The nursing home failed to protect residents from abuse and neglect by others. Cited September 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
ALWYN C CASHE STATE VETERANS NURSING HOME
ORLANDO, FL · Medicare-certified · 112 beds
Needs attention
Abuse citationGovernment-runChain member
1 of 5 overall
ALWYN C CASHE STATE VETERANS NURSING HOME in Orlando has an overall rating of 1 out of 5 stars. It has low quality measures and health inspection scores, staffing at 4 out of 5 with reported nurse staffing above the federal benchmark (5.51 vs. 4.1 hours per resident day), $44,644 in fines over the last 24 months, and a recent abuse citation.
Facility ratings
Health inspections
Staffing
5.5086 hrs/resident/day
Quality measures
Last inspection: December 23, 2025Penalties, last 24 months: $44,644recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.5086.
Staffing detail
- Registered nurses
- 1.09
- Licensed practical nurses
- 1.09
- Nurse aides
- 3.33
- Weekend nursing
- 4.87
Hours per resident per day.
Total staff turnover: 84%
Registered nurse turnover: 85%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
9.1%12.1%Worsening
Residents with a fall causing major injury
0%4.4%Worsening
Residents with pressure ulcers (bedsores)
3.6%9.9%Worsening
Residents with a urinary tract infection
8.3%3.4%Improving
Residents who lost too much weight
2.4%6.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
50%51.7%Worsening
Residents whose ability to walk got worse
—59.5%—
Long-stay residents on antianxiety or sleep medication
7.1%16.7%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
5.4%6.8%Worsening
Residents with new or worsening incontinence
27.3%35%Worsening
Residents with depressive symptoms
0%1.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—86.3%—
Long-stay residents given the pneumonia vaccine
56.2%62.2%Improving
Short-stay residents given the seasonal flu vaccine
—50%—
Short-stay residents given the pneumonia vaccine
45.8%62.5%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited September 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 604 — 42 CFR §483.12 — S/S: G
The home failed to have enough qualified staff to meet residents’ behavioral health needs. Cited September 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 741 — 42 CFR §483.40 — S/S: G
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $17,345 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $5,249 was recorded.
- PENALTY
A federal fine of $8,783 was recorded.
- PENALTY
A federal fine of $8,018 was recorded.
Penalties & enforcement
On record with Medicare: 11 fines · $68,731 in total fines.
- $17,345
Federal fine
Sep 5, 2025
- $5,249
Federal fine
Jan 24, 2025
- $8,783
Federal fine
Sep 14, 2024
- $8,018
Federal fine
Sep 14, 2024
- $4,140
Federal fine
Feb 20, 2024
- $3,764
Federal fine
Feb 12, 2024
- $9,032
Federal fine
Jan 22, 2024
- $2,258
Federal fine
Jan 8, 2024
Operator & ownership
- Ownership
- Government - State
- Chain
- Part of FLORIDA DEPARTMENT OF VETERANS' AFFAIRS · 8 homes · 3.6 stars avg
- Occupancy
- 96.1 residents on an average day (86% of 112 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 2 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.