Inspection Report Summary
The most recent routine inspection on November 14, 2023, found no deficiencies. Prior inspections showed a mix of results, with several reports citing deficiencies related mainly to medication assistance, staffing, training, records, and background screening compliance. Complaint investigations were generally unsubstantiated, and no fines, immediate jeopardy findings, or license actions were listed in the available reports. Earlier inspections noted some uncorrected pharmacy and dietary deficiencies, but these issues did not appear in recent years. The overall trend suggests improvement, with the facility addressing prior deficiencies and maintaining compliance in the most recent inspections.
Deficiencies (last 12 years)
Deficiencies (over 12 years)
5.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
22% worse than Florida average
Florida average: 4.6 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Routine
Deficiencies: 0
Nov 14, 2023
Visit Reason
No deficiencies noted during this inspection.
Findings
No deficiencies noted during this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 14, 2023
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2023 with deficiency history and inspection statuses.
Findings
The facility has undergone numerous inspections including complaint and monitoring types with a mix of deficiencies cited, corrected, and some inspections with no deficiencies noted over the years.
Report Facts
Inspections on page: 63
Inspection Report
Complaint
Deficiencies: 0
Jun 22, 2023
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Complaint
Deficiencies: 0
Aug 8, 2022
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Routine
Deficiencies: 10
Mar 24, 2022
Visit Reason
Multiple Class 3 and Unclassified deficiencies related to medication assistance, staffing, training, records, risk management, resident contracts, and background screening.
Findings
Multiple Class 3 and Unclassified deficiencies related to medication assistance, staffing, training, records, risk management, resident contracts, and background screening.
Severity Breakdown
Class 3: 7
Unclassified: 3
Deficiencies (10)
| Description | Severity |
|---|---|
| Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | 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 A0162 — RECORDS - RESIDENT | Class 3 |
| Tag A0165 — RISK MGMT & QA | Class 3 |
| Tag A0167 — RESIDENT CONTRACTS | Class 3 |
| Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
| Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Unclassified |
| Tag CZ830 — EMERGENCY MANAGEMENT PLANNING | Unclassified |
Inspection Report
Complaint
Deficiencies: 0
Mar 17, 2021
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Routine
Deficiencies: 12
Nov 10, 2020
Visit Reason
Multiple Class 3 and Unclassified deficiencies related to resident care, medication administration, staffing, training, records, and background screening compliance.
Findings
Multiple Class 3 and Unclassified deficiencies related to resident care, medication administration, staffing, training, records, and background screening compliance.
Severity Breakdown
Class 3: 11
Unclassified: 1
Deficiencies (12)
| Description | Severity |
|---|---|
| Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| Tag A0053 — MEDICATION - ADMINISTRATION | Class 3 |
| Tag A0077 — STAFFING STANDARDS - ADMINISTRATORS | Class 3 |
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0082 — TRAINING - HIV/AIDS | Class 3 |
| Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| Tag A0160 — RECORDS - FACILITY | Class 3 |
| Tag A0161 — RECORDS - STAFF | Class 3 |
| Tag A0162 — RECORDS - RESIDENT | Class 3 |
| Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Unclassified |
Inspection Report
Deficiencies: 0
Aug 5, 2020
Visit Reason
No deficiencies noted during this inspection.
Findings
No deficiencies noted during this inspection.
Inspection Report
Complaint
Deficiencies: 0
Jan 8, 2020
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Deficiencies: 1
Oct 29, 2019
Visit Reason
Class 3 deficiency related to pharmacy and dietary uncorrected deficiencies.
Findings
Class 3 deficiency related to pharmacy and dietary uncorrected deficiencies.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0058 — PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES | Class 3 |
Inspection Report
Complaint
Deficiencies: 11
Aug 6, 2019
Visit Reason
Multiple Class 3 and Class 4 deficiencies related to resident care, admissions, medication assistance, staffing, training, food service, emergency plan, environmental control, and background screening compliance.
Findings
Multiple Class 3 and Class 4 deficiencies related to resident care, admissions, medication assistance, staffing, training, food service, emergency plan, environmental control, and background screening compliance.
Severity Breakdown
Class 3: 9
Class 4: 2
Deficiencies (11)
| Description | Severity |
|---|---|
| Tag A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | 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 A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| Tag A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
| Tag A0200 — EMERGENCY ENVIRONMENTAL CONTROL | Class 3 |
| Tag CZ813 — RESULTS OF SCREENING & NOTIFICATION IN FILE | Class 4 |
| Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 4 |
Inspection Report
Complaint
Deficiencies: 0
Jan 24, 2019
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Complaint
Deficiencies: 7
Aug 6, 2018
Visit Reason
Multiple Class 3 deficiencies related to resident care rights, training, risk management, pharmacy and dietary uncorrected deficiencies, and background screening compliance.
Findings
Multiple Class 3 deficiencies related to resident care rights, training, risk management, pharmacy and dietary uncorrected deficiencies, and background screening compliance.
Severity Breakdown
Class 3: 7
Deficiencies (7)
| Description | Severity |
|---|---|
| Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| Tag A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT | Class 3 |
| Tag A0058 — PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES | Class 3 |
| Tag A0054 — MEDICATION - RECORDS | Class 3 |
| Tag A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 3 |
Inspection Report
Complaint
Deficiencies: 1
Jan 31, 2018
Visit Reason
Class 3 deficiency related to pharmacy and dietary uncorrected deficiencies.
Findings
Class 3 deficiency related to pharmacy and dietary uncorrected deficiencies.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0058 — PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES | Class 3 |
Inspection Report
Routine
Deficiencies: 1
Jan 31, 2018
Visit Reason
Class 3 deficiency related to admissions continued residency.
Findings
Class 3 deficiency related to admissions continued residency.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
Inspection Report
Complaint
Deficiencies: 3
Dec 13, 2017
Visit Reason
Multiple Class 3 deficiencies related to medication records, labeling and orders, and background screening compliance.
Findings
Multiple Class 3 deficiencies related to medication records, labeling and orders, and background screening compliance.
Severity Breakdown
Class 3: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Tag A0054 — MEDICATION - RECORDS | Class 3 |
| Tag A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 3 |
Inspection Report
Complaint
Deficiencies: 0
Sep 29, 2017
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Complaint
Deficiencies: 1
Mar 30, 2017
Visit Reason
Class 3 deficiency related to medication labeling and orders.
Findings
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 |
Inspection Report
Complaint
Deficiencies: 2
Feb 8, 2017
Visit Reason
Multiple Class 3 deficiencies related to medication assistance with self-admin and pharmacy & dietary uncorrected deficiencies.
Findings
Multiple Class 3 deficiencies related to medication assistance with self-admin and pharmacy & dietary uncorrected deficiencies.
Severity Breakdown
Class 3: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| Tag A0058 — PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES | Class 3 |
Inspection Report
Complaint
Deficiencies: 2
Dec 27, 2016
Visit Reason
Multiple Class 3 deficiencies related to resident care rights, medication records.
Findings
Multiple Class 3 deficiencies related to resident care rights, medication records.
Severity Breakdown
Class 3: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| Tag A0054 — MEDICATION - RECORDS | Class 3 |
Inspection Report
Complaint
Deficiencies: 0
Nov 16, 2016
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Routine
Deficiencies: 7
Mar 18, 2016
Visit Reason
Multiple Class 3 deficiencies related to staffing, training, food service, resident contracts, and ECC records.
Findings
Multiple Class 3 deficiencies related to staffing, training, food service, resident contracts, and ECC records.
Severity Breakdown
Class 3: 7
Deficiencies (7)
| Description | Severity |
|---|---|
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0082 — TRAINING - HIV/AIDS | Class 3 |
| Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| Tag A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| Tag A0167 — RESIDENT CONTRACTS | Class 3 |
| Tag AE208 — ECC - RECORDS | Class 3 |
Inspection Report
Complaint
Deficiencies: 1
Dec 9, 2015
Visit Reason
Class 3 deficiency related to admissions continued residency.
Findings
Class 3 deficiency related to admissions continued residency.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
Inspection Report
Complaint
Deficiencies: 0
Apr 21, 2015
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Complaint
Deficiencies: 0
Jan 9, 2015
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Complaint
Deficiencies: 0
Jul 24, 2014
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Routine
Deficiencies: 3
Apr 7, 2014
Visit Reason
Multiple Class 3 deficiencies related to training on do not resuscitate orders, documentation, monitoring, and ECC training.
Findings
Multiple Class 3 deficiencies related to training on do not resuscitate orders, documentation, monitoring, and ECC training.
Severity Breakdown
Class 3: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| Tag A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
| Tag AE210 — ECC - TRAINING | Class 3 |
Inspection Report
Deficiencies: 0
Nov 12, 2013
Visit Reason
No deficiencies noted during this monitor and complaint inspection.
Findings
No deficiencies noted during this monitor and complaint inspection.
Inspection Report
Complaint
Deficiencies: 0
Aug 20, 2013
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Deficiencies: 0
May 31, 2013
Visit Reason
No deficiencies noted during this monitor inspection.
Findings
No deficiencies noted during this monitor inspection.
Inspection Report
Deficiencies: 1
Jan 30, 2013
Visit Reason
Class 3 deficiency related to staffing standards for staff.
Findings
Class 3 deficiency related to staffing standards for staff.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
Inspection Report
Complaint
Deficiencies: 0
Jan 4, 2013
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Deficiencies: 4
Aug 30, 2012
Visit Reason
Multiple Class 3 deficiencies related to admissions criteria, training, ECC training, and medication assistance.
Findings
Multiple Class 3 deficiencies related to admissions criteria, training, ECC training, and medication assistance.
Severity Breakdown
Class 3: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Tag A0007 — ADMISSIONS - CRITERIA | Class 3 |
| Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| Tag AE210 — ECC - TRAINING | Class 3 |
| Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
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