Tag 0882 · Severity F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-08-18At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | Non profit - Other | Certified beds | 89 |
|---|---|---|---|
| Estimated occupancy | 91.7% | Latest inspection | 2025-07-18 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 3 of 5
Health-inspection score
Facility: 57.0 points
Total nurse staffing
Facility: 3.56 hours/day
RN staffing
Facility: 0.95 hours/day
Staff turnover
Facility: 31.4%
Latest health deficiencies
Facility: 10 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 3 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 57.0 points | 50.9 points | 38.5 points |
| Total nurse staffing | 3.56 hours/day | 3.66 hours/day | 3.63 hours/day |
| RN staffing | 0.95 hours/day | 0.66 hours/day | 0.62 hours/day |
| Staff turnover | 31.4% | 41.7% | 41.8% |
| Latest health deficiencies | 10 deficiencies | 4.5 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2025-07-18
10 deficiencies
Highest severity: F
Immediate-jeopardy citations: 0
Tag 0584 · Severity E
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 Rights Deficiencies · Deficient, Provider has date of correction 2025-08-18Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-08-18Tag 0580 · Severity D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-08-18Tag 0605 · Severity D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2025-08-18Tag 0627 · Severity D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-08-18Tag 0684 · Severity D
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 2025-08-18Tag 0688 · Severity D
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 · Deficient, Provider has date of correction 2025-08-18Tag 0842 · Severity D
Safeguard 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 2025-08-18Tag 0865 · Severity D
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Deficient, Provider has date of correction 2025-08-182024-06-05
9 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0695 · Severity E
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-07-05Tag 0812 · Severity E
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 2024-07-05Tag 0554 · Severity D
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-07-05Tag 0640 · Severity D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-07-05Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-07-05Tag 0694 · Severity D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-07-05Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-07-052023-05-25
2 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0812 · Severity E
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 2023-06-26Tag 0803 · Severity D
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2023-06-26Staffing composition
2.06 hours/dayNurse aide
0.55 hours/dayLPN
0.95 hours/dayRN
- Total staffing
- 3.56 hours/day
- County median
- 3.66 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.15 hours/day
- Staff turnover
- 31.4%
- RN turnover
- 43.5%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
1.7 per 1,000 daysbetterFlorida: 2.1 per 1,000 days · County: 2.4 per 1,000 days20250101-20251231
Emergency-department visits
1.3 per 1,000 daysworseFlorida: 1.0 per 1,000 days · County: 0.9 per 1,000 days20250101-20251231
Falls with major injury
0.9%betterFlorida: 2.2% · County: 2.1%2025Q2-2026Q1
Pressure ulcers
5.0%worseFlorida: 4.2% · County: 4.4%2025Q2-2026Q1
Urinary tract infections
0.0%unavailableFlorida: 0.0% · County: 0.3%2025Q2-2026Q1
Antipsychotic medication use
14.4%worseFlorida: 7.0% · County: 7.4%2025Q2-2026Q1
These group measures do not predict an individual resident’s experience.
Questions to ask
Use these prompts during a tour or phone call
How does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcersHow are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic useHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning
Facility Details
- County
- Orange County
- Certified beds
- 89
- Average daily residents
- 81.6
- Ownership
- Non profit - Other
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1993-04-01
- CCN
- 105791
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.05884 |
| Lpn hours | 0.54948 |
| Rn hours | 0.94872 |
| Reported total hours | 3.55703 |
| Weekend total hours | 3.14807 |
| Weekend rn hours | 0.67213 |
| Adjusted total hours | 3.1072 |
| Total turnover percent | 31.4 |
| Rn turnover percent | 43.5 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$0.00Total fines
0Number of fines
0Payment denials
No matching penalties in the supplied CMS records.
Totals reflect the supplied CMS records, not a lifetime total.
Citations
10Health citations
1Fire safety citations
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
Serious Deficiencies
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
0
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| ORLANDO REHABILITATION GROUP , INC. | 5% OR GREATER DIRECT 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 |
| MINES, MATTHEW | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WILKERSON, JENNIFER | 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 |
| MINES, MATTHEW | ADP OF THE SNF | NOT APPLICABLE |
| WILKERSON, JENNIFER | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology