Health inspection·June 26, 2025

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to promote dignity during mealtime assistance for 2 of 2 residents reviewed for dining support, of a total sample of 14 residents, (#3, and #5). Findings: 1. Review of resident #3's medical record revealed she was admitted to the facility on [DATE] and readmitted from an acute care hospital on 6/14/25. Her diagnoses included dysphagia (difficulty swallowing), vascular dementia, and contracture of the right and left hands. Review of the Minimum Data Set (MDS) annual assessment with an Assessment Reference Date of 5/18/25 revealed resident #3's Brief Interview for Mental Status was not obtained as she was rarely or never understood. Instead, a Staff Assessment for Mental Status was conducted, with memory impairment noted for both short- and long-term memory. The MDS assessment indicated resident #3 was severely impaired in cognitive skills for daily decision-making. Review of Certified Nursing Assistants (CNAs) Tasks documentation revealed resident #3 was totally dependent on staff for all activities of daily living (ADLs), including eating. 2. Review of resident #5's medical record revealed he was admitted to the facility on [DATE] with diagnoses that included Parkinson's disease, dysphagia (difficulty swallowing), and glaucoma. Review of the CNA's documentation for the eating task revealed resident #5's ability to eat fluctuated between independence and total dependence. Review of resident #5's baseline ADLs care plan, initiated on 6/21/25, did not identify his specific mealtime assistance needs. On 6/25/25 at 1:04 PM, resident #5 was observed in bed with a lunch tray on his bedside table. A couple of minutes later, CNA C walked into resident #5's room and stated she tried feeding the resident twice previously, but both times he refused. CNA C asked resident #5 if he wanted his lunch and he agreed. CNA C began feeding resident #5 while standing at his right side. Three chairs were available in his room. At 1:09 PM, the Central Supply Coordinator walked into resident #5's room and took one of the chairs and placed it near where CNA C was standing. After moving the bed and setting the chair to resident #5's right side, CNA repositioned the resident sitting down next to him. On 6/26/25 at 5:32 PM, the Central Supply Coordinator explained she helped during meals because she (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 3 Event ID: 105564 Printed: 05/28/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 105564 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Lotus Nursing and Rehabilitation Center 7950 Lake Underhill Road Orlando, FL 32822 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)