Inspection Reports for
Golden Pond Communities

402 LAKEVIEW ROAD, WINTER GARDEN, FL, 34787

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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/year

Deficiencies per year

20 15 10 5 0
2012
2013
2014
2015
2016
2018
2019
2020
2021
2025

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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