Nursing HomeMedicaid Medicare 5-star

Aviata at Kissimmee Gardens

Strong Medicare quality ratings; public reviewers often praise compassionate and dedicated therapy department. Still worth an in-person visit.

1120 W Donegan Ave, Kissimmee, FL 34741|120 beds|Licensed & active

5/5

Medicare

Inspection

Quality

Staffing

Google rating

3.7/5

based on 155 Google reviews

(407) 847-2854 Directions Website

Street View

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What this means for your family

Aviata at Kissimmee Gardens has a strong overall Medicare rating. RN hours meet the EveryPlace reference benchmark, which is one useful staffing signal to discuss during a visit. Public reviewers frequently mention: compassionate and dedicated therapy department and helpful and attentive concierge/admissions staff. Review the component ratings and current source records before deciding.

Google Reviews

155 public Google reviews available

Aviata at Kissimmee Gardens (formerly Keystone) presents a highly polarized environment where experiences depend heavily on the specific staff members involved. While many recent reviews praise the facility for its improved administration, compassionate therapy team, and attentive concierge staff, a significant number of families report recurring issues with neglect, poor hygiene, and extreme difficulty in reaching staff by phone. Families should be aware that while some residents thrive under the current leadership, others have reported serious concerns regarding basic care and communication.

Quality Themes

Tap a score for details

Strengths

Compassionate and dedicated therapy department
Helpful and attentive concierge/admissions staff
Visible improvements under recent administration
Engaging activities and social programs

Concerns

Difficulty reaching staff by phone (mentioned by 12 reviewers)
Poor hygiene and facility cleanliness (smells, soiled linens) (mentioned by 11 reviewers)
Neglect of basic patient needs (toileting, feeding, hydration) (mentioned by 10 reviewers)
Staff responsiveness and communication with families (mentioned by 8 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 129 analyzed

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

1I noticed the administration is very active in responding to feedback; what specific steps are being taken right now to improve the cleanliness of the rooms and the freshness of the linens?
2Since the therapy department is so highly regarded, could you tell us how the therapists work with residents to keep them active and engaged in their daily routines?
3How does the nursing team ensure that residents' immediate needs, like hydration and meal assistance, are met promptly throughout the day?
4What is the best way for our family to stay in consistent contact with the nursing staff, and how do you handle communication if we can't reach someone by phone?
5Could you describe the variety of social programs and activities available to help residents stay connected with each other?
6In the event of a medical emergency after hours, what is the protocol for notifying the family and coordinating with outside physicians?

Personalized based on this facility's data

Key Review Excerpts

“My mother had spinal surgery for scoliosis and was transferred there for rehabilitation therapy. She was supposed to stay overnight and begin therapy after her surgery. However, during the first few hours after I left, the level of care was completely unacceptable.”

Family member · 2026★☆☆☆☆

“I have been here almost 5 years and I've seen the difference of our new administration things are so much better. Even leaving and coming back the staff remains family.”

Long-term resident · 2024★★★★★

“Diapers are only changed twice a day if they are lucky. I always wondered why our family member smelled like urine until one Friday after she was bathed I wrote the date on her diaper and when we came to visit on Monday she was wearing the same diaper.”

Family member · 2022★☆☆☆☆

Source: 129 Google reviews in the current analysis set; Google reports 155 total

Staffing

Staffing Hours

per resident/day · Medicare public data

RN Hours

0.89hrs

Registered nurses for medical care

Total Nursing

3.39hrs

83%

All nurses + aides combined

Staff Turnover

32%

Lower is better (< 30% = good)

RN Turnover

24%

Lower is better (< 30% = good)

Total nursing hours are below the EveryPlace reference benchmark, though RN coverage meets its reference level. Ask how aides are staffed for daily tasks such as bathing and mobility.

Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

5/ 5

Better Than Avg

measures

Mixed Results

measures

Long-Stay Residents

Residents with depression symptoms

↓ Lower is better

This Facility0.5%

Better than Avg

Here

0.5%

12.8%

4.6%

Osceola

2.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility7.7%

Better than Avg

Here

7.7%

19.0%

10.5%

Osceola

12.5%

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility9.9%

Better than Avg

Here

9.9%

19.5%

14.4%

Osceola

12.5%

Residents needing more daily help over time

↓ Lower is better

This Facility6.3%

Better than Avg

Here

6.3%

13.9%

8.7%

Osceola

12.8%

Residents whose walking got worse

↓ Lower is better

This Facility6.8%

Better than Avg

Here

6.8%

14.1%

9.5%

Osceola

14.2%

Residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

93.5%

98.2%

Osceola

99.3%

Short-Stay Residents (Rehab / Post-Acute)

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility96.1%

Better than Avg

Here

96.1%

79.8%

94.7%

Osceola

90.8%

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility97.5%

Better than Avg

Here

97.5%

82.0%

95.2%

Osceola

95.5%

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.8%

Better than Avg

Here

0.8%

1.6%

1.5%

Osceola

0.8%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

Detailed Medicare record · up to 3-year lookback

25findings in history

Latest survey: 3 · well below FL avg (7.3)

1 complaint-triggered findings

This facility shows a concerning pattern with 33 deficiencies across multiple surveys, including one complaint filed by families regarding medication self-administration rights. The most recurring problems involve quality of care (respiratory care, mobility assistance, IV fluids), medication management, and infection control. While all deficiencies have correction dates, issues with infection control, mobility care, and medication services have persisted across multiple surveys, suggesting ongoing challenges in these critical care areas.

Jan 15, 2026Routine6 findings

0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0223Potential for harm · IsolatedCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Apr 18, 2024Routine13 findings

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0867Potential for harm · IsolatedCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0919Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

Oct 26, 2023Routine5 findings

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0694Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0847Minimal · WidespreadCorrected

Administration Deficiencies

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Oct 26, 2023Complaint1 finding

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Aviata at Kissimmee Gardens

Organization Type

for profit

Chain Affiliation

Chain Name

Aviata Health Group

Chain Size

50 facilities nationwide

Chain avg rating: 2.1/5 · Rank 1 of 52 (Highest rating)

Ownership & Management

Owners

West Donegan Snf Parent LLC

Owner · Organization

Keystone Snf Holdco LLC

Owner (parent company) · Organization

Dagan, Amitai