Deficiencies (last 5 years)

Deficiencies (over 5 years) 4.4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

4% better than Florida average
Florida average: 4.6 deficiencies/year

Deficiencies per year

8 6 4 2 0
2014
2016
2019
2021
2024

Inspection Report

Deficiencies: 0 Date: Aug 13, 2024

Visit Reason
State-compiled facility profile showing 17 inspections from 2013 to 2024 with deficiency history.

Findings
Across multiple inspections from 2013 to 2024, the facility had a mix of no deficiencies, deficiencies cited, and deficiencies corrected, indicating variable compliance over time.

Report Facts
Inspections on page: 17

Inspection Report

Routine
Deficiencies: 5 Date: Apr 30, 2024

Visit Reason
Multiple Class 3 and Class 4 deficiencies related to medication records, staff training, and facility records were identified.

Findings
Multiple Class 3 and Class 4 deficiencies related to medication records, staff training, and facility records were identified.

Deficiencies (5)
Tag A0054 — MEDICATION - RECORDS
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag A0160 — RECORDS - FACILITY
Tag A0161 — RECORDS - STAFF

Inspection Report

Routine
Deficiencies: 3 Date: Nov 12, 2021

Visit Reason
Class 3 and unclassified deficiencies related to medication storage, emergency environmental control, and emergency management planning were found.

Findings
Class 3 and unclassified deficiencies related to medication storage, emergency environmental control, and emergency management planning were found.

Deficiencies (3)
Tag A0055 — MEDICATION - STORAGE AND DISPOSAL
Tag A0200 — EMERGENCY ENVIRONMENTAL CONTROL
Tag CZ830 — EMERGENCY MANAGEMENT PLANNING

Inspection Report

Routine
Deficiencies: 8 Date: Jul 23, 2019

Visit Reason
Class 3 deficiencies involving medication assistance, storage, staffing, training, dietary standards, records, emergency control, and background screening were identified.

Findings
Class 3 deficiencies involving medication assistance, storage, staffing, training, dietary standards, records, emergency control, and background screening were identified.

Deficiencies (8)
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag A0055 — MEDICATION - STORAGE AND DISPOSAL
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0093 — FOOD SERVICE - DIETARY STANDARDS
Tag A0160 — RECORDS - FACILITY
Tag A0200 — EMERGENCY ENVIRONMENTAL CONTROL
Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION

Inspection Report

Complaint
Deficiencies: 2 Date: Oct 25, 2016

Visit Reason
Class 3 deficiencies related to staffing standards and training for medication assistance were noted.

Findings
Class 3 deficiencies related to staffing standards and training for medication assistance were noted.

Deficiencies (2)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT

Inspection Report

Monitor
Deficiencies: 3 Date: Jun 23, 2014

Visit Reason
Class 3 deficiencies involving medication assistance, medication records, and staffing levels were identified.

Findings
Class 3 deficiencies involving medication assistance, medication records, and staffing levels were identified.

Deficiencies (3)
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag A0054 — MEDICATION - RECORDS
Tag A0079 — STAFFING STANDARDS - LEVELS

Inspection Report

Routine
Deficiencies: 1 Date: Jan 23, 2014

Visit Reason
Class 3 deficiency related to admissions and continued residency was found.

Findings
Class 3 deficiency related to admissions and continued residency was found.

Deficiencies (1)
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY

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