Tag 0865 · Severity E
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Deficient, Provider has date of correction 2024-11-03For-profit
Lotus Nursing and Rehabilitation Center
7950 Lake Underhill Road, Orlando, FL 32822
(407) 658-2046 · Ventura Services
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Limited Liability company | Certified beds | 180 |
|---|---|---|---|
| Estimated occupancy | 88.2% | Latest inspection | 2024-10-03 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 2 of 5
Health-inspection score
Facility: 57.0 points
Total nurse staffing
Facility: 3.55 hours/day
RN staffing
Facility: 0.57 hours/day
Staff turnover
Facility: 34.4%
Latest health deficiencies
Facility: 7 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 2 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 57.0 points | 50.9 points | 38.5 points |
| Total nurse staffing | 3.55 hours/day | 3.66 hours/day | 3.63 hours/day |
| RN staffing | 0.57 hours/day | 0.66 hours/day | 0.62 hours/day |
| Staff turnover | 34.4% | 41.7% | 41.8% |
| Latest health deficiencies | 7 deficiencies | 4.5 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2024-10-03
7 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0644 · Severity D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-11-03Tag 0645 · Severity D
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-11-03Tag 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 2024-11-03Tag 0686 · Severity D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-11-03Tag 0695 · Severity D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-11-03Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-11-032023-03-03
21 deficiencies
Highest severity: G
Immediate-jeopardy citations: 0
Tag 0684 · Severity G
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 2023-04-07Tag 0835 · Severity F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Deficient, Provider has date of correction 2023-04-07Tag 0550 · Severity E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-04-07Tag 0689 · Severity E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-04-07Tag 0755 · Severity E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-04-07Tag 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 2023-04-07Tag 0554 · Severity D
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-04-07Tag 0578 · Severity D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-04-07Tag 0607 · Severity D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2023-04-07Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-04-07Tag 0644 · Severity D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-04-07Tag 0645 · Severity D
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-04-07Tag 0656 · Severity D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-04-07Tag 0692 · Severity D
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-04-07Tag 0757 · Severity D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-04-07Tag 0759 · Severity D
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-04-07Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2023-04-07Tag 0883 · Severity D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Deficient, Provider has date of correction 2023-04-072021-04-21
4 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 2021-05-21Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2021-05-21Tag 0677 · Severity D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-05-21Staffing composition
2.19 hours/dayNurse aide
0.80 hours/dayLPN
0.57 hours/dayRN
- Total staffing
- 3.55 hours/day
- County median
- 3.66 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.23 hours/day
- Staff turnover
- 34.4%
- RN turnover
- 61.5%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
2.3 per 1,000 daysworseFlorida: 2.1 per 1,000 days · County: 2.4 per 1,000 days20250101-20251231
Emergency-department visits
0.8 per 1,000 daysbetterFlorida: 1.0 per 1,000 days · County: 0.9 per 1,000 days20250101-20251231
Falls with major injury
1.9%betterFlorida: 2.2% · County: 2.1%2025Q2-2026Q1
Pressure ulcers
4.0%betterFlorida: 4.2% · County: 4.4%2025Q2-2026Q1
Urinary tract infections
0.0%unavailableFlorida: 0.0% · County: 0.3%2025Q2-2026Q1
Antipsychotic medication use
20.2%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 many RNs are typically on site during days, nights, and weekends?
Suggested because of: rn staffingHow are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic useWhat operational changes followed the facility's most recent penalty?
Suggested because of: penaltiesHow 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
- 180
- Average daily residents
- 158.7
- Ownership
- For profit - Limited Liability company
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1987-02-19
- CCN
- 105564
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.18523 |
| Lpn hours | 0.79742 |
| Rn hours | 0.56782 |
| Reported total hours | 3.55047 |
| Weekend total hours | 3.23365 |
| Weekend rn hours | 0.34974 |
| Adjusted total hours | 3.61787 |
| Total turnover percent | 34.4 |
| Rn turnover percent | 61.5 |
| Administrators left | 2 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$3,282.00Total fines
1Number of fines
0Payment denials
| Date | Type | Amount |
|---|---|---|
| 2023-12-26 | Fine | $3,282.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
7Health citations
10Fire 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.
1
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| RIO HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| AGRP 2011 TRUST | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| DEBORAH PHILIPSON 2011 FAMILY TRUST | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| PHILIPSON FAMILY LIMITED LIABILITY COMPANY, LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| BENGIO, JACOB | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GILLIAM, TRISHA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PARITZKY, JEREMIE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PHILIPSON, BENT | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE |
| PHILIPSON, GABRIELLE | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE |
| PHILIPSON, RAQUEL | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE |
| AGRP 2011 TRUST | TRUSTEE OF THE SNF | NOT APPLICABLE |
| DEBORAH PHILIPSON 2011 FAMILY TRUST | TRUSTEE OF THE SNF | NOT APPLICABLE |
| AGRP 2011 TRUST | ADP OF THE SNF | NOT APPLICABLE |
| DEBORAH PHILIPSON 2011 FAMILY TRUST | ADP OF THE SNF | NOT APPLICABLE |
| PHILIPSON FAMILY LIMITED LIABILITY COMPANY, LLC | ADP OF THE SNF | NOT APPLICABLE |
| RICHARDS MITCHELL & CROSS PA | ADP OF THE SNF | NOT APPLICABLE |
| VENTURA SERVICES - FLORIDA, LLC | ADP OF THE SNF | NOT APPLICABLE |
| GILLIAM, TRISHA | ADP OF THE SNF | NOT APPLICABLE |
| HUSSAINI, NAJEEB | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology