Inspection Reports for Golden Pond Communities
402 LAKEVIEW ROAD, WINTER GARDEN, FL, 34787
Back to Facility ProfileInspection Report Summary
The most recent inspection on February 6, 2025, cited four Class 3 deficiencies related to training, food service, physical plant safety, and resident care standards. Earlier inspections showed a recurring pattern of deficiencies primarily involving resident care, staffing, training, medication management, and background screening. Complaint investigations were mostly unsubstantiated, and no fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. Prior reports occasionally noted issues with admissions and emergency preparedness as well. The facility’s inspection history shows ongoing challenges in several operational areas without a clear trend of improvement or worsening over time.
Deficiencies (last 10 years)
Deficiencies (over 10 years)
8.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
85% worse than Florida average
Florida average: 4.6 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Routine
Deficiencies: 4
Date: Feb 6, 2025
Visit Reason
Four Class 3 deficiencies related to training, food service, physical plant safety, and resident care standards were cited with correction dates in April 2025.
Findings
Four Class 3 deficiencies related to training, food service, physical plant safety, and resident care standards were cited with correction dates in April 2025.
Deficiencies (4)
Tag A0083 — TRAINING - FIRST AID AND CPR
Tag A0093 — FOOD SERVICE - DIETARY STANDARDS
Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER
Tag AN277 — LNS - RESIDENT CARE STANDARDS
Inspection Report
Complaint
Deficiencies: 1
Date: Aug 5, 2021
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Deficiencies (1)
Tag None — None
Inspection Report
Routine
Deficiencies: 7
Date: Apr 27, 2021
Visit Reason
One Class 4 and multiple Class 3 deficiencies related to resident care, medication, staffing, training, and background screening were cited with correction dates in June 2021.
Findings
One Class 4 and multiple Class 3 deficiencies related to resident care, medication, staffing, training, and background screening were cited with correction dates in June 2021.
Deficiencies (7)
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0055 — MEDICATION - STORAGE AND DISPOSAL
Tag A0056 — MEDICATION - LABELING AND ORDERS
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0086 — TRAINING - ADRD
Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION
Inspection Report
Monitor
Deficiencies: 1
Date: Dec 22, 2020
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Deficiencies (1)
Tag None — None
Inspection Report
Complaint
Deficiencies: 1
Date: Dec 10, 2020
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Deficiencies (1)
Tag None — None
Inspection Report
Complaint
Deficiencies: 2
Date: Jul 30, 2020
Visit Reason
Two Class 3 deficiencies related to admissions and emergency environmental control were cited with correction dates in September 2020.
Findings
Two Class 3 deficiencies related to admissions and emergency environmental control were cited with correction dates in September 2020.
Deficiencies (2)
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Tag A0200 — EMERGENCY ENVIRONMENTAL CONTROL
Inspection Report
Complaint
Deficiencies: 5
Date: Apr 3, 2020
Visit Reason
Multiple Class 3 and one Class 4 deficiencies related to resident care, medication, administrative enforcement, and background screening were cited with correction dates in July 2020.
Findings
Multiple Class 3 and one Class 4 deficiencies related to resident care, medication, administrative enforcement, and background screening were cited with correction dates in July 2020.
Deficiencies (5)
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0054 — MEDICATION - RECORDS
Tag A0190 — ADMINISTRATIVE ENFORCEMENT
Tag CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES
Inspection Report
Complaint
Deficiencies: 11
Date: Feb 13, 2020
Visit Reason
Multiple Class 3 and Class 4 deficiencies related to resident care, medication, staffing, training, and background screening were cited with correction dates in August and October 2020.
Findings
Multiple Class 3 and Class 4 deficiencies related to resident care, medication, staffing, training, and background screening were cited with correction dates in August and October 2020.
Deficiencies (11)
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0053 — MEDICATION - ADMINISTRATION
Tag A0054 — MEDICATION - RECORDS
Tag A0056 — MEDICATION - LABELING AND ORDERS
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0079 — STAFFING STANDARDS - LEVELS
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag A0091 — TRAINING - DOCUMENTATION & MONITORING
Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION
Inspection Report
Monitor
Deficiencies: 1
Date: Dec 22, 2019
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Deficiencies (1)
Tag None — None
Inspection Report
Complaint
Deficiencies: 1
Date: Aug 14, 2019
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Deficiencies (1)
Tag None — None
Inspection Report
Routine
Deficiencies: 4
Date: Jan 16, 2019
Visit Reason
Multiple Class 3 and Class 4 deficiencies related to resident care, training, and background screening were cited with correction dates in March 2019.
Findings
Multiple Class 3 and Class 4 deficiencies related to resident care, training, and background screening were cited with correction dates in March 2019.
Deficiencies (4)
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE
Inspection Report
Complaint
Deficiencies: 1
Date: Nov 27, 2018
Visit Reason
One Class 2 deficiency related to resident care supervision was cited with correction date in January 2019.
Findings
One Class 2 deficiency related to resident care supervision was cited with correction date in January 2019.
Deficiencies (1)
Tag A0025 — RESIDENT CARE - SUPERVISION
Inspection Report
Complaint
Deficiencies: 9
Date: Aug 7, 2018
Visit Reason
Multiple Class 3 deficiencies related to admissions, medication, staffing, food service, records, and emergency plan approval were cited with correction dates in October 2018 and January 2019.
Findings
Multiple Class 3 deficiencies related to admissions, medication, staffing, food service, records, and emergency plan approval were cited with correction dates in October 2018 and January 2019.
Deficiencies (9)
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag A0056 — MEDICATION - LABELING AND ORDERS
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0093 — FOOD SERVICE - DIETARY STANDARDS
Tag AN278 — LNS - RECORDS
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0181 — EMERGENCY PLAN APPROVAL
Tag A0168 — RESIDENT REFUND POLICY
Inspection Report
Monitor
Deficiencies: 1
Date: Aug 7, 2018
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Deficiencies (1)
Tag None — None
Inspection Report
Complaint
Deficiencies: 1
Date: Dec 1, 2016
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Deficiencies (1)
Tag None — None
Inspection Report
Complaint
Deficiencies: 1
Date: Aug 29, 2016
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Deficiencies (1)
Tag None — None
Inspection Report
Complaint
Deficiencies: 4
Date: Feb 5, 2016
Visit Reason
Multiple Class 2 and Class 3 deficiencies related to admissions, resident care, risk management, and contracts were cited with correction dates in July 2017.
Findings
Multiple Class 2 and Class 3 deficiencies related to admissions, resident care, risk management, and contracts were cited with correction dates in July 2017.
Deficiencies (4)
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT
Tag A0167 — RESIDENT CONTRACTS
Inspection Report
Complaint
Deficiencies: 4
Date: May 29, 2015
Visit Reason
Multiple Class 2 and Class 3 deficiencies related to admissions, resident care, risk management, and contracts were cited with correction dates in September 2015.
Findings
Multiple Class 2 and Class 3 deficiencies related to admissions, resident care, risk management, and contracts were cited with correction dates in September 2015.
Deficiencies (4)
Tag A0007 — ADMISSIONS - CRITERIA
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT
Inspection Report
Routine
Deficiencies: 5
Date: Feb 9, 2015
Visit Reason
Multiple Class 3 and Class 4 deficiencies related to admissions, DNROs, food service, resident contracts, and records were cited with correction dates in April 2015.
Findings
Multiple Class 3 and Class 4 deficiencies related to admissions, DNROs, food service, resident contracts, and records were cited with correction dates in April 2015.
Deficiencies (5)
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Tag A0076 — DO NOT RESUSCITATE ORDERS (DNROS)
Tag A0093 — FOOD SERVICE - DIETARY STANDARDS
Tag A0167 — RESIDENT CONTRACTS
Tag AN278 — LNS - RECORDS
Inspection Report
Monitor
Deficiencies: 3
Date: Dec 30, 2014
Visit Reason
Multiple Class 3 deficiencies related to staffing and training were cited with correction dates in March 2015.
Findings
Multiple Class 3 deficiencies related to staffing and training were cited with correction dates in March 2015.
Deficiencies (3)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0089 — ALZHEIMER'S/OTHER DISORDERS - SPECIAL CARE
Tag A0161 — RECORDS - STAFF
Inspection Report
Complaint
Deficiencies: 3
Date: Mar 6, 2014
Visit Reason
Multiple Class 2 and Class 3 deficiencies related to admissions, resident care, and records were cited with correction dates in April 2014.
Findings
Multiple Class 2 and Class 3 deficiencies related to admissions, resident care, and records were cited with correction dates in April 2014.
Deficiencies (3)
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Inspection Report
Complaint
Deficiencies: 1
Date: Sep 12, 2013
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Deficiencies (1)
Tag None — None
Inspection Report
Monitor
Deficiencies: 6
Date: Aug 1, 2013
Visit Reason
Multiple Class 3 and Class 4 deficiencies related to staffing, training, and records were cited with correction dates in September 2013.
Findings
Multiple Class 3 and Class 4 deficiencies related to staffing, training, and records were cited with correction dates in September 2013.
Deficiencies (6)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0082 — TRAINING - HIV/AIDS
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Tag A0161 — RECORDS - STAFF
Tag A0163 — RECORDS - RESIDENT, PENALTIES FOR ALTERATION
Tag AN277 — LNS - RESIDENT CARE STANDARDS
Inspection Report
Routine
Deficiencies: 6
Date: Jan 29, 2013
Visit Reason
Multiple Class 3 and Class 4 deficiencies related to medication assistance, records, staffing, food service, and resident contracts were cited with correction dates in April 2013.
Findings
Multiple Class 3 and Class 4 deficiencies related to medication assistance, records, staffing, food service, and resident contracts were cited with correction dates in April 2013.
Deficiencies (6)
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag A0054 — MEDICATION - RECORDS
Tag A0056 — MEDICATION - LABELING AND ORDERS
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0093 — FOOD SERVICE - DIETARY STANDARDS
Tag A0167 — RESIDENT CONTRACTS
Inspection Report
Monitor
Deficiencies: 1
Date: Jul 13, 2012
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Deficiencies (1)
Tag None — None
Inspection Report
Monitor
Deficiencies: 1
Date: Jun 6, 2012
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Deficiencies (1)
Tag None — None
Report
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