Inspection Reports for Gardens of Westbrooke LLC
6701 DAIRY ROAD, ZEPHYRHILLS, FL, 33542
Back to Facility ProfileInspection Report Summary
The most recent inspection on September 5, 2025, had no deficiencies noted. Earlier inspections showed a pattern of Class 3 deficiencies primarily related to resident care, medication management—including records, storage, labeling, and assistance with self-administration—and facility procedures. Complaint investigations did not result in any substantiated findings, and enforcement actions such as fines or license suspensions were not listed in the available reports. Prior reports also noted issues with staffing, training, and background screening, but these were not present in recent inspections. The absence of deficiencies in the latest report suggests improvement compared to previous inspections.
Deficiencies (last 8 years)
Deficiencies (over 8 years)
5.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
17% worse than Florida average
Florida average: 4.6 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Complaint
Deficiencies: 1
Date: Sep 5, 2025
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Deficiencies (1)
None
Inspection Report
Standard
Deficiencies: 4
Date: Jan 31, 2025
Visit Reason
Multiple Class 3 deficiencies related to resident care, medication records, storage, and pharmacy.
Findings
Multiple Class 3 deficiencies related to resident care, medication records, storage, and pharmacy.
Deficiencies (4)
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0054 — MEDICATION - RECORDS
Tag A0055 — MEDICATION - STORAGE AND DISPOSAL
Tag A0058 — PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES
Inspection Report
Standard
Deficiencies: 3
Date: Dec 16, 2024
Visit Reason
Class 3 deficiencies related to admissions, medication assistance, and labeling.
Findings
Class 3 deficiencies related to admissions, medication assistance, and labeling.
Deficiencies (3)
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag A0056 — MEDICATION - LABELING AND ORDERS
Inspection Report
Complaint
Deficiencies: 2
Date: Jun 10, 2024
Visit Reason
Class 3 deficiencies related to resident care rights and facility procedures and records.
Findings
Class 3 deficiencies related to resident care rights and facility procedures and records.
Deficiencies (2)
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0160 — RECORDS - FACILITY
Inspection Report
Complaint
Deficiencies: 2
Date: Mar 4, 2024
Visit Reason
Class 3 deficiencies related to resident care supervision and medication assistance.
Findings
Class 3 deficiencies related to resident care supervision and medication assistance.
Deficiencies (2)
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Inspection Report
Complaint
Deficiencies: 1
Date: Sep 12, 2023
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Deficiencies (1)
None
Inspection Report
Complaint
Deficiencies: 1
Date: Jan 17, 2023
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Deficiencies (1)
None
Inspection Report
Standard
Deficiencies: 1
Date: Nov 29, 2022
Visit Reason
Class 3 deficiency related to medication assistance with self-administration.
Findings
Class 3 deficiency related to medication assistance with self-administration.
Deficiencies (1)
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Inspection Report
Expansion
Deficiencies: 7
Date: Dec 21, 2021
Visit Reason
Multiple Class 3 and one Unclassified deficiencies related to staffing, training, background screening, and extended congregate care.
Findings
Multiple Class 3 and one Unclassified deficiencies related to staffing, training, background screening, and extended congregate care.
Deficiencies (7)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0083 — TRAINING - FIRST AID AND CPR
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag AE210 — ECC - TRAINING
Tag CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES
Inspection Report
Complaint
Deficiencies: 1
Date: Sep 24, 2021
Visit Reason
Class 3 deficiency related to resident refund policy.
Findings
Class 3 deficiency related to resident refund policy.
Deficiencies (1)
Tag A0170 — RESIDENT REFUND POLICY
Inspection Report
Standard
Deficiencies: 12
Date: Jan 22, 2020
Visit Reason
Multiple Class 3 and Class 4 deficiencies related to medication, staffing, training, records, background screening, and physical plant safety.
Findings
Multiple Class 3 and Class 4 deficiencies related to medication, staffing, training, records, background screening, and physical plant safety.
Deficiencies (12)
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 A0093 — FOOD SERVICE - DIETARY STANDARDS
Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER
Tag A0160 — RECORDS - FACILITY
Tag A0162 — RECORDS - RESIDENT
Tag CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES
Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION
Inspection Report
Monitor
Deficiencies: 1
Date: Jul 25, 2019
Visit Reason
Class 3 deficiency related to emergency management plan implementation.
Findings
Class 3 deficiency related to emergency management plan implementation.
Deficiencies (1)
Tag A0182 — EMERGENCY MGMT - PLAN IMPLEMENTATION
Inspection Report
Complaint
Deficiencies: 2
Date: May 6, 2019
Visit Reason
Class 3 deficiencies related to medication labeling and training for self-administered meds.
Findings
Class 3 deficiencies related to medication labeling and training for self-administered meds.
Deficiencies (2)
Tag A0056 — MEDICATION - LABELING AND ORDERS
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Inspection Report
Complaint
Deficiencies: 2
Date: Nov 13, 2018
Visit Reason
Class 3 deficiencies related to resident care supervision and resident rights.
Findings
Class 3 deficiencies related to resident care supervision and resident rights.
Deficiencies (2)
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Inspection Report
Complaint
Deficiencies: 3
Date: Feb 8, 2018
Visit Reason
Class 3 deficiencies related to resident care rights, medication administration, and medication storage.
Findings
Class 3 deficiencies related to resident care rights, medication administration, and medication storage.
Deficiencies (3)
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0053 — MEDICATION - ADMINISTRATION
Tag A0055 — MEDICATION - STORAGE AND DISPOSAL
Report
Reports Summary
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