Inspection Report Summary
The most recent inspection on August 26, 2024, noted a deficiency that was cited and corrected. Earlier inspections showed a pattern of deficiencies related primarily to staffing, staff training, emergency management, and background screening, with some issues also involving resident care and administrative procedures. Complaint investigations did not identify any substantiated complaints, and enforcement actions such as fines were noted in prior reports but were not listed in the most recent inspections. Inspectors cited multiple Class 3 and Class 4 deficiencies over time, but these were addressed through corrections without license suspensions or immediate jeopardy findings. The facility’s inspection history shows ongoing challenges in staffing and training, with some improvement indicated by the correction of recent deficiencies.
Deficiencies (last 6 years)
Deficiencies (over 6 years)
6.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
37% worse than Florida average
Florida average: 4.6 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Deficiencies: 1
Aug 26, 2024
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2024 with deficiency history and correction status.
Findings
The facility has a history of deficiencies cited and corrected across numerous inspections spanning over a decade, with some inspections reporting no deficiencies.
Deficiencies (1)
| Description |
|---|
| Deficiencies cited or corrected as noted in Statements of Deficiencies across multiple inspections |
Report Facts
Inspections on page: 24
Inspection Report
Routine
Deficiencies: 7
Jun 24, 2024
Visit Reason
Multiple Class 3 and Unclassified deficiencies related to staffing, training, emergency management, and background screening.
Findings
Multiple Class 3 and Unclassified deficiencies related to staffing, training, emergency management, and background screening.
Severity Breakdown
Class 3: 6
Unclassified: 1
Deficiencies (7)
| Description | Severity |
|---|---|
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0082 — TRAINING - HIV/AIDS | Class 3 |
| Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Unclassified |
| Tag CZ830 — EMERGENCY MANAGEMENT PLANNING | Class 3 |
Inspection Report
Complaint Investigation
Deficiencies: 1
Feb 23, 2022
Visit Reason
Class 3 deficiency related to resident care rights and facility procedures.
Findings
Class 3 deficiency related to resident care rights and facility procedures.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
Inspection Report
Routine
Deficiencies: 8
Apr 29, 2021
Visit Reason
Multiple Class 4 and Unclassified deficiencies including resident care, staffing, training, records, and background screening.
Findings
Multiple Class 4 and Unclassified deficiencies including resident care, staffing, training, records, and background screening.
Severity Breakdown
Class 4: 5
Unclassified: 3
Deficiencies (8)
| Description | Severity |
|---|---|
| Tag A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 4 |
| Tag A0077 — STAFFING STANDARDS - ADMINISTRATORS | Class 4 |
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 4 |
| Tag A0080 — TRAINING - CORE & COMPETENCY TEST | Class 4 |
| Tag A0161 — RECORDS - STAFF | Class 4 |
| Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
| Tag CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Unclassified |
| Tag CZ830 — EMERGENCY MANAGEMENT PLANNING | Unclassified |
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 18, 2020
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Inspection Report
Complaint Investigation
Deficiencies: 2
Jul 31, 2019
Visit Reason
Class 3 deficiencies related to admissions and DNRO policies.
Findings
Class 3 deficiencies related to admissions and DNRO policies.
Severity Breakdown
2: 1
Class 3: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY | 2 |
| Tag A0076 — DO NOT RESUSCITATE ORDERS (DNROS) | Class 3 |
Inspection Report
Routine
Deficiencies: 17
Feb 19, 2019
Visit Reason
Multiple Class 3 and Class 4 deficiencies related to admissions, medication, staffing, training, food service, emergency planning, and administrative fines.
Findings
Multiple Class 3 and Class 4 deficiencies related to admissions, medication, staffing, training, food service, emergency planning, and administrative fines.
Severity Breakdown
Class 3: 14
Class 4: 3
Deficiencies (17)
| Description | Severity |
|---|---|
| Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 4 |
| Tag A0054 — MEDICATION - RECORDS | Class 3 |
| Tag A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| Tag A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag A0079 — STAFFING STANDARDS - LEVELS | Class 3 |
| Tag A0082 — TRAINING - HIV/AIDS | Class 3 |
| Tag A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| Tag A0092 — FOOD SERVICE - GENERAL RESPONSIBILITIES | Class 3 |
| Tag A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| Tag A0094 — FOOD SERVICE - FOOD HYGIENE | Class 4 |
| Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| Tag A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
| Tag A0200 — EMERGENCY ENVIRONMENTAL CONTROL | Class 3 |
| Tag CZ828 — ADMINISTRATIVE FINES; VIOLATIONS | Class 4 |
Inspection Report
Complaint Investigation
Deficiencies: 2
Nov 9, 2018
Visit Reason
Class 3 and Class 4 deficiencies related to resident care supervision and background screening.
Findings
Class 3 and Class 4 deficiencies related to resident care supervision and background screening.
Severity Breakdown
2: 1
Class 4: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0025 — RESIDENT CARE - SUPERVISION | 2 |
| Tag CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
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