Inspection Reports for
Spring Hills Lake Mary
3655 W Lake Mary Blvd, Lake Mary, FL 32746, United States, FL, 32746
Back to Facility Profile5 Reports · 1 Summary
Inspection Summary
69 inspections covered, May 2012 – Oct 2025.
Inspection Reports Summary
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
The facility has undergone numerous inspections including complaint and standard types, with a mix of deficiencies cited, corrected, and no deficiencies found across the years. Deficiencies have been cited frequently, with some inspections showing corrections and others no deficiencies.
Report Facts
Inspections on page: 69
Individual Reports
One document per inspection visit.
Inspection Report — Jul 13, 2026
Complaint Investigation
Date: Jul 13, 2026
Visit Reason
The page covers the inspection history of Spring Hills Lake Mary, including complaint investigations and standard inspections.
Findings
The facility has a history of deficiencies with 113 individual findings, including 8 serious deficiencies. The state has taken 23 legal actions with fines totaling $99,264.
Citations (113)
Admissions - Criteria — cited July 13, 2026, correction not recorded
Resident Care - Supervision — cited July 13, 2026, correction not recorded
Medication - Records — cited July 13, 2026, correction not recorded
Medication - Storage and Disposal — cited July 13, 2026, correction not recorded
Medication - Labeling and Orders — cited July 13, 2026, correction not recorded
Resident Care - Rights & Facility Procedures — cited June 1, 2026, correction not recorded
Admissions - Continued Residency — cited March 18, 2026, corrected April 30, 2026
Resident Care - Rights & Facility Procedures — cited March 18, 2026, corrected April 9, 2026
Medication - Records — cited March 18, 2026, corrected March 24, 2026
Staffing Standards - Staff — cited March 18, 2026, corrected April 29, 2026
Training - Assis Self-admin Meds & Med Mgmt — cited March 18, 2026, corrected April 29, 2026
Food Service - Dietary Standards — cited March 18, 2026, corrected April 29, 2026
Resident Care - Rights & Facility Procedures — cited February 19, 2026, corrected February 24, 2026
Medication - Labeling and Orders — cited February 19, 2026, corrected April 8, 2026
Reporting Requirements; Electronic Submission — cited February 19, 2026, corrected March 17, 2026
Admissions - Health Assessment — cited January 14, 2026, corrected March 18, 2026
Resident Care - Supervision — cited January 14, 2026, correction not recorded
Resident Care - Elopement Standards — cited January 14, 2026, corrected March 18, 2026
Medication - Assistance With Self-admin — cited January 14, 2026, corrected March 18, 2026
Reporting Requirements; Electronic Submission — cited January 14, 2026, corrected March 18, 2026
Admissions - Health Assessment — cited October 3, 2025, corrected November 20, 2025
Admissions - Continued Residency — cited October 3, 2025, corrected November 20, 2025
Resident Care - Supervision — cited October 3, 2025, corrected November 20, 2025
Resident Care - Rights & Facility Procedures — cited October 3, 2025, corrected November 20, 2025
Resident Care - Elopement Standards — cited October 3, 2025, corrected November 20, 2025
Assistive Devices — cited October 3, 2025, corrected November 20, 2025
Medication - Assistance With Self-admin — cited October 3, 2025, corrected December 22, 2025
Medication - Records — cited October 3, 2025, corrected November 20, 2025
Medication - Labeling and Orders — cited October 3, 2025, corrected November 20, 2025
Staffing Standards - Staff — cited October 3, 2025, corrected November 20, 2025
Training - Staff In-service — cited October 3, 2025, corrected November 20, 2025
Training - Hiv/aids — cited October 3, 2025, corrected November 20, 2025
Training - First Aid and Cpr — cited October 3, 2025, corrected November 20, 2025
Training - Assis Self-admin Meds & Med Mgmt — cited October 3, 2025, corrected November 20, 2025
Training - Do Not Resuscitate Orders — cited October 3, 2025, corrected November 20, 2025
Food Service - Dietary Standards — cited October 3, 2025, corrected November 20, 2025
Lns - Records — cited October 3, 2025, corrected November 20, 2025
Initial Comments — cited October 3, 2025, correction not recorded
In-person Visitation — cited October 3, 2025, corrected November 20, 2025
Alzheimer Disease/dementia; Training — cited October 3, 2025, corrected November 10, 2025
Background Screening; Prohibited Offenses — cited October 14, 2024, corrected December 9, 2024
Staffing Standards - Staff — cited September 25, 2024, corrected November 6, 2024
Training - Assis Self-admin Meds & Med Mgmt — cited September 25, 2024, corrected November 6, 2024
Resident Care - Rights & Facility Procedures — cited October 24, 2023, corrected October 31, 2023
Resident Care - Elopement Standards — cited October 24, 2023, corrected March 10, 2023
Medication - Assistance With Self-admin — cited October 24, 2023, corrected November 30, 2023
Staffing Standards - Staff — cited October 24, 2023, corrected February 23, 2023
Training - Staff In-service — cited October 24, 2023, corrected February 25, 2023
Training - Hiv/aids — cited October 24, 2023, corrected February 25, 2023
Training - Adrd — cited October 24, 2023, corrected November 30, 2023
Training - Do Not Resuscitate Orders — cited October 24, 2023, corrected February 25, 2023
Lns - Records — cited October 24, 2023, corrected November 29, 2023
Background Screening; Prohibited Offenses — cited October 24, 2023, corrected November 30, 2023
Admissions - Health Assessment — cited March 30, 2023, corrected August 7, 2023
Admissions - Continued Residency — cited March 30, 2023, corrected August 7, 2023
Resident Care - Supervision — cited March 30, 2023, corrected August 25, 2023
Medication - Assistance With Self-admin — cited March 30, 2023, corrected April 10, 2023
Staffing Standards - Staff — cited March 30, 2023, corrected April 7, 2023
Training - First Aid and Cpr — cited March 30, 2023, corrected August 7, 2023
Medication - Records — cited September 23, 2021, corrected November 22, 2021
Staffing Standards - Staff — cited September 23, 2021, corrected November 22, 2021
Background Screening Clearinghouse — cited September 23, 2021, corrected November 22, 2021
Resident Refund Policy — cited March 4, 2021, corrected April 13, 2021
Resident Care - Rights & Facility Procedures — cited December 3, 2020, corrected December 21, 2020
Staffing Standards - Levels — cited July 13, 2020, corrected October 6, 2020
Physical Plant - Safe Living Environ/other — cited July 13, 2020, corrected October 6, 2020
Staffing Standards - Staff — cited November 26, 2019, corrected February 11, 2020
Reporting Requirements; Electronic Submission — cited October 23, 2019, corrected November 1, 2019
Resident Care - Supervision — cited October 4, 2019, corrected December 17, 2019
Resident Care - Rights & Facility Procedures — cited October 4, 2019, corrected December 17, 2019
Admissions - Health Assessment — cited May 30, 2019, corrected August 23, 2019
Resident Care - Elopement Standards — cited May 30, 2019, corrected August 23, 2019
Medication - Assistance With Self-admin — cited May 30, 2019, corrected August 23, 2019
Training - Nutrition & Food Service — cited May 30, 2019, corrected August 23, 2019
Training - Adrd — cited May 30, 2019, corrected August 23, 2019
Food Service - Dietary Standards — cited May 30, 2019, corrected August 23, 2019
Resident Care - Supervision — cited May 30, 2019, corrected August 23, 2019
Training - Assis Self-admin Meds & Med Mgmt — cited August 21, 2018, corrected October 30, 2018
Staffing Standards - Staff — cited July 3, 2018, corrected August 21, 2018
Lns - Records — cited July 3, 2018, corrected August 21, 2018
Resident Care - Supervision — cited November 6, 2017, corrected December 28, 2017
Training - Adrd — cited November 6, 2017, corrected December 28, 2017
Training - Documentation & Monitoring — cited November 6, 2017, corrected December 28, 2017
Lns - Records — cited November 6, 2017, corrected December 28, 2017
Admissions - Health Assessment — cited May 3, 2017, corrected July 20, 2017
Medication - Assistance With Self-admin — cited May 3, 2017, corrected July 20, 2017
Staffing Standards - Staff — cited May 3, 2017, corrected July 20, 2017
Resident Care - Supervision — cited April 25, 2016, corrected June 27, 2016
Resident Care - Rights & Facility Procedures — cited April 25, 2016, corrected June 27, 2016
Admissions - Health Assessment — cited July 28, 2015, corrected January 21, 2016
Admissions - Continued Residency — cited July 28, 2015, corrected January 21, 2016
Resident Care - Supervision — cited July 28, 2015, corrected January 21, 2016
Resident Care - Supervision — cited June 25, 2015, corrected September 2, 2015
Resident Care - Rights & Facility Procedures — cited June 25, 2015, corrected September 2, 2015
Training - Staff In-service — cited June 25, 2015, corrected September 2, 2015
Training - Hiv/aids — cited June 25, 2015, corrected September 2, 2015
Training - Adrd — cited June 25, 2015, corrected September 2, 2015
Training - Do Not Resuscitate Orders — cited June 25, 2015, corrected September 2, 2015
Physical Plant - Safe Living Environ/other — cited June 25, 2015, corrected September 2, 2015
Records - Staff — cited June 25, 2015, corrected September 2, 2015
Lns - Records — cited June 25, 2015, corrected September 2, 2015
Background Screening; Prohibited Offenses — cited June 25, 2015, corrected September 2, 2015
Resident Care - Supervision — cited November 18, 2013, corrected February 12, 2014
Admissions - Health Assessment — cited April 18, 2013, corrected July 29, 2013
Resident Care - Rights & Facility Procedures — cited April 18, 2013, corrected July 29, 2013
Staffing Standards - Staff — cited April 18, 2013, corrected July 29, 2013
Training - Staff In-service — cited April 18, 2013, corrected July 29, 2013
Training - Assis Self-admin Meds & Med Mgmt — cited April 18, 2013, corrected July 29, 2013
Training - Do Not Resuscitate Orders — cited April 18, 2013, corrected July 29, 2013
Training - Documentation & Monitoring — cited April 18, 2013, corrected July 29, 2013
Resident Care - Rights & Facility Procedures — cited May 21, 2012, corrected August 20, 2012
Medication - Storage and Disposal — cited May 21, 2012, corrected August 20, 2012
Staffing Standards - Staff — cited May 21, 2012, corrected August 20, 2012
Report Facts
Inspections: 72
Visits with deficiencies: 30
Clean visits: 16
Deficiencies: 113
Serious deficiencies: 8
Legal actions: 23
Total fines: 99264
Inspection Report — Oct 3, 2025
Routine
Date: Oct 3, 2025
Visit Reason
Numerous Class 3 deficiencies related to admissions, resident care, medication, staffing, and training identified during standard inspection
Findings
Numerous Class 3 deficiencies related to admissions, resident care, medication, staffing, and training identified during standard inspection
Citations (20)
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0032 — RESIDENT CARE - ELOPEMENT STANDARDS
Tag A0034 — ASSISTIVE DEVICES
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag A0054 — MEDICATION - RECORDS
Tag A0056 — MEDICATION - LABELING AND ORDERS
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0082 — TRAINING - HIV/AIDS
Tag A0083 — TRAINING - FIRST AID AND CPR
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag A0093 — FOOD SERVICE - DIETARY STANDARDS
Tag AN278 — LNS - RECORDS
Tag ZZ000 — INITIAL COMMENTS
Tag ZZ841 — IN-PERSON VISITATION
Tag ZZ875 — ALZHEIMER DISEASE/DEMENTIA; TRAINING
Inspection Report — Oct 14, 2024
Complaint Investigation
Date: Oct 14, 2024
Visit Reason
Class 3 deficiency related to background screening with correction date provided
Findings
Class 3 deficiency related to background screening with correction date provided
Citations (1)
Tag CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES
Inspection Report — Sep 25, 2024
Follow-Up
Date: Sep 25, 2024
Visit Reason
Class 3 deficiencies related to staffing standards and training with correction dates
Findings
Class 3 deficiencies related to staffing standards and training with correction dates
Citations (2)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Inspection Report — Oct 24, 2023
Routine
Date: Oct 24, 2023
Visit Reason
Multiple Class 3 deficiencies related to resident care, medication, staffing, training, and background screening with correction dates
Findings
Multiple Class 3 deficiencies related to resident care, medication, staffing, training, and background screening with correction dates
Citations (10)
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0032 — RESIDENT CARE - ELOPEMENT STANDARDS
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0082 — TRAINING - HIV/AIDS
Tag A0086 — TRAINING - ADRD
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag AN278 — LNS - RECORDS
Tag CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES
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