Tag 0684 · Severity E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-09-24| Ownership | Non profit - Corporation | Certified beds | 182 |
|---|---|---|---|
| Estimated occupancy | 95.9% | Latest inspection | 2025-08-07 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 4 of 5 | 4 of 5 | 3 of 5 |
| Health-inspection score | 26.0 points | 35.0 points | 38.5 points |
| Total nurse staffing | 3.35 hours/day | 3.66 hours/day | 3.63 hours/day |
| RN staffing | 0.65 hours/day | 0.51 hours/day | 0.62 hours/day |
| Staff turnover | 20.4% | 46.0% | 41.8% |
| Latest health deficiencies | 5 deficiencies | 7 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-09-24Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-09-24Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-09-24Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-09-24Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-09-24Immediate-jeopardy citations: 0
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-06-03Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-06-03Honor 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 Rights Deficiencies · Deficient, Provider has date of correction 2024-06-03Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-06-03Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2024-06-03Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-06-03Immediate-jeopardy citations: 0
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2023-02-10Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-02-10Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2023-02-17Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
How does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcersHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.06541 |
| Lpn hours | 0.63365 |
| Rn hours | 0.65421 |
| Reported total hours | 3.35327 |
| Weekend total hours | 3.1148 |
| Weekend rn hours | 0.52288 |
| Adjusted total hours | 3.8523 |
| Total turnover percent | 20.4 |
| Rn turnover percent | 22.6 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
No matching penalties in the supplied CMS records.
Totals reflect the supplied CMS records, not a lifetime total.
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
0
| Name | Role | Share |
|---|---|---|
| ORLANDO REHABILITATION GROUP , INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% |
| DUDLEY, NATE | CORPORATE OFFICER | NOT APPLICABLE |
| GARNER, ALVIN | CORPORATE OFFICER | NOT APPLICABLE |
| JAFFE, HOWARD | CORPORATE OFFICER | NOT APPLICABLE |
| MULLEN, ANN | CORPORATE OFFICER | NOT APPLICABLE |
| ROMBOLD, LORI | CORPORATE OFFICER | NOT APPLICABLE |
| ANU HEALTH MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CONSULTING SUPPORT SERVICES, LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FACILITY SUPPORT COMPANY, LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KANE FINANCIAL SERVICES, LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| EDWARDS, LISA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| LINGENFELTER, STACY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ANU HEALTH MANAGEMENT LLC | ADP OF THE SNF | NOT APPLICABLE |
| CONSULTING SUPPORT SERVICES, LLC | ADP OF THE SNF | NOT APPLICABLE |
| FACILITY SUPPORT COMPANY, LLC | ADP OF THE SNF | NOT APPLICABLE |
| KANE FINANCIAL SERVICES, LLC | ADP OF THE SNF | NOT APPLICABLE |
| ORLANDO REHABILITATION GROUP , INC. | ADP OF THE SNF | NOT APPLICABLE |
| SELECT REHABILITATION, LLC | ADP OF THE SNF | NOT APPLICABLE |
| EDWARDS, LISA | ADP OF THE SNF | NOT APPLICABLE |
| LINGENFELTER, STACY | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology