7950 Lake Underhill Road, Orlando, FL 32822 · Orange County · (407) 658-2046
180 certified beds, about 159 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1987
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105564 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on October 3, 2024, inspectors cited 7 health deficiencies (the Florida average is 7.1, the national average 9.2).
Of 32 health citations since April 2021, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $3,282 in the last three years; the largest was $3,282, and the latest is dated December 26, 2023.
Nurses and nurse aides worked 3.55 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.57 of those hours.
34.4% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Ventura Services, an affiliated group of 14 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 32 health citations on file.
Inspectors wroteBased on observation, interview and record review, the facility failed to promote dignity during mealtime assistance for 2 of 2 residents reviewed for dining support, of a total sample of 14 residents, (#3, and #5).
Inspectors wroteBased on interview, and record review, the facility failed to follow its grievance process for 1 of 2 residents reviewed for grievances, of a total sample of 14 residents, (#12).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure oxygen (O2) therapy was administered as per physician orders for 1 resident reviewed for oxygen, of a total sample of 7 residents, (#5).
Inspectors wroteBased on interview, and record review, the facility failed to ensure the Quality Assurance and Performance Improvement (QAPI) committee developed and implemented timely and appropriate plans of action to prevent repeat deficient practices related to pre-admission screening and resident review (PASARR) and Quality of Care.
Inspectors wroteBased on interview and record review, the facility failed to ensure the Level I Preadmission Screening and Record Review (PASARR) was correct upon admission, corrected after admission, and/or referred for Level II PASARR if indicated for 3 of 5 residents reviewed for PASARR, of a total sample of 54 residents, (#19, #7 and #30).
Inspectors wroteBased on interview and record review, the facility failed to ensure the Preadmission Screening and Resident Review (PASARR) Level II was completed and failed to provide a complete PASARR Level I for 2 of 5 residents reviewed for PASARR, of a total sample of 54 residents, (#71 and #86). Findings A PASARR is a federally mandated evaluation process per the Nursing Home Reform Act . A Level I Pre-admission Screening is required for all applicants to Medicaid certified nursing facilities, regardless of payor. A Level II Evaluation and Determination must be completed prior to admission if a serious mental illness and /or intellectual disability or related condition is identified through the Level I screening. A Level II evaluation must also be completed when there is a significant change in the resident's physical or mental condition. (Retrieved on 10/07/24, from www.myflfamilies.com). 1. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to obtain a physician's order to provide treatment to a non-pressure wound and failed to apply non-pressure wound treatments per professional standards for 1 of 1 resident reviewed for non pressure wounds, of a total sample of 54 residents, (#19).
Inspectors wroteBased on observation, interview, and record review the facility failed to provide wound care to heel pressure ulcers/injuries per physician order and plan of care for 1 of 3 residents reviewed for pressure ulcers/injuries, of a total sample of 54 residents, (#48).
Inspectors wroteBased on observation, interview, and record review, the facility failed to administer oxygen (O2) therapy as ordered by the physician for 2 of 4 residents reviewed for respiratory care, of a total sample of 54 residents, (#36, #152).
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow Contact Precautions for 1 of 3 residents reviewed for Transmission Based precautions, (#17), and failed to ensure use of a clean nasal canula for 1 of 4 residents reviewed for oxygen use, (#117), of a total sample of 54 residents.
Inspectors wroteBased on interview and record review, the facility failed to ensure care and treatment was provided according to professional standards of practice to meet the resident's need, and prevent the potential decline in the residents' physical, mental, and/or psychosocial well-being for 1 of 4 residents reviewed for change in condition of a total sample of 10 residents, (#1).
Inspectors wroteBased on observation, interview, and record review, the facility's nursing staff failed to adhere to standards of professional practice to promote skin integrity, obtain and implement appropriate wound care orders, and apply treatments and dressings as ordered for 2 of 2 residents reviewed for non-pressure skin conditions, of a total sample of 66 residents, (#61 & #30). The facility's failure to implement adequate preventative interventions and follow policies and procedures for skin and wound care resulted in actual harm for resident #61, preventable injuries during activities of daily living (ADLs) care and development of a skin infection.
Inspectors wroteBased on observation, interview, and record review, the facility's administration failed to effectively utilize its resources to implement processes to identify and address deficient practices, and failed to provide adequate oversight of staff to ensure the provision of necessary care and services to maintain the highest practicable well-being for all residents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to honor the right to be treated with dignity and respect while receiving assistance with meals, (#53, #115 & #105), during personal care, (#61), and for all residents in and near a common area (West Wing Day Room), of a total sample of 66 residents.
Inspectors wroteBased on observation, record review, and interview, the facility failed to provide adequate supervision to prevent elopements for 1 of 3 residents reviewed for elopement, in a total sample of 66 residents, (#134).
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide pharmaceutical services related to safe administration of controlled release medications, and accurate and/or timely acquisition of medication to meet the needs of 12 residents who received controlled release medications, of a total sample of 66 residents, (#8, #40, #49, #50, #69, #110, #112, #125, #126, #131, #141 & #146).
Inspectors wroteBased on observation, record review, and interview, the facility failed to label stored foods in the walk-in refrigerator and defrost frozen foods under running water.
Inspectors wroteBased on observation, interview,and record review, the facility failed to determine if self-administration of medication was clinically appropriate and safe for 1 of 8 residents reviewed for choices and resident rights, of a total sample of 66 residents, (#132).
Inspectors wroteBased on interview and record review, the facility failed to honor the right to refuse treatment related to a Do Not Resuscitate Order (DNRO), for 1 of 1 resident reviewed for advance directives, of a total sample of 66 residents, (#44).
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement its policies and procedures to prohibit Abuse and Neglect for 1 of 1 resident reviewed for Abuse, of a total sample of 66 residents, (#61).
Inspectors wroteBased on interview and record review, the facility failed to ensure the accuracy of the Minimum Data Set (MDS) assessment for 1 of 1 resident reviewed for discharge from the facility, out of a total sample of 66 residents, (#160).
Inspectors wroteBased on interview and record review, the facility failed to ensure the Preadmission Screening and Record Review (PASARR) Level I was correct upon admission and corrected after admission for 2 of 3 residents reviewed for PASARR, out of a total sample of 66 residents, (#15 & #146).
Inspectors wroteBased on interview and record review, the facility failed to refer a resident with identified mental illness for a Level II Preadmission Screening and Resident Review (PASARR) evaluation and determination for 1 of 3 residents reviewed for PASARR, out of a total sample of 66 residents, (#38).
Inspectors wrote3. Resident #89 was admitted to the facility on [DATE] with diagnoses including unspecified sequelae of nontraumatic intracerebral hemorrhage, type 2 diabetes, essential hypertension, end stage renal disease, chronic embolism and thrombosis of other specified veins, seizures, major depressive disorder and insomnia. Review of the MDS admission assessment with assessment reference date of 1/17/23 revealed resident #89 had a Brief Interview for Mental Status score of 15 which indicated he was cognitively intact. His active diagnoses included non-traumatic brain dysfunction, coronary artery disease, deep venous thrombosis and/or pulmonary embolus, hypertension, renal failure, diabetes mellitus, seizure disorder and depression. The MDS indicated resident #89 received oxygen therapy, intravenous medications and dialysis. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow a dietitian's recommendations to maintain sufficient fluid intake and adequate hydration for 1 of 1 resident reviewed for hydration, of a total sample of 66 residents, (#44).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure behavior monitoring and documentation were implemented and conducted for the use of antipsychotic medications for 1 of 2 residents reviewed for behavioral/emotional monitoring, out of a total sample of 66 residents, (#157).
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a medication error rate of less than five percent for 2 of 4 residents reviewed for medication administration, of a total sample of 66 residents, (#5 & #112). The facility's medication error rate was 14.81%
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain proper infection control practices to prevent contamination during medication administration for 1 of 4 residents reviewed for medication administration (#112), and during wound care for 1 of 1 resident observed for wound care of 5 residents reviewed for skin conditions and pressure injuries (#44), of a total sample of 66 residents.
Inspectors wroteBased on interview, and record review, the facility failed to ensure residents completed pneumococcal vaccine consent forms and received pneumococcal vaccines upon request, for 2 of 5 residents reviewed for immunizations, out of a total sample of 66 residents, (#120 & #137).
Inspectors wroteBased on observation, interview, and record review, the facility failed to obtain physician orders for 1 of 3 residents reviewed for oxygen therapy out of a total sample of 64 residents, (#77).
Inspectors wroteBased on interview and record review, the facility failed to ensure accuracy of the Minimum Data Set (MDS) assessment for 1 of 8 residents reviewed for falls (#52) and 1 of 1 resident reviewed for discharge to community (#157) out of a total sample of 64 residents.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide nail care for 1 of 5 dependent residents reviewed for activities of daily living (ADL) of a total sample of 64 residents (#131).
10 fire safety citations on file: 9 on March 3, 2023, 1 on April 21, 2021.
| Date | Penalty | Amount or length |
|---|---|---|
| December 26, 2023 | Fine | $3,282 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Florida | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.55 | 3.82 | 3.86 |
| Registered nurses | 0.57 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.23 | 3.49 | 3.42 |
| Nurse aides | 2.19 | ||
| Licensed practical nurses | 0.80 | ||
| Nursing staff turnover (share who left in a year) | 34.4% | 41.4% | 45.8% |
| Registered nurse turnover | 61.5% | 46.0% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.76 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.68 on weekdays and 3.23 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.62 in April to June 2025 to 3.55 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.55 | 0.57 | 3.68 | 3.23 | 0.0% | 0 of 90 | 159 |
| Oct to Dec 2025 | 3.66 | 0.53 | 3.74 | 3.44 | 0.0% | 0 of 92 | 160 |
| Jul to Sep 2025 | 3.66 | 0.52 | 3.81 | 3.28 | 0.0% | 0 of 92 | 159 |
| Apr to Jun 2025 | 3.62 | 0.49 | 3.74 | 3.32 | 0.0% | 0 of 91 | 163 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Florida, Jan to Mar 2026 | 3.76 | 0.70 | 3.90 | 3.44 | 1.1% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Florida, all employers | |||
| CNAs (nursing assistants) | $18.03 | $17.33 to $20.34 | 96,960 |
| LPNs and LVNs | $29.70 | $28.14 to $31.11 | 38,620 |
| Registered nurses | $40.48 | $37.82 to $48.64 | 229,940 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Florida | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 12.5 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.9 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.5 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 10.5 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.0 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 20.2 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.7 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.2 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Lotus Nursing and Rehabilitation Center's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 51.5% · Florida: 169 better, 109 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 17 eligible stays.
9.9% this home
No different from the national rate
US median of homes 10.7% · Florida: 2 better, 35 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 62 eligible stays.
6.7% this home
No different from the national rate
US median of homes 7.1% · Florida: 6 better, 21 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 30 eligible stays.
61.5% this home
Median of homes: Florida55.1% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 169 residents counted.
0.9% this home
Median of homes: Florida0.6% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 232 residents counted.
1.0% this home
Median of homes: Florida1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 232 residents counted.
97.4% this home
Median of homes: Florida97.7% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 76 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: RIO OPCO LLC. CMS links this home to Ventura Services, a group of 14 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Rio Holdco LLC | 5% or greater direct ownership interest | Organization | 100% | 12/01/2023 |
| Agrp 2011 Trust | Indirect ownership interest | Organization | 12/01/2023 | |
| Deborah Philipson 2011 Family Trust | Indirect ownership interest | Organization | 12/01/2023 | |
| Philipson Family Limited Liability Company, LLC | Indirect ownership interest | Organization | 12/01/2023 | |
| Bengio, Jacob | Operational/managerial control | Individual | 12/01/2023 | |
| Gilliam, Trisha | Operational/managerial control | Individual | 03/31/2025 | |
| Paritzky, Jeremie | Operational/managerial control | Individual | 12/01/2023 | |
| Philipson, Bent | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/15/2025 | |
| Philipson, Gabrielle | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/15/2025 | |
| Philipson, Raquel | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/15/2025 | |
| Agrp 2011 Trust | Trustee of the SNF | Organization | 12/01/2023 | |
| Deborah Philipson 2011 Family Trust | Trustee of the SNF | Organization | 12/01/2023 | |
| Agrp 2011 Trust | Adp of the SNF | Organization | 12/01/2023 | |
| Deborah Philipson 2011 Family Trust | Adp of the SNF | Organization | 12/01/2023 | |
| Philipson Family Limited Liability Company, LLC | Adp of the SNF | Organization | 12/01/2023 | |
| Richards Mitchell & Cross Pa | Adp of the SNF | Organization | 12/01/2023 | |
| Ventura Services - Florida, LLC | Adp of the SNF | Organization | 12/01/2023 | |
| Gilliam, Trisha | Adp of the SNF | Individual | 03/31/2025 | |
| Hussaini, Najeeb | Adp of the SNF | Individual | 06/01/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
Licensed assisted living homes in the same town or within 5 miles, each with its Florida inspection record.
These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.