Avante At Leesburg, INC

Location & what’s nearby

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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 2026Q1 — more than 50% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 36% 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 13% — 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 3.57 hrs/resident/day on weekends vs 3.47 on weekdays — about the same on weekends as weekdays. RN hours go from 0.40 to 0.48 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.

23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.

• Potential for harm · E2026-06-23 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  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 a safe, clean, comfortable and homelike environment for residents in 2 of 3 units for 5 residents, Residents #2, #4, #8, #9, and #10, reviewed for homelike environment.Findings includeDuring an observation on 06/22/2026 at 9:31 AM, Resident #8 was sitting up in bed. The drywall on the wall to the left side the bed was in disrepair. There were debris and a small plastic object observed in the air conditioning vent. (Photographic evidence obtained).During an interview on 06/22/2026 at 9:31 AM, Resident #8 stated, The wall is gouged. I would prefer if the wall was in better condition.During an interview on 06/22/2026 at 11:06 AM, the Director of Environmental Services/Interim Maintenance Director stated, I am responsible for maintenance now. Housekeeping cleans the AC [air conditioner] filters daily and should be pulling them out and wiping them down. Maintenance is responsible for removing the PTAC [packaged terminal air conditioner] cover and cleaning underneath it monthly.Review of Work History Report…

  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 Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-23 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  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 interview and record review, the facility failed to ensure the provider was notified when a resident left the facility against medical advice for 1 of 3 residents, Resident #3, reviewed for change in condition. Findings include:Review of Resident #3's medical record documented the resident was admitted in to the facility on [DATE] and discharged on 05/06/2026. Review of Resident #3's nursing note dated 05/07/2026 read, Resident left against medical advice.Review of the medical record revealed the record did not have documentation Resident #3's physician was notified when Resident #3 left the facility against medical advice.During an interview on 06/22/2026 at 2:50 PM Staff A, LPN (Licensed Practical Nurse) stated, When [Resident #3's name] came in, transport brought him to Unit 1. We realized he was supposed to be in Unit 2, so we brought him to the correct room. The air conditioning was broken in the room, and he became very agitated. He asked for a urinal, but I couldn't find one. Apparently, they…

  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 Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-04-17 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
  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 observations, interviews, and record reviews, the facility failed to ensure respiratory care and services were provided in accordance with professional standards of practice for 3 (Resident #195, #82, and #36) of 6 residents reviewed for oxygen therapy and respiratory treatments. Findings include: 1) During an observation on 4/14/25 at 10:17 AM, Resident 195's oxygen (O2) setting was on 4.5 liter (ltr), the O2 tubing is dated 4/6/25. (photographic evidence obtained) During an observation on 4/15/25 at 9:02 AM, Resident 195's oxygen (O2) setting was on 4.5 ltr, the O2 tubing is dated 4/6/25. During an observation on 4/15/25 at 3:36 PM, Resident 195's oxygen (O2) setting was on 4.5 ltr, the O2 tubing is dated 4/6/25. During an observation on 4/16/25 at 9:05 AM, Resident 195's oxygen (O2) setting was on 4.5 ltr, the O2 tubing is dated 4/6/25. Review of Resident 195's admission record documented an original admission date of 1/5/2025 and a readmission date of 3/1/2025 with diagnosis that included COPD (Chronic Obstructive Pulmonary Disease), asthma and severe protein…

  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 · Ecited before2025-04-17 · 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 observations, interviews, and record review, the facility failed to ensure food was safely stored, dated in a manner that preserves the nutritional value, and sanitation was maintained in the kitchen. Findings include: A walk-through tour of the kitchen was conducted on 4/14/25 at 9:35 AM with the facility Certified Dietary Manager (CDM). During the tour observations revealed a window above the 3-compartment sink with dishes stored on sill that were not inverted with a variety of plastic containers and lids. The sill appeared to have a ledge that had black stains and cracks. Directly across the ice machine a mop, broom, dustpan alongside of 2 carts that had buildup of dirt on the top and hand bar used to transport food. The deep fryer was full of very dark dirty oil and a buildup of food particles on the deep fryer top, edges, sides and the floor underneath the fryer had a buildup of thick black/brownish substance. The cooking range had a buildup of black food particles, black buildup on stainless steel backsplash and the front of the oven had buildup on the edges. There…

  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 · D2025-04-17 · 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 record reviews and interviews, the facility failed to ensure resident assessment accurately reflects the resident's status for 2 (Resident #2, #14) of 7 residents reviewed for nutrition and dialysis. Findings include: 1) During an observation on 4/15/2025 at 8:30 AM, Resident #2 was eating in his room independently. On the meal tray there were two boiled eggs, coffee, grits, and ground meat. Meal ticket read fortified foods and double portions. During an observation on 4/15/2025 at 12:14 PM, Resident #2 was eating independently in his room. Meal tray included cooked carrots, mashed potatoes, ground meat, dessert, frozen treat, nutrition shake, and coffee. Meal ticket read fortified foods and double portions. Review of Resident #2's physician order dated 11/27/2024, read, Regular diet mechanical soft, texture thin consistency, large portions; fortified foods. Review of Resident #2's physician order dated 10/22/2024, read, Calorically dense oral supplement three times a day 120ml (milliliters). Review of…

  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 · D2025-04-17 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  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 interview and record review the facility failed to ensure Preadmission Screening and Resident Review (PASRR) was accurately completed for 3 (Resident #55, #66, #70, ) of 7 residents reviewed for mood and behavior Findings include: 1)Review of Resident #70 Stated of Florida Agency for Health Care Administration Preadmission Screening and Resident Review (PASRR) dated 3/8/2024 did not document depressive disorder. Review of Resident #70 admission record resident was admitted on [DATE] with diagnosis included but not limited to anxiety disorder, depression, low back pain, and auditory hallucinations. Review of Resident #70 physician order dated 12/12/2024 Sertraline HCI Oral Tablet 50mg (milligrams) give 50mg by mouth one time a day for depression. During an interview on 4/16/2025 at 5:15 PM with [NAME] President of Clinical Operations stated , [Resident #70's name] depressive disorder should have be included in the level one before admission to the facility. Social Services reviews the PASRR and checks…

  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 · D2025-04-17 · 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 observation, interviews and record review, the facility failed to develop and implement a comprehensive care plan for 1 (Resident #70) of 6 resident reviewed for medication management and 1 (Resident #42) of 6 residents reviewed for Hospice. Findings include: Review of Resident #70's physician order dated 12/12/2024, read, Sertraline HCI Oral Tablet 50mg (milligrams) give 50mg by mouth one time a day for depression. Review of Resident #70's Psychiatry Subsequent Note dated 4/8/2025 read, Chief complaint: Depression, anxiety, mood disorder and schizophrenia . Review of Resident #70's comprehensive resident centered care plan did not document a focus for depression. During an interview on 4/17/2025 at 10:50 AM, the Regional MDS (Minimum Data Set) Specialist stated, [Resident #70' s Name] antidepressant focus was resolved and had to be included again in the resident's care plan. Review of the policy and procedure titled Comprehensive Care Plans with a last review date of 2/19/2025 read, Policy: It is the policy of the facility to promote seamless interdisciplinary care for our…

  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 before2025-04-17 · 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 observations, interviews, and record reviews, the facility failed to ensure care and treatment was provided in accordance with professional standards of practice for 2 (Resident #84, #395) of 8 residents reviewed for central venous access devices and skin conditions. Findings include: 1) During an observation on 4/14/2025 at 9:39 AM, Resident #84 was lying in bed, there was a dressing on Resident #84 left upper and forearm dated 4/10/2025. There was a pink gentle border dressing on Resident #84 upper right arm with no date or initials. (photographic evidence obtained) During an interview on 4/14/2025 at 9:39 AM, Resident #84 stated, I had a fall, and I got a few skin tears. During an observation on 4/16/2025 at 8:21 AM, Resident #84 was sitting up in bed eating breakfast. Resident #84's left upper and forearm had a dressing dated 4/10/2024. There was a pink gentle border dressing on Resident #84's upper right arm with no date or initials. Review of Resident #84's physician orders resident did not have wound care orders for skin tear prior to 4/11/2025. Review of Resident…

  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 · D2025-04-17 · 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 interviews and record reviews, the facility failed to ensure physician ordered laboratory services were completed for 1 (Resident #59) of 6 residents reviewed for medication regimen. Findings include: Review of Resident #59's physician's order dated 11/13/2024, read, Lipid Panel q (every) 3 months every night shift every 3 months starting on the 13th for 1 day (s) related to Hyperlipidemia. Review of Resident #59's Health link Diagnostic Laboratories Inc dated 12/13/2024 documented lipid studies done. Review of Resident #59's laboratory results for the Month of March did not documented any laboratory services done for a Lipid Panel. During an interview on 4/16/2025 at 5:43 PM, the Director of Nursing stated, [Resident #59 name] lab was missed. It will be taken care of. Review of the policy and procedure titled Laboratory, Radiology, and other Diagnostic Services, with a last review date of 2/19/2025, read, Policy: It is the policy of this facility to ensure that laboratory, radiology, and other diagnostic services meet the needs of residents, that results are reported…

  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 before2025-04-17 · 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 observations, interviews and record reviews, the facility failed to maintain complete and accurately documented medical records for 3 (Resident #84, #395, and #70) of 12 residents reviewed for skin conditions and medication management. Findings include: 1) During an observation on 4/14/2025 at 9:39 AM, Resident #84 was lying in bed, there was a dressing on Resident #84 left upper and forearm dated 4/10/2025. There was a pink gentle border dressing on Resident #84 upper right arm with no date or initials. (photographic evidence obtained) During an interview on 4/14/2025 at 9:39 AM, Resident #84 stated, I had a fall, and I got a few skin tears. During an observation on 4/16/2025 at 8:21 AM, Resident #84 was sitting up in bed eating breakfast. Resident #84's left upper and forearm had a dressing dated 4/10/2024. There was a pink gentle border dressing on Resident #84's upper right arm with no date or initials. Review of Resident #84's physician orders did not reveal any wound care orders for skin tear prior to 4/11/2025. Review of Resident #84's physician order dated 4/11/2025…

  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