Cycle 1
Health 2024-11-21 · Fire 2024-11-21
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Saint Cloud, FL
Solaris Healthcare Osceola
4-star overall rating with 4-star inspections with $19,036 in total fines with 1 fire-safety deficiencies in the latest cycle
4201 W New Nolte Road, Saint Cloud, FL
(407) 957-3341
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
110
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Solaris Healthcare
Operator or chain grouping
Approved since
1991-06-26
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
0.75
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.66
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
2.13
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
3.54
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.41
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
3.26
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.57
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.75
CMS adjusted RN staffing hours
Adjusted total hours
3.52
CMS adjusted total nurse staffing hours
Case-mix index
1.37
Higher values indicate more complex resident acuity
RN turnover
54%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,461
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
49.67
Composite VBP score used to determine payment impact.
Payment multiplier
1.0037
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.57
Baseline 28.32% · Performance 23.73% · Measure score 3.57 · Achievement 0 · Improvement 3.57
Healthcare-associated infections
7.08
Baseline 13.89% · Performance 7.15% · Measure score 7.08 · Achievement 2.29 · Improvement 7.08
Total nurse turnover
6.98
Baseline 63.40% · Performance 35.13% · Measure score 6.98 · Achievement 6.98 · Improvement 6.83
Adjusted total nurse staffing
2.24
Baseline 4.26 hours · Performance 3.71 hours · Measure score 2.24 · Achievement 2.24 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.97% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 190 · Observed rate 9.47% · Lower 95% interval 7.72% |
| Discharge to community | 51.34% |
50.57%
0.8 pts better
|
No Different than the National Rate · Eligible stays 170 · Observed rate 44.71% · Lower 95% interval 42.5% |
| Medicare spending per beneficiary | 1.2 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 86.27% |
95.27%
9 pts worse
|
Numerator 176 · Denominator 204 |
| Falls with major injury | 1.47% |
0.77%
0.7 pts worse
|
Numerator 3 · Denominator 204 |
| Discharge self-care score | 51.69% |
53.69%
2 pts worse
|
Numerator 61 · Denominator 118 |
| Discharge mobility score | 39.83% |
50.94%
11.1 pts worse
|
Numerator 47 · Denominator 118 |
| Pressure ulcers or injuries, new or worsened | 2.96% |
2.29%
0.7 pts worse
|
Numerator 6 · Denominator 203 · Adjusted rate 2.39% |
| Healthcare-associated infections requiring hospitalization | 7.15% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 127 · Observed rate 7.09% · Lower 95% interval 4.93% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 173 |
| Staff flu vaccination coverage | 23.01% |
42%
19 pts worse
|
Numerator 55 · Denominator 239 |
| Discharge function score | 50% |
56.45%
6.5 pts worse
|
Numerator 59 · Denominator 118 |
| Transfer of health information to provider | 97.17% |
95.95%
1.2 pts better
|
Numerator 103 · Denominator 106 |
| Transfer of health information to patient | 93.55% |
96.28%
2.7 pts worse
|
Numerator 29 · Denominator 31 |
| Resident COVID-19 vaccinations up to date | 41.51% |
25.2%
16.3 pts better
|
Numerator 44 · Denominator 106 |
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 · Adjusted 1.8 · Observed 1.5 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.2
About the same
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · 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 | 5.8% |
2.6%
3.2 pts worse
|
3.3%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 9.3% · Q3 5.4% · Q4 0.0% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.1% |
3.7%
1.6 pts better
|
11.4%
9.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 5.6% · Q4 1.3% · 4Q avg 2.1% |
| Percentage of long-stay residents who lose too much weight | 10.1% |
5.9%
4.2 pts worse
|
5.4%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.9% · Q2 14.8% · Q3 4.8% · Q4 6.0% · 4Q avg 10.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.5% |
15.7%
2.2 pts better
|
19.6%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 9.4% · Q3 13.2% · Q4 18.6% · 4Q avg 13.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 5.2% |
9.8%
4.6 pts better
|
16.7%
11.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 5.6% · Q3 4.3% · Q4 4.5% · 4Q avg 5.2% · 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 | 14.4% |
11.7%
2.7 pts worse
|
16.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 6.1% · Q3 16.7% · Q4 23.5% · 4Q avg 14.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.7% |
9.8%
2.9 pts worse
|
14.9%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.1% · Q2 1.7% · Q3 14.3% · Q4 20.3% · 4Q avg 12.7% · 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 | 0.3% |
0.8%
0.5 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.1% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.3% |
12.5%
4.8 pts worse
|
19.8%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.6% · Q2 17.6% · Q3 16.7% · Q4 11.4% · 4Q avg 17.3% |
| Percentage of long-stay residents with pressure ulcers | 4.3% |
5.1%
0.8 pts better
|
5.1%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 2.6% · Q3 3.0% · Q4 4.7% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% |
94.3%
4.8 pts better
|
81.7%
17.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.8% · Q2 99.3% · Q3 100.0% · Q4 99.3% · 4Q avg 99.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.2% |
9.3%
4.1 pts better
|
12.0%
6.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.2% · Observed 5.2% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.5%
1.2 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.8% |
94.7%
2.1 pts better
|
79.7%
17.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.9% |
26.2%
0.3 pts better
|
23.9%
2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.9% · Observed 28.9% · Expected 26.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-03-30 · Fire 2023-03-30
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-04-22 · Fire 2021-04-22
4 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-11-21
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-12-06
D · Potential for more than minimal harm
2021-04-22
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-05-19
D · Potential for more than minimal harm
2021-04-22
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-05-19
D · Potential for more than minimal harm
2021-04-22
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-05-19
Inspection history
Recent health citations
J · Immediate jeopardy
2024-10-31
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 2024-11-22
D · Potential for more than minimal harm
2021-04-22
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-05-19
D · Potential for more than minimal harm
2021-04-22
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2021-05-19
D · Potential for more than minimal harm
2021-04-22
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2021-05-19
D · Potential for more than minimal harm
2021-04-22
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2021-05-19
Penalties and ownership
What sits behind the stars
$2,584
2024-10-31
Fine
Fine · fine $2,584
Fine
$16,452
2024-10-31
Fine
Fine · fine $16,452
Fine
Ownership
Osceola SNF Operations Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Klein, Solomon
5% Or Greater Indirect Ownership Interest · Individual
Herzka, Yisroel
5% Or Greater Indirect Ownership Interest · Individual
Wolofsky, Chava
5% Or Greater Indirect Ownership Interest · Individual
Spinneweber, Jody
W-2 Managing Employee · Individual
Nearby options
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#2
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4-star overall rating with 3-star inspections with $5,710 in total fines with 10 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
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3-star overall rating with 2-star inspections with $103,362 in total fines with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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