Inspection visit
Inspection
2 citations recorded
Inspector’s narrative
What the inspector wrote
This survey cited 2 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.
F 0585
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must
establish a grievance policy and make prompt efforts to resolve grievances.
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.
Review of the resident council meeting minutes for the prior six months from December 2024 to May 2025,
revealed complaints about temperatures inside the facility being too cold were brought up by members
during both the December 2024 and January 2025 meetings. The response from the facility revealed
minutes from the January meeting indicated maintenance staff were aware to check the room thermostats.
Complaints regarding food/nutrition services were brought up during the March 2025 meeting, but review of
the April 2025 and May 2025 minutes revealed the facility did not address any resolutions for these
grievances initiated during the resident council meeting.
On 6/03/25 at 1:04 PM, the Activities Director stated about 12-15 residents regularly attended the monthly
resident council meeting. She explained the major issues the council had complained of included issues
with food/dietary services and call lights not being answered timely. The Activities Director stated she had
informed the Maintenance Director and the Dietary Manager of the issues brought up in the resident
council meetings, and they had been working on them. She expressed staff offered blankets and jackets to
the residents when they were in other areas of the facility other than their room, and added, when they had
15-25 people in the dining room she didn't think it was cold. The Activities Director explained she invited the
department managers to the resident council meetings in order to address issues when they arose.
On 6/03/25 at 2:30 PM, the Certified Dietary Manager (CDM) and the Assistant Dietary Manager stated
they were not aware of residents having issues with the food at the facility. The CDM stated she was invited
to the resident council meeting when she first started at the facility eight months ago in order to introduce
herself to residents. The Assistant Dietary Manager stated she had been to one of the meetings a few
weeks ago. They acknowledged neither of them regularly attended the resident council's monthly meeting,
and had not been aware of the issues resident council members had brought forward.
(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 2
Event ID:
105783
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
105783
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
06/05/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Solaris Healthcare East Orlando
250 South Chickasaw Trail
Orlando, FL 32825
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)
F 0585
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
On 6/04/25 at 12:45 PM, the Activities Director explained she took notes and talked to the department
managers for the areas where issues were brought up by the resident council. She said if not, she would
bring the issues to the facility's morning meeting. The Activities Director conveyed that she learned about
the resident council meetings when she was trained to become an Activities Director. She confirmed she
had not filed any grievances on behalf of the resident council's concerns and had only filed a grievance for
an individual resident once, last year. The Activities Director acknowledged that filing a grievance would
leave a paper trail that indicated what the action and resolution was to an issue but said she had never
considered writing a grievance for resident council concerns. She confirmed she had invited the dietary
department to the resident council meeting twice to discuss food issues, but acknowledged they did not
regularly attend.
On 6/04/25 at 3:33 PM, the Grievance Officer stated she had not received any grievances from resident
council since she was started working at the facility, so she figured they did not have any complaints, and
the facility was doing a good job. She recalled, the Activities Director brought up a resident's issue at the
morning meeting a couple of weeks previous but could not recall any other issues/concerns from the
resident council being brought to the morning meetings. The Grievance Officer confirmed she trained staff
regularly to file a grievance if there were any issues that could not be resolved immediately, but she had not
received any grievances from the resident council group.
On 6/05/25 at 9:34 AM, the Activities Director stated she responded to resident council issues in person by
telling them what was done about their concerns. She acknowledged she didn't file an actual grievance for
them nor did she always document any action taken. The Activities Director confirmed that repeated issues
brought up by residents at the monthly meeting did not have documentation to indicate the issues were
addressed or resolved. She acknowledged she should have detailed meeting notes and documentation of
grievances for any issues brought up by the resident council meeting in order for the department managers
to respond timely and appropriately to the residents' concerns.
The facility's policy entitled Filing Grievances and Complaints dated January 2024, indicated the facility
would help residents, their representatives and advocates file a grievance; a written summary of the
investigation would be provided to the resident; and a copy would be maintained in the grievance log.
The facility's policy entitled Resident Council dated January 2024, indicated the facility supported residents'
desire to be involved and have input in the operation of the facility. The policy added, grievance/concern
forms would be utilized to track issues, their resolution and the facility department related to the issues
would be responsible to address the items of concern. The policy indicated minutes from the meetings
would include follow-up on prior issues with responses being presented at the next meeting, or sooner if
indicated.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
105783
If continuation sheet
Page 2 of 2
Reading this as a family member? Your long-term care ombudsman is a free advocate for residents and families.
Back to topCitations
2 citations recorded*CMS
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0353GeneralS&S Epotential for harm
Inspect, test, and maintain automatic sprinkler systems.
F585 - Grievances
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
FAQ · About this visit
Common questions about this visit
What happened during the June 5, 2025 survey of SOLARIS HEALTHCARE EAST ORLANDO?
This was a inspection survey of SOLARIS HEALTHCARE EAST ORLANDO on June 5, 2025. The surveyor cited 2 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at SOLARIS HEALTHCARE EAST ORLANDO on June 5, 2025?
Yes, 2 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Inspect, test, and maintain automatic sprinkler systems."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.
Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.
Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.