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COMMONS AT ORLANDO LUTHERAN TOWERS Inspection Report, Violations & Safety Grade (ORLANDO, Florida)

210 LAKE AVENUE, ORLANDO, Florida 32801

Phone: 4078727088

CMS Overall:1/5

Overview & Bed Count

Certified Beds
168
Avg Residents/Day
140.1
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Orange
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
Yes

CMS Star Ratings

Overall1/5
Health1/5
Staffing4/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityFlorida AvgDifference
RN Hours per Resident per Day0.850.73+0.12
Total Nurse Hours per Resident per Day4.223.86+0.36
CMS Staffing Rating4/53.3/5-
Nursing Staff Turnover40.0%41.5%-

Health Citation History

13 health citations on record

DateCategoryDescriptionSeverity
2026-06-04Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J – Immediate Jeopardy
2026-06-04Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J – Immediate Jeopardy
2026-01-08Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2024-08-29Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2024-03-28Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2024-03-28Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E – Moderate Harm Potential
2024-03-28Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2024-03-28Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2024-03-28Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.D – Moderate Harm Potential
2022-04-21Quality of Life and Care DeficienciesProvide for the safe, appropriate administration of IV fluids for a resident when needed.E – Moderate Harm Potential
2022-04-21Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D – Moderate Harm Potential
2022-04-21Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2022-04-21Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential

Fire Safety Citation History

2 fire safety citations on record

DateCategoryDescriptionSeverity
2024-03-28Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2024-03-28Smoke DeficienciesInstall corridor and hallway doors that block smoke.F – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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