GoodStanding

Nursing home report

GUARDIAN CARE NURSING & REHABILITATION CENTER

ORLANDO, FL · Medicare-certified · 120 beds

In good standing
Non-profit
3 of 5 overall

3-star nursing home with mixed performance: health inspections and staffing are both low at 2 stars, while quality measures are 5 stars. Reported nurse staffing is 3.49 hours per resident per day, below the 4.1-hour federal benchmark, and there were no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.4921 hrs/resident/day

Quality measures

Last inspection: March 12, 2025Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4921.

Staffing detail

Registered nurses
0.68
Licensed practical nurses
0.56
Nurse aides
2.25
Weekend nursing
3.34

Hours per resident per day.

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

14%10%Improving

Residents with a fall causing major injury

1.2%4.3%Worsening

Residents with pressure ulcers (bedsores)

4.5%3.2%Improving

Residents with a urinary tract infection

1.2%1.5%No change

Residents who lost too much weight

3.9%0%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

14.5%16.7%Worsening

Residents whose ability to walk got worse

27%13.8%Improving

Long-stay residents on antianxiety or sleep medication

11.1%7.8%Improving

Short-stay residents newly given an antipsychotic

0%1.9%Worsening

Residents with a long-term catheter

1%0%Improving

Residents with new or worsening incontinence

15.2%9.2%Improving

Residents with depressive symptoms

1.3%0%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%

Long-stay residents given the pneumonia vaccine

97.7%98.6%Improving

Short-stay residents given the seasonal flu vaccine

100%

Short-stay residents given the pneumonia vaccine

100%97.7%Worsening

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2023 — 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 submit complete and accurate staffing information based on verifiable records. Cited March 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 851 — 42 CFR §483.70 — S/S: F

The nursing home failed to coordinate resident assessments with required screening and make needed service referrals. Cited March 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 644 — 42 CFR §483.20 — S/S: E

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: E

The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited March 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 867 — 42 CFR §483.75 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 12 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $15,737 in total fines.

  • Federal fine

    Jul 29, 2023

    $15,737

Operator & ownership

Ownership
Non profit - Corporation
Occupancy
89.9 residents on an average day (75% of 120 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 32 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.