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Nursing HomeMedicaid Investigative

Courtyards of Orlando Care Center and Rehab

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1900 Mercy Drive, Mercy Drive · Orlando, FL 32808120 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 60 Google reviews

5
4
3
2
1
Courtyards of Orlando Care Center and Rehab Nursing Home in Orlando, FL — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • High staff turnover (54%)
  • High RN turnover (72%)

Bottom 25% in FL · Critically understaffed (RN) · Below chain average · $15,764 in fines

Source: Medicare data

What this means for your family

While the facility's therapy and admissions teams are highly regarded, the recurring reports of hygiene issues and neglect are significant red flags. If you are considering this facility, we strongly recommend an unannounced visit to inspect the cleanliness of the living areas and to observe staff-to-resident interaction during a weekend shift.

Google Reviews

Google Reviews

60 reviews on Google
Courtyards of Orlando Care Center and Rehab receives highly polarized feedback, with many reviewers praising the admissions team and therapy department while others report severe neglect. Families frequently express concerns regarding poor hygiene, persistent odors, and inadequate staffing levels that lead to delayed care for residents. Potential residents should be aware of the stark contrast between the positive experiences of some rehab patients and the distressing reports of long-term care neglect.

Quality Themes

Tap a score for details
Food2.0Staff5.0Clean2.0Activities5.0Meds2.0Memory5.0Comms6.0ValueN/A

Strengths

  • Highly professional and welcoming admissions team
  • Effective physical and occupational therapy services
  • Compassionate and attentive nursing staff (noted by some)
  • Strong support during the transition and placement process

Concerns

  • Persistent facility odor and poor hygiene/cleanliness (mentioned by 7 reviewers)
  • Understaffing leading to delayed response times and hygiene neglect (mentioned by 6 reviewers)
  • Inadequate nutritional care and inappropriate meal planning (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2343.72022(3)4.52023(13)3.02024(4)4.02025(26)5.02026(16)

Distribution · 62 analyzed

5
47
4
5
3
0
2
1
1
9

How They Respond to Reviews

97%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed some feedback regarding facility cleanliness; could you walk me through your current housekeeping schedule and how you maintain the environment throughout the day?
  • 2Given the recent staffing ratings, what is your current strategy for ensuring timely assistance for residents who need help with daily hygiene or mobility?
  • 3I see that your admissions team is highly regarded; how does that same level of dedicated support continue for families once their loved one has transitioned into your care?
  • 4Could you share how your dietary team collaborates with clinical staff to ensure residents receive nutritionally appropriate meals that meet their specific health needs?
  • 5What protocols do you have in place for medical emergencies, and how do you keep family members informed if there is a change in a resident's health status?
  • 6What kind of daily activities or social programs are available to help residents feel engaged and part of the community here?

Personalized based on this facility's data


Key Review Excerpts

The patients are served what ever they make regardless of their medical condition. Over seasoned and over spiced foods. Her first meal was a Philly cheesesteak. You don’t serve a high saturated fat diet to a heart patient!!!

Rehab patient's family · 2023☆☆☆☆

The overall cleansiness of the facility is unacceptable. There is a smell of urine throughout, and many areas appeared dirty and poorly maintain giving concerns about hygiene and infection control.

Long-term resident's family · 2025☆☆☆☆

The therapy team works with you. Long as you're willing to do the work they are willing to get you better. Then the wound nurse Jorge takes precise care of each wound carefully making sure you heal up quickly and safely as possible.

Rehab patient · 2025★★★★
Source: 60 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.19hrs
25%
Registered nurses for medical care
Total Nursing
3.68hrs
90%
All nurses + aides combined
Staff Turnover
54%
Lower is better (< 30% = good)
RN Turnover
77%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
1/ 5
Better Than Avg

12

measures

Worse Than Avg

4

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility1.8%
Better than Avg
Here
1.8%
US
19.4%
FL
11.5%
Orange
10.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility2.4%
Better than Avg
Here
2.4%
US
15.3%
FL
10.6%
Orange
9.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.3%
Better than Avg
Here
1.3%
US
12.1%
FL
4.1%
Orange
6.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility3.9%
Better than Avg
Here
3.9%
US
14.4%
FL
9.1%
Orange
9.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility10.0%
Better than Avg
Here
10.0%
US
19.5%
FL
15.0%
Orange
12.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.8%
Better than Avg
Here
99.8%
US
93.4%
FL
98.1%
Orange
98.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.8%
Better than Avg
Here
98.8%
US
79.7%
FL
94.7%
Orange
94.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.4%
Better than Avg
Here
98.4%
US
81.8%
FL
94.8%
Orange
95.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.7%
Worse than Avg
Here
2.7%
US
1.6%
FL
1.5%
Orange
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
3penalties
Near state avg (7.3)
5 complaint-triggered
$15,764 in fines

Five families filed complaints triggering serious deficiencies including abuse protection failures and inadequate policies to prevent neglect in 2023. This facility shows recurring problems with medication management, care planning and assessment, and resident rights protections across multiple surveys from 2022-2025. While the facility corrects deficiencies when cited, the pattern of repeated issues in core care areas suggests ongoing quality challenges that warrant careful consideration during visits.

Aug 14, 2025Routine
4
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0656Potential for harm · IsolatedCorrected

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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0778Potential for harm · IsolatedCorrected

Administration Deficiencies

Help the resident make transportation arrangements to and from radiology services.

Aug 14, 2025Complaint
1
0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Aug 19, 2024Complaint
1
0569Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Mar 21, 2024Routine
8
0623Potential for harm · PatternCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0568Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0694Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0756Potential for harm · IsolatedCorrected

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.

May 26, 2023Complaint
3
0600Immediate jeopardy · PatternResolved (past non-compliance)

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.

0607Immediate jeopardy · PatternResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0835Immediate jeopardy · PatternResolved (past non-compliance)

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

May 19, 2022Routine
8
0694Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0791Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0842Potential for harm · IsolatedCorrected

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.

Federal Penalties

Fine

May 26, 2023

$4,593

Fine

May 26, 2023

$4,600

Fine

May 26, 2023

$6,571

Ownership & Operations

Who Operates This Facility

Owner / Operator

Courtyards of Orlando Care Center and Rehab

Organization Type

for profit

Chain Affiliation

Chain Name

FL Snf Trust

Chain Size

10 facilities nationwide

Chain avg rating: 3.1/5 · Rank 39 of 46

Ownership & Management

Owners

Courtyards Nursing Holdco LLC

Owner · Organization

100%

FL Master Opco Holdco II LLC

Owner (parent company) · Organization

FL Snf Trust I

Owner (parent company) · Organization

FL Snf Trust II

Owner (parent company) · Organization

Key personnel

Cruz-Pizarro, NaihomiW-2 Managing EmployeeEllenbogen, MossOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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