Lotus Nursing and Rehabilitation Center — nursing home in Orlando, FL

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 180 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 163.3 CMS, MDS-derived
CMS Certification Number: 105564
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Feb 19, 1987
Ownership type: For profit - Limited Liability company
Operator (legal business name): Rio Opco LLC
CMS chain: Ventura Services 14 facilities
Phone: (407) 658-2046
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

9

latest Jun 26, 2025

Citations

42

32 health · 10 fire

Harm or worse

1

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D27	E7	F7
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$3,282

Payment denials

0

Latest

Dec 26, 2023

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 105564
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 180
First approved: Feb 19, 1987
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Florida.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jun 26, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Feb 25, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Oct 3, 2024	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Oct 3, 2024	Health	Health Standard	7	Potential harm	—	Open →
Jan 11, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Mar 3, 2023	Fire safety	Fire Safety Standard	9	Potential harm	—	Open →
Mar 3, 2023	Health	Health Standard	18	Actual harm	—	Open →
Apr 21, 2021	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Apr 21, 2021	Health	Health Standard	3	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Dec 26, 2023	Civil money penalty (fine)	$3,282	—	105564\|Fine\|30906

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D27	E7	F7
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jun 26, 2025	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 26, 2025	Complaint
Jun 26, 2025	F-0585	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 26, 2025	Complaint
Feb 25, 2025	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 25, 2025	Complaint
Oct 3, 2024	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 3, 2024
Oct 3, 2024	F-0645	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 3, 2024
Oct 3, 2024	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 3, 2024
Oct 3, 2024	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 3, 2024
Oct 3, 2024	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 3, 2024
Oct 3, 2024	F-0865	Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected Nov 3, 2024
Oct 3, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Nov 3, 2024
Jan 11, 2024	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 11, 2024	Complaint
Mar 3, 2023	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Apr 7, 2023
Mar 3, 2023	E-0030	List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Apr 7, 2023
Mar 3, 2023	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 7, 2023
Mar 3, 2023	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 7, 2023
Mar 3, 2023	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 7, 2023
Mar 3, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 7, 2023
Mar 3, 2023	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 7, 2023
Mar 3, 2023	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 7, 2023
Mar 3, 2023	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 7, 2023
Mar 3, 2023	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 7, 2023
Mar 3, 2023	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Apr 7, 2023
Mar 3, 2023	F-0554	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 7, 2023
Mar 3, 2023	F-0578	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 7, 2023
Mar 3, 2023	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 7, 2023
Mar 3, 2023	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 7, 2023
Mar 3, 2023	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 7, 2023
Mar 3, 2023	F-0645	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 7, 2023
Mar 3, 2023	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 7, 2023
Mar 3, 2023	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Apr 7, 2023
Mar 3, 2023	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 7, 2023
Mar 3, 2023	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Apr 7, 2023
Mar 3, 2023	F-0757	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 7, 2023
Mar 3, 2023	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 7, 2023
Mar 3, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Apr 7, 2023
Mar 3, 2023	F-0835	Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Administration & records	F · Potential harm Widespread	Corrected Apr 7, 2023
Mar 3, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Apr 7, 2023
Mar 3, 2023	F-0883	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Apr 7, 2023
Apr 21, 2021	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 21, 2021
Apr 21, 2021	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 21, 2021
Apr 21, 2021	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 21, 2021
Apr 21, 2021	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected May 21, 2021

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.3

Health inspectionsstate 2.9

Staffingstate 3.3

Quality measuresstate 4.3

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.57

State avg 3.86US avg 3.90

Registered nurse (RN)0.58

State avg 0.73US avg 0.69

Licensed practical nurse0.79

State avg 0.80US avg 0.86

Nurse aide2.20

State avg 2.33US avg 2.35

Weekend total nurse3.30

State avg 3.51US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.62 (case-mix index 1.38).

Staff turnover

Total nursing staff turnover35.9%

State avg 41.5%US avg 45.3%

Registered nurse turnover53.8%

State avg 46.1%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Oct 3, 2024
Cycle 1 health score: 32
Total weighted score: 57

Operating entity

Rio Opco LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Ventura Services

14 facilities in 1 states. CMS chain ID 860.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.3

Ownership disclosures

Disclosures

19

Organizations

6

Individuals

8

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Rio Holdco LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Dec 1, 2023
Agrp 2011 Trust	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2023
Deborah Philipson 2011 Family Trust	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2023
Philipson Family Limited Liability Company, LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2023

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Rio Holdco LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Dec 1, 2023
Agrp 2011 Trust	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2023
Deborah Philipson 2011 Family Trust	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2023
Philipson Family Limited Liability Company, LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2023
Bent Philipson	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Jul 15, 2025
Gabrielle Philipson	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Jul 15, 2025
Raquel Philipson	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Jul 15, 2025
Jacob Bengio	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 1, 2023
Trisha Gilliam	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 31, 2025
Jeremie Paritzky	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 1, 2023
Agrp 2011 Trust	Organization	Trustee	TRUSTEE OF THE SNF	not provided	Dec 1, 2023
Deborah Philipson 2011 Family Trust	Organization	Trustee	TRUSTEE OF THE SNF	not provided	Dec 1, 2023
Agrp 2011 Trust	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2023
Deborah Philipson 2011 Family Trust	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2023
Philipson Family Limited Liability Company, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2023
Richards Mitchell & Cross Pa	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2023
Ventura Services - Florida, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2023
Trisha Gilliam	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 31, 2025
Najeeb Hussaini	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2025

Same chain in Florida

All 13 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Beachside Center for Rehabilitation and Nursing 2810 South Atlantic Avenue, New Smyrna Beach, FL 32169 CCN 105038	239	Feb 4, 2026	12	—
Martin Coast Center for Rehabilitation and Healthc 9555 SE Federal Hwy, Hobe Sound, FL 33455 CCN 105300	120	Apr 9, 2026	47	—
Okeechobee Health Care Facility 1646 Highway 441 N, Okeechobee, FL 34972 CCN 105484	210	Aug 21, 2025	20	—
Emerald Nursing and Rehabilitation Center 4200 Washington St, Hollywood, FL 33021 CCN 105495	240	Jun 11, 2025	41	$60k
Claridge House Nursing and Rehabilitation Center 13900 NE 3rd Court, North Miami, FL 33161 CCN 105513	240	Mar 20, 2026	382 IJ	$25k
Regents Park at Aventura 18905 NE 25th Ave, Aventura, FL 33180 CCN 105596	180	Jan 8, 2026	332 IJ	$65k
Washington Rehabilitation and Nursing Center 879 Usery Road, Chipley, FL 32428 CCN 105727	180	Nov 25, 2025	14	—
Miami Springs Nursing and Rehabilitation Center 201 Curtiss Pkwy, Miami Springs, FL 33166 CCN 106128	269	Aug 11, 2026	241 open	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 7950 Lake Underhill Road, Orlando, FL 32822
ZIP: 32822
County: Orange County FIPS 12095
State: Florida
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Solaris Healthcare East Orlando 250 South Chickasaw Trail, Orlando, FL 32825 CCN 105783	0.3 km	110	Jun 5, 2025	11	—
Palm Garden of Orlando 654 N Econlockhatchee Trail, Orlando, FL 32825 CCN 105577	2.8 km	132	Nov 7, 2024	191 IJ1 harm	$73k
Conway Lakes Health & Rehabilitation Center 5201 Curry Ford Road, Orlando, FL 32812 CCN 105754	4.6 km	120	Sep 11, 2025	322 IJ1 harm1 open	$95k
Avante at Orlando Inc 2000 North Semoran Boulevard, Orlando, FL 32807 CCN 106027	5.1 km	118	Jun 29, 2026	111 harm	—
Westminster Baldwin Park 2653 Lake Baldwin Lane, Orlando, FL 32814 CCN 106118	5.6 km	40	Jan 22, 2026	13	—
Alwyn C Cashe State Veterans Nursing Home 5255 Raymond St, Orlando, FL 32803 CCN 106151	6.2 km	112	Dec 23, 2025	222 IJ2 harm	$69k
Winter Park Care and Rehabilitation 2970 Scarlett Rd, Winter Park, FL 32792 CCN 105332	6.8 km	103	Jul 28, 2026	422 IJ2 open	$74k
Westminster Winter Park 1111 S Lakemont Ave, Winter Park, FL 32792 CCN 105879	7 km	80	Jul 9, 2026	151 harm	$66k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	105564	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	105564	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 105564

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction