Above average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Solaris Healthcare Windermere during CMS and state inspections, most recent first.
Failure to implement correct isolation precautions for three residents involved inconsistent use of Contact Precautions and EBP. An LPN entered a room on Contact Precautions without gown and gloves, a resident with a wound and midline IV had no isolation sign or timely EBP order despite care plan notation, and another resident’s room signage and physician orders for ESBL-related precautions changed multiple times while the IP nurse was unaware of the current order.
The facility failed to obtain physician orders for the self-administration of medications for two residents. One resident self-administered Hydrocortisone cream without an order, and another resident's family administered Tylenol without proper authorization. The facility's policy requires physician orders for all self-administered medications, which were not obtained, leading to a deficiency in compliance.
Failure to Implement Correct Isolation Precautions
Penalty
Summary
The facility failed to ensure implementation and performance of appropriate isolation precautions, including standard and enhanced precautions, for 3 of 3 residents reviewed for transmission-based precautions. The deficiency involved residents #132, #134, and #5, and surveyors observed inconsistencies between physician orders, posted signage, and staff practice related to contact precautions and enhanced barrier precautions (EBP). Resident #132 was admitted with diagnoses including Clostridium difficile enterocolitis, chronic kidney disease, adult failure to thrive, immunodeficiency, and cancer of the left kidney. The resident had a current physician order and care plan for Contact Precautions, and signage outside the room instructed staff to wear gowns and gloves before room entry. However, an LPN was observed in the room without a gown and gloves and stated she did not need PPE because she was only giving the resident a drink. The nurse explained that she only wore PPE when giving direct care, and the DON, Infection Preventionist, and Staff Educator/Risk Manager later acknowledged that staff were expected to wear the appropriate PPE regardless of the task performed. Resident #134 was re-admitted with diagnoses including cancer of the right lower limb/hip, osteoarthritis, secondary malignant neoplasm of the lung, anxiety disorder, and chronic viral hepatitis. The medical record showed no current isolation order, but the care plan reflected Contact Isolation precautions as ordered on 6/12/26. Surveyors observed the resident had a midline IV and a dressing on the right lower leg, yet there was no isolation sign outside the room. An LPN acknowledged the resident had a wound and midline and should have been on isolation precautions, and confirmed there were no signs or orders earlier that morning. The physician order for EBP was not placed until later that afternoon, and facility leadership acknowledged the expectation was for EBP to be ordered and implemented upon admission. Resident #5 was admitted with Klebsiella pneumoniae UTI and ESBL infection. The room signage changed between EBP and Contact Isolation over several days, while the physician orders showed Contact Isolation for ESBL from 6/15/26 to 6/17/26. The Infection Preventionist stated nurses were responsible for placing the correct signs based on physician orders and explained that the resident’s culture results and completion of antibiotics affected the precautions used. She also confirmed she was not aware the resident had a physician order for Contact Precautions during that period. The facility policies reviewed by surveyors stated that Contact Precautions required gown and glove use for interactions involving contact with the resident or environment, and that EBP required targeted gown and glove use during high-contact care activities for residents with MDROs or increased risk of MDRO acquisition.
Failure to Obtain Physician Orders for Self-Administration of Medications
Penalty
Summary
The facility failed to ensure physician orders were obtained for the safe self-administration of medications for two residents. Resident #46, a female with intact cognition and independence in activities of daily living, was observed self-administering Hydrocortisone cream without a physician's order for self-administration. Although a medication self-administration evaluation was completed, the necessary physician's order was not obtained, and there was no documentation of the cream being administered by staff or the resident, conflicting with the resident's statements. Resident #81, a female with moderately impaired cognitive skills and requiring substantial assistance, was reported by a family member to have been given Tylenol by the family, which was stored in a locked drawer. The family member claimed to have received permission from the DON to administer the medication. However, there was no physician's order for family administration, and the current order was for staff to administer the medication. The facility's policy requires a physician's order for all medications being administered or self-administered, including over-the-counter medications. The deficiencies highlight a lack of adherence to the facility's policies regarding medication administration and self-administration, as well as a failure to document and obtain necessary physician orders. This oversight was acknowledged by the DON and LPNs involved, indicating a gap in the facility's compliance with its own procedures.
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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) |
|---|---|---|---|---|
| Metro West Nursing And Rehab Center | 2.6 mi | ★★★★★ | 0 | 0 |
| Guardian Care Nursing & Rehabilitation Center | 3.1 mi | ★★★★★ | 0 | 0 |
| Orlando Health And Rehabilitation Center | 3.3 mi | ★★★★★ | 3 | 0 |
| South Orange Health And Rehabilitation Center | 4.1 mi | ★★★★★ | 0 | 0 |
| Westminster Towers | 4.6 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 August 2026) and official state health department websites.