The most serious citations on this record
Every nursing-home citation carries a scope-and-severity grade from A (least serious) to L (most serious). The five highest-graded citations at Alwyn C Cashe State Veterans Nursing Home are:
F-0600 · September 5, 2025 · Grade J — Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Found during a complaint investigation. Status: Past Non-Compliance
F-0689 · September 5, 2025 · Grade J — Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Found during a complaint investigation. Status: Past Non-Compliance
F-0604 · September 14, 2024 · Grade G — Actual harm
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date October 14, 2024
F-0741 · September 14, 2024 · Grade G — Actual harm
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date October 14, 2024
F-0550 · February 27, 2025 · Grade E — Potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Status: Deficient, Provider has date of correction · correction date March 27, 2025
What surveyors cited, theme by theme
Grouping the citations by subject shows whether a home's problems are isolated or concentrated in one part of care. At Alwyn C Cashe State Veterans Nursing Home, 8 subject areas appear across health and fire-safety inspections.
Quality of life and daily care
4 citations between September 14, 2024 and December 23, 2025. The most serious was graded J — immediate jeopardy, affecting one or a very small number of residents. Surveyors found a situation that caused — or was likely to cause — serious injury, harm, impairment, or death, and that needed immediate correction. 3 of these citations came out of complaint investigations. Correction record: 3 citations show a recorded correction date; 1 was classed as past non-compliance, meaning the problem was fixed before surveyors returned.
This group covers the basics of daily care — help with eating, bathing, toileting, repositioning, and timely treatment. Repeated citations here often match what families notice first: call lights unanswered, soiled briefs, missed care.
F-0689 · September 5, 2025 · Grade J — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0741 · September 14, 2024 · Grade G — Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
F-0684 · December 23, 2025 · Grade D — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Freedom from abuse, neglect, and exploitation
4 citations between September 14, 2024 and September 5, 2025. The most serious was graded J (immediate jeopardy). 4 of these citations came out of complaint investigations. Correction record: 3 citations show a recorded correction date; 1 was classed as past non-compliance, meaning the problem was fixed before surveyors returned.
These citations go to the core duty to protect residents. Ask how the home screens and trains staff, how allegations are investigated, and whether the same staff or unit appears in more than one report.
F-0600 · September 5, 2025 · Grade J — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F-0604 · September 14, 2024 · Grade G — Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F-0607 · January 24, 2025 · Grade E — Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Administration and leadership
5 citations between September 14, 2024 and December 23, 2025. The most serious was graded E (potential for more than minimal harm). 5 of these citations came out of complaint investigations. Correction record: 5 citations show a recorded correction date.
Administrative citations suggest the problem sits with management systems, not one staff member. Ask who is responsible for quality oversight and what the home's own quality committee changed afterward.
F-0867 · January 24, 2025 · Grade E — Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F-0867 · September 14, 2024 · Grade E — Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F-0840 · December 23, 2025 · Grade D — Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Medication and pharmacy services
3 citations between September 8, 2023 and February 27, 2025. The most serious was graded E (potential for more than minimal harm). 1 of these citations came out of complaint investigations. Correction record: 3 citations show a recorded correction date.
Medication citations can involve wrong doses, unnecessary drugs, or poor monitoring. Ask for the medication administration record and whether a pharmacist reviewed the resident's drug regimen each month.
F-0756 · January 24, 2025 · Grade E — Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F-0759 · September 8, 2023 · Grade E — Ensure medication error rates are not 5 percent or greater.
F-0759 · February 27, 2025 · Grade D — Ensure medication error rates are not 5 percent or greater.
Resident rights
2 citations between February 27, 2025 and December 23, 2025. The most serious was graded E (potential for more than minimal harm). 1 of these citations came out of complaint investigations. Correction record: 2 citations show a recorded correction date.
Rights citations cover dignity, choice, privacy, grievances, and being told about changes in condition or care. Ask how the home notifies family of changes and how grievances are logged and answered.
F-0550 · February 27, 2025 · Grade E — Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F-0559 · December 23, 2025 · Grade D — Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Infection prevention and control
1 citation between February 27, 2025 and February 27, 2025. The most serious was graded E (potential for more than minimal harm). Correction record: 1 citation shows a recorded correction date.
Infection citations matter because infections are a leading cause of hospital transfer and death in nursing homes. Families should ask how the home tracks infections, isolates sick residents, and tells families when an outbreak starts.
F-0880 · February 27, 2025 · Grade E — Provide and implement an infection prevention and control program.
Assessments and care planning
2 citations between February 27, 2025 and December 23, 2025. The most serious was graded D (potential for more than minimal harm). 1 of these citations came out of complaint investigations. Correction record: 2 citations show a recorded correction date.
Care-plan citations mean the written plan did not match the resident's known risks. Ask whether the care plan changed after each fall, wound, infection, or hospital return — or whether the same plan stayed in place while the resident declined.
F-0656 · December 23, 2025 · Grade D — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0656 · February 27, 2025 · Grade D — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nursing and Physician Services
1 citation between September 8, 2023 and September 8, 2023. The most serious was graded C (minimal or no harm potential). Correction record: 1 citation shows a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
F-0732 · September 8, 2023 · Grade C — Post nurse staffing information every day.
How to read the severity grades
CMS grades combine how many residents were affected with how much harm occurred. Grades J–L are immediate jeopardy: a situation that caused, or was likely to cause, serious injury or death. Grades G–I mean a resident was actually harmed. Grades D–F mean no harm was found but the failure could have caused more than minimal harm, and A–C carry only minimal-harm potential. The second dimension matters too: the grade also tells you whether surveyors saw an isolated case, a pattern, or a facility-wide problem.
Survey and penalty timeline
Alwyn C Cashe State Veterans Nursing Home appears in CMS data on 6 survey dates between September 8, 2023 and December 23, 2025. Complaint surveys happen because someone reported a problem; standard surveys are the routine inspections every home receives.
December 23, 2025
Complaint health survey — 4 citations, worst grade D (potential for more than minimal harm)
September 5, 2025
Complaint health survey — 2 citations, worst grade J (immediate jeopardy)
February 27, 2025
Standard health survey — 5 citations, worst grade E (potential for more than minimal harm)
January 24, 2025
Complaint health survey — 5 citations, worst grade E (potential for more than minimal harm)
September 14, 2024
Complaint health survey — 4 citations, worst grade G (actual harm)
September 8, 2023
Standard health survey — 2 citations, worst grade E (potential for more than minimal harm)
Penalties imposed
September 5, 2025 — Fine of $17,345
January 24, 2025 — Fine of $5,249
January 24, 2025 — Fine of $5,249
September 14, 2024 — Fine of $8,018
September 14, 2024 — Fine of $8,783
February 20, 2024 — Fine of $4,140
February 12, 2024 — Fine of $3,764
January 22, 2024 — Fine of $9,032
January 8, 2024 — Fine of $2,258
January 2, 2024 — Fine of $1,748
December 11, 2023 — Fine of $3,145
How Alwyn C Cashe State Veterans Nursing Home compares with peer homes
Raw citation counts mean more in context. The table below compares Alwyn C Cashe State Veterans Nursing Home with the median reviewed facility in Orange County (9 homes in this research set) and across Florida (156 homes), using the same CMS data. On health citations alone, Alwyn C Cashe State Veterans Nursing Home sits above 25% of its reviewed county peers — below the county middle, though its most serious grades still matter more than the count.
Measure
This home
Orange Co. median
Florida median
Health citations on record
22
31
30
Citations from complaint investigations
15
10
7
Citations at actual-harm level or worse
4
4
3
Immediate-jeopardy citations
2
2
2
Total fines in CMS penalty records
$68,731
$94,672
$59,961
Penalty records (fines + payment denials)
11
3
2
What families should ask Alwyn C Cashe State Veterans Nursing Home
- Ask why CMS flags Alwyn C Cashe State Veterans Nursing Home with its abuse icon, which citations produced the flag, and what staffing or supervision changes followed.
- Ask for the plan of correction and follow-up monitoring for the quality of life and daily care citations — most recently F-0689 on September 5, 2025 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the freedom from abuse, neglect, and exploitation citations — most recently F-0600 on September 5, 2025 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the administration and leadership citations — most recently F-0867 on September 14, 2024 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the medication and pharmacy services citations — most recently F-0759 on September 8, 2023 — and the records showing the fix held.
- Ask what conduct led to the fines — CMS records 11 totalling $68,731, the most recent dated September 5, 2025 — and what changed afterward.
- What changed in the resident's condition, and when did staff at Alwyn C Cashe State Veterans Nursing Home first document the change?
- Were recent complaint-related citations at Alwyn C Cashe State Veterans Nursing Home connected to the same kind of issue your family noticed?
Records to preserve
Connect this record to what your family saw
A citation record is context. The warning sign your family noticed is the starting point for a resident-specific review — match the two, then preserve the records listed above. Start with how facility research works.
Warning sign
Bed sores
Warning sign
Falls
Warning sign
Bruises
Warning sign
Infections
Facility research
Inspection deficiencies
Facility research
Civil penalties
Facility research
Abuse citations
Facility research
Complaint surveys
CMS facility facts
CMS certification number
106151
Legal business name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Ownership type
Government - State
Provider type
Medicare and Medicaid
First approved for Medicare/Medicaid
October 11, 2023
Chain name
FLORIDA DEPARTMENT OF VETERANS' AFFAIRS
Certified beds
112
Average residents per day
96.1
Overall CMS rating
1 star
Health inspection rating
2 star
Staffing rating
4 star
Reported nurse staffing hours per resident day
5.50861
Total nursing staff turnover
83.6%
Public records are a starting point, not a conclusion
This profile of Alwyn C Cashe State Veterans Nursing Home uses official CMS provider data as a research starting point. It does not state that Alwyn C Cashe State Veterans Nursing Home abused or neglected any resident. A citation, fine, or rating becomes meaningful only when it is compared with the resident's own chart, the facility's explanation, and source documents with dates and outcome status.
Citation and penalty detail on this page comes from the CMS Provider Data health-deficiency, fire-safety, and penalties datasets, pulled October 12, 2026. Figures describe the facility's public inspection record; they do not by themselves prove what happened to any individual resident.
Legal help resource
Suspect nursing home abuse or neglect?
Public records are only part of the picture. If your family believes a Florida nursing home harmed your loved one, you can speak with a Florida nursing home abuse lawyer about what happened and what options your family may have. Senior Justice Help is not a law firm and is not affiliated with any law firm; this link is provided as a resource only.
Injury and neglect guides
When a Florida care injury may involve negligence
Inspection records show what regulators found; they do not by themselves prove a legal claim. If your family is looking back at a serious injury or death in a Florida nursing home or care facility, these guides explain the deadlines, procedures, records, and questions that apply in Florida:
- Stroke misdiagnosis lawyer information in Florida
- Falls and fractures in Florida care facilities: legal information
- Pressure injuries and bedsores: Florida legal information
- Sepsis from infection in Florida care facilities: legal information
- Medication errors in Florida care facilities: legal information
- Wrongful death in a Florida care facility: legal information
Sources for Alwyn C Cashe State Veterans Nursing Home
Senior Justice Help is a public-information and facility-research website. We are not a law firm, medical provider, government agency, or nursing home regulator. We may help families understand what kind of lawyer to contact or connect with legal resources, but this site does not provide legal or medical advice.
Editorial review
Written and editorially reviewed for family clarity
Written by: Senior Justice Help Editorial Team, Family questions and nursing home records research team
Pages are written for families, checked against public agency sources, and reviewed for clarity, sourcing, and overclaiming. The site does not provide medical advice or legal advice.