Inspection Reports for Radiance of Gainesville a Memory Care Community

4607 NW 53RD AVENUE, GAINESVILLE, FL, 32606-4357

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Inspection Report Summary

The most recent inspection on February 11, 2025, cited one Class 3 deficiency related to risk management and quality assurance. Earlier inspections showed a pattern of deficiencies primarily involving staff training, including Do Not Resuscitate orders and Alzheimer’s disease/dementia training, as well as staffing standards and admissions processes. Complaint investigations were mostly unsubstantiated, and no fines, immediate jeopardy findings, or license actions were listed in the available reports. Prior reports also noted issues with resident care rights, records management, and physical plant safety on occasion. The facility’s inspection history shows recurring training and staffing-related deficiencies without a clear trend of improvement or worsening over time.

Deficiencies (last 14 years)

Deficiencies (over 14 years) 2.9 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

37% better than Florida average
Florida average: 4.6 deficiencies/year

Deficiencies per year

8 6 4 2 0
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025

Inspection Report

Complaint
Deficiencies: 1 Date: Feb 11, 2025

Visit Reason
One Class 3 deficiency related to risk management and quality assurance was cited.

Findings
One Class 3 deficiency related to risk management and quality assurance was cited.

Deficiencies (1)
Tag A0165 — RISK MGMT & QA

Inspection Report

Standard
Deficiencies: 3 Date: Nov 21, 2024

Visit Reason
Multiple Class 3 deficiencies related to staffing standards, training including Do Not Resuscitate orders, and Alzheimer disease/dementia training.

Findings
Multiple Class 3 deficiencies related to staffing standards, training including Do Not Resuscitate orders, and Alzheimer disease/dementia training.

Deficiencies (3)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag ZZ875 — ALZHEIMER DISEASE/DEMENTIA; TRAINING

Inspection Report

Complaint
Deficiencies: 0 Date: May 9, 2024

Visit Reason
No deficiencies noted.

Findings
No deficiencies noted.

Inspection Report

Complaint
Deficiencies: 0 Date: Feb 6, 2024

Visit Reason
No deficiencies noted.

Findings
No deficiencies noted.

Inspection Report

Complaint
Deficiencies: 0 Date: Oct 10, 2023

Visit Reason
No deficiencies noted.

Findings
No deficiencies noted.

Inspection Report

Standard
Deficiencies: 3 Date: Mar 22, 2023

Visit Reason
Three Class 3 deficiencies related to staff in-service training, HIV/AIDS training, and Do Not Resuscitate orders training.

Findings
Three Class 3 deficiencies related to staff in-service training, HIV/AIDS training, and Do Not Resuscitate orders training.

Deficiencies (3)
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0082 — TRAINING - HIV/AIDS
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS

Inspection Report

Complaint
Deficiencies: 0 Date: Jul 8, 2022

Visit Reason
No deficiencies noted.

Findings
No deficiencies noted.

Inspection Report

Standard
Deficiencies: 6 Date: Mar 5, 2021

Visit Reason
Multiple Class 3 deficiencies related to admissions, staffing standards, staff in-service training, HIV/AIDS training, assistance with self-administered meds, and Alzheimer’s disease training.

Findings
Multiple Class 3 deficiencies related to admissions, staffing standards, staff in-service training, HIV/AIDS training, assistance with self-administered meds, and Alzheimer’s disease training.

Deficiencies (6)
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0082 — TRAINING - HIV/AIDS
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Tag A0086 — TRAINING - ADRD

Inspection Report

Complaint
Deficiencies: 0 Date: Dec 22, 2020

Visit Reason
No deficiencies noted.

Findings
No deficiencies noted.

Inspection Report

Complaint
Deficiencies: 0 Date: Nov 25, 2020

Visit Reason
No deficiencies noted.

Findings
No deficiencies noted.

Inspection Report

Complaint
Deficiencies: 0 Date: Mar 17, 2020

Visit Reason
No deficiencies noted.

Findings
No deficiencies noted.

Inspection Report

Complaint
Deficiencies: 0 Date: Apr 1, 2019

Visit Reason
No deficiencies noted.

Findings
No deficiencies noted.

Inspection Report

Standard
Deficiencies: 0 Date: Jul 26, 2018

Visit Reason
No deficiencies noted.

Findings
No deficiencies noted.

Inspection Report

Monitor
Deficiencies: 1 Date: Apr 13, 2018

Visit Reason
One Class 3 deficiency related to admissions and continued residency.

Findings
One Class 3 deficiency related to admissions and continued residency.

Deficiencies (1)
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY

Inspection Report

Monitor
Deficiencies: 2 Date: Dec 26, 2017

Visit Reason
Two Class 3 deficiencies related to limited nursing services records and resident care supervision.

Findings
Two Class 3 deficiencies related to limited nursing services records and resident care supervision.

Deficiencies (2)
Tag AN278 — LNS - RECORDS
Tag A0025 — RESIDENT CARE - SUPERVISION

Inspection Report

Standard
Deficiencies: 7 Date: Nov 17, 2016

Visit Reason
Multiple Class 3 deficiencies related to admissions, medication storage, staffing standards, staff in-service training, Do Not Resuscitate orders training, limited nursing services records, and one Class 4 deficiency for background screening.

Findings
Multiple Class 3 deficiencies related to admissions, medication storage, staffing standards, staff in-service training, Do Not Resuscitate orders training, limited nursing services records, and one Class 4 deficiency for background screening.

Deficiencies (7)
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Tag A0055 — MEDICATION - STORAGE AND DISPOSAL
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag AN278 — LNS - RECORDS
Tag CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES

Inspection Report

Complaint
Deficiencies: 2 Date: Jul 14, 2016

Visit Reason
Two Class 3 deficiencies related to resident rights and facility procedures and physical plant safe living environment.

Findings
Two Class 3 deficiencies related to resident rights and facility procedures and physical plant safe living environment.

Deficiencies (2)
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER

Inspection Report

Complaint
Deficiencies: 1 Date: Nov 6, 2015

Visit Reason
One Class 3 deficiency related to resident contracts.

Findings
One Class 3 deficiency related to resident contracts.

Deficiencies (1)
Tag A0167 — RESIDENT CONTRACTS

Inspection Report

Complaint
Deficiencies: 3 Date: Apr 6, 2015

Visit Reason
Three Class 3 deficiencies related to admissions, staff records, and resident records.

Findings
Three Class 3 deficiencies related to admissions, staff records, and resident records.

Deficiencies (3)
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Tag A0161 — RECORDS - STAFF
Tag A0162 — RECORDS - RESIDENT

Inspection Report

Complaint
Deficiencies: 1 Date: Feb 11, 2015

Visit Reason
One Class 3 deficiency related to risk management and quality assurance.

Findings
One Class 3 deficiency related to risk management and quality assurance.

Deficiencies (1)
Tag A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT

Inspection Report

Standard
Deficiencies: 7 Date: Nov 19, 2014

Visit Reason
Multiple Class 3 deficiencies related to admissions, resident care rights, staff in-service training, Alzheimer’s disease training, Do Not Resuscitate orders training, dietary standards, and one Class 4 deficiency for resident records.

Findings
Multiple Class 3 deficiencies related to admissions, resident care rights, staff in-service training, Alzheimer’s disease training, Do Not Resuscitate orders training, dietary standards, and one Class 4 deficiency for resident records.

Deficiencies (7)
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0086 — TRAINING - ADRD
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag A0093 — FOOD SERVICE - DIETARY STANDARDS
Tag A0162 — RECORDS - RESIDENT

Inspection Report

Monitor
Deficiencies: 0 Date: Aug 1, 2014

Visit Reason
No deficiencies noted.

Findings
No deficiencies noted.

Inspection Report

Monitor
Deficiencies: 0 Date: Oct 8, 2013

Visit Reason
No deficiencies noted.

Findings
No deficiencies noted.

Inspection Report

Standard
Deficiencies: 3 Date: Nov 6, 2012

Visit Reason
Three deficiencies: one with severity '2' and two Class 3 related to resident care rights, medication records, and staff records.

Findings
Three deficiencies: one with severity '2' and two Class 3 related to resident care rights, medication records, and staff records.

Deficiencies (3)
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0054 — MEDICATION - RECORDS
Tag A0161 — RECORDS - STAFF

Inspection Report

Monitor
Deficiencies: 0 Date: Sep 5, 2012

Visit Reason
No deficiencies noted.

Findings
No deficiencies noted.

Report

Reports Summary

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