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

THE GOOD SAMARITAN SOCIETY-KISSIMMEE VILLAGE

KISSIMMEE, FL · 161 certified beds · Last Life Safety survey December 11, 2025

CMS Certification Number 105559 · first certified May 1987

Ownership

Operated by GOOD SAMARITAN SOCIETY · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

11
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within FL

11 citations — more than 73% 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

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 5 citations; the earlier surveys in the window averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens March 2027 — about 6 months from now. This facility’s last Life Safety survey was December 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

2 inspection-and-testing tags have 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

2 of the 11 citations on file are 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 11 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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 facility11FL median7National median11
Citations on file over three years, compared
MeasureCitations
This facility11
Median facility in FL7
Median facility nationally11

Survey history

Citations at each Life Safety survey
42022-0322024-0252025-12
Citations at each Life Safety survey
Survey dateCitations
March 24, 20224
February 1, 20242
December 11, 20255

Most-cited tags

Most-cited tags at this facility
K-03532E-00042K-03452K-05211K-09111K-01111K-02231K-09121
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-12-11
E-0004Develop and maintain an Emergency Preparedness Program (EP).22025-12-11
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22025-12-11
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12022-03-24
K-0911Meet requirements for the installation and maintenance of electrical systems.12025-12-11
K-0111Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.12022-03-24
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.12022-03-24
K-0912Have power receptacles that are properly grounded.12025-12-11

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Emergency Preparedness Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Egress Deficiencies 1
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Emergency Preparedness Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies2
Egress Deficiencies1
Services Deficiencies1
Construction Deficiencies1

Every citation on file

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

December 11, 2025 — 5 citations

Citations issued on December 11, 2025
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (January 26, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (January 26, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 26, 2026)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (January 26, 2026)
K-0912Have power receptacles that are properly grounded.Deficient, Provider has date of correction (January 26, 2026)

February 1, 2024 — 2 citations

Citations issued on February 1, 2024
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 28, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 28, 2024)

March 24, 2022 — 4 citations

Citations issued on March 24, 2022
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (April 25, 2022)
K-0111Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.Deficient, Provider has date of correction (April 25, 2022)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (June 23, 2022)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (April 25, 2022)

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