Inspection Report Summary
The most recent inspection on March 20, 2025, found no deficiencies during a complaint investigation. Earlier inspections showed a mix of deficiency citations and corrections, with issues mainly related to staffing standards and training, medication management, emergency planning, and recordkeeping. There were no fines, immediate jeopardy findings, or enforcement actions listed in the available reports. Most complaint investigations were unsubstantiated or resulted in corrected deficiencies, with one severity 2 deficiency noted in 2021 concerning resident care rights and facility procedures. The overall trend suggests some improvement, as recent complaint inspections have consistently found no deficiencies following earlier citations.
Deficiencies (last 6 years)
Deficiencies (over 6 years)
7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
52% worse than Florida average
Florida average: 4.6 deficiencies/yearDeficiencies per year
24
18
12
6
0
Inspection Report
Complaint
Deficiencies: 0
Date: Mar 20, 2025
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Complaint Investigation
Deficiencies: 23
Date: Mar 20, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2020 to 2025 with deficiency history and inspection statuses.
Findings
The facility underwent numerous inspections including complaint investigations, monitoring, and expansions with a mix of deficiency citations, corrections, and some inspections reporting no deficiencies.
Deficiencies (23)
Initial Licensure — No Deficiencies
Complaint — Deficiencies Cited
Monitor — Deficiencies Cited
Follow-up — Deficiencies Corrected
Complaint — Deficiencies Corrected
Complaint — Deficiencies Cited
Complaint — Deficiencies Corrected
Complaint — No Deficiencies
Expansion — Deficiencies Cited
Complaint — Deficiencies Cited
Expansion — Deficiencies Cited
Expansion — Deficiencies Corrected
Complaint — Deficiencies Corrected
Standard — Deficiencies Cited
Standard — Deficiencies Corrected
Complaint — Deficiencies Cited
Complaint — Deficiencies Corrected
Complaint — No Deficiencies
Standard — Deficiencies Cited
Standard — Deficiencies Cited
Standard — Deficiencies Corrected
Complaint — No Deficiencies
Complaint — No Deficiencies
Report Facts
Inspections on page: 23
Inspection Report
Complaint
Deficiencies: 0
Date: Dec 2, 2024
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Routine
Deficiencies: 4
Date: Jul 1, 2024
Visit Reason
Multiple Class 3 deficiencies related to staffing standards and training.
Findings
Multiple Class 3 deficiencies related to staffing standards and training.
Deficiencies (4)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0082 — TRAINING - HIV/AIDS
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Inspection Report
Routine
Deficiencies: 1
Date: May 9, 2024
Visit Reason
Class 3 deficiency related to staff records.
Findings
Class 3 deficiency related to staff records.
Deficiencies (1)
Tag A0161 — RECORDS - STAFF
Inspection Report
Complaint
Deficiencies: 0
Date: Jun 1, 2023
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Complaint
Deficiencies: 2
Date: Aug 26, 2022
Visit Reason
Class 3 deficiencies related to emergency plan approval and emergency environmental control.
Findings
Class 3 deficiencies related to emergency plan approval and emergency environmental control.
Deficiencies (2)
Tag A0181 — EMERGENCY PLAN APPROVAL
Tag A0200 — EMERGENCY ENVIRONMENTAL CONTROL
Inspection Report
Routine
Deficiencies: 2
Date: Jun 13, 2022
Visit Reason
Class 3 deficiencies related to medication storage and disposal and staff training.
Findings
Class 3 deficiencies related to medication storage and disposal and staff training.
Deficiencies (2)
Tag A0055 — MEDICATION - STORAGE AND DISPOSAL
Tag A0081 — TRAINING - STAFF IN-SERVICE
Inspection Report
Complaint
Deficiencies: 4
Date: Feb 1, 2022
Visit Reason
Class 3 deficiencies related to medication assistance, records, labeling, and facility records.
Findings
Class 3 deficiencies related to medication assistance, records, labeling, and facility records.
Deficiencies (4)
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag A0054 — MEDICATION - RECORDS
Tag A0056 — MEDICATION - LABELING AND ORDERS
Tag A0160 — RECORDS - FACILITY
Inspection Report
Expansion
Deficiencies: 2
Date: Dec 14, 2021
Visit Reason
Class 3 deficiencies related to first aid/CPR training and resident records.
Findings
Class 3 deficiencies related to first aid/CPR training and resident records.
Deficiencies (2)
Tag A0083 — TRAINING - FIRST AID AND CPR
Tag A0162 — RECORDS - RESIDENT
Inspection Report
Complaint
Deficiencies: 0
Date: Dec 14, 2021
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Complaint
Deficiencies: 1
Date: Jun 11, 2021
Visit Reason
Severity 2 deficiency related to resident care rights and facility procedures.
Findings
Severity 2 deficiency related to resident care rights and facility procedures.
Deficiencies (1)
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Inspection Report
Monitor
Deficiencies: 3
Date: Dec 22, 2020
Visit Reason
Class 3 deficiencies related to resident records and limited nursing services standards and staff training.
Findings
Class 3 deficiencies related to resident records and limited nursing services standards and staff training.
Deficiencies (3)
Tag A0162 — RECORDS - RESIDENT
Tag AN277 — LNS - RESIDENT CARE STANDARDS
Tag A0081 — TRAINING - STAFF IN-SERVICE
Inspection Report
Initial Licensure
Deficiencies: 0
Date: Jun 19, 2020
Visit Reason
No deficiencies noted during initial licensure inspection.
Findings
No deficiencies noted during initial licensure inspection.
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