Inspection Report Summary
The most recent inspection on February 7, 2025, noted a mix of no deficiencies and some deficiencies corrected from prior reports. Earlier inspections showed a pattern of occasional deficiencies mainly related to staffing standards, emergency management planning, nursing services records, and staff training. Complaint investigations did not result in any substantiated findings, and no fines or enforcement actions were listed in the available reports. Prior reports cited issues such as resident care activities, risk management, and background screening, but these were addressed over time. The inspection history suggests some fluctuations in compliance, with recent inspections showing fewer deficiencies and some improvement.
Deficiencies (last 7 years)
Deficiencies (over 7 years)
1.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
65% better than Florida average
Florida average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Deficiencies: 0
Date: Feb 7, 2025
Visit Reason
State-compiled facility profile showing 18 inspections from 2016-05 to 2025-02 with deficiency history
Findings
Across multiple inspections, the facility had a mix of no deficiencies, deficiencies cited, and deficiencies corrected. Several complaint and standard inspections cited deficiencies, while others found none or corrected prior issues.
Report Facts
Inspections on page: 18
Inspection Report
Monitor
Deficiencies: 0
Date: Oct 30, 2024
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Inspection Report
Standard
Deficiencies: 1
Date: Oct 25, 2024
Visit Reason
One Class 3 deficiency related to emergency management planning.
Findings
One Class 3 deficiency related to emergency management planning.
Deficiencies (1)
Tag CZ830 — EMERGENCY MANAGEMENT PLANNING
Inspection Report
Expansion
Deficiencies: 1
Date: Jul 14, 2022
Visit Reason
One Class 3 deficiency related to limited nursing services records.
Findings
One Class 3 deficiency related to limited nursing services records.
Deficiencies (1)
Tag AN278 — LNS - RECORDS
Inspection Report
Standard
Deficiencies: 2
Date: Jul 12, 2022
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Two deficiencies: one Class 3 for staffing standards and one Unclassified for background screening.
Findings
Two deficiencies: one Class 3 for staffing standards and one Unclassified for background screening.
Deficiencies (2)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE
Inspection Report
Expansion
Deficiencies: 0
Date: Oct 14, 2020
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Inspection Report
Standard
Deficiencies: 2
Date: Oct 7, 2020
Visit Reason
Two Class 3 deficiencies related to staffing standards and staff in-service training.
Findings
Two Class 3 deficiencies related to staffing standards and staff in-service training.
Deficiencies (2)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Inspection Report
Standard
Deficiencies: 2
Date: Apr 27, 2018
Visit Reason
Two Class 3 deficiencies related to staffing standards and first aid/CPR training.
Findings
Two Class 3 deficiencies related to staffing standards and first aid/CPR training.
Deficiencies (2)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0083 — TRAINING - FIRST AID AND CPR
Inspection Report
Complaint
Deficiencies: 3
Date: Feb 9, 2018
Visit Reason
Three Class 3 deficiencies related to resident care activities, resident records, and risk management.
Findings
Three Class 3 deficiencies related to resident care activities, resident records, and risk management.
Deficiencies (3)
Tag A0028 — RESIDENT CARE - ACTIVITIES OF DAILY LIVING
Tag A0162 — RECORDS - RESIDENT
Tag A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT
Inspection Report
Monitor
Deficiencies: 0
Date: Dec 21, 2017
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Inspection Report
Complaint
Deficiencies: 0
Date: May 24, 2017
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Inspection Report
Complaint
Deficiencies: 0
Date: Sep 20, 2016
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Inspection Report
Initial Licensure
Deficiencies: 0
Date: May 20, 2016
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
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