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
Data as of July 1, 2026
1 of 5 overall
ALWYN C CASHE STATE VETERANS NURSING HOME in Orlando has a 1-star overall rating, with low quality measures and a recent abuse citation. Staffing is rated 4 stars and reported nurse staffing is 5.30 hours per resident day, above the federal benchmark of 4.1, but the facility had $44,644 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
5.2983 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 5.2983.
Staffing detail
- Registered nurses
- 1.25
- Licensed practical nurses
- 1.01
- Nurse aides
- 3.05
- Weekend nursing
- 4.63
Hours per resident per day.
Total staff turnover: 73%
Registered nurse turnover: 72%
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%5.1%Improving
Residents with a fall causing major injury
0%6.1%Worsening
Residents with pressure ulcers (bedsores)
5.9%5.2%Improving
Residents with a urinary tract infection
8.5%4.1%Improving
Residents who lost too much weight
3.9%4%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
39.1%48.3%Worsening
Residents whose ability to walk got worse
—60.4%—
Long-stay residents on antianxiety or sleep medication
5.9%13.2%Worsening
Short-stay residents newly given an antipsychotic
—1.6%—
Residents with a long-term catheter
7%4.1%Improving
Residents with new or worsening incontinence
36%25.1%Improving
Residents with depressive symptoms
7.3%1.4%Improving
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
62.7%66.7%Improving
Short-stay residents given the seasonal flu vaccine
—50%—
Short-stay residents given the pneumonia vaccine
72.5%80%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 · 3.8 stars avg
- Occupancy
- 101.6 residents on an average day (91% 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.