Inspection Reports for Brookdale Orange Park

1248 Kingsley Avenue, Orange Park, FL 32073, Orange Park, FL

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Inspection Report Summary

The most recent inspection on January 29, 2025, had no deficiencies. Earlier inspections showed a mix of deficiencies primarily related to staffing standards, medication management, training, and admissions processes. Complaint investigations did not identify any substantiated issues, and enforcement actions such as fines or license suspensions were not listed in the available reports. Prior reports noted recurring citations in staffing and medication administration areas, but these issues were not present in the latest inspections. This pattern suggests improvement in compliance over time.

Deficiencies (last 6 years)

Deficiencies (over 6 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

16 12 8 4 0
2014
2015
2016
2018
2024
2025

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Jan 29, 2025

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

Findings
Across all inspections, the facility had numerous complaint and standard inspections with a mix of no deficiencies, deficiencies cited, and deficiencies corrected. The most recent inspections show no deficiencies.

Report Facts
Inspections on page: 33

Inspection Report

Deficiencies: 0 Date: Jan 29, 2025

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No deficiencies noted during this Monitor inspection

Findings
No deficiencies noted during this Monitor inspection

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Sep 24, 2024

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No deficiencies noted during this Standard inspection

Findings
No deficiencies noted during this Standard inspection

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: Feb 28, 2024

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One Class 3 deficiency related to staffing standards

Findings
One Class 3 deficiency related to staffing standards

Deficiencies (1)
Tag A0078 — STAFFING STANDARDS - STAFF

Inspection Report

Annual Inspection
Deficiencies: 2 Date: Jun 18, 2018

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Two Class 3 deficiencies related to medication administration and records

Findings
Two Class 3 deficiencies related to medication administration and records

Deficiencies (2)
Tag A0053 — MEDICATION - ADMINISTRATION
Tag A0054 — MEDICATION - RECORDS

Inspection Report

Annual Inspection
Deficiencies: 3 Date: Jun 24, 2016

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Three Class 3 deficiencies related to admissions, staffing, and training

Findings
Three Class 3 deficiencies related to admissions, staffing, and training

Deficiencies (3)
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0082 — TRAINING - HIV/AIDS

Inspection Report

Complaint Investigation
Deficiencies: 5 Date: Nov 4, 2015

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Five Class 3 deficiencies related to admissions, medication assistance, records, labeling, and training

Findings
Five Class 3 deficiencies related to admissions, medication assistance, records, labeling, and training

Deficiencies (5)
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag A0054 — MEDICATION - RECORDS
Tag A0056 — MEDICATION - LABELING AND ORDERS
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: Sep 2, 2015

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One Class 3 deficiency related to staff in-service training

Findings
One Class 3 deficiency related to staff in-service training

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

Inspection Report

Annual Inspection
Deficiencies: 13 Date: Jun 10, 2014

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Multiple Class 3 deficiencies covering resident care, medication, staffing, training, food service, and risk management

Findings
Multiple Class 3 deficiencies covering resident care, medication, staffing, training, food service, and risk management

Deficiencies (13)
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 A0056 — MEDICATION - LABELING AND ORDERS
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 A0093 — FOOD SERVICE - DIETARY STANDARDS
Tag A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT

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