Inspection Report Summary The most recent inspection on October 3, 2024, found no deficiencies. Earlier inspections showed a pattern of Class 3 deficiencies primarily related to medication management, staffing, training, records, and risk management. Complaint investigations did not result in any substantiated findings or enforcement actions, and no fines or license actions were listed in the available reports. Prior reports noted issues with assistive devices, emergency planning, and visitation policies as well. The facility’s inspection history suggests some improvement over time, with the latest two inspections showing no deficiencies after a period of recurring citations.
Deficiencies (last 7 years)
Deficiencies (over 7 years)
3.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
20% better than Florida average
Florida average: 4.6 deficiencies/year
Inspection Report
Complaint
Deficiencies: 0
Oct 3, 2024
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No deficiencies noted on this complaint inspection.
Findings
No deficiencies noted on this complaint inspection.
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Inspection Report
Annual Inspection
Deficiencies: 0
Apr 24, 2024
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No deficiencies noted on this standard inspection.
Findings
No deficiencies noted on this standard inspection.
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Inspection Report
Complaint
Deficiencies: 1
Mar 19, 2024
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One Class 3 deficiency related to risk management and quality assurance.
Findings
One Class 3 deficiency related to risk management and quality assurance.
Severity Breakdown
Class 3: 1
Deficiencies (1)
Description Severity Tag A0165 — RISK MGMT & QA Class 3
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Inspection Report
Complaint
Deficiencies: 2
Jul 11, 2023
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Two Class 3 deficiencies related to medication labeling/orders and pharmacy/dietary uncorrected deficiencies.
Findings
Two Class 3 deficiencies related to medication labeling/orders and pharmacy/dietary uncorrected deficiencies.
Severity Breakdown
Class 3: 2
Deficiencies (2)
Description Severity Tag A0056 — MEDICATION - LABELING AND ORDERS Class 3 Tag A0058 — PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES Class 3
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Inspection Report
Complaint
Deficiencies: 7
May 15, 2023
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Multiple Class 3 deficiencies related to assistive devices, medication assistance, medication records, staffing, training, and records.
Findings
Multiple Class 3 deficiencies related to assistive devices, medication assistance, medication records, staffing, training, and records.
Severity Breakdown
Class 3: 7
Deficiencies (7)
Description Severity Tag A0034 — ASSISTIVE DEVICES Class 3 Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN Class 3 Tag A0054 — MEDICATION - RECORDS Class 3 Tag A0078 — STAFFING STANDARDS - STAFF Class 3 Tag A0083 — TRAINING - FIRST AID AND CPR Class 3 Tag A0160 — RECORDS - FACILITY Class 3 Tag A0162 — RECORDS - RESIDENT Class 3
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Inspection Report
Complaint
Deficiencies: 1
Oct 13, 2022
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One Class 3 deficiency related to in-person visitation.
Findings
One Class 3 deficiency related to in-person visitation.
Severity Breakdown
Class 3: 1
Deficiencies (1)
Description Severity Tag CZ841 — IN-PERSON VISITATION Class 3
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Inspection Report
Complaint
Deficiencies: 1
Nov 22, 2021
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One Class 3 deficiency related to limited mental health training.
Findings
One Class 3 deficiency related to limited mental health training.
Severity Breakdown
Class 3: 1
Deficiencies (1)
Description Severity Tag AL243 — LMH - TRAINING Class 3
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Inspection Report
Complaint
Deficiencies: 4
Mar 17, 2021
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Multiple Class 3 deficiencies related to resident care rights, records, and emergency management planning.
Findings
Multiple Class 3 deficiencies related to resident care rights, records, and emergency management planning.
Severity Breakdown
Class 3: 4
Deficiencies (4)
Description Severity Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES Class 3 Tag A0160 — RECORDS - FACILITY Class 3 Tag A0162 — RECORDS - RESIDENT Class 3 Tag CZ830 — EMERGENCY MANAGEMENT PLANNING Class 3
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Inspection Report
Complaint
Deficiencies: 1
Feb 1, 2021
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One Class 3 deficiency related to medication records.
Findings
One Class 3 deficiency related to medication records.
Severity Breakdown
Class 3: 1
Deficiencies (1)
Description Severity Tag A0054 — MEDICATION - RECORDS Class 3
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Inspection Report
Complaint
Deficiencies: 6
May 28, 2020
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Multiple Class 3 deficiencies related to resident care rights, staffing, training, records, risk management, and emergency environmental control.
Findings
Multiple Class 3 deficiencies related to resident care rights, staffing, training, records, risk management, and emergency environmental control.
Severity Breakdown
Class 3: 6
Deficiencies (6)
Description Severity Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES Class 3 Tag A0078 — STAFFING STANDARDS - STAFF Class 3 Tag A0081 — TRAINING - STAFF IN-SERVICE Class 3 Tag A0162 — RECORDS - RESIDENT Class 3 Tag A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT Class 3 Tag A0200 — EMERGENCY ENVIRONMENTAL CONTROL Class 3
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Inspection Report
Annual Inspection
Deficiencies: 1
Jan 3, 2020
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One Class 3 deficiency related to emergency plan approval.
Findings
One Class 3 deficiency related to emergency plan approval.
Severity Breakdown
Class 3: 1
Deficiencies (1)
Description Severity Tag A0181 — EMERGENCY PLAN APPROVAL Class 3
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Inspection Report
Complaint
Deficiencies: 1
Aug 6, 2019
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One Class 3 deficiency related to medication labeling and orders.
Findings
One Class 3 deficiency related to medication labeling and orders.
Severity Breakdown
Class 3: 1
Deficiencies (1)
Description Severity Tag A0056 — MEDICATION - LABELING AND ORDERS Class 3
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Inspection Report
Complaint
Deficiencies: 1
May 3, 2017
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One Class 3 deficiency related to food service dietary standards.
Findings
One Class 3 deficiency related to food service dietary standards.
Severity Breakdown
Class 3: 1
Deficiencies (1)
Description Severity Tag A0093 — FOOD SERVICE - DIETARY STANDARDS Class 3
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