Lotus Nursing and Rehabilitation Center
7950 Lake Underhill Road, Orlando, FL 32822 · Orange County · 180 certified beds · avg 159 residents/day · certified since Feb 19, 1987
Part of chain: VENTURA SERVICES (14 facilities, chain avg rating 3.2★)
2/5
Health inspection rating (on-site)
1
Serious findings on record
$3,282
Fines, last 3 years
3.62
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Mar 3, 2023 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 7, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (32)
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 |
|---|---|---|
| Jun 26, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Jun 26, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint |
| Feb 25, 2025 | 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. · from a complaint |
| Oct 3, 2024 | E · Potential for harm, repeated | The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. |
| Oct 3, 2024 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Oct 3, 2024 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Oct 3, 2024 | 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. |
| Oct 3, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Oct 3, 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. |
| Oct 3, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 11, 2024 | 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. · from a complaint |
| Mar 3, 2023 | ▲ G · Actual 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. |
| Mar 3, 2023 | F · Potential for harm, facility-wide | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. |
| Mar 3, 2023 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Mar 3, 2023 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Mar 3, 2023 | 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. |
| Mar 3, 2023 | 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. |
| Mar 3, 2023 | 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 3, 2023 | 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 3, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Mar 3, 2023 | 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 3, 2023 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Mar 3, 2023 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Mar 3, 2023 | 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. |
| Mar 3, 2023 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Mar 3, 2023 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Mar 3, 2023 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Mar 3, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 3, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Apr 21, 2021 | E · Potential for harm, repeated | 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. |
| Apr 21, 2021 | 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. |
| Apr 21, 2021 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (18 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 3 | 0 | E |
| 2023 | 18 | 1 | G ▲ |
| 2024 | 8 | 0 | E |
| 2025 | 3 | 0 | D |
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)
1 fine totaling $3,282.
| Date | Type | Amount / length |
|---|---|---|
| Dec 26, 2023 | Fine | $3,282 |
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) | 3.62 | 4.03 | 3.95 | bottom 26% in Florida; bottom 43% in the U.S. |
| Registered Nurse hours | 0.58 | 0.76 | 0.69 | bottom 35% in Florida; bottom 49% in the U.S. |
| Weekend total nurse staffing | 3.30 | 3.68 | 3.50 | bottom 21% in Florida; bottom 47% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.35 | 0.53 | 0.48 | bottom 31% in Florida; bottom 42% in the U.S. |
| Total nursing staff turnover (%) | 34.4 | 41.4 | 45.8 | top 32% in Florida; top 23% in the U.S. |
| RN turnover (%) | 61.5 | 46.0 | 42.9 | bottom 22% in Florida; bottom 20% 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 0.57, weekend 3.23. Staffing rating: 2/5.
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: 3/5 · long-stay residents: 5/5 · short-stay residents: 2/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Agrp 2011 Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/01/2023 |
| Deborah Philipson 2011 Family Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/01/2023 |
| Philipson Family Limited Liability Company, LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/01/2023 |
| Rio Holdco LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/01/2023 |
| Agrp 2011 Trust | Organization | Trustee of the SNF | NOT APPLICABLE | 12/01/2023 |
| Agrp 2011 Trust | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2023 |
| Bengio, Jacob | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2023 |
| Deborah Philipson 2011 Family Trust | Organization | Trustee of the SNF | NOT APPLICABLE | 12/01/2023 |
| Deborah Philipson 2011 Family Trust | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2023 |
| Gilliam, Trisha | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/31/2025 |
| Gilliam, Trisha | Individual | ADP of the SNF | NOT APPLICABLE | 03/31/2025 |
| Hussaini, Najeeb | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Paritzky, Jeremie | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2023 |
| Philipson Family Limited Liability Company, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2023 |
| Philipson, Bent | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/15/2025 |
| Philipson, Gabrielle | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/15/2025 |
| Philipson, Raquel | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/15/2025 |
| Richards Mitchell & Cross Pa | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2023 |
| Ventura Services - Florida, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2023 |
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 do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "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 |
|---|---|---|---|---|---|
| Solaris Healthcare East Orlando | 0.2 mi | Orlando, FL | ★★★★★ | 4/5 | |
| Palm Garden of Orlando | 1.8 mi | Orlando, FL | ★★★★☆ | 3/5 | |
| Conway Lakes Health & Rehabilitation Center | 2.9 mi | Orlando, FL | ★★☆☆☆ | 2/5 | |
| Avante at Orlando INC | 3.2 mi | Orlando, FL | ★★★☆☆ | 3/5 | |
| Westminster Baldwin Park | 3.5 mi | Orlando, FL | ★★★★★ | 4/5 | |
| Alwyn C Cashe State Veterans Nursing Home | 3.8 mi | Orlando, FL | ★☆☆☆☆ | 2/5 | abuse |
| Winter Park Care and Rehabilitation | 4.2 mi | Winter Park, FL | ★☆☆☆☆ | 2/5 | |
| Westminster Winter Park | 4.3 mi | Winter Park, FL | ★★★★★ | 4/5 | |
| Regents Park of Winter Park | 4.7 mi | Winter Park, FL | ★☆☆☆☆ | 1/5 | |
| Parkview Rehabilitation Center at Winter Park | 4.9 mi | Winter Park, FL | ★★★★★ | 4/5 | |
| Life Care Center of Orlando | 5.0 mi | Orlando, FL | ★★★★★ | 4/5 | |
| Mayflower Healthcare Center | 5.2 mi | Winter Park, FL | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 105564.