Inspection Reports for
Spring Hills Lake Mary

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

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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 Date: Oct 3, 2025

Visit Reason
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 Date: 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

Deficiencies (20)
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0032 — RESIDENT CARE - ELOPEMENT STANDARDS
Tag A0034 — ASSISTIVE DEVICES
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag A0054 — MEDICATION - RECORDS
Tag A0056 — MEDICATION - LABELING AND ORDERS
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0082 — TRAINING - HIV/AIDS
Tag A0083 — TRAINING - FIRST AID AND CPR
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag A0093 — FOOD SERVICE - DIETARY STANDARDS
Tag AN278 — LNS - RECORDS
Tag ZZ000 — INITIAL COMMENTS
Tag ZZ841 — IN-PERSON VISITATION
Tag ZZ875 — ALZHEIMER DISEASE/DEMENTIA; TRAINING

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: Oct 14, 2024

Visit Reason
Class 3 deficiency related to background screening with correction date provided

Findings
Class 3 deficiency related to background screening with correction date provided

Deficiencies (1)
Tag CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES

Inspection Report

Follow-Up
Deficiencies: 2 Date: Sep 25, 2024

Visit Reason
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

Deficiencies (2)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT

Inspection Report

Routine
Deficiencies: 10 Date: 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

Deficiencies (10)
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0032 — RESIDENT CARE - ELOPEMENT STANDARDS
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0082 — TRAINING - HIV/AIDS
Tag A0086 — TRAINING - ADRD
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag AN278 — LNS - RECORDS
Tag CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES

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