Deficiencies (last 12 years)

Deficiencies (over 12 years) 5.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

26% worse than Florida average
Florida average: 4.6 deficiencies/year

Deficiencies per year

20 15 10 5 0
2013
2014
2015
2016
2017
2018
2019
2021
2022
2023
2024
2025

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Apr 1, 2025

Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.

Findings
Across the inspections from 2012 to 2025, the facility had a mix of no deficiencies, deficiencies cited, and deficiencies corrected. Several complaint investigations resulted in cited deficiencies, while many monitoring and complaint inspections found no deficiencies.

Report Facts
Inspections on page: 90

Inspection Report

Complaint
Deficiencies: 0 Date: Apr 1, 2025

Visit Reason
No deficiencies noted during this complaint inspection.

Findings
No deficiencies noted during this complaint inspection.

Inspection Report

Routine
Deficiencies: 0 Date: Dec 5, 2024

Visit Reason
No deficiencies noted during this standard inspection.

Findings
No deficiencies noted during this standard inspection.

Inspection Report

Complaint
Deficiencies: 0 Date: Jul 13, 2023

Visit Reason
No deficiencies noted during this complaint inspection.

Findings
No deficiencies noted during this complaint inspection.

Inspection Report

Complaint
Deficiencies: 1 Date: May 17, 2023

Visit Reason
One Class 3 deficiency related to RISK MGMT & QA was cited.

Findings
One Class 3 deficiency related to RISK MGMT & QA was cited.

Deficiencies (1)
Tag A0165 — RISK MGMT & QA

Inspection Report

Routine
Deficiencies: 19 Date: Mar 29, 2023

Visit Reason
Multiple Class 3 deficiencies related to licensure, resident care, medication, staffing, training, records, and physical plant were cited.

Findings
Multiple Class 3 deficiencies related to licensure, resident care, medication, staffing, training, records, and physical plant were cited.

Deficiencies (19)
Tag A0003 — LICENSURE - CHANGE OF OWNERSHIP (CHOW)
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag A0054 — MEDICATION - RECORDS
Tag A0055 — MEDICATION - STORAGE AND DISPOSAL
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0082 — TRAINING - HIV/AIDS
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag A0093 — FOOD SERVICE - DIETARY STANDARDS
Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER
Tag A0161 — RECORDS - STAFF
Tag A0162 — RECORDS - RESIDENT
Tag A0170 — RESIDENT REFUND POLICY
Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE
Tag CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES
Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION

Inspection Report

Complaint
Deficiencies: 0 Date: Jan 19, 2023

Visit Reason
No deficiencies noted during this complaint inspection.

Findings
No deficiencies noted during this complaint inspection.

Inspection Report

Complaint
Deficiencies: 1 Date: Nov 30, 2022

Visit Reason
One Class 3 deficiency related to TRAINING - STAFF IN-SERVICE was cited.

Findings
One Class 3 deficiency related to TRAINING - STAFF IN-SERVICE was cited.

Deficiencies (1)
Tag A0081 — TRAINING - STAFF IN-SERVICE

Inspection Report

Complaint
Deficiencies: 7 Date: Jul 19, 2022

Visit Reason
Multiple Class 3 deficiencies related to training, records, emergency plan, and background screening were cited.

Findings
Multiple Class 3 deficiencies related to training, records, emergency plan, and background screening were cited.

Deficiencies (7)
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0086 — TRAINING - ADRD
Tag A0162 — RECORDS - RESIDENT
Tag A0181 — EMERGENCY PLAN APPROVAL
Tag A0200 — EMERGENCY ENVIRONMENTAL CONTROL
Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE
Tag CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES

Inspection Report

Complaint
Deficiencies: 1 Date: Apr 13, 2022

Visit Reason
One Class 3 deficiency related to MEDICATION - RECORDS was cited.

Findings
One Class 3 deficiency related to MEDICATION - RECORDS was cited.

Deficiencies (1)
Tag A0054 — MEDICATION - RECORDS

Inspection Report

Routine
Deficiencies: 7 Date: Oct 12, 2021

Visit Reason
Multiple Class 3 deficiencies related to staffing, training, and records were cited.

Findings
Multiple Class 3 deficiencies related to staffing, training, and records were cited.

Deficiencies (7)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0082 — TRAINING - HIV/AIDS
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Tag A0086 — TRAINING - ADRD
Tag A0160 — RECORDS - FACILITY
Tag A0161 — RECORDS - STAFF

Inspection Report

Complaint
Deficiencies: 2 Date: Aug 15, 2019

Visit Reason
Two Class 3 deficiencies related to medication records and labeling/orders were cited.

Findings
Two Class 3 deficiencies related to medication records and labeling/orders were cited.

Deficiencies (2)
Tag A0054 — MEDICATION - RECORDS
Tag A0056 — MEDICATION - LABELING AND ORDERS

Inspection Report

Complaint
Deficiencies: 3 Date: Jun 28, 2019

Visit Reason
Three Class 3 deficiencies related to resident care supervision, staffing standards, and physical plant were cited.

Findings
Three Class 3 deficiencies related to resident care supervision, staffing standards, and physical plant were cited.

Deficiencies (3)
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0077 — STAFFING STANDARDS - ADMINISTRATORS
Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER

Inspection Report

Complaint
Deficiencies: 1 Date: Dec 3, 2018

Visit Reason
One Class 3 deficiency related to physical plant safe living environment was cited.

Findings
One Class 3 deficiency related to physical plant safe living environment was cited.

Deficiencies (1)
Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER

Inspection Report

Complaint
Deficiencies: 9 Date: Oct 5, 2018

Visit Reason
Multiple Class 3 deficiencies related to admissions, resident care, medication, staffing, training, and risk management were cited.

Findings
Multiple Class 3 deficiencies related to admissions, resident care, medication, staffing, training, and risk management were cited.

Deficiencies (9)
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0056 — MEDICATION - LABELING AND ORDERS
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0086 — TRAINING - ADRD
Tag A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT

Inspection Report

Deficiencies: 2 Date: Jan 22, 2018

Visit Reason
Two Class 3 deficiencies related to staffing standards and resident care standards were cited.

Findings
Two Class 3 deficiencies related to staffing standards and resident care standards were cited.

Deficiencies (2)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag AN277 — LNS - RESIDENT CARE STANDARDS

Inspection Report

Routine
Deficiencies: 2 Date: Jun 27, 2017

Visit Reason
Two Class 3 deficiencies related to resident records and resident care standards were cited.

Findings
Two Class 3 deficiencies related to resident records and resident care standards were cited.

Deficiencies (2)
Tag A0162 — RECORDS - RESIDENT
Tag AN277 — LNS - RESIDENT CARE STANDARDS

Inspection Report

Complaint
Deficiencies: 1 Date: Dec 6, 2016

Visit Reason
One Class 3 deficiency related to risk management and quality assurance was cited.

Findings
One Class 3 deficiency related to risk management and quality assurance was cited.

Deficiencies (1)
Tag A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT

Inspection Report

Routine
Deficiencies: 3 Date: Jun 26, 2015

Visit Reason
Three Class 3 deficiencies and one Class 4 deficiency related to staffing, physical plant, and background screening were cited.

Findings
Three Class 3 deficiencies and one Class 4 deficiency related to staffing, physical plant, and background screening were cited.

Deficiencies (3)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER
Tag AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES

Inspection Report

Complaint
Deficiencies: 1 Date: May 7, 2015

Visit Reason
One Class 3 deficiency related to food service dietary standards was cited.

Findings
One Class 3 deficiency related to food service dietary standards was cited.

Deficiencies (1)
Tag A0093 — FOOD SERVICE - DIETARY STANDARDS

Inspection Report

Complaint
Deficiencies: 1 Date: Oct 13, 2014

Visit Reason
One Class 3 deficiency related to medication labeling and orders was cited.

Findings
One Class 3 deficiency related to medication labeling and orders was cited.

Deficiencies (1)
Tag A0056 — MEDICATION - LABELING AND ORDERS

Inspection Report

Complaint
Deficiencies: 4 Date: Jul 1, 2014

Visit Reason
Multiple Class 3 deficiencies related to admissions, medication, and records were cited.

Findings
Multiple Class 3 deficiencies related to admissions, medication, and records were cited.

Deficiencies (4)
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Tag A0054 — MEDICATION - RECORDS
Tag A0056 — MEDICATION - LABELING AND ORDERS
Tag A0160 — RECORDS - FACILITY

Inspection Report

Complaint
Deficiencies: 2 Date: Oct 24, 2013

Visit Reason
Two Class 3 deficiencies related to resident rights and DNROs were cited.

Findings
Two Class 3 deficiencies related to resident rights and DNROs were cited.

Deficiencies (2)
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0076 — DO NOT RESUSCITATE ORDERS (DNROS)

Inspection Report

Routine
Deficiencies: 2 Date: Jul 30, 2013

Visit Reason
Two Class 3 deficiencies related to admissions and staffing were cited.

Findings
Two Class 3 deficiencies related to admissions and staffing were cited.

Deficiencies (2)
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Tag A0078 — STAFFING STANDARDS - STAFF

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