Skilled nursing facility · CMS certification number 106151

ALWYN C CASHE STATE VETERANS NURSING HOME

ORLANDO, Florida · Medicare and Medicaid

Certified beds, as filed in Care Compare: 112

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 July 2024 to 30 June 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 December 2025.

Revenue and expenses, fiscal year 2025
Figure	As filed	Where it comes from
Total patient revenue	$8,456,036	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$885,494	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,570,542	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,992,000	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$5,421,458	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$5,284,812	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$136,646	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$136,646 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2025
Figure	As filed	Where it comes from
Total facility beds, all components	112	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	40,880	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	227	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	395	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	18,777	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	19,399	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	2	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	1	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	101	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	104	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	113.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	395	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	186.53	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1444864, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2024, ended 30 June 2024

Cost report for 11 October 2023 to 30 June 2024 — a reporting period of 263 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 16 December 2024.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$3,485,127	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,061,792	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,423,335	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,836,630	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$7,413,295	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$7,033,694	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$379,601	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$379,601 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	112	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	8,378	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	48	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	90.75	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	23	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	174.54	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1400942, read from the public cost report file SNF10FY2024.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
NURIEL, GABRIEL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/25/2025
PERRY HUFF, KATIRIA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/08/2025
PERRY HUFF, KATIRIA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 08/01/2024
COLON APONTE, OMAYRA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/01/2024
MALLARD, LINDSAY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/18/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of FLORIDA DEPARTMENT OF VETERANS AFFAIRS (enrollment ID O20220813000009).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
FLORIDA DEPARTMENT OF VETERANS AFFAIRS	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	6/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
GABRIEL NURIEL	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/25/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KATIRIA PERRY HUFF	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/8/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KATIRIA PERRY HUFF	Individual	CORPORATE DIRECTOR	0	8/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LINDSAY MALLARD	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/18/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
OMAYRA COLON APONTE	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 June 2025: LINDSAY MALLARD no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: PERRI HINES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KATHERINE SHERRILL-HAGER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: FLORIDA DEPARTMENT OF VETERANS AFFAIRS no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MARIA GRIFFIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KATIRIA PERRY HUFF appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KATIRIA PERRY HUFF appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: LINDSAY MALLARD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: OMAYRA COLON APONTE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: FLORIDA DEPARTMENT OF VETERANS AFFAIRS appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: GABRIEL NURIEL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 December 2023: LINDSAY MALLARD appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: PERRI HINES appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: KATHERINE SHERRILL-HAGER appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: FLORIDA DEPARTMENT OF VETERANS AFFAIRS appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: MARIA GRIFFIN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv

Recent changes on this record

17 December 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
1 June 2025: LINDSAY MALLARD no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: PERRI HINES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KATHERINE SHERRILL-HAGER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: FLORIDA DEPARTMENT OF VETERANS AFFAIRS no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MARIA GRIFFIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KATIRIA PERRY HUFF appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KATIRIA PERRY HUFF appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: LINDSAY MALLARD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: OMAYRA COLON APONTE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: FLORIDA DEPARTMENT OF VETERANS AFFAIRS appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: GABRIEL NURIEL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
16 December 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 December 2023: LINDSAY MALLARD appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: PERRI HINES appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: KATHERINE SHERRILL-HAGER appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: FLORIDA DEPARTMENT OF VETERANS AFFAIRS appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: MARIA GRIFFIN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	27 February 2025	27 February 2025	11	0
2	8 September 2023	8 September 2023	11	0

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

22 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
23 December 2025	Health	F 0559	Resident Rights Deficiencies	Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.	D	Yes	Deficient, Provider has date of correction	16 February 2026
23 December 2025	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	Yes	Deficient, Provider has date of correction	16 February 2026
23 December 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	16 February 2026
23 December 2025	Health	F 0840	Administration Deficiencies	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.	D	Yes	Deficient, Provider has date of correction	16 February 2026
5 September 2025	Health	F 0600	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.	J	Yes	Past Non-Compliance
5 September 2025	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	J	Yes	Past Non-Compliance
27 February 2025	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	E	No	Deficient, Provider has date of correction	27 March 2025
27 February 2025	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	27 March 2025
27 February 2025	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	27 March 2025
27 February 2025	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	27 March 2025
27 February 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	27 March 2025
24 January 2025	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	E	Yes	Deficient, Provider has date of correction	24 February 2025
24 January 2025	Health	F 0756	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	E	Yes	Deficient, Provider has date of correction	24 February 2025
24 January 2025	Health	F 0773	Administration Deficiencies	Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.	D	Yes	Deficient, Provider has date of correction	24 February 2025
24 January 2025	Health	F 0777	Administration Deficiencies	Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.	D	Yes	Deficient, Provider has date of correction	24 February 2025
24 January 2025	Health	F 0867	Administration Deficiencies	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.	E	Yes	Deficient, Provider has date of correction	24 February 2025
14 September 2024	Health	F 0604	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.	G	Yes	Deficient, Provider has date of correction	14 October 2024
14 September 2024	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	14 October 2024
14 September 2024	Health	F 0741	Quality of Life and Care Deficiencies	Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.	G	Yes	Deficient, Provider has date of correction	14 October 2024
14 September 2024	Health	F 0867	Administration Deficiencies	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.	E	Yes	Deficient, Provider has date of correction	14 October 2024
8 September 2023	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C	No	Deficient, Provider has date of correction	9 October 2023
8 September 2023	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	E	No	Deficient, Provider has date of correction	9 October 2023

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Penalty date	Type	Fine amount	Fine ID
5 September 2025	Fine	$17,345	135561
24 January 2025	Fine	$5,249	31448
24 January 2025	Fine	$5,249	31449
14 September 2024	Fine	$8,783	31312
14 September 2024	Fine	$8,018	31313
20 February 2024	Fine	$4,140	31098
12 February 2024	Fine	$3,764	31084
22 January 2024	Fine	$9,032	31003
8 January 2024	Fine	$2,258	30976
2 January 2024	Fine	$1,748	30943
11 December 2023	Fine	$3,145	30842

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Government - State
Legal Business Name	FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Date First Approved to Provide Medicare and Medicaid Services	2023-10-11
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Orange
Telephone Number	4077414614
Chain Name	FLORIDA DEPARTMENT OF VETERANS' AFFAIRS
Chain ID	739
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	112
Average Number of Residents per Day	101.6
Overall Rating	1
Health Inspection Rating	2
QM Rating	1
Long-Stay QM Rating	1
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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The citable document for ALWYN C CASHE STATE VETERANS NURSING HOME

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