Inspection Reports for The Sarah House IV
30 FOREST COURT, ORMOND BEACH, FL, 32174
Back to Facility ProfileInspection Report Summary
The most recent inspection on October 12, 2022, identified one deficiency related to the background screening clearinghouse. Earlier inspections showed a pattern of deficiencies mostly involving medication management, resident records, infection control, and emergency planning. There were no fines, immediate jeopardy findings, or enforcement actions listed in the available reports. Complaint investigations were generally unsubstantiated or did not result in deficiencies. The facility’s inspection history shows ongoing issues in similar areas over time without a clear trend of improvement or worsening.
Deficiencies (last 7 years)
Deficiencies (over 7 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
35% better than Florida average
Florida average: 4.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Complaint
Deficiencies: 1
Date: Oct 12, 2022
Visit Reason
One deficiency related to background screening clearinghouse with unclassified severity.
Findings
One deficiency related to background screening clearinghouse with unclassified severity.
Deficiencies (1)
Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE
Inspection Report
Routine
Deficiencies: 2
Date: Oct 7, 2021
Visit Reason
Two Class 3 deficiencies related to infection control procedures and resident records.
Findings
Two Class 3 deficiencies related to infection control procedures and resident records.
Deficiencies (2)
Tag A0036 — INFECTION CONTROL PROCEDURES
Tag A0162 — RECORDS - RESIDENT
Inspection Report
Complaint
Deficiencies: 2
Date: Aug 18, 2020
Visit Reason
Two Class 3 deficiencies related to medication labeling/orders and emergency management planning.
Findings
Two Class 3 deficiencies related to medication labeling/orders and emergency management planning.
Deficiencies (2)
Tag A0056 — MEDICATION - LABELING AND ORDERS
Tag CZ830 — EMERGENCY MANAGEMENT PLANNING
Inspection Report
Complaint
Deficiencies: 2
Date: Feb 25, 2020
Visit Reason
Two Class 3 deficiencies related to medication assistance and medication records.
Findings
Two Class 3 deficiencies related to medication assistance and medication records.
Deficiencies (2)
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag A0054 — MEDICATION - RECORDS
Inspection Report
Complaint
Deficiencies: 0
Date: Oct 15, 2019
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Inspection Report
Complaint
Deficiencies: 1
Date: May 30, 2019
Visit Reason
One Class 3 deficiency related to resident records.
Findings
One Class 3 deficiency related to resident records.
Deficiencies (1)
Tag A0162 — RECORDS - RESIDENT
Inspection Report
Routine
Deficiencies: 2
Date: Mar 1, 2019
Visit Reason
Two deficiencies: one Class 4 for risk management and one Class 3 for emergency environmental control.
Findings
Two deficiencies: one Class 4 for risk management and one Class 3 for emergency environmental control.
Deficiencies (2)
Tag A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT
Tag A0200 — EMERGENCY ENVIRONMENTAL CONTROL
Inspection Report
Complaint
Deficiencies: 0
Date: Dec 12, 2017
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Inspection Report
Complaint
Deficiencies: 0
Date: May 17, 2017
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Inspection Report
Routine
Deficiencies: 7
Date: Mar 1, 2017
Visit Reason
Multiple Class 3 deficiencies related to admissions, resident care, medication assistance, training, and records.
Findings
Multiple Class 3 deficiencies related to admissions, resident care, medication assistance, training, and records.
Deficiencies (7)
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag A0083 — TRAINING - FIRST AID AND CPR
Tag A0085 — TRAINING - NUTRITION & FOOD SERVICE
Tag A0162 — RECORDS - RESIDENT
Inspection Report
Complaint
Deficiencies: 4
Date: Sep 9, 2016
Visit Reason
Four deficiencies: three Class 3 and one Class 4 related to staffing, records, risk management, and background screening compliance.
Findings
Four deficiencies: three Class 3 and one Class 4 related to staffing, records, risk management, and background screening compliance.
Deficiencies (4)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0160 — RECORDS - FACILITY
Tag A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT
Tag AZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION
Inspection Report
Complaint
Deficiencies: 0
Date: Sep 14, 2015
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Inspection Report
Deficiencies: 0
Date: Mar 31, 2015
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Report
Reports Summary
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