Inspection Reports for Angel House Assisted Living

10810 NW 20 St, Pembroke Pines, FL 33026, Pembroke Pines, FL, 33026

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Inspection Report Summary

The most recent inspection on August 26, 2025, cited and corrected a deficiency related to facility records. Prior inspections showed a mix of deficiencies primarily involving records management, emergency management, staffing, training, and background screening compliance. Complaint investigations were conducted but were mostly unsubstantiated, with no fines, immediate jeopardy findings, or license actions listed in the available reports. Earlier reports noted issues with resident care rights and medication management, but these were not present in the latest inspections. The facility’s record shows some recurring themes in administrative and emergency preparedness areas, with recent inspections indicating ongoing attention to correcting cited deficiencies.

Deficiencies (last 11 years)

Deficiencies (over 11 years) 4.2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

9% better than Florida average
Florida average: 4.6 deficiencies/year

Deficiencies per year

8 6 4 2 0
2012
2013
2014
2015
2016
2017
2018
2020
2021
2023
2025

Inspection Report

Monitor
Deficiencies: 3 Date: Aug 26, 2025

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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, standard, and monitor types with a mix of deficiencies cited, corrected, and no deficiencies found across the years. The most recent inspections in 2025 show deficiencies cited and corrected.

Deficiencies (3)
Deficiencies Cited
Deficiencies Corrected
No Deficiencies
Report Facts
Inspections on page: 38

Inspection Report

Deficiencies: 1 Date: Aug 26, 2025

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One unclassified deficiency related to facility records noted.

Findings
One unclassified deficiency related to facility records noted.

Deficiencies (1)
Tag A0160 — RECORDS - FACILITY

Inspection Report

Deficiencies: 2 Date: May 31, 2025

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Two Class 3 deficiencies related to records and emergency management.

Findings
Two Class 3 deficiencies related to records and emergency management.

Deficiencies (2)
Tag A0160 — RECORDS - FACILITY
Tag A0182 — EMERGENCY MGMT - PLAN IMPLEMENTATION

Inspection Report

Deficiencies: 0 Date: Dec 6, 2023

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No deficiencies noted.

Findings
No deficiencies noted.

Inspection Report

Deficiencies: 4 Date: Jul 12, 2021

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Four deficiencies including staffing, emergency environmental control, background screening, and emergency management planning.

Findings
Four deficiencies including staffing, emergency environmental control, background screening, and emergency management planning.

Deficiencies (4)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0200 — EMERGENCY ENVIRONMENTAL CONTROL
Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE
Tag CZ830 — EMERGENCY MANAGEMENT PLANNING

Inspection Report

Deficiencies: 0 Date: Sep 21, 2020

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No deficiencies noted.

Findings
No deficiencies noted.

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: Jul 8, 2020

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One Class 3 deficiency related to resident care rights and facility procedures.

Findings
One Class 3 deficiency related to resident care rights and facility procedures.

Deficiencies (1)
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES

Inspection Report

Deficiencies: 2 Date: Dec 7, 2018

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Two deficiencies: Class 3 training and Class 4 background screening compliance.

Findings
Two deficiencies: Class 3 training and Class 4 background screening compliance.

Deficiencies (2)
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION

Inspection Report

Deficiencies: 2 Date: Mar 13, 2017

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Two Class 3 deficiencies related to resident care social activities and medication OTC products.

Findings
Two Class 3 deficiencies related to resident care social activities and medication OTC products.

Deficiencies (2)
Tag A0026 — RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES
Tag A0057 — MEDICATION - OVER THE COUNTER (OTC) PRODUCTS

Inspection Report

Deficiencies: 5 Date: Sep 27, 2016

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Five Class 3 deficiencies related to staffing, training, and records.

Findings
Five Class 3 deficiencies related to staffing, training, and records.

Deficiencies (5)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag A0162 — RECORDS - RESIDENT

Inspection Report

Complaint Investigation
Deficiencies: 4 Date: Dec 2, 2015

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Four Class 3 deficiencies and one Class 4 related to medication, training, records, and background screening.

Findings
Four Class 3 deficiencies and one Class 4 related to medication, training, records, and background screening.

Deficiencies (4)
Tag A0056 — MEDICATION - LABELING AND ORDERS
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Tag A0189 — ADCCS IN ALF
Tag AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES

Inspection Report

Complaint Investigation
Deficiencies: 6 Date: Oct 1, 2015

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Six deficiencies with mixed severity (Class 3 and 2) related to admissions, resident care, staffing, and records.

Findings
Six deficiencies with mixed severity (Class 3 and 2) related to admissions, resident care, staffing, and records.

Deficiencies (6)
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0031 — RESIDENT CARE - THIRD PARTY SERVICES
Tag A0077 — STAFFING STANDARDS - ADMINISTRATORS
Tag A0162 — RECORDS - RESIDENT
Tag A0163 — RECORDS - RESIDENT, PENALTIES FOR ALTERATION

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: Aug 5, 2015

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One Class 3 deficiency related to resident care rights and facility procedures.

Findings
One Class 3 deficiency related to resident care rights and facility procedures.

Deficiencies (1)
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES

Inspection Report

Deficiencies: 4 Date: Jan 7, 2015

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Four Class 3 deficiencies related to admissions, resident care, training, and records.

Findings
Four Class 3 deficiencies related to admissions, resident care, training, and records.

Deficiencies (4)
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Tag A0162 — RECORDS - RESIDENT

Inspection Report

Complaint Investigation
Deficiencies: 2 Date: Jan 17, 2014

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Two deficiencies: Class 3 records staff and Class 4 background screening prohibited offenses.

Findings
Two deficiencies: Class 3 records staff and Class 4 background screening prohibited offenses.

Deficiencies (2)
Tag A0161 — RECORDS - STAFF
Tag AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES

Inspection Report

Deficiencies: 6 Date: Mar 27, 2013

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Seven Class 3 deficiencies related to staffing standards, training, and LMH training.

Findings
Seven Class 3 deficiencies related to staffing standards, training, and LMH training.

Deficiencies (6)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0079 — STAFFING STANDARDS - LEVELS
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0083 — TRAINING - FIRST AID AND CPR
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag AL243 — LMH - TRAINING

Inspection Report

Deficiencies: 3 Date: Sep 5, 2012

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Three Class 3 deficiencies related to admissions, medication records, and medication labeling.

Findings
Three Class 3 deficiencies related to admissions, medication records, and medication labeling.

Deficiencies (3)
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Tag A0054 — MEDICATION - RECORDS
Tag A0056 — MEDICATION - LABELING AND ORDERS

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