Royal Care of Avon Park, owned by Eli Strohli since Oct. 25, 2007, operated in Highlands County as of the first quarter of 2026, according to the Centers for Medicare and Medicaid Services (CMS). The nursing facility remains registered as a for-profit business.
During that timeframe, the facility held an overall CMS rating of two stars, falling short of Florida’s state nursing home average of 3.3 stars. CMS assigns ratings based on key categories including health inspections, staffing, and resident care quality.
Data shows Royal Care of Avon Park averaged 78.3 residents daily during the first quarter of 2026, offering 90 available beds. The facility is not affiliated with any hospital.
Throughout the same period, Royal Care of Avon Park paid $17,342 in two fines and faced two penalties.
There were a total of five for-profit nursing homes in Highlands County, Florida during this period.
U.S. Census Bureau estimates indicate the older adult population continues to rise nationally as younger groups decrease. From 2020 to 2024, the count of Americans 65 and older went up by 13%, while those under 18 dropped by 1.7%. Over the past hundred years, the older adult demographic expanded significantly, growing from 4.9 million in 1920 to more than 61 million in 2024.
Research from 2021 indicates that around half of seniors, about 28 million people, may require long-term services and supports, with over a third potentially needing nursing home care eventually.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Nursing Home | Owner | Ownership Type | Overall Rating | Avg. No. of Residents per day |
|---|---|---|---|---|
| Lake Placid Health and Rehabilitation Center | Lake Placid Operations Holdings, LLC | For profit – Limited Liability company | 2 | 131.5 |
| Oaks at Avon | Fi-the Oaks, LLC | For profit – Corporation | 3 | 91.7 |
| Royal Care of Avon Park | Eli Strohli | For profit – Limited Liability company | 2 | 78.3 |
| The Palms at Sebring Nursing and Rehabilitation | Pine Street Heathcare Holdings, LLC | For profit – Individual | 2 | 107.4 |
Information in this article was obtained from the Centers for Medicare and Medicaid Services. The source data can be found here.
