Inspection Report Summary
The most recent inspection on December 19, 2024, noted deficiencies. Earlier inspections showed a mix of no deficiencies and citations, with several reports citing issues related to background screening, medication management, staffing, training, and records. Complaint investigations were not listed in the available reports, and no enforcement actions such as fines or license suspensions were mentioned. Prior reports included some Class 3 and Class 4 deficiencies, mainly concerning compliance with background screening and medication labeling. The inspection history shows some recurring themes but also periods without deficiencies, indicating a variable compliance pattern over time.
Deficiencies (last 9 years)
Deficiencies (over 9 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
13% better than Florida average
Florida average: 4.6 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Deficiencies: 0
Dec 19, 2024
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2024 with deficiency history and inspection statuses.
Findings
Across all inspections, the facility had a mix of no deficiencies, deficiencies cited, and deficiencies corrected. Several complaint and standard inspections cited deficiencies, while many monitor inspections found no deficiencies.
Report Facts
Inspections on page: 29
Inspection Report
Standard
Deficiencies: 1
Sep 21, 2022
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Severity Breakdown
None: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| None | None |
Inspection Report
Standard
Deficiencies: 1
Jun 24, 2021
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Severity Breakdown
None: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| None | None |
Inspection Report
Complaint
Deficiencies: 1
Oct 9, 2019
Visit Reason
One Class 4 deficiency related to background screening prohibited offenses.
Findings
One Class 4 deficiency related to background screening prohibited offenses.
Severity Breakdown
Class 4: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
Inspection Report
Standard
Deficiencies: 8
Jan 3, 2019
Visit Reason
Multiple Class 3 deficiencies involving admissions, medication, staffing, training, and records; one Class 4 deficiency for background screening compliance.
Findings
Multiple Class 3 deficiencies involving admissions, medication, staffing, training, and records; one Class 4 deficiency for background screening compliance.
Severity Breakdown
Class 3: 7
Class 4: 1
Deficiencies (8)
| Description | Severity |
|---|---|
| Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| Tag A0054 — MEDICATION - RECORDS | Class 3 |
| Tag A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| Tag A0076 — DO NOT RESUSCITATE ORDERS (DNROS) | Class 3 |
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| Tag A0161 — RECORDS - STAFF | Class 3 |
| Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 4 |
Inspection Report
Monitor
Deficiencies: 1
Oct 16, 2018
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Severity Breakdown
None: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| None | None |
Inspection Report
Monitor
Deficiencies: 2
Oct 25, 2017
Visit Reason
Two Class 3 deficiencies related to background screening.
Findings
Two Class 3 deficiencies related to background screening.
Severity Breakdown
Class 3: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 3 |
| Tag CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 3 |
Inspection Report
Standard
Deficiencies: 11
Dec 1, 2016
Visit Reason
Multiple Class 3 deficiencies involving training, medication, staffing, records, and one Class 4 background screening deficiency; one severity '2' deficiency for physical plant safety.
Findings
Multiple Class 3 deficiencies involving training, medication, staffing, records, and one Class 4 background screening deficiency; one severity '2' deficiency for physical plant safety.
Severity Breakdown
Class 3: 10
Class 4: 1
2: 1
Deficiencies (11)
| Description | Severity |
|---|---|
| Tag A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
| Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| Tag A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| Tag A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| Tag A0076 — DO NOT RESUSCITATE ORDERS (DNROS) | Class 3 |
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | 2 |
| Tag A0161 — RECORDS - STAFF | Class 3 |
| Tag AZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
Inspection Report
Complaint
Deficiencies: 2
Apr 20, 2016
Visit Reason
Two Class 3 deficiencies related to medication labeling and pharmacy/dietary uncorrected deficiencies.
Findings
Two Class 3 deficiencies related to medication labeling 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 |
Inspection Report
Complaint
Deficiencies: 2
Feb 18, 2016
Visit Reason
Two Class 3 deficiencies related to nursing services and medication administration.
Findings
Two Class 3 deficiencies related to nursing services and medication administration.
Severity Breakdown
Class 3: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0029 — RESIDENT CARE - NURSING SERVICES | Class 3 |
| Tag A0053 — MEDICATION - ADMINISTRATION | Class 3 |
Inspection Report
Standard
Deficiencies: 6
Oct 10, 2014
Visit Reason
Multiple Class 3 deficiencies involving resident care rights, staffing, training, and records.
Findings
Multiple Class 3 deficiencies involving resident care rights, staffing, training, and records.
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 A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| Tag A0161 — RECORDS - STAFF | Class 3 |
Inspection Report
Monitor
Deficiencies: 1
Dec 13, 2012
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Severity Breakdown
None: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| None | None |
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