Orlando, Florida · CCN 105797 · Phone: 4072955371 · 120 beds · Ownership: Non Profit - Corporation
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Walks every Condition of Participation at 42 CFR Part 484/483/418. Pulls the CCN's data from CMS Compare. Every gap names its CFR section + F-Tag.
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Guardian Care Nursing & Rehabilitation Center is a Medicare- and Medicaid-certified skilled nursing facility in Orlando, Florida, operating under CMS Certification Number (CCN) 105797. 120-bed facility. Non Profit - Corporation. Independent (not part of a multi-facility chain). The facility is required to comply with the Requirements for Long-Term Care Facilities at 42 CFR Part 483.
Guardian Care Nursing & Rehabilitation Center has held its Medicare/Medicaid certification for approximately 32 years (certification date on file: 1993-07-01). Long-tenured facilities (15+ years) often have established F-tag remediation playbooks and a deeper standard-survey trail; newly-certified facilities (under 3 years) are subject to a different initial survey cadence under 42 CFR 488.308.
Local market context (Orange County): Guardian Care Nursing & Rehabilitation Center operates in Orange County alongside 4 other Medicare-certified SNFs in our Florida cohort sample. Multi-facility counties create direct cohort comparison pressure — hospital discharge planners typically run side-by-side Care Compare lookups before placement decisions.
CMS publishes Five-Star ratings for nursing homes monthly, drawn from the most recent three years of standard surveys, complaint surveys, and Minimum Data Set (MDS) submissions.
Long-Stay Quality Measure rating: ★★★★★ (5 of 5). Long-stay measures cover residents in the facility 100+ days and include indicators like residents experiencing one or more falls with major injury, residents whose ability to move independently worsened, and residents with a urinary tract infection.
Short-Stay Quality Measure rating: ★★★★★ (5 of 5). Short-stay measures cover post-acute residents discharged within 100 days and include rehospitalization within 30 days, successful return to community, and improvement in function.
Differentiating long-stay from short-stay QMs matters for placement decisions — a facility with strong short-stay QMs may still underperform on long-stay metrics, and vice versa.
Guardian Care Nursing & Rehabilitation Center has none of the four CMS-published red-flag indicators active at the most recent publish: not on the Special Focus Facility list, no Abuse Icon on Care Compare, no overdue inspection flag, and no recent change-of-ownership flag. Absence of these flags does not mean the facility is deficiency-free — see the survey history below.
Recent health deficiencies cited at last standard survey: 11. National average for facilities of this size is approximately 8 deficiencies per cycle. In its most recent reporting cycle, Guardian Care Nursing & Rehabilitation Center received 1 CMS fine totaling $15,737. Last documented standard health survey: 2025-03-12. CMS conducts standard surveys at most every 15 months for SNFs, with substandard-quality findings triggering more frequent revisits.
CMS health survey weighted score: 74.75. The weighted score multiplies deficiency severity (A-L) by scope (isolated, pattern, widespread); higher weighted scores translate directly into the Health Inspection star rating tier breakpoints CMS publishes monthly.
Total enforcement penalties assessed in the most recent reporting window: $1. This figure aggregates Civil Money Penalties (CMPs), DPNA-equivalent revenue impacts, and other monetary remedies under 42 CFR Part 488 Subpart F.
At today's staffing levels, Guardian Care Nursing & Rehabilitation Center would not meet the cadre-specific minimums scheduled to take effect on the May 2027 timeline under 89 FR 40876: nurse-aide HPRD is 2.254 vs the 2.45 floor, a 0.20-hour gap. Closing this gap typically requires either net new hires at the specific cadre, shifted scheduling that reallocates existing FTEs to direct-care hours, or a hardship exemption application under 42 CFR 483.35.
Total nurse staffing: 3.492 hours per resident day (HPRD), which is 0.01 hours above the 3.48 total HPRD floor that the CMS Minimum Staffing Standards rule (89 FR 40876, May 2024) phases in for non-rural facilities by May 2027.
Staffing mix: RN 0.679 HPRD, LPN 0.559 HPRD, CNA 2.254 HPRD. The same CMS final rule also phases in cadre-specific minimums of 0.55 RN HPRD and 2.45 nurse aide HPRD on the 2027 timeline; RN-specific shortfalls have historically been the most common single-facility staffing deficiency at standard surveys.
Weekend RN staffing: 0.628 HPRD. Weekend RN coverage is a separately reported CMS measure; facilities with low weekend RN HPRD frequently see resident-acuity-driven adverse events spike on the weekend shift.
Guardian Care Nursing & Rehabilitation Center is independently operated (not part of a multi-facility chain). Independent SNFs typically rely on internal compliance staff or contracted consultants rather than corporate-level survey-prep teams; this affects both how quickly Plans of Correction are produced and how F-tag remediation is documented across multiple shifts.
Provider type designation: Medicare And Medicaid.
The facility is classified by CMS as urban (within a metropolitan statistical area). Urban SNFs typically face higher acuity post-acute admissions, more competitive labor markets, and stricter local-jurisdiction infection control requirements layered on top of federal CoPs.
Peer comparisons use a same-state cohort of 200 Medicare-certified SNFs, pulled live from CMS Provider Data. The cohort excludes terminated and surrendered certifications.
FileFlo's compliance indicator for Guardian Care Nursing & Rehabilitation Center is 56/100 (Material Gaps). The score is derived from publicly published health-deficiency counts, weighted survey scores, infection-control citations, fines, and staffing hours per resident day. It is not a CMS rating. The full survey-readiness audit (covering F-tags from the most recently cited deficiencies, infection control, staffing minimums, MDS accuracy) is at /tools/cms-survey-readiness-score.
FileFlo publishes a profile for every Medicare-certified nursing home so administrators, DONs, and family members can find the same publicly-published quality data without bouncing between Care Compare, the SFF list, and the CMS Provider Data Catalog. Field-level CFR citations are linked throughout. Dispute this record if any field is incorrect — we resync with CMS monthly and process correction requests within five business days.
Reviews from residents, family members, and facility staff help others making care decisions. All reviews are verified and PII-scrubbed before publishing.
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Data sourced from CMS Care Compare (publish 2026-04-01). Information may not reflect the facility's current status. Resync occurs monthly. Dispute this record · Claim this profile