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Medicare shows an abuse citation on record. Review the linked inspection sources and ask the facility about corrective action before deciding.
based on 52 Google reviews
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No Medicare penalties on record · 3 findings in latest survey
Medicare shows an abuse citation on record. Read the linked source details, ask the administrator what corrective action was taken, and independently verify the facility’s current status before deciding.
The Commons at Orlando Lutheran Towers receives highly polarized feedback, with a clear divide between long-term independent living residents and those utilizing short-term rehab or nursing care. While many independent living residents praise the community atmosphere and location, multiple families of rehab and nursing patients report serious concerns regarding neglect, poor communication, and inadequate staffing levels. Prospective families should be aware that the facility has undergone significant transitions, including the closure of the Commons building, which has impacted the consistency of care.
Quality Themes
Tap a score for detailsStrengths
Concerns
Rating Trends
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Distribution · 56 analyzed
Personalized based on this facility's data
Key Review Excerpts
“They insisted I use a bedside commode and I could never get them to empty it. I struggled to get pain relief.”
“The CNA on 1st floor duty the night of April 18th, actually told my mom 'you are not priority' all my mom needed was help to be put into the bed from the wheelchair.”
“My Father and Step Mother moved to The Orlando Lutheran Towers over a decade ago. It was obvious they had made the BEST choice for their well-being both health wise and socially.”
Total nursing hours are below the EveryPlace reference benchmark, though RN coverage meets its reference level. Ask how aides are staffed for daily tasks such as bathing and mobility.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
3
measures
5
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Residents needing more daily help over time
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
This facility has concerning patterns in medication management, with repeated deficiencies for medication errors and pharmacy oversight appearing in both 2022 and 2024 surveys. The facility also had issues with treatment and care planning that persisted across multiple years, including one complaint-triggered violation in 2024 where families reported concerns. While all deficiencies show correction dates, the recurring problems with medication safety and care delivery warrant careful consideration during any visit.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Commons at Orlando Lutheran Towers
nonprofit
Owners
Orlando Lutheran Towers, INC
Owner · Organization
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
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Google Reviews
52 reviews from families & visitors
Official Website
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Medicare data downloads
Original nursing home datasets
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