SNF
LOTUS NURSING AND REHABILITATION CENTER
CCN: 105564 · ORLANDO, FL 32822 · Orange County
Overview
- Address
- 7950 LAKE UNDERHILL ROAD, ORLANDO, FL 32822
- Phone
- 4076582046
- Certified beds
- 180
- Avg daily residents
- 159 (88% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1987-02-19
- Setting
- Urban
3 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.66 | 4.03 | 3.51 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.52 | 0.70 | 0.50 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.85 | 0.89 | 0.82 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.28 | 2.43 | 2.19 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.37 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.14 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.28
hrs / resident / day
RN (weekend)
0.37
hrs / resident / day
Total nurse (adjusted, weekend)
3.14
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
34.5%
annual
RN turnover
65.5%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.43
higher acuity than avg
Case-Mix Index Ratio
1.04
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2024-10-03 | 9 | 7 | 2 | 40 | 1 | 40 |
| Cycle 2/3 (prior) | 2023-03-03 | 21 | 18 | 3 | 128 | 1 | 128 |
Total weighted health score
62.0
lower is better
Deficiencies (33)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
32 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-06-26 | 2025-07-26 |
| 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. | D | 2025-06-26 | 2025-07-26 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-02-25 | 2025-03-25 |
| 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-10-03 | 2024-11-03 |
| 0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-10-03 | 2024-11-03 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-10-03 | 2024-11-03 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-10-03 | 2024-11-03 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-10-03 | 2024-11-03 |
| 0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | 2024-10-03 | 2024-11-03 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-10-03 | 2024-11-03 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-01-11 | 2024-02-11 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2023-03-03 | 2023-04-07 |
| 0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2023-03-03 | 2023-04-07 |
| 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. | D | 2023-03-03 | 2023-04-07 |
| 0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2023-03-03 | 2023-04-07 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2023-03-03 | 2023-04-07 |
| 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2023-03-03 | 2023-04-07 |
| 0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2023-03-03 | 2023-04-07 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-03-03 | 2023-04-07 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2023-03-03 | 2023-04-07 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2023-03-03 | 2023-04-07 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-03-03 | 2023-04-07 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-03-03 | 2023-04-07 |
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2023-03-03 | 2023-04-07 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-03-03 | 2023-04-07 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-03-03 | 2023-04-07 |
| 0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2023-03-03 | 2023-04-07 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2023-03-03 | 2023-04-07 |
| 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2023-03-03 | 2023-04-07 |
| 0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2023-03-03 | 2023-04-07 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2021-04-21 | 2021-05-21 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2021-04-21 | 2021-05-21 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2021-04-21 | 2021-05-21 |
Penalties (1)
Fines issued
1
last 3 years
Total fines
$3,282
| Date | Type | Fine amount |
|---|---|---|
| 2023-12-26 | Fine | $3,282 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 3.2% Medicaid 67.5% Other 29.3%
Operating performance
Operating Margin
-12.4%
Total Margin
-11.7%
Occupancy Rate
93.7%
Cost per Resident Day
$33
Revenue & costs
Net Patient Revenue
$6.8M
Total Costs
$863K
Net Income
-$797K
Balance sheet
Total Assets
$193.9M
Total Liabilities
$187.2M
Fund Balance
$6.6M
Current Ratio
1.07
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: VENTURA SERVICES FLORIDA
- Chain ID
544- Facilities in chain
- 10
- Legal business name
- RIO OPCO LLC
Chain-average star ratings (for peer context)
Overall
2.9
Health
2.5
Staffing
3.4
QM
4.2
Owner / manager organizations (1)
| Organization | Role | Association |
|---|---|---|
| RIO HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 12/01/2023 |
Owner / manager individuals (3)
| Name | Role | Association |
|---|---|---|
| BENGIO, JACOB | OPERATIONAL/MANAGERIAL CONTROL | since 12/01/2023 |
| GILLIAM, TRISHA | OPERATIONAL/MANAGERIAL CONTROL | since 03/31/2025 |
| PARITZKY, JEREMIE | OPERATIONAL/MANAGERIAL CONTROL | since 12/01/2023 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $33 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 1.07 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 67.5% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 3.2% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-796,764 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $6,795,884 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 93.7% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -12.4% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $193,856,705 | metrics.total_assets |
| Cost Report | Total Costs ($) | $862,679 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $6,619,956 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $187,236,749 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -11.7% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.81792 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.18992 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.49919 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.50703 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.14498 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 158.6 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.89391 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.42944 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.70459 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.02794 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.55021 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.5 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.9 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.2 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 3.4 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 544 | Chain ID |
| Provider Information | Chain Name | VENTURA SERVICES FLORIDA | Chain Name |
| Provider Information | City/Town | ORLANDO | City/Town |
| Provider Information | CMS Certification Number (CCN) | 105564 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Orange | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1987-02-19 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 2 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 28.5392 | Latitude |
| Provider Information | Legal Business Name | RIO OPCO LLC | Legal Business Name |
| Provider Information | Location | 7950 LAKE UNDERHILL ROAD,ORLANDO,FL,32822 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -81.277 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 180 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 10 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 1 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.42692 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.03576 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 3 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 7950 LAKE UNDERHILL ROAD | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | LOTUS NURSING AND REHABILITATION CENTER | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 470 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 40 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 2 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 7 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-10-03 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 40 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 9 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 18 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-03-03 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 128 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 3 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 128 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 21 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.37059 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 65.5 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.37408 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.85330 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.28465 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.13504 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.52078 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.65873 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 2 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | FL | State |
| Provider Information | Telephone Number | 4076582046 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 3282.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.28102 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 1 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 34.5 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 62.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 32822 | ZIP Code |