Orlando Health and Rehabilitation Center
830 West 29th Street · Orlando, FL · 32805 · 4078433230
391 certified beds Non profit - Other
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.53 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.00 | 0.55–0.75 |
| Weekend hours / resident-day | 3.34 | ≈ weekday level |
| Nursing turnover / year | 25% | median 45% |
| Fines (3-yr window) | 1 · $65,951 |
Inspection citations (67 in the current record)
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Potential for harm · E April 10, 2026 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected May 10, 2026 · Environmental
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Actual harm · G October 15, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 15, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 20, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 20, 2025 · Resident Rights
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Potential for harm · D June 20, 2025
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected July 20, 2025 · Resident Rights
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Potential for harm · D June 20, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected July 20, 2025 · Resident Rights
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Potential for harm · D June 20, 2025
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.
Corrected July 20, 2025 · Resident Rights
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Potential for harm · D June 20, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected July 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 20, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected July 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 20, 2025
Provide activities to meet all resident's needs.
Corrected July 20, 2025 · Quality of Life and Care
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Potential for harm · D June 20, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 20, 2025 · Quality of Life and Care
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Potential for harm · D June 20, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected July 20, 2025 · Quality of Life and Care
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Potential for harm · D June 20, 2025
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected July 20, 2025 · Quality of Life and Care
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Potential for harm · E June 20, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 20, 2025 · Quality of Life and Care
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Potential for harm · D June 20, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected July 20, 2025 · Quality of Life and Care
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Potential for harm · D June 20, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected July 20, 2025 · Quality of Life and Care
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Potential for harm · D June 20, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected July 20, 2025 · Pharmacy Service
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Potential for harm · D June 20, 2025
Ensure that residents are free from significant medication errors.
Corrected July 20, 2025 · Pharmacy Service
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Potential for harm · E June 20, 2025
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected July 20, 2025 · Nutrition and Dietary
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Potential for harm · D June 20, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected July 20, 2025 · Nutrition and Dietary
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Potential for harm · F June 20, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 20, 2025 · Nutrition and Dietary
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Potential for harm · E June 20, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected July 20, 2025 · Administration
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Potential for harm · D June 20, 2025
Provide and implement an infection prevention and control program.
Corrected July 20, 2025 · Infection Control
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Potential for harm · E August 22, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 22, 2024 · Pharmacy Service
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Immediate jeopardy · J March 8, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 8, 2024 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 8, 2024 | Fine | $65,951 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 105728 · certified since September 6, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.