CONWAY LAKES HEALTH & REHABILITATION CENTER

CCN 105754 · CONWAY LAKES NC, LLC · For profit - Partnership · CLEAR CHOICE HEALTHCARE chain · 120 certified beds · Orange · FL


CONWAY LAKES HEALTH & REHABILITATION CENTER is a 120-bed nursing home in ORLANDO, Florida. CMS has certified it for Medicare and Medicaid since 1991-12-23. It averages 112.0 residents a day.

What harm was found in the violations cited at CONWAY LAKES HEALTH & REHABILITATION CENTER?

CMS lists 31 health-inspection deficiencies for CONWAY LAKES HEALTH & REHABILITATION CENTER since 2023-02-09, 21 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2025-09-11.

Survey dateTagDeficiencySeverity
2025-09-11F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2025-09-11F0644, F0761, F0880Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Provide and implement an infection prevention and control program.D
2025-07-02F0610, F0656, F0689, F0726, F0867Respond appropriately to all alleged violations. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.D
2025-06-10F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2025-02-01F0610, F0689Respond appropriately to all alleged violations. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-02-01F0895Have a Compliance and Ethics Program.F
2025-02-01F0641, F0842Ensure each resident receives an accurate assessment. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-08-22F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2024-08-22F0880Provide and implement an infection prevention and control program.E
2024-08-22F0635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.D
2024-05-16F0656, F0684, F0694Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide for the safe, appropriate administration of IV fluids for a resident when needed.D
2023-02-09F0554, F0561, F0584, F0644, F0656, F0684, F0695, F0757, F0773, F0880Allow residents to self-administer drugs if determined clinically appropriate. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. / Provide and implement an infection prevention and control program.D

Why was CONWAY LAKES HEALTH & REHABILITATION CENTER fined 6 times?

DateTypeAmount
2025-06-10Fine$6,227
2025-06-10Fine$4,147
2025-06-10Fine$4,147
2025-02-01Fine$61,636
2024-08-22Fine$12,335
2024-08-22Fine$6,180

How is CONWAY LAKES HEALTH & REHABILITATION CENTER staffed?

MeasureThis facilityFL average
Total nurse staffing hours per resident per day3.992973.82350
Total nursing staff turnover (%)45.441.4
Average number of residents per day112.0108.9

Who owns CONWAY LAKES HEALTH & REHABILITATION CENTER, and what chain is it in?

CONWAY LAKES HEALTH & REHABILITATION CENTER is registered with CMS as For profit - Partnership, operates under the legal business name CONWAY LAKES NC, LLC and belongs to the CLEAR CHOICE HEALTHCARE chain.

RoleOwnerAssociation date
5% OR GREATER MORTGAGE INTERESTTRUISTsince 11/01/2016
CORPORATE OFFICERPARTEE, LESLIE, SABARRE, BRENTsince 02/20/2025
OPERATIONAL/MANAGERIAL CONTROLCLEAR CHOICE HEALTH CARE LLC, BURROWES, ADRIAN, PARTEE, LESLIEsince 10/01/2007
ADP OF THE SNFBURROWES, ADRIAN, SABARRE, BRENTsince 01/29/2025

Were you or a family member harmed at CONWAY LAKES HEALTH & REHABILITATION CENTER?