Deficiencies (last 3 years)
Deficiencies (over 3 years)
4.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
2% worse than Florida average
Florida average: 4.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Dec 18, 2025
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory standards related to pharmaceutical services and food handling practices at Life Care Center of Orlando.
Findings
The facility failed to provide pharmaceutical services consistent with professional standards, specifically failing to document administration of intravenous antibiotics for one resident. Additionally, the facility failed to ensure proper food handling practices during meal service, including contamination risks with food thermometers and improper hygiene by dietary staff.
Deficiencies (2)
Failure to provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist, including lack of documentation of intravenous medication administration for resident #4.
Failure to ensure food service items were handled with accepted food-handling practices, including contamination of food thermometer and dietary aide licking fingers while handling tray tickets.
Report Facts
Resident sample size: 25
Dates with missing medication documentation: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Acknowledged lack of documentation of intravenous medication administration for resident #4 |
| Certified Dietary Manager | Certified Dietary Manager | Reported staff were made aware of food handling errors during tray line observation |
Inspection Report
Routine
Deficiencies: 6
Date: Feb 25, 2021
Visit Reason
The inspection was conducted to assess compliance with Medicare/Medicaid regulations including notification of coverage, nutritional care, IV care, respiratory care, medication administration, and equipment safety.
Findings
The facility failed to provide proper Medicaid/Medicare coverage notices to residents, did not implement dietitian recommendations for nutrition, failed to provide appropriate IV dressing changes, did not follow oxygen therapy orders, and failed to ensure medications were administered as prescribed. Additionally, the facility did not monitor rinse water pressure for the dishwashing machine as required.
Deficiencies (6)
Failed to provide Beneficiary Protection Notification to 3 of 3 residents reviewed for skilled nursing facility advanced beneficiary notice (SNF ABN).
Failed to ensure dietitian recommendations were implemented for nutritional status related to dialysis and failed to re-evaluate a resident readmitted with significant weight loss.
Failed to provide dressing changes for a midline intravenous catheter according to professional standards for 1 of 2 residents reviewed for IV care.
Failed to follow physician's orders for oxygen therapy for 1 of 5 residents reviewed for respiratory care.
Failed to ensure medications were administered as prescribed for 2 of 42 sampled residents.
Failed to ensure appropriate rinse water pressure was monitored for the high temperature dish machine to ensure proper sanitation.
Report Facts
Residents reviewed for SNF ABN: 42
Residents affected by SNF ABN deficiency: 3
Residents reviewed for nutritional status: 42
Residents affected by nutritional deficiency: 2
Residents reviewed for IV care: 42
Residents affected by IV care deficiency: 1
Residents reviewed for respiratory care: 42
Residents affected by respiratory care deficiency: 1
Residents sampled for medication administration: 42
Residents affected by medication administration deficiency: 2
Dishwashing rinse water pressure: 40
Dishwashing rinse water temperature: 195
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN H | Registered Nurse | Named in medication administration deficiency for misplacing medications for resident #85 |
| RN A | Registered Nurse | Named in oxygen therapy and IV dressing deficiencies |
| RN B | Registered Nurse | Named in IV dressing and medication administration deficiencies |
| Business Office Manager | Interviewed regarding incomplete SNF ABN forms | |
| Certified Dietary Manager | Interviewed regarding nutritional recommendations not implemented | |
| Assistant Director of Nursing | Interviewed regarding IV dressing and nutritional care deficiencies | |
| Director of Nursing | Interviewed regarding IV dressing deficiency and dishwashing monitoring | |
| Registered Dietitian | Named in nutritional care deficiency |
Inspection Report
Routine
Deficiencies: 6
Date: Aug 1, 2019
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, food preferences, notification procedures, treatment adherence, and facility sanitation.
Findings
The facility was found deficient in multiple areas including failure to keep call lights within residents' reach, failure to honor food preferences, failure to notify the Ombudsman and provide bed-hold notices upon resident transfers, failure to follow physician's orders for weekly weights, and failure to maintain nourishment room cleanliness and proper food labeling.
Deficiencies (6)
Failed to keep call light within reach for 3 of 41 residents (#104, 36, 67).
Failed to honor resident #106's food preference by serving pork despite documented dislikes.
Failed to notify State Long Term Care Ombudsman in writing for 2 of 4 residents (#216 & 106) upon hospital transfer.
Failed to provide bed-hold notice to resident or representative for 2 of 4 residents (#216 & 106) upon hospital transfer.
Failed to follow physician's order for weekly weights for resident #21; missing documentation and no physician notification of refusals.
Failed to maintain nourishment room cleanliness and failed to label and date food items in nourishment room refrigerator.
Report Facts
Residents affected: 3
Residents reviewed for hospitalization: 4
Residents affected: 2
Residents affected: 2
Total sampled residents: 41
Weight loss: 7.1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA B | Certified Nursing Assistant | Stated residents should always be able to reach call lights; involved in call light deficiency findings |
| LPN C | Licensed Practical Nurse | Stated CNAs are expected to ensure call light is within resident's reach |
| CNA F | Certified Nursing Assistant | Reported resident #36's pain and call light accessibility |
| LPN G | Licensed Practical Nurse | Reported resident #36's pain medication and call light expectations |
| ACDM I | Assistant Certified Dietary Manager | Reviewed food preferences and acknowledged error in serving pork to resident #106 |
| RD J | Registered Dietician | Reviewed food preferences and verified dislikes for resident #106 |
| CNA K | Certified Nursing Assistant | Served resident #106 and confirmed food preference issue |
| SSD | Social Services Director | Discussed Ombudsman notification process and acknowledged missed notifications |
| DON | Director of Nursing | Discussed notification requirements, bed hold policy, and treatment refusals |
| ADON | Assistant Director of Nursing | Verified missing Ombudsman notifications and bed hold documentation |
| LPN A | Licensed Practical Nurse | Observed nourishment room deficiencies and food labeling issues |
| UM | Unit Manager | Verified weekly weight orders and lack of physician notification for refusals |
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