Inspection Reports for Bartram Lakes Assisted Living
6209 BROOKS BARTRAM DR BLDG 200, JACKSONVILLE, FL, 32258
Back to Facility ProfileInspection Report Summary
The most recent inspection on April 3, 2025, found no deficiencies. Earlier inspections showed a mix of no deficiencies and some citations, primarily related to staffing standards, staff training, resident care procedures, and documentation. Complaint investigations were mostly unsubstantiated, with one prior complaint inspection noting a deficiency about inspection rights. There were no fines, immediate jeopardy findings, or enforcement actions listed in the available reports. The facility’s record suggests improvement over time, with recent inspections consistently free of deficiencies.
Deficiencies (last 11 years)
Deficiencies (over 11 years)
3.1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
33% better than Florida average
Florida average: 4.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Complaint
Deficiencies: 1
Date: Apr 3, 2025
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Deficiencies (1)
None
Inspection Report
Deficiencies: 0
Date: Apr 3, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2013 to 2025 with deficiency history and inspection statuses.
Findings
Across the inspections, the facility had periods with no deficiencies, cited deficiencies, and corrected deficiencies. The most recent inspections show no deficiencies cited.
Report Facts
Inspections on page: 30
Inspection Report
Complaint
Deficiencies: 1
Date: Jun 16, 2023
Visit Reason
One Class 3 deficiency related to right of inspection and inspection reports.
Findings
One Class 3 deficiency related to right of inspection and inspection reports.
Deficiencies (1)
Tag CZ824 — RIGHT OF INSPECTION; INSPECTION REPORTS
Inspection Report
Standard
Deficiencies: 3
Date: Feb 9, 2023
Visit Reason
Three Class 3 deficiencies related to resident care elopement standards, staffing standards, and staff records.
Findings
Three Class 3 deficiencies related to resident care elopement standards, staffing standards, and staff records.
Deficiencies (3)
Tag A0032 — RESIDENT CARE - ELOPEMENT STANDARDS
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0161 — RECORDS - STAFF
Inspection Report
Monitor
Deficiencies: 1
Date: Mar 25, 2021
Visit Reason
No deficiencies noted during this monitor inspection.
Findings
No deficiencies noted during this monitor inspection.
Deficiencies (1)
None
Inspection Report
Complaint
Deficiencies: 1
Date: Feb 2, 2021
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Deficiencies (1)
None
Inspection Report
Complaint
Deficiencies: 1
Date: Sep 8, 2020
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Deficiencies (1)
None
Inspection Report
Complaint
Deficiencies: 1
Date: Jan 15, 2020
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Deficiencies (1)
None
Inspection Report
Standard
Deficiencies: 1
Date: Sep 26, 2019
Visit Reason
No deficiencies noted during this standard inspection.
Findings
No deficiencies noted during this standard inspection.
Deficiencies (1)
None
Inspection Report
Monitor
Deficiencies: 4
Date: Mar 11, 2019
Visit Reason
Four Class 3 deficiencies related to admissions criteria, health assessment, resident care third party services, and ECC admissions & continued residency.
Findings
Four Class 3 deficiencies related to admissions criteria, health assessment, resident care third party services, and ECC admissions & continued residency.
Deficiencies (4)
Tag A0007 — ADMISSIONS - CRITERIA
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Tag A0031 — RESIDENT CARE - THIRD PARTY SERVICES
Tag AE204 — ECC - ADMISSIONS & CONTINUED RESIDENCY
Inspection Report
Complaint
Deficiencies: 1
Date: Nov 16, 2018
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Deficiencies (1)
None
Inspection Report
Complaint
Deficiencies: 1
Date: Jan 24, 2018
Visit Reason
One Class 4 deficiency related to background screening clearinghouse.
Findings
One Class 4 deficiency related to background screening clearinghouse.
Deficiencies (1)
Tag AZ814 — BACKGROUND SCREENING CLEARINGHOUSE
Inspection Report
Standard
Deficiencies: 3
Date: Aug 17, 2017
Visit Reason
Three Class 3 deficiencies related to staff in-service training, HIV/AIDS training, and DNRO training.
Findings
Three Class 3 deficiencies related to staff in-service training, HIV/AIDS training, and DNRO training.
Deficiencies (3)
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0082 — TRAINING - HIV/AIDS
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Inspection Report
Complaint
Deficiencies: 1
Date: Sep 13, 2016
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Deficiencies (1)
None
Inspection Report
Complaint
Deficiencies: 1
Date: Jul 18, 2016
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Deficiencies (1)
None
Inspection Report
Standard
Deficiencies: 5
Date: Aug 13, 2015
Visit Reason
Five Class 3 deficiencies related to staffing standards, staff in-service training, HIV/AIDS training, DNRO training, and training documentation & monitoring.
Findings
Five Class 3 deficiencies related to staffing standards, staff in-service training, HIV/AIDS training, DNRO training, and training documentation & monitoring.
Deficiencies (5)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0082 — TRAINING - HIV/AIDS
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag A0091 — TRAINING - DOCUMENTATION & MONITORING
Inspection Report
Monitor
Deficiencies: 1
Date: Jun 10, 2015
Visit Reason
No deficiencies noted during this monitor inspection.
Findings
No deficiencies noted during this monitor inspection.
Deficiencies (1)
None
Inspection Report
Monitor
Deficiencies: 1
Date: Dec 4, 2014
Visit Reason
No deficiencies noted during this monitor inspection.
Findings
No deficiencies noted during this monitor inspection.
Deficiencies (1)
None
Inspection Report
Monitor
Deficiencies: 1
Date: Sep 11, 2014
Visit Reason
One Class 3 deficiency related to ECC policies.
Findings
One Class 3 deficiency related to ECC policies.
Deficiencies (1)
Tag AE201 — ECC - POLICIES
Inspection Report
Monitor
Deficiencies: 3
Date: Apr 28, 2014
Visit Reason
Three Class 3 deficiencies related to dietary standards, ECC health assessment, and ECC service plans.
Findings
Three Class 3 deficiencies related to dietary standards, ECC health assessment, and ECC service plans.
Deficiencies (3)
Tag A0093 — FOOD SERVICE - DIETARY STANDARDS
Tag AE205 — ECC - HEALTH ASSESSMENT
Tag AE206 — ECC - SERVICE PLANS
Inspection Report
Monitor
Deficiencies: 1
Date: Jan 30, 2014
Visit Reason
No deficiencies noted during this monitor inspection.
Findings
No deficiencies noted during this monitor inspection.
Deficiencies (1)
None
Inspection Report
Standard
Deficiencies: 1
Date: Oct 11, 2013
Visit Reason
No deficiencies noted during this standard inspection.
Findings
No deficiencies noted during this standard inspection.
Deficiencies (1)
None
Viewing
Loading inspection reports...
