Avante At Leesburg, INC

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

43.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 53 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 46.9% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 64 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.31 therapist hours per resident per day in 2025Q4 — more than 52% of the 13,714 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 35% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 14% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 116 beds and averages 108.5 residents a day — about 94% occupied, or roughly 8 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.50 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.42 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.08 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.08 hrs/resident/day on weekends vs 3.70 on weekdays — 17% thinner on weekends. RN hours go from 0.58 to 0.31 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 63% is well above the national median of 45%. 3 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

28 citations, most serious first. The 10 most serious are shown; the remaining 18 are one tap away and print in full.

• Potential for harm · Ecited before2026-07-22 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to maintain food service equipment and food storage areas in a clean and sanitary condition by failing to ensure the kitchen ice machine and 2 of 2 nourishment room refrigerators and freezers were maintained free of debris and contamination. During an observation of the main kitchen on 07/19/2026 at 9:17 AM, the ice machine was observed with a significant amount of black substance and brown colored substance on the dispensing spout where ice falls into the storage bin. (Photographic evidence was obtained.)During observations of the facility nourishment rooms on 07/19/2026, the refrigerators and freezers in both rooms were observed to contain food debris and spilled liquid on interior surfaces.On 07/19/2026 at 10:13 AM, the Administrator and Director of Nursing confirmed the condition of the ice machine.During an interview on 07/21/2026 at 9:33 AM, the Dietary Manager stated that, based on the photographs taken on 07/19/2026, he could not say the ice machine had been cleaned properly on 07/17/2026 and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-07-22 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure Minimum Data Set (MDS) assessments were accurate for 2 of 7 residents reviewed (Residents #2 and #73). Findings include: 1.) Review of Resident #2's physician orders dated 05/30/2026 revealed orders for Keppra Solution 100 mg/mL, 10 mL via G-tube (gastrostomy tube) twice daily, and Lacosamide Oral Solution 10 mg/mL, 10 mL via G-tube twice daily, for seizure disorder. Review of Resident #2's physician orders dated 05/31/2026 revealed an order to maintain an indwelling urinary catheter for urinary retention and a Stage 3 sacral wound. Review of Resident #2's physician orders dated 06/08/2026 revealed an order to reinsert an 18 French Foley catheter as needed for obstructive uropathy. Review of Resident #2's admission Minimum Data Set (MDS) assessment dated [DATE] revealed Section I (Active Diagnoses) did not identify obstructive uropathy or seizure disorder as active diagnoses. During an interview on 7/21/2026 at 11:38 AM with the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-07-22 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure residents with newly evident or known diagnosis of serious mental disorders have a coordinated Preadmission Screening and Resident Review (PASRR) for 3 of 7 residents, Residents #4, #11, #36 reviewed for PASRR. Findings include: Review of Resident #11's admission record documented an initial admission date of 7/26/22 and a most recent admission date of 3/6/26 with diagnosis of Specified Persistent Mood Disorders dated 4/22/2025. Review of Resident #11's Preadmission Screening Resident Review (PASRR) dated 7/24/2023 did not have a diagnosis of Specified Persistent Mood Disorders documented. Review of Resident #11's Minimum Data Set Section I notes dated 6/1/2026 documented DX [diagnosis]: F34.89 Other Specified Persistent Mood Disorders. Review Of Resident #11's Palliative Care Note dated 3/12/2026 documented [diagnose]: Other Specified Persistent Mood Disorders. Review of Residents #11's Medication Administration Record dated 7/2026 documented: trazodone HCl Oral Tablet 100 MG (Trazodone HCl) Give 1 tablet by mouth…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-07-22 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  What the surveyor found here — the official record, unedited, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure the completion of the Preadmission Screening and Resident Review (PASRR) prior to admission for a resident's serious mental disorder for 1 of 7 residents, Resident #107, reviewed for PASRR.Findings include:Review of Resident #107's admission record resident was admitted on [DATE] with a diagnosis including but not limited to depression [onset date 5/5/2026].Review of Resident #107's State of Florida Agency for Health Care Administration Preadmission Screening and Resident Review (PASSR) dated 5/1/2026 did not document depressive disorder.Review of Resident #107's Balance Wellbeing Psychology Evaluation Note dated 5/6/2026 read, Chief Complaint: Depression.During an interview on 7/22/2026 at 8:24 AM the Director of Nursing stated, [Resident #107's name] PASSR upon admission was not corrected; it should have been reviewed, and depressive disorder should have been included.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-07-22 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to develop and implement a comprehensive care plan for 1 of 5 residents, Resident #3 reviewed for diabetes management. Findings include:Review of Resident #3's admission record revealed an admission date of 04/10/26 with diagnoses including but not limited to Diabetes Mellitus Type II.Review of Resident #3's care plan dated 04/11/26 did not contain a focus area for Diabetes Mellitus Type II.During an interview on 07/21/26 at 02:27 PM, the MDS Coordinator stated that diabetes should have been added to Resident #3's care plan and needed to be corrected.During an interview on 07/21/26 at 03:22 PM, the Director of Nursing stated that residents with a diagnosis of Diabetes Mellitus Type II should be included in that resident's care plan. She stated that Resident #3's care plan should have been changed to include a focus for diabetes.Review of the facility's Comprehensive Care Plans policy dated 10/19/22 read, The care plan will contain information about the physical, emotional/psychological, psychosocial, spiritual, educational…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-07-22 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review the facility failed to administered pain medication based on parameters for 1 of 6 residents, Resident #107, reviewed for medication management and failed to provide dressing changes for 1 of 3 residents, Resident #3, reviewed for skin conditions. Findings include: Review of Resident #107's physician order dated 5/8/2026 read, Tylenol Oral Tablet 325 MG [milligram] (Acetaminophen) give 2 tablet by mouth every 6 hours as needed for pain pain scale 1-4 Do Not Exceed 3000mg/24hr [hour]. Review of Resident #107's physician order dated 6/1/2026 read, Percocet Oral Tablet 5-325 MG (Oxycodone w/ Acetaminophen) *Controlled Drug* give 1 tablet by mouth every 6 hours as needed for nonacute pain. Hold for Lethargy pain scale 6-10 Do not exceed 3000mg/24 hr. Review of Resident #107's Medication Administration Record for the Month of July 2026 Percocet 5-325MG was administered on 7/13/2026 at 0900 [9:00AM] pain level of 4. Review of Resident #107's Medication Administration Record for the Month of July 2026 Tylenol 325MG was given on 7/1/2026 at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-07-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure the resident environment remains as free of accident hazards as is possible for 21 residents currently residing in the facility's Memory Care Unit. During an observation on 07/19/26 at 09:35 AM, an uncapped safety razor was observed at Resident #43's bedside on the nightstand [photographic evidence obtained]. Resident #43 resides in the Memory Care Unit, and the bedroom door was not secure from the outside.During an interview on 07/19/26 11:38 AM, Staff F, Registered Nurse, stated that residents should not keep safety razors in their rooms. [Resident #43's Name] is supervised while shaving because he has the functional ability to do so, but it must have been left with him. She stated, That's not supposed to be there.During an interview on 07/21/26 at 03:22 PM, the Director of Nursing said, I wouldn't expect there to be safety razors on the floor, that would be a safety concern. She explained that CNAs [Certified Nursing Assistants] are in charge of shaving the residents, and the CNA responsible for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-07-22 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to provide oxygen at the prescribed rate for 1 Resident (Resident #33) and store oxygen supplies appropriately when not in use for 3 of 6 residents, Residents #2, #28, and #33, reviewed for respiratory services. Findings include: During an observation on 07/19/2026 at 9:35 AM Resident #28 was lying in bed resting calmly, with eyes closed. Resident #28's oxygen concentrator was off and the nasal cannula not bagged. The bag was dated 7/12 [2026]. [photographic evidence obtained] During an observation on 7/20/2026 at 8:01 AM Resident #28 was lying in bed. The oxygen concentrator was not in use. The nasal cannula dated 7/12 was not bagged. During an interview on 7/20/2026 at 8:01 AM Resident #28 stated, I am supposed to use oxygen at night. Review of Resident #28's physician order dated 6/30/2026 read, 6/30/2026 Oxygen continuous at [Blank] liters/ min via [Blank].Medical DX: [Blank]. every shift. Review of Resident #28's physician order dated 6/30/2026 read, Change Oxygen Set Up And Bag Weekly And As Needed every…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-07-22 · tag F0770 — failed to provide lab services — isolated
  Provide timely, quality laboratory services/tests to meet the needs of residents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility failed to collect laboratory exams ordered by the physician for 1 of 2 residents, Resident #15 reviewed for laboratory services. Findings include:Review of Resident #15 physician's order dated 06/17/26 read, BMP in 10 days.Review of Resident #15 results did not document lab results for 06/27/26.Review of Resident #15's Treatment Administration Record for June 2026 revealed that labs were not drawn according to the physician's order dated 06/17/26 that read, BMP in 10 days.During an interview on 07/21/26 at 10:35 AM, Staff I, Licensed Practical Nurse (LPN), explained that when labs are ordered, the receiving nurse is supposed to enter the order in the facility's online system and set the appropriate date to be completed. She stated that the evening nurse would be responsible for collecting Resident #15's lab sample.During an interview on 07/21/26 at 03:43 PM, the Director of Nursing explained that the physician's order dated 06/17/26 that read, BMP in 10 days, was not entered into the system with the correct collection date. She…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-07-22 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to maintain complete and accurate clinical records for 13 (Resident #2, 6, 11, 17, 18, 25, 29, 39, 45, 56, 59, 66 and 104) out of 19 Residents, reviewed for medication orders and administration documentation. Findings include: 1.) Review of the Resident #2's physician's orders revealed an order dated 06/01/2026 to flush the resident's G-tube with 340 mL of water four times daily while tube feeding was infusing for a total of 1,360 mL of free water daily. Review of Resident #2's physician's orders dated 06/03/2026 revealed an additional order to administer 235 mL of water via G-tube every four hours for hydration. Review of the July 2026 Medication Administration Record (MAR) and Treatment Administration Record (TAR) revealed nursing staff documented administration of both active free-water flush orders. Review of the Registered Dietitian's comprehensive nutrition evaluation dated 06/01/2026 recommended administration of 340 mL water flushes four times daily for a total of 1,360 mL of free water each day. During an interview…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to AVANTE CENTERS — 11 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 11 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.

5 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.3M paid to related parties — landlords or management companies under common ownership — equal to about 12% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in FL