Inspection Reports for
Gardens of Westbrooke LLC
6701 DAIRY ROAD, ZEPHYRHILLS, FL, 33542
Back to Facility ProfileDeficiencies (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
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