Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

KISSIMMEE NURSING & REHABILITATION CENTER

KISSIMMEE, FL · 120 certified beds · Last Life Safety survey February 28, 2025

CMS Certification Number 106011 · first certified August 1999

Ownership

Operated by HARBORVIEW HEALTH SYSTEMS · For profit - Limited Liability company

  • Ownership changed July 15, 2024 (change of ownership)to HARBORVIEW HEALTH CENTER KISSIMMEE from KISSIMMEE OPCO, LLC
3
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
2
Inspection & testing records
Of the citations on file

Position within FL

3 citations — more than 19% of the 694 certified nursing homes in FL. Compared within FL rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 1 citation; the earlier surveys in the window averaged 1. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: June 2026 to January 2027. This facility’s last Life Safety survey was February 2025. Facilities in FL are typically surveyed 15–23 months after the last one (median 17), measured over 729 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 3 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

1 physical-environment citation on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 3 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in FL, and nationally. Surveyors differ markedly between states, so the FL figure is the meaningful one.

This facility3FL median7National median11
Citations on file over three years, compared
MeasureCitations
This facility3
Median facility in FL7
Median facility nationally11

Survey history

Citations at each Life Safety survey
12021-1012023-0812025-02
Citations at each Life Safety survey
Survey dateCitations
October 14, 20211
August 10, 20231
February 28, 20251

Most-cited tags

Most-cited tags at this facility
K-03452E-00041
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22025-02-28
E-0004Develop and maintain an Emergency Preparedness Program (EP).12021-10-14

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 2
  • Emergency Preparedness Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies2
Emergency Preparedness Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 28, 2025 — 1 citation

Citations issued on February 28, 2025
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (March 28, 2025)

August 10, 2023 — 1 citation

Citations issued on August 10, 2023
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (September 15, 2023)

October 14, 2021 — 1 citation

Citations issued on October 14, 2021
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (November 25, 2021)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.