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DELANEY PARK HEALTH AND REHABILITATION CENTER

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DELANEY PARK HEALTH AND REHABILITATION CENTER is a non profit - other facility in ORLANDO, FL with 89 certified beds and a 3-star overall CMS rating. The facility has 23 deficiency records on file.

215 ANNIE STREET, ORLANDO, FL 32806

Phone: 4078414371

Overall Rating

3/5

Health Inspection

2/5

Staffing

3/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
105791
Ownership
Non profit - Other
Provider Type
Medicare and Medicaid
Beds
89
Residents
80
In Hospital
No
County
Orange
Last Inspection
Jul 18, 2025

Staffing Data

RN Hours
0.90 (nat'l avg: 0.68)
LPN Hours
0.50
CNA Hours
2.02
Total Nursing Hours
3.42 (nat'l avg: 3.89)
PT Hours
0.12
Nursing Turnover
27.0%
RN Turnover
30.4%

What the CMS Record Reveals About DELANEY PARK HEALTH AND REHABILITATION CENTER

DELANEY PARK HEALTH AND REHABILITATION CENTER operates 89 certified beds in ORLANDO, FL with approximately 80 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (3★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 23 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.42 total nursing hours per resident day (national average 3.89), with RN coverage at 0.90 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Other" ownership and operating as a "Medicare and Medicaid" provider, DELANEY PARK HEALTH AND REHABILITATION CENTER falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 27.0%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (23 most recent)

F — Widespread - Minimal harm Jul 18, 2025 Tag: 0882

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Category: Infection Control Deficiencies

Corrected: Aug 18, 2025

E — Pattern - Minimal harm Jul 18, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 18, 2025

D — Isolated - Minimal harm Jul 18, 2025 Tag: 0865

Have a plan that describes the process for conducting QAPI and QAA activities.

Category: Administration Deficiencies

Corrected: Aug 18, 2025

D — Isolated - Minimal harm Jul 18, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 18, 2025

D — Isolated - Minimal harm Jul 18, 2025 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 18, 2025

D — Isolated - Minimal harm Jul 18, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 18, 2025

D — Isolated - Minimal harm Jul 18, 2025 Tag: 0627

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Category: Resident Rights Deficiencies

Corrected: Aug 18, 2025

D — Isolated - Minimal harm Jul 18, 2025 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 18, 2025

E — Pattern - Minimal harm Jul 18, 2025 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Aug 18, 2025

D — Isolated - Minimal harm Jul 18, 2025 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Aug 18, 2025

E — Pattern - Minimal harm May 9, 2025 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Jun 9, 2025

D — Isolated - Minimal harm May 9, 2025 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 9, 2025

D — Isolated - Minimal harm Jun 5, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 5, 2024

E — Pattern - Minimal harm Jun 5, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 5, 2024

E — Pattern - Minimal harm Jun 5, 2024 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 5, 2024

D — Isolated - Minimal harm Jun 5, 2024 Tag: 0694

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 5, 2024

D — Isolated - Minimal harm Jun 5, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 5, 2024

D — Isolated - Minimal harm Jun 5, 2024 Tag: 0640

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 5, 2024

D — Isolated - Minimal harm Jun 5, 2024 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Jul 5, 2024

E — Pattern - Minimal harm May 25, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 26, 2023

D — Isolated - Minimal harm May 25, 2023 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 26, 2023

J — Isolated - Jeopardy Mar 3, 2023 Tag: 0740

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 2, 2023

J — Isolated - Jeopardy Mar 3, 2023 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 2, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 10.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 10.0% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 98.5% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.7% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay N/A Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 19.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 99.6% No
Percentage of long-stay residents with pressure ulcers Long Stay 4.6% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 2.6% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 11.5% Yes

Penalty History

Date Type Amount
Mar 3, 2023 Fine $58K

Frequently Asked Questions

What is the overall CMS rating for DELANEY PARK HEALTH AND REHABILITATION CENTER?
DELANEY PARK HEALTH AND REHABILITATION CENTER has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (2★), staffing levels (3★), and quality measures (5★).
What are the staffing levels at DELANEY PARK HEALTH AND REHABILITATION CENTER?
DELANEY PARK HEALTH AND REHABILITATION CENTER reports 3.42 total nursing hours per resident day (national average: 3.89). RN hours are 0.90 per resident day (national average: 0.68). Nursing staff turnover is 27.0%.
How many beds does DELANEY PARK HEALTH AND REHABILITATION CENTER have?
DELANEY PARK HEALTH AND REHABILITATION CENTER has 89 certified beds with approximately 80 residents. The facility is located at 215 ANNIE STREET, ORLANDO, FL 32806.
Does DELANEY PARK HEALTH AND REHABILITATION CENTER have any deficiencies on record?
Yes, DELANEY PARK HEALTH AND REHABILITATION CENTER has 23 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has DELANEY PARK HEALTH AND REHABILITATION CENTER received any fines or penalties?
No, DELANEY PARK HEALTH AND REHABILITATION CENTER has no fines or penalties on record.
Who owns DELANEY PARK HEALTH AND REHABILITATION CENTER?
DELANEY PARK HEALTH AND REHABILITATION CENTER is classified as "Non profit - Other" ownership. The facility type is "Medicare and Medicaid".
When was DELANEY PARK HEALTH AND REHABILITATION CENTER last inspected?
The most recent health inspection for DELANEY PARK HEALTH AND REHABILITATION CENTER was on Jul 18, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for DELANEY PARK HEALTH AND REHABILITATION CENTER?
DELANEY PARK HEALTH AND REHABILITATION CENTER is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial