Winter Springs, FL

Tuskawilla Nursing And Rehab Center

4-star overall rating with 4-star inspections with $16,104 in total fines with 1 recent health deficiencies

1024 Willa Springs Dr, Winter Springs, FL

(407) 699-5506

Compare this facility

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

98

Certified beds

Average residents

91

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Sovereign Healthcare Holdings

Operator or chain grouping

Approved since

1994-11-07

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

43 facilities

Chain averages 4 overall / 3 health / 3 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

0.70

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.75

Licensed practical nurse staffing · state 0.79 · national 0.87

Aide hours / resident day

2.14

Nurse aide staffing · state 2.34 · national 2.35

Total nurse hours

3.59

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.45

RN + LPN hours · state 1.52 · national 1.54

Weekend hours

3.38

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.51

Weekend registered nurse coverage · state 0.53 · national 0.47

Physical therapist

0.18

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.68

CMS adjusted RN staffing hours

Adjusted total hours

3.44

CMS adjusted total nurse staffing hours

Case-mix index

1.43

Higher values indicate more complex resident acuity

RN turnover

31%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

49%

Annual nurse turnover · state 42% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,638

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

15.95

Composite VBP score used to determine payment impact.

Payment multiplier

0.9815

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 22.05% · Performance 27.25% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

2.39

Baseline 8.24% · Performance 7.30% · Measure score 2.39 · Achievement 1.79 · Improvement 2.39

Total nurse turnover

2.43

Baseline 72.55% · Performance 58.59% · Measure score 2.43 · Achievement 1.25 · Improvement 2.43

Adjusted total nurse staffing

1.56

Baseline 3.7 hours · Performance 3.52 hours · Measure score 1.56 · Achievement 1.56 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.27%	10.72% 0.5 pts worse	No Different than the National Rate · Eligible stays 275 · Observed rate 10.91% · Lower 95% interval 8.38%
Discharge to community	54.8%	50.57% 4.2 pts better	No Different than the National Rate · Eligible stays 272 · Observed rate 49.26% · Lower 95% interval 48.05%
Medicare spending per beneficiary	1.24	1.02 0.2 pts worse
Drug regimen review with follow-up	97.86%	95.27% 2.6 pts better	Numerator 229 · Denominator 234
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 234
Discharge self-care score	70.27%	53.69% 16.6 pts better	Numerator 78 · Denominator 111
Discharge mobility score	53.15%	50.94% 2.2 pts better	Numerator 59 · Denominator 111
Pressure ulcers or injuries, new or worsened	1.28%	2.29% 1 pts better	Numerator 3 · Denominator 234 · Adjusted rate 1.02%
Healthcare-associated infections requiring hospitalization	7.3%	7.12% 0.2 pts worse	No Different than the National Rate · Eligible stays 198 · Observed rate 7.07% · Lower 95% interval 4.71%
Staff COVID-19 vaccination coverage	0.63%	8.2% 7.6 pts worse	Numerator 1 · Denominator 158
Staff flu vaccination coverage	18.98%	42% 23 pts worse	Numerator 41 · Denominator 216
Discharge function score	68.47%	56.45% 12 pts better	Numerator 76 · Denominator 111
Transfer of health information to provider	97.78%	95.95% 1.8 pts better	Numerator 176 · Denominator 180
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	22.81%	25.2% 2.4 pts worse	Numerator 26 · Denominator 114

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.8	2.1 0.7 pts worse	1.9 0.9 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.7 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.0	1.2 0.2 pts better	1.8 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.9%	97.8% 1.1 pts better	93.4% 5.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.4% · Q3 98.5% · Q4 98.6% · 4Q avg 98.9%
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	1.9%	2.6% 0.7 pts better	3.3% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 3.2% · Q3 0.0% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	19.3%	3.7% 15.6 pts worse	11.4% 7.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 12.1% · Q3 18.4% · Q4 30.9% · 4Q avg 19.3%
Percentage of long-stay residents who lose too much weight	2.8%	5.9% 3.1 pts better	5.4% 2.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 0.0% · Q4 3.7% · 4Q avg 2.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	5.2%	15.7% 10.5 pts better	19.6% 14.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 3.7% · Q3 4.5% · Q4 3.4% · 4Q avg 5.2%
Percentage of long-stay residents who received an antipsychotic medication	3.9%	9.8% 5.9 pts better	16.7% 12.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 4.0% · Q3 4.0% · Q4 5.8% · 4Q avg 3.9% · 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	12.8%	11.7% 1.1 pts worse	16.3% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 12.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	14.4%	9.8% 4.6 pts worse	14.9% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 27.0% · Q2 4.0% · Q3 4.8% · Q4 14.3% · 4Q avg 14.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.8%	0.4% 0.4 pts worse	1.0% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.8% · Q4 1.5% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.2%	0.8% 0.4 pts worse	1.7% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.0% · Q3 1.7% · Q4 1.5% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	13.1%	12.5% 0.6 pts worse	19.8% 6.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 30.9% · Q2 12.7% · Q3 5.5% · Q4 3.2% · 4Q avg 13.1%
Percentage of long-stay residents with pressure ulcers	1.7%	5.1% 3.4 pts better	5.1% 3.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 1.4% · Q3 0.0% · Q4 2.5% · 4Q avg 1.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	94.9%	94.3% 0.6 pts better	81.7% 13.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 94.1% · Q2 96.2% · Q3 93.5% · Q4 95.8% · 4Q avg 94.9%
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 13.8% · Expected 11.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.2%	1.5% 0.3 pts better	1.6% 0.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.8% · Q3 1.6% · Q4 0.8% · 4Q avg 1.2% · 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	32.3%	26.2% 6.1 pts worse	23.9% 8.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 32.3% · Observed 34.6% · Expected 25.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-06-20 · Fire 2024-06-20

1 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-05-26 · Fire 2023-05-26

2 health deficiencies

Top issue: Resident Assessment and Care Planning (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

5 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-06-20

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-07-22

D · Potential for more than minimal harm 2023-05-26

F571 · Resident Rights Deficiencies

Health

Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.

Corrected 2023-06-22

D · Potential for more than minimal harm 2023-05-26

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 2023-06-22

G · Actual harm 2023-05-12

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2023-06-07

D · Potential for more than minimal harm 2023-05-12

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 2023-06-07

D · Potential for more than minimal harm 2023-05-12

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 2023-06-07

D · Potential for more than minimal harm 2021-07-15

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2021-08-06

D · Potential for more than minimal harm 2021-07-15

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-08-06

Penalties and ownership

What sits behind the stars

$3,728 2023-05-12

Fine

Fine · fine $3,728

Fine

$3,728 2023-05-12

Fine

Fine · fine $3,728

Fine

$8,648 2023-05-12

Fine

Fine · fine $8,648

Fine