-6263
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
222
Certified beds
Average residents
206
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Solaris Healthcare
Operator or chain grouping
Approved since
1979-10-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
22 facilities
Chain averages 4 overall / 3 health / 4 staffing / 5 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
0.51
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
1.00
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
2.23
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
3.74
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
3.50
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.42
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.40
CMS adjusted RN staffing hours
Adjusted total hours
2.92
CMS adjusted total nurse staffing hours
Case-mix index
1.75
Higher values indicate more complex resident acuity
RN turnover
58%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
36%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,752
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.74
Composite VBP score used to determine payment impact.
Payment multiplier
0.9918
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.81
Baseline 25.27% · Performance 18.42% · Measure score 7.81 · Achievement 6.49 · Improvement 7.81
Healthcare-associated infections
2.62
Baseline 10.19% · Performance 8.57% · Measure score 2.62 · Achievement 0 · Improvement 2.62
Total nurse turnover
5.07
Baseline 49.79% · Performance 42.98% · Measure score 5.07 · Achievement 5.07 · Improvement 2.23
Adjusted total nurse staffing
0
Baseline 3.73 hours · Performance 3.01 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.81% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 201 · Observed rate 9.95% · Lower 95% interval 7.25% |
| Discharge to community | 53.81% |
50.57%
3.2 pts better
|
No Different than the National Rate · Eligible stays 134 · Observed rate 43.28% · Lower 95% interval 42.59% |
| Medicare spending per beneficiary | 1.13 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 97.11% |
95.27%
1.8 pts better
|
Numerator 168 · Denominator 173 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 173 |
| Discharge self-care score | 45.88% |
53.69%
7.8 pts worse
|
Numerator 39 · Denominator 85 |
| Discharge mobility score | 36.47% |
50.94%
14.5 pts worse
|
Numerator 31 · Denominator 85 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 173 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 8.57% |
7.12%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 118 · Observed rate 11.86% · Lower 95% interval 5.59% |
| Staff COVID-19 vaccination coverage | 0.42% |
8.2%
7.8 pts worse
|
Numerator 1 · Denominator 238 |
| Staff flu vaccination coverage | 20.54% |
42%
21.5 pts worse
|
Numerator 84 · Denominator 409 |
| Discharge function score | 51.76% |
56.45%
4.7 pts worse
|
Numerator 44 · Denominator 85 |
| Transfer of health information to provider | 98.31% |
95.95%
2.4 pts better
|
Numerator 58 · Denominator 59 |
| Transfer of health information to patient | 98% |
96.28%
1.7 pts better
|
Numerator 49 · Denominator 50 |
| Resident COVID-19 vaccinations up to date | 8.26% |
25.2%
16.9 pts worse
|
Numerator 9 · Denominator 109 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
2.1
0.5 pts better
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 2.0 · Expected 2.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.2
0.3 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.9 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% |
97.8%
1.2 pts better
|
93.4%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 100.0% · Q3 99.5% · Q4 97.9% · 4Q avg 99.0% |
| 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 | 1.0% |
2.6%
1.6 pts better
|
3.3%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 1.2% · Q3 0.5% · Q4 1.6% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.6% |
3.7%
0.9 pts worse
|
11.4%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 4.2% · Q3 3.1% · Q4 7.2% · 4Q avg 4.6% |
| Percentage of long-stay residents who lose too much weight | 4.5% |
5.9%
1.4 pts better
|
5.4%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 7.6% · Q3 3.7% · Q4 1.0% · 4Q avg 4.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.4% |
15.7%
3.3 pts better
|
19.6%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 11.3% · Q3 11.4% · Q4 13.8% · 4Q avg 12.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 1.3% |
9.8%
8.5 pts better
|
16.7%
15.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.3% · Q3 1.9% · Q4 0.9% · 4Q avg 1.3% · 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 | 13.5% |
11.7%
1.8 pts worse
|
16.3%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 24.3% · Q2 13.4% · Q3 8.6% · Q4 8.7% · 4Q avg 13.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.9% |
9.8%
0.1 pts worse
|
14.9%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 16.1% · Q3 8.9% · Q4 5.1% · 4Q avg 9.9% · 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 | 0.1% |
0.8%
0.7 pts better
|
1.7%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.5% · Q4 0.0% · 4Q avg 0.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 9.0% |
12.5%
3.5 pts better
|
19.8%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.7% · Q2 6.5% · Q3 8.9% · Q4 7.1% · 4Q avg 9.0% |
| Percentage of long-stay residents with pressure ulcers | 7.7% |
5.1%
2.6 pts worse
|
5.1%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 7.9% · Q3 8.1% · Q4 9.3% · 4Q avg 7.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.7% |
94.3%
3.6 pts worse
|
81.7%
9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.8% · Q2 95.6% · Q3 88.3% · Q4 82.8% · 4Q avg 90.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.0% |
9.3%
4.7 pts worse
|
12.0%
2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.0% · Observed 15.2% · Expected 12.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.5%
0.8 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.8% · Q3 0.9% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.2% |
94.7%
0.5 pts better
|
79.7%
15.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.2% |
26.2%
2 pts better
|
23.9%
0.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.2% · Observed 28.8% · Expected 28.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-09-01 · Fire 2023-09-01
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Cycle 3
Health 2021-10-22 · Fire 2021-10-22
5 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-03-27
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 2025-04-25
F · Potential for more than minimal harm
2023-09-01
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-09-29
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-07-11
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-08-11
D · Potential for more than minimal harm
2025-07-11
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-08-11
D · Potential for more than minimal harm
2025-07-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-11
E · Potential for more than minimal harm
2025-03-27
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 2025-04-24
D · Potential for more than minimal harm
2025-03-27
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 2025-04-24
J · Immediate jeopardy
2023-07-19
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2023-07-01
J · Immediate jeopardy
2023-07-19
F678 · Quality of Life and Care Deficiencies
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2023-07-01
D · Potential for more than minimal harm
2023-03-16
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-14
D · Potential for more than minimal harm
2021-10-22
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2021-11-22
D · Potential for more than minimal harm
2021-10-22
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 2021-11-22
Penalties and ownership
What sits behind the stars
$15,269
2023-07-19
Fine
Fine · fine $15,269
Fine
Ownership
Acc Ii SNF Operations Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Apopka South SNF Operations Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Ch Acc Ii Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Klein, Solomon
Corporate Officer · Individual
Seam Trust
5% Or Greater Indirect Ownership Interest · Organization
Sk Acc Ii Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Spinneweber, Jody
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Harborview Health Center West Altamonte
Altamonte Springs, FL
2-star overall rating with 2-star inspections with $18,106 in total fines with 9 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Solaris Healthcare Apopka
Apopka, FL
5-star overall rating with 5-star inspections
#3
Village On The Green
Longwood, FL
5-star overall rating with 4-star inspections with 3 recent health deficiencies
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