Below average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Courtyards Of Orlando Care Center And Rehab during CMS and state inspections, most recent first.
Staff did not sanitize food thermometers between checking different food items during meal preparation and service, including between hot and cold foods and during calibration. Both a cook and a kitchen supervisor acknowledged not following the required sanitization procedures, and facility policy confirmed that thermometers should be cleaned and sanitized between uses. This practice had the potential to affect all residents receiving regular or puree diets.
The facility did not provide pharmaceutical services to meet each resident's needs and failed to employ or obtain a licensed pharmacist, resulting in noncompliance with regulatory requirements.
A resident with COPD and other conditions had a physician's order for continuous oxygen at 3 LPM but was observed adjusting the flow to 5 LPM and removing oxygen to smoke outside. Staff were aware of the resident's self-adjustment and non-compliance, but the care plan did not address the resident's preferences or behaviors related to oxygen use and smoking, nor was there documentation of non-compliance. The care plan only included supervision for smoking and notification of the facility's smoking policy, failing to meet the facility's policy for comprehensive, individualized care planning.
A resident with diabetes, Alzheimer's, and seizures was repeatedly observed with long, dirty fingernails, despite being care planned for assistance with hygiene and having no documented refusals. Staff interviews confirmed that fingernail care was not provided as required, and there was no evidence of attempts to address the resident's needs or document refusals, resulting in a deficiency in ADL support.
A resident did not receive assistance from the facility in arranging transportation to and from radiology services, leading to missed or uncoordinated appointments.
A resident's financial power of attorney did not receive a timely refund and final accounting of funds after discharge from an LTC facility. Despite policy requirements, the refund was delayed, and Social Security funds were improperly deposited post-discharge. The Business Office Manager and Accounts Receivable Specialist confirmed the delay and account closure issues.
Failure to Sanitize Food Thermometers Between Uses
Penalty
Summary
Staff failed to properly sanitize food thermometers between checking different food items during meal preparation and service. During lunch service preparation, a cook used a food thermometer to check the temperatures of pureed garlic bread, regular garlic bread, and ziti bake without sanitizing the thermometer between each item. The cook acknowledged that she did not sanitize the thermometer as required and explained that alcohol wipes were frequently depleted. The dietitian and kitchen supervisor both confirmed that the facility's process requires sanitizing the thermometer between each food item, but neither observed nor intervened when the procedure was not followed. During dinner service, the kitchen supervisor checked the temperature of a cold turkey ranch wrap, then calibrated the thermometer in an ice bath, and subsequently checked the temperature of a hot puree turkey wrap, all without sanitizing the thermometer between uses. The kitchen supervisor acknowledged the lapse when questioned. Review of the facility's policy confirmed that thermometers are to be cleaned, sanitized, and calibrated for accuracy between uses. These failures in food safety practices had the potential to affect all residents receiving regular or puree diets.
Failure to Provide Required Pharmaceutical Services
Penalty
Summary
The facility failed to provide pharmaceutical services to meet the needs of each resident and did not employ or obtain the services of a licensed pharmacist. This deficiency was identified during the survey process, indicating that the required pharmaceutical oversight and services were not in place for residents as mandated by regulations. No additional details regarding specific residents, their medical history, or their condition at the time of the deficiency are provided in the report.
Failure to Individualize Care Plan for Oxygen Use and Smoking Preferences
Penalty
Summary
The facility failed to develop an individualized care plan addressing a resident's needs and preferences regarding oxygen administration, particularly in relation to the resident's smoking habits. The resident, who had diagnoses including COPD, tachycardia, and a mood disorder, was assessed as cognitively intact and had a physician's order for continuous oxygen at 3 LPM via nasal cannula. However, observations revealed the resident was using oxygen at 5 LPM, adjusted the flow rate independently, and routinely removed the oxygen to go outside and smoke. The care plan only addressed smoking supervision and notification of the facility's smoking policy, with no interventions or documentation regarding the resident's oxygen use preferences or behaviors related to non-compliance with the physician's order. Interviews with staff, including an LPN and the DON, confirmed awareness of the resident's self-adjustment of oxygen and non-compliance with the prescribed order, but there was no documentation of these behaviors in the medical record. The DON acknowledged that the care plan was not personalized to reflect the resident's specific needs and preferences regarding oxygen use and smoking. The facility's policy required comprehensive and regularly updated care plans based on resident assessments, but this was not followed in this case.
Failure to Provide Timely ADL Assistance for Personal Grooming
Penalty
Summary
A deficiency occurred when a resident with diabetes mellitus type 2, Alzheimer's Disease, and seizures did not receive necessary assistance with activities of daily living (ADL), specifically personal grooming and hygiene. Over several days, the resident was observed with elongated fingernails and visible brown debris under the nails. The resident, who primarily spoke Creole and had moderately impaired cognitive function, was able to communicate preferences and did not refuse care. Despite being assigned to the resident, the CNA had never provided fingernail care, and there was no documentation of care refusals in the medical record or progress notes. Staff interviews revealed that both CNAs and activities personnel were responsible for providing fingernail care, and that care should be provided as needed, regardless of the schedule, especially if nails were long or dirty. The resident's care plan indicated a need for assistance with dressing, hygiene, and bathing due to weakness, cognition, and impaired communication. Facility policy required ADL care to maintain the highest practicable level of function. However, the necessary assistance with fingernail care was not provided, and there was no evidence of documented refusals or attempts to address the resident's needs as outlined in the care plan.
Failure to Assist with Transportation for Radiology Services
Penalty
Summary
A deficiency was identified when the facility failed to assist a resident in making transportation arrangements to and from radiology services. The report notes that the necessary support for coordinating transportation was not provided, resulting in the resident not having appropriate means to attend scheduled radiology appointments.
Delayed Refund and Accounting of Resident Funds
Penalty
Summary
The facility failed to provide a refund and a final accounting of a resident's funds within 30 days of discharge, as required by their policy. A resident was discharged to the community, and despite the facility's admission agreement and policy stating that refunds should be processed within 30 days, the resident's financial power of attorney reported receiving a refund check over 30 days after discharge. Additionally, there was an outstanding refund amount of $813.00 that had not been issued, and the financial power of attorney had not received an itemized statement of the resident's funds. The Business Office Manager and the Accounts Receivable Specialist confirmed the delay in refunding the resident's funds. The facility continued to receive the resident's Social Security funds for July and August after the resident's discharge, which should not have occurred. The Business Office Manager was unable to explain the discrepancy in the refund amount, and the Accounts Receivable Specialist acknowledged that the resident's account was not closed promptly, leading to the improper deposit of Social Security funds. This oversight resulted in a delay in issuing the full refund to the resident's financial power of attorney.
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Illustrative
What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Orlando
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Guardian Care Nursing & Rehabilitation Center | 2.4 mi | ★★★★★ | 0 | 0 |
| Aviata At Rosewood | 2.7 mi | ★★★★★ | 12 | 0 |
| Metro West Nursing And Rehab Center | 3.2 mi | ★★★★★ | 6 | 0 |
| Solaris Healthcare College Park | 3.5 mi | ★★★★★ | 0 | 0 |
| Westminster Towers | 3.9 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.