Royal Care of Avon Park
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 55 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Above-median deficiencies (17 vs median 6.0)
Bottom 25% in FL · Meets national RN staffing standard · Above average staffing · $17,342 in fines
What this means for your family
While many families report excellent results from the rehabilitation therapy team, the facility has a history of serious, recurring complaints regarding medical oversight and communication. If you choose this facility, ensure you have a clear, direct line of communication with the administration and monitor your loved one's medical care and hydration levels closely.
Google Reviews
Google Reviews
55 reviews on Google“Royal Care of Avon Park receives highly polarized feedback, with many families praising the rehabilitation therapy team and staff attentiveness, while others report severe neglect and communication failures. Critical concerns include reports of residents suffering from dehydration, unaddressed medical needs, and difficulty reaching staff by phone. Families should be aware that experiences appear inconsistent, ranging from excellent recovery support to traumatic neglect.”
Quality Themes
Tap a score for detailsStrengths
- Effective rehabilitation therapy
- Attentive and caring nursing staff
- Clean and well-maintained facility
- Helpful administrative communication (for some)
Concerns
- Severe neglect and lack of medical oversight (mentioned by 6 reviewers)
- Poor communication and difficulty reaching staff by phone (mentioned by 5 reviewers)
- Inadequate staffing levels leading to delayed care (mentioned by 3 reviewers)
- Unsanitary conditions or unpleasant odors (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 60 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed you have a high response rate to online feedback; how do you use that family input to improve the daily experience for residents?
- 2Given the recent focus on health inspection outcomes, what specific changes or quality improvement plans have been implemented to ensure better medical oversight for residents?
- 3Some families have expressed difficulty with phone communication; what is the best way for us to stay updated on our loved one's status, and who is our primary point of contact?
- 4Since rehabilitation therapy is a noted strength here, how do you coordinate that care with the nursing staff to ensure consistency throughout the day?
- 5I understand there have been concerns regarding medication management; could you walk me through your current process for ensuring residents receive the right medications at the right time?
- 6How do you ensure that common areas and resident rooms maintain a consistently clean and fresh environment throughout the day?
Personalized based on this facility's data
Key Review Excerpts
“My friend who was rehabbing from total hip replacement was at the Palms of Sebring and treated so badly she checked herself out, a no no. Couldn’t handle the abuse there! She’s at Royal Care now and getting the rehab she hoped for!”
“My father went there for rehab. do not take yr family there please. my father lost 20 lbs and was severely dehydrated in just a couple weeks and ended up in the hosp with double pneumonia and severe dehydration.”
“2nd visit Feb 2025, Much better now, areas that had been low show great improvement 2nd stay went very good, the improvements show that they have listened to concerns voice!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
1
measures
5
measures
Residents with depression symptoms
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
Residents on antipsychotic medication
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Royal Care of Avon Park shows a concerning pattern with 31 deficiencies across three surveys, particularly in medication management, quality of care, and infection control. The most recent 2024 survey found significant issues including pressure ulcer care, medication errors, and basic safety problems like missing handrails. While all deficiencies show correction dates, the recurring problems with medication management and infection control across multiple years suggest ongoing operational challenges that families should carefully consider.
Feb 19, 2026Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
May 9, 2024Routine20
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Put firmly secured handrails on each side of hallways.
Emergency Preparedness Deficiencies
Establish policies and procedures for volunteers.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Dec 22, 2021Routine2
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.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Mar 13, 2020Routine9
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal Penalties
Fine
May 9, 2024
$4,017
Fine
May 9, 2024
$13,325
Ownership & Operations
Who Operates This Facility
Royal Care of Avon Park
for profit
Ownership & Management
Owners
Strohli, Eli
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
55 reviews from families & visitors
Official Website
Visit rcavonpark.net
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 4 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
Oaks at Avon
1.5 miNursing Home · Avon Park, FL
Best Care Senior Living at Sebring LLC
6.6 miAssisted Living · Sebring, FL
Palms at Sebring Nursing and Rehabilitation the
10.5 miNursing Home · Sebring, FL
Vivo Healthcare Sebring
11.0 miNursing Home · Sebring, FL