Alwyn C Cashe State Veterans Nursing Home

CMS flags

CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

1. CMS update of October 28, 2026

   • CMS abuse icon

     CMS removed its abuse icon from this home.

2. CMS update of February 25, 2026

   • Fine

     CMS changed the fine from September 5, 2025 from $26,685 to $17,345.

3. CMS update of January 14, 2026

   • Star rating

     The CMS health inspection star rating changed from 1 of 5 to 2 of 5.

4. Health inspection on December 23, 2025

   4 citations

   CMS lists this as a complaint inspection.

   Show the 4 citations

   • Citation F0559. Severity D: potential for more than minimal harm, isolated.

     The rule CMS cited: Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

     CMS lists it as corrected on February 16, 2026.

   • Citation F0656. Severity D: potential for more than minimal harm, isolated.

     The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     CMS lists it as corrected on February 16, 2026.

     CMS has cited this home for F0656 2 times since 2025.

   • Citation F0684. Severity D: potential for more than minimal harm, isolated.

     The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     CMS lists it as corrected on February 16, 2026.

   • Citation F0840. Severity D: potential for more than minimal harm, isolated.

     The rule CMS cited: Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

     CMS lists it as corrected on February 16, 2026.

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5. CMS update of December 15, 2025

   • Star rating

     The CMS health inspection star rating changed from 2 of 5 to 1 of 5.

   • CMS abuse icon

     CMS added its abuse icon to this home.

6. CMS update of November 20, 2025

   • Star rating

     The CMS overall star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.

   • Star rating

     The CMS staffing star rating changed from 5 of 5 to 4 of 5.

   • Staffing

     Total nurse staffing reported to CMS went from 7.3 to 6.1 hours per resident per day.

   • Fine

     CMS changed the fine from September 14, 2024 from $16,801 to $8,018.

   • Fine

     CMS changed the fine from January 24, 2025 from $16,150 to $5,249.

7. Health inspection on September 5, 2025

   2 citations

   CMS lists this as a complaint inspection.

   Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

   59 of 694 Florida homes (9%) got a citation at the immediate jeopardy level in 2025.

   CMS fine of $17,345 on September 5, 2025.

   Show the 2 citations

   • Citation F0600. Severity J: immediate jeopardy, isolated.

     The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

   • Citation F0689. Severity J: immediate jeopardy, isolated.

     The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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8. CMS update of July 30, 2025

   • Fine

     CMS changed the fine from December 11, 2023 from $3,174 to $3,145.

   • Fine

     CMS changed the fine from January 2, 2024 from $1,764 to $1,748.

   • Fine

     CMS changed the fine from January 8, 2024 from $2,279 to $2,258.

   • Fine

     CMS changed the fine from January 22, 2024 from $9,116 to $9,032.

   • Fine

     CMS changed the fine from February 12, 2024 from $3,798 to $3,764.

   • Fine

     CMS changed the fine from February 20, 2024 from $4,178 to $4,140.

9. CMS update of June 25, 2025

   • Ownership

     CMS lists this home under a new chain.

10. CMS update of April 30, 2025

    • Star rating

      The CMS overall star rating changed from not rated by CMS to 2 of 5.

    • Star rating

      The CMS health inspection star rating changed from not rated by CMS to 2 of 5.

    • Star rating

      The CMS staffing star rating changed from not rated by CMS to 5 of 5.

    • Star rating

      The CMS quality measures star rating changed from not rated by CMS to 1 of 5.

    • Staffing

      Total nurse staffing reported to CMS went from 7.8 to 6.5 hours per resident per day.

11. CMS update of March 26, 2025

    • Fine

      CMS changed the fine from September 14, 2024 from $25,847 to $16,801.

12. Health inspection on February 27, 2025

    5 citations

    CMS lists this as a standard inspection.

    Show the 5 citations

    • Citation F0550. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on March 27, 2025.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on March 27, 2025.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on March 27, 2025.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on March 27, 2025.

    • Citation F0759. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure medication error rates are not 5 percent or greater.

      CMS lists it as corrected on March 27, 2025.

      CMS has cited this home for F0759 2 times since 2023.

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13. CMS update of February 26, 2025

    • Staffing

      Total nurse staffing reported to CMS went from 10.2 to 7.8 hours per resident per day.

14. Health inspection on January 24, 2025

    5 citations

    CMS lists this as a complaint inspection.

    CMS fine of $5,249 on January 24, 2025.

    CMS fine of $5,249 on January 24, 2025.

    Show the 5 citations

    • Citation F0607. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop and implement policies and procedures to prevent abuse, neglect, and theft.

      CMS lists it as corrected on February 24, 2025.

    • Citation F0756. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

      CMS lists it as corrected on February 24, 2025.

    • Citation F0867. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

      CMS lists it as corrected on February 24, 2025.

      CMS has cited this home for F0867 2 times since 2024.

    • Citation F0773. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

      CMS lists it as corrected on February 24, 2025.

    • Citation F0777. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

      CMS lists it as corrected on February 24, 2025.

    See this home on CMS Care Compare

15. CMS update of September 26, 2024

    • Fine

      CMS changed the fine from January 22, 2024 from $9,032 to $9,116.

    • Fine

      CMS changed the fine from February 12, 2024 from $3,764 to $3,798.

    • Fine

      CMS changed the fine from February 20, 2024 from $4,140 to $4,178.

16. Health inspection on September 14, 2024

    4 citations

    CMS lists this as a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    55 of 694 Florida homes (8%) got a citation at the actual harm level in 2024.

    CMS fine of $8,018 on September 14, 2024.

    CMS fine of $8,783 on September 14, 2024.

    Show the 4 citations

    • Citation F0604. Severity G: actual harm, isolated.

      The rule CMS cited: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

      CMS lists it as corrected on October 14, 2024.

    • Citation F0741. Severity G: actual harm, isolated.

      The rule CMS cited: Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

      CMS lists it as corrected on October 14, 2024.

    • Citation F0867. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

      CMS lists it as corrected on October 14, 2024.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on October 14, 2024.

    See this home on CMS Care Compare

17. CMS update of August 29, 2024

    • Fine

      CMS changed the fine from January 8, 2024 from $2,258 to $2,279.

18. CMS update of July 31, 2024

    • Fine

      CMS changed the fine from December 11, 2023 from $3,145 to $3,174.

    • Fine

      CMS changed the fine from January 2, 2024 from $1,748 to $1,764.

19. February 20, 2024

    Fine

    CMS fine of $4,140 on February 20, 2024.

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20. February 12, 2024

    Fine

    CMS fine of $3,764 on February 12, 2024.

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21. CMS update of January 31, 2024

    • Listing

      This home now appears in CMS data.

22. January 22, 2024

    Fine

    CMS fine of $9,032 on January 22, 2024.

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23. January 8, 2024

    Fine

    CMS fine of $2,258 on January 8, 2024.

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24. January 2, 2024

    Fine

    CMS fine of $1,748 on January 2, 2024.

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25. December 11, 2023

    Fine

    CMS fine of $3,145 on December 11, 2023.

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26. Health inspection on September 8, 2023

    2 citations

    CMS lists this as a standard inspection.

    Show the 2 citations

    • Citation F0759. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure medication error rates are not 5 percent or greater.

      CMS lists it as corrected on October 9, 2023.

    • Citation F0732. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Post nurse staffing information every day.

      CMS lists it as corrected on October 9, 2023.

    See this home on CMS Care Compare

CMS star ratings

• 1 of 5CMS overall star rating
• 2 of 5CMS health inspection star rating
• 4 of 5CMS staffing star rating
• 1 of 5CMS quality measures star rating

Facts from CMS

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

• COLON APONTE, OMAYRAOperational/managerial control · not applicable · since 08/01/2024
• MALLARD, LINDSAYOperational/managerial control · not applicable · since 11/18/2022

Questions

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