The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited March 2024 — limited pattern, potential for harm.
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F-Tag 755 — 42 CFR §483.45 — S/S: E
Nursing home report
COMMONS AT ORLANDO LUTHERAN TOWERS
ORLANDO, FL · Medicare-certified · 168 beds
In good standing
Non-profit
4 of 5 overall
Commons at Orlando Lutheran Towers has a 4 out of 5 star overall rating, with solid 4-star scores for health inspections, staffing, and quality measures, no fines in the last 24 months, and reported nurse staffing slightly below the federal benchmark (3.89 vs. 4.1 hours per resident per day). Recent inspection citations involved pharmacy services, monthly drug regimen review, and safe IV fluid administration.
Facility ratings
Health inspections
Staffing
3.8861 hrs/resident/day
Quality measures
Last inspection: January 8, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8861.
Staffing detail
- Registered nurses
- 0.83
- Licensed practical nurses
- 0.64
- Nurse aides
- 2.41
- Weekend nursing
- 3.54
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 35%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
4.3%7.6%Worsening
Residents with a fall causing major injury
6.5%4.5%Improving
Residents with pressure ulcers (bedsores)
4.2%1.6%Improving
Residents with a urinary tract infection
1%0%Improving
Residents who lost too much weight
4%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
21.6%31.6%Worsening
Residents whose ability to walk got worse
21.5%17.8%Improving
Long-stay residents on antianxiety or sleep medication
15.4%8.2%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
23.8%16.9%Improving
Residents with depressive symptoms
2.1%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98.3%—
Long-stay residents given the pneumonia vaccine
99.1%100%Improving
Short-stay residents given the seasonal flu vaccine
—86.1%—
Short-stay residents given the pneumonia vaccine
90.1%93.3%Improving
What the inspectors found
The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited March 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 756 — 42 CFR §483.45(c) — S/S: E
The home failed to ensure IV fluids were given safely and appropriately when needed. Cited April 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 694 — 42 CFR §483.25 — S/S: E
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: D
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited March 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 147.8 residents on an average day (88% of 168 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 35 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.