Inspection Report Summary
The most recent inspection on August 7, 2024, noted deficiencies that were cited and corrected. Earlier inspections showed a pattern of deficiencies primarily related to resident care, staff training, staffing levels, background screening, and emergency management. Complaint investigations did not result in any substantiated findings, and no enforcement actions or fines were listed in the available reports. Prior reports included multiple Class 3 deficiencies but no immediate jeopardy or license actions. The facility’s inspection history shows recurring issues in similar areas, with some improvements noted between inspections but ongoing challenges in maintaining full compliance.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
8.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
80% worse than Florida average
Florida average: 4.6 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Deficiencies: 0
Date: Aug 7, 2024
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2024 with deficiency history and inspection statuses.
Findings
Across the inspections, the facility had periods with no deficiencies, cited deficiencies, and corrected deficiencies. Deficiencies were cited and corrected multiple times over the years, with the most recent inspections showing both cited and corrected deficiencies.
Report Facts
Inspections on page: 66
Inspection Report
Complaint
Deficiencies: 1
Date: Jun 25, 2024
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Deficiencies (1)
Tag None — None
Inspection Report
Annual Inspection
Deficiencies: 13
Date: Apr 18, 2024
Visit Reason
Multiple Class 3 deficiencies related to resident care, training, staffing, and background screening.
Findings
Multiple Class 3 deficiencies related to resident care, training, staffing, and background screening.
Deficiencies (13)
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0032 — RESIDENT CARE - ELOPEMENT STANDARDS
Tag A0053 — MEDICATION - ADMINISTRATION
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0082 — TRAINING - HIV/AIDS
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag A0093 — FOOD SERVICE - DIETARY STANDARDS
Tag A0161 — RECORDS - STAFF
Tag AE210 — ECC - TRAINING
Tag CZ000 — INITIAL COMMENTS
Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION
Inspection Report
Monitor
Deficiencies: 1
Date: Aug 29, 2023
Visit Reason
No deficiencies noted during this monitoring inspection.
Findings
No deficiencies noted during this monitoring inspection.
Deficiencies (1)
Tag None — None
Inspection Report
Complaint
Deficiencies: 2
Date: Jul 31, 2023
Visit Reason
Class 3 deficiencies related to risk management and emergency plan approval.
Findings
Class 3 deficiencies related to risk management and emergency plan approval.
Deficiencies (2)
Tag A0165 — RISK MGMT & QA
Tag A0181 — EMERGENCY PLAN APPROVAL
Inspection Report
Monitor
Deficiencies: 1
Date: Sep 26, 2022
Visit Reason
No deficiencies noted during this monitoring inspection.
Findings
No deficiencies noted during this monitoring inspection.
Deficiencies (1)
Tag None — None
Inspection Report
Complaint
Deficiencies: 1
Date: Mar 31, 2022
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Deficiencies (1)
Tag None — None
Inspection Report
Annual Inspection
Deficiencies: 6
Date: Mar 3, 2022
Visit Reason
Multiple Class 3 deficiencies related to training, records, emergency management, and background screening.
Findings
Multiple Class 3 deficiencies related to training, records, emergency management, and background screening.
Deficiencies (6)
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0082 — TRAINING - HIV/AIDS
Tag A0086 — TRAINING - ADRD
Tag A0162 — RECORDS - RESIDENT
Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION
Tag CZ830 — EMERGENCY MANAGEMENT PLANNING
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