Federal inspection record · CMS data as of October 1, 2026

Commons At Orlando Lutheran Towers

210 Lake Avenue, Orlando, FL · (407) 872-7088

  • Cited for abuse (CMS abuse icon)

CMS overall rating

1 of 5

Compare with a nearby home →
Certified beds
168
Residents per day
140
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
May 1, 1991

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Florida.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among Florida homes

Commons At Orlando Lutheran Towers carries 123.5 inspection points. That is fewer than 11% of Florida's 691 rated homes.

5★4★3★2★1★+21 homes above 238.505102550100200inspection points → fewer is better on the leftThis home · 123.5 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Florida: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–8 pts
  • 4★ 8–25 pts
  • 3★ 25–46 pts
  • 2★ 46–85 pts
  • 1★ over 85 pts

Bars show every rated home in Florida by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

13 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 2 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 8 4 pts
E 3 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (2)

  1. J

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    June 4, 2026 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected July 16, 2026

  2. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    June 4, 2026 · Complaint inspection · Quality of Life and Care · F689 · Corrected July 16, 2026

Everything else, by area of care

Pharmacy Service5E
  1. E

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

    March 28, 2024 · Standard · F755 · Corrected April 23, 2024

  2. E

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    March 28, 2024 · Standard · F756 · Corrected April 23, 2024

  3. D

    Ensure medication error rates are not 5 percent or greater.

    March 28, 2024 · Standard · F759 · Corrected April 23, 2024

  4. D

    Ensure that residents are free from significant medication errors.

    March 28, 2024 · Standard · F760 · Corrected April 23, 2024

  5. D

    Ensure medication error rates are not 5 percent or greater.

    April 21, 2022 · Standard · F759 · Corrected May 12, 2022

Quality of Life and Care4E
  1. D

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

    January 8, 2026 · Standard · F684 · Corrected February 5, 2026

  2. D

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

    August 29, 2024 · Complaint · F684 · Corrected September 23, 2024

  3. E

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

    April 21, 2022 · Standard · F694 · Corrected May 12, 2022

  4. D

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

    April 21, 2022 · Standard · F695 · Corrected May 12, 2022

Resident Assessment and Care Planning2D
  1. D

    Ensure each resident receives an accurate assessment.

    March 28, 2024 · Standard · F641 · Corrected April 23, 2024

  2. D

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    April 21, 2022 · Standard · F640 · Corrected May 12, 2022

Inspection history

  1. 2026-01-08

    3 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  2. 2024-03-28

    5 health deficiencies · 2 fire-safety deficiencies

    Top issue: Pharmacy Service (4 deficiencies)

  3. 2022-04-21

    5 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 13 min of nursing staff time a day, 51 min of it from a registered nurse.

This home

4 h 13 min

Florida average

3 h 51 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 40% of nursing staff and 44% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident daysAbout the same2.02.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better0.71.11.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.1 pts better99.5%98.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.6 pts better100.0%99.4%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.8 pts worse4.3%2.5%3.2%
Percentage of long-stay residents who have depressive symptoms5.1 pts better0.3%5.4%13.5%
Percentage of long-stay residents who lose too much weight2.2 pts better3.3%5.5%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication2.5 pts better11.4%13.9%19.5%
Percentage of long-stay residents who received an antipsychotic medication4.4 pts better4.3%8.7%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened7.3 pts worse15.7%8.4%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased13.6 pts worse21.9%8.3%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts worse0.6%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.4 pts better0.2%0.6%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.2 pts worse13.7%9.5%18.3%
Percentage of long-stay residents with pressure ulcers3.2 pts better1.2%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.1 pts worse93.5%95.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.2 pts better8.7%8.9%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts better0.6%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.2 pts better96.5%96.3%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2.1 pts better23.7%25.8%23.4%

·

Who owns and runs it

17 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Orlando Lutheran Towers, Inc5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Anello, ToddCorporate Director · Individual0%1 facilities
Beumer, DeniseCorporate Director · Individual0%1 facilities
Bowles, MargretCorporate Director · Individual0%1 facilities
Bunevich, SueCorporate Director · Individual0%1 facilities
Gerrity, KerryCorporate Officer · Individual0%1 facilities
Henderson, CathyOperational/Managerial Control · Individual0%1 facilities
Henderson, CathyAdp Of The SNF · Individual0%1 facilities
Jennings, JeffreyCorporate Director · Individual0%1 facilities
Labrecque, AliciaCorporate Officer · Individual0%1 facilities
Lee, BarbaraCorporate Director · Individual0%1 facilities
Lehman, GaryAdp Of The SNF · Individual0%5 facilities
Maddron, KevinCorporate Director · Individual0%2 facilities
Pettit, SarahCorporate Director · Individual0%1 facilities
Stawicki, AngelaCorporate Officer · Individual0%1 facilities
Steinberger, MartinCorporate Director · Individual0%1 facilities
Tassell, HaroldCorporate Director · Individual0%1 facilities

·

Fire safety

2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke2F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    March 28, 2024 · K353 · Corrected April 19, 2024

  2. F

    Install corridor and hallway doors that block smoke.

    March 28, 2024 · K363 · Corrected April 19, 2024

·

Other homes nearby

  1. Westminster Towers

    Orlando, FL · Westminster Communities Of Florida

    Worst citation, 3 yrs
    J
    Nursing / resident / day
    3 h 43 min
    Fines
    $22,133
  2. Worst citation, 3 yrs
    F
    Nursing / resident / day
    3 h 36 min
    Fines
    $0
  3. South Orange Health And Rehabilitation Center

    Orlando, FL · Robert Schoenfeld

    Worst citation, 3 yrs
    E
    Nursing / resident / day
    4 h 20 min
    Fines
    $14,442