Inspection Reports for Spring Hills Lake Mary

3655 W Lake Mary Blvd, Lake Mary, FL 32746, United States, FL, 32746

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Inspection Report Summary

The most recent inspection on October 3, 2025, identified multiple deficiencies related to admissions, resident care, medication, staffing, and training. Earlier inspections showed a pattern of similar issues, including staffing standards, training, resident care, medication management, and background screening, with correction dates noted for many citations. Complaint investigations were not listed in the available reports. No fines, immediate jeopardy findings, or license actions were mentioned in the reports. The inspection history indicates ongoing challenges in several operational areas without a clear trend of improvement or worsening over time.

Deficiencies (last 3 years)

Deficiencies (over 3 years) 11 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

139% worse than Florida average
Florida average: 4.6 deficiencies/year

Deficiencies per year

20 15 10 5 0
2023
2024
2025
Inspection Report Deficiencies: 0 Oct 3, 2025
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State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
The facility has undergone numerous inspections including complaint and standard types, with a mix of deficiencies cited, corrected, and no deficiencies found across the years. Deficiencies have been cited frequently, with some inspections showing corrections and others no deficiencies.
Report Facts
Inspections on page: 69
Inspection Report Routine Deficiencies: 20 Oct 3, 2025
Visit Reason
Numerous Class 3 deficiencies related to admissions, resident care, medication, staffing, and training identified during standard inspection
Findings
Numerous Class 3 deficiencies related to admissions, resident care, medication, staffing, and training identified during standard inspection
Severity Breakdown
Class 3: 19 1: 1 : 1
Deficiencies (20)
DescriptionSeverity
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENTClass 3
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCYClass 3
Tag A0025 — RESIDENT CARE - SUPERVISION2
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES1
Tag A0032 — RESIDENT CARE - ELOPEMENT STANDARDSClass 3
Tag A0034 — ASSISTIVE DEVICESClass 3
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMINClass 3
Tag A0054 — MEDICATION - RECORDSClass 3
Tag A0056 — MEDICATION - LABELING AND ORDERSClass 3
Tag A0078 — STAFFING STANDARDS - STAFFClass 3
Tag A0081 — TRAINING - STAFF IN-SERVICEClass 3
Tag A0082 — TRAINING - HIV/AIDSClass 3
Tag A0083 — TRAINING - FIRST AID AND CPRClass 3
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMTClass 3
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERSClass 3
Tag A0093 — FOOD SERVICE - DIETARY STANDARDSClass 3
Tag AN278 — LNS - RECORDSClass 3
Tag ZZ000 — INITIAL COMMENTS
Tag ZZ841 — IN-PERSON VISITATIONClass 3
Tag ZZ875 — ALZHEIMER DISEASE/DEMENTIA; TRAININGClass 3
Inspection Report Complaint Investigation Deficiencies: 1 Oct 14, 2024
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Class 3 deficiency related to background screening with correction date provided
Findings
Class 3 deficiency related to background screening with correction date provided
Severity Breakdown
Class 3: 1
Deficiencies (1)
DescriptionSeverity
Tag CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSESClass 3
Inspection Report Follow-Up Deficiencies: 2 Sep 25, 2024
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Class 3 deficiencies related to staffing standards and training with correction dates
Findings
Class 3 deficiencies related to staffing standards and training with correction dates
Severity Breakdown
Class 3: 2
Deficiencies (2)
DescriptionSeverity
Tag A0078 — STAFFING STANDARDS - STAFFClass 3
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMTClass 3
Inspection Report Routine Deficiencies: 10 Oct 24, 2023
Visit Reason
Multiple Class 3 deficiencies related to resident care, medication, staffing, training, and background screening with correction dates
Findings
Multiple Class 3 deficiencies related to resident care, medication, staffing, training, and background screening with correction dates
Severity Breakdown
Class 3: 9 Unclassified: 1
Deficiencies (10)
DescriptionSeverity
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURESClass 3
Tag A0032 — RESIDENT CARE - ELOPEMENT STANDARDSClass 3
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMINClass 3
Tag A0078 — STAFFING STANDARDS - STAFFClass 3
Tag A0081 — TRAINING - STAFF IN-SERVICEClass 3
Tag A0082 — TRAINING - HIV/AIDSClass 3
Tag A0086 — TRAINING - ADRDClass 3
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERSClass 3
Tag AN278 — LNS - RECORDSClass 3
Tag CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSESUnclassified

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