01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-09-11 | 4 | 2025-09-11 | 0 |
| Cycle 2 | 2024-05-16 | 17 | 2024-05-16 | 1 |
| Cycle 3 | 2023-02-09 | 10 | 2023-02-09 | 0 |
CMS CCN 1057542026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Conway Lakes Health & Rehabilitation Center
5201 Curry Ford Road · Orlando, FL 32812 · Orange County
Certified beds120CMS provider file
Recent citation rows32current CMS citation release
Penalty rows6current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
32 rows in the current release
3 rows carry G–L scope/severity codes; 2 carry J–L. 6 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-09-11 · HEALTHF0644Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Correction field: Deficient, Provider has date of correction · 2025-10-082025-09-11 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Correction field: Deficient, Provider has date of correction · 2025-10-082025-09-11 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-10-082025-09-11 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-10-082025-07-02 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2025-07-31 · complaint2025-07-02 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-07-31 · complaint2025-07-02 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-07-31 · complaint2025-07-02 · HEALTHF0726Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Correction field: Deficient, Provider has date of correction · 2025-07-31 · complaint2025-07-02 · HEALTHF0867Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Correction field: Deficient, Provider has date of correction · 2025-07-31 · complaint2025-06-10 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has plan of correction · 2025-06-28 · complaint2025-02-01 · HEALTHF0610Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2025-03-01 · complaint2025-02-01 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-03-01 · complaint2025-02-01 · HEALTHF0689Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-03-01 · complaint2025-02-01 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2025-03-01 · complaint2025-02-01 · HEALTHF0895Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Have a Compliance and Ethics Program.
Correction field: Deficient, Provider has date of correction · 2025-03-01 · complaint2024-08-22 · HEALTHF0635Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Correction field: Deficient, Provider has date of correction · 2024-09-22 · complaint2024-08-22 · HEALTHF0686Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2024-09-22 · complaint2024-08-22 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-09-22 · complaint2024-05-16 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2024-06-162024-05-16 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-06-162024-05-16 · HEALTHF0694Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2024-06-162024-05-16 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-06-162023-02-09 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2023-03-162023-02-09 · HEALTHF0561Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2023-03-1603 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-06-10 | Fine | $4,147 | 0 |
| 2025-06-10 | Fine | $4,147 | 0 |
| 2025-06-10 | Fine | $6,227 | 0 |
| 2025-02-01 | Fine | $61,636 | 0 |
| 2024-08-22 | Fine | $6,180 | 0 |
| 2024-08-22 | Fine | $12,335 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- TRUISTOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 11/01/2016
- PARTEE, LESLIEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/01/2022
- SABARRE, BRENTIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/20/2025
- CLEAR CHOICE HEALTH CARE LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2007
- BURROWES, ADRIANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/30/2023
- PARTEE, LESLIEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/01/2022
- BURROWES, ADRIANIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/29/2025
- SABARRE, BRENTIndividual · ADP OF THE SNFNOT APPLICABLE · since 03/07/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.99per resident day
RN hours0.68per resident day
Weekend nurse hours3.59per resident day
Staff turnover45.4%CMS reported field
06 / LOCAL RECORDS
Open the Orlando ledger →Other published facilities nearby
Alwyn C Cashe State Veterans Nursing Home112 beds · CMS overall 1/522 citation rowsAvante At Orlando Inc118 beds · CMS overall 3/511 citation rowsAviata At Rosewood120 beds · CMS overall 3/543 citation rowsCommons At Orlando Lutheran Towers168 beds · CMS overall 1/515 citation rowsCourtyards Of Orlando Care Center And Rehab120 beds · CMS overall 2/522 citation rowsDelaney Park Health And Rehabilitation Center89 beds · CMS overall 3/522 citation rowsGuardian Care Nursing & Rehabilitation Center120 beds · CMS overall 2/521 citation rowsHunters Creek Nursing And Rehab Center116 beds · CMS overall 4/515 citation rows