Courtyards of Orlando Care Center and Rehab

Name: Courtyards of Orlando Care Center and Rehab
Address: 1900 MERCY DRIVE, Orlando, FL, 32808, US
Telephone: 4072995404

1900 Mercy Drive, Orlando, FL 32808 · Orange County · 120 certified beds · avg 115 residents/day · certified since Jul 1, 1983

Part of chain: FL SNF TRUST (10 facilities, chain avg rating 3.2★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.42

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (22)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Aug 14, 2025	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Aug 14, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Aug 14, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Aug 14, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Aug 14, 2025	D · Potential for harm, one-off	The facility did not help residents arrange transportation to and from x-ray and imaging services.
Aug 19, 2024	D · Potential for harm, one-off	The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. · from a complaint
Mar 21, 2024	E · Potential for harm, repeated	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Mar 21, 2024	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Mar 21, 2024	D · Potential for harm, one-off	The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts.
Mar 21, 2024	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Mar 21, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Mar 21, 2024	D · Potential for harm, one-off	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
Mar 21, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Mar 21, 2024	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
May 19, 2022	E · Potential for harm, repeated	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
May 19, 2022	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
May 19, 2022	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
May 19, 2022	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
May 19, 2022	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
May 19, 2022	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
May 19, 2022	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
May 19, 2022	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (8 → 5).

Year	Citations	Worst severity that year
2022	8	E
2024	9	E
2025	5	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Florida avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.42	4.03	3.95	top 18% in Florida; top 25% in the U.S.
Registered Nurse hours	0.36	0.76	0.69	bottom 5% in Florida; bottom 17% in the U.S.
Weekend total nurse staffing	3.96	3.68	3.50	top 20% in Florida; top 24% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.18	0.53	0.48	bottom 4% in Florida; bottom 9% in the U.S.
Total nursing staff turnover (%)	51.6	41.4	45.8	bottom 24% in Florida; bottom 33% in the U.S.
RN turnover (%)	76.9	46.0	42.9	bottom 6% in Florida; bottom 7% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.55, RN 0.29, weekend 3.18. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Courtyards Nursing Holdco LLC	Organization	5% or Greater Direct Ownership Interest	100%	08/01/2023
FL Master Opco Holdco II LLC	Organization	5% or Greater Indirect Ownership Interest	—	08/01/2023
FL SNF Trust I	Organization	5% or Greater Indirect Ownership Interest	—	08/01/2023
FL SNF Trust II	Organization	5% or Greater Indirect Ownership Interest	—	08/01/2023
Cruz-Pizarro, Naihomi	Individual	W-2 Managing Employee	NOT APPLICABLE	08/01/2023
Ellenbogen, Moss	Individual	Corporate Officer	NOT APPLICABLE	08/01/2023

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"If my family member needs an x-ray or scan off-site, how do you get them there and back?"
"If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
"If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Guardian Care Nursing & Rehabilitation Center	2.4 mi	Orlando, FL	★★☆☆☆	2/5
Aviata at Rosewood	2.7 mi	Orlando, FL	★★★☆☆	2/5
Metro West Nursing and Rehab Center	3.2 mi	Orlando, FL	★★★★☆	3/5
Solaris Healthcare College Park	3.5 mi	Orlando, FL	★★★☆☆	3/5
Westminster Towers	3.9 mi	Orlando, FL	★★★☆☆	2/5
Commons at Orlando Lutheran Towers	4.0 mi	Orlando, FL	★☆☆☆☆	1/5	abuse
Delaney Park Health and Rehabilitation Center	4.3 mi	Orlando, FL	★★★☆☆	2/5
South Orange Health and Rehabilitation Center	4.4 mi	Orlando, FL	★★★★★	4/5
Orlando Health and Rehabilitation Center	4.5 mi	Orlando, FL	★☆☆☆☆	1/5	abuse
Rehabilitation Center of Winter Park	4.8 mi	Maitland, FL	★★★☆☆	2/5
Solaris Healthcare Windermere	4.8 mi	Orlando, FL	★★★★★	5/5
Ansley Cove Healthcare and Rehabilitation	5.4 mi	Maitland, FL	★☆☆☆☆	1/5	abuseSFF

Compare this facility with the 3 closest →

All facilities in Orlando →

Facility data as of CMS processing date 2026-08-01. CCN 105431.

The Care File

Visit checklist — Courtyards of Orlando Care Center and Rehab

1900 Mercy Drive, Orlando, FL 32808 · 4072995404

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "If my family member needs an x-ray or scan off-site, how do you get them there and back?"
☐ "If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
☐ "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 105431 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)