Solaris Healthcare East Orlando

In the surveyor’s words

From the most serious findings on record at Solaris Healthcare East Orlando, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF585Jun 5, 2025

  Based on interview, and record review, the facility failed to act promptly upon the grievances and recommendations of the resident council; and failed to demonstrate an active response for resolution of their complaints in a timely manner. Findings: On 6/02/25 during the initial resident screening, concerns about repeated complaints made to the facility without resolution were found. Multiple residents expressed they had previously complained at the resident council meetings, but nothing had changed and they felt the facility had never addressed their grievances. […]

• No harm, potential for more than minimal, patternF580Sep 24, 2024

  Based on interview and record review, the facility failed to notify emergency contacts of changes in condition for 2 of 4 residents reviewed for falls, of a total sample of 5 residents, (#1 and #4). Findings: 1. Review of the medical record revealed resident #1, an [AGE] year-old female, was admitted to the facility on [DATE] with diagnoses including right side sciatica, osteoarthritis, difficulty walking, and generalized muscle weakness. The Admission Record or face sheet contained essential information including resident #1's selected emergency contacts with their associated telephone numbers. The document listed the resident's husband as emergency contact #1 and her daughter was emergency contact #2. […]

• No harm, potential for more than minimal, patternF656Oct 6, 2023

  Based on observation, interview, and record review, the facility failed to administer blood pressure medication as per plan of care to prevent the systolic blood pressure from rising above 160 for 1 of 1 resident reviewed for unnecessary medications out of a total sample of 44 residents, (#80). Findings: Review of the medical record revealed resident #80 was admitted to the facility on [DATE] from the hospital. His diagnoses included type II diabetes, congestive heart failure, hypertension, and paroxysmal atrial fibrillation. The Minimum Data Set (MDS) 5-day assessment with the assessment reference date (ARD) of 9/14/23 revealed resident's cognition was intact with a Brief Interview Mental Status (BIMS) score of 15 out of 15. […]

• No harm, potential for more than minimal, patternF842Dec 2, 2021

  Based on observation, interview and record review, the facility failed to accurately document medications/creams, ointments according to prescribed orders for 1 of 3 sampled residents reviewed for skin conditions (#24), failed to accurately document Physician's Orders for 1 of 3 sampled residents reviewed for pressure ulcers (#28), and for 1 of 1 resident reviewed for [CONDITION(S)] (#52), and failed to accurately document a partial bath instead of showers for 1 of 2 sampled residents reviewed for activities of daily living (ADLs) (#86), out of a total sample of 44 residents. Findings: 1. Resident #24 was admitted to the facility on [DATE] with the most recent readmission on 8/16/21. Her diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, isolatedF610Oct 31, 2024

  Based on interview, and record review, the facility failed to provide evidence that an abuse allegation was thoroughly investigated for 1 of 3 residents reviewed for abuse, of a total sample of 3 residents, (#3). Findings: Review of resident #3's medical record revealed an annual Minimum Data Set, dated dated dated [DATE] which indicated a Brief Interview for Mental Status score of 9 out of 15, mild to moderate cognitive impairment. On 10/30/24 at 12:30 PM, resident #3 was in her room alert and oriented to herself and place. She recalled an incident that occurred sometime in the past month or two when she reported to staff that a male staff member was rough with her. She was unable to recall who she had told or other details about what happened afterwards. […]