Inspection Reports for The Springs Lady Lake Assisted Living Facility and Rehab
620 GRIFFIN AVE, LADY LAKE, FL, 32159-8103
Back to Facility ProfileInspection Report Summary
The most recent inspection on September 11, 2024, found no deficiencies during a complaint investigation. Earlier inspections showed a pattern of deficiencies primarily related to resident care, medication management, staffing standards, and staff training. There were no fines, immediate jeopardy findings, or enforcement actions listed in the available reports. Complaint investigations were generally unsubstantiated, with no notable substantiated cases reported. The facility appears to have improved recently, as the latest inspection was clean following some prior citations in these areas.
Deficiencies (last 12 years)
Deficiencies (over 12 years)
2.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
43% better than Florida average
Florida average: 4.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Complaint
Deficiencies: 0
Date: Sep 11, 2024
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Jan 31, 2024
Visit Reason
Two Class 3 deficiencies related to resident care and medication training.
Findings
Two Class 3 deficiencies related to resident care and medication training.
Deficiencies (2)
Tag A0026 — RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Oct 3, 2023
Visit Reason
Two Class 3 deficiencies related to staffing standards and staff in-service training.
Findings
Two Class 3 deficiencies related to staffing standards and staff in-service training.
Deficiencies (2)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Feb 21, 2023
Visit Reason
No deficiencies noted during this standard inspection.
Findings
No deficiencies noted during this standard inspection.
Inspection Report
Complaint
Deficiencies: 0
Date: Feb 3, 2022
Visit Reason
No deficiencies noted during complaint and expansion inspections.
Findings
No deficiencies noted during complaint and expansion inspections.
Inspection Report
Annual Inspection
Deficiencies: 6
Date: Oct 26, 2021
Visit Reason
Multiple Class 3 deficiencies related to infection control, staffing, training, and ECC training.
Findings
Multiple Class 3 deficiencies related to infection control, staffing, training, and ECC training.
Deficiencies (6)
Tag A0036 — INFECTION CONTROL PROCEDURES
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0082 — TRAINING - HIV/AIDS
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag AE210 — ECC - TRAINING
Inspection Report
Complaint
Deficiencies: 1
Date: May 18, 2021
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
Complaint
Deficiencies: 0
Date: Jul 23, 2020
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Mar 12, 2019
Visit Reason
No deficiencies noted during this standard inspection.
Findings
No deficiencies noted during this standard inspection.
Inspection Report
Complaint
Deficiencies: 4
Date: Dec 27, 2018
Visit Reason
Four Class 3 deficiencies related to admissions, resident care supervision, and medication.
Findings
Four Class 3 deficiencies related to admissions, resident care supervision, and medication.
Deficiencies (4)
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag A0054 — MEDICATION - RECORDS
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Aug 14, 2018
Visit Reason
No deficiencies noted during this standard inspection.
Findings
No deficiencies noted during this standard inspection.
Inspection Report
Monitor
Deficiencies: 0
Date: May 15, 2018
Visit Reason
No deficiencies noted during this monitor inspection.
Findings
No deficiencies noted during this monitor inspection.
Inspection Report
Complaint
Deficiencies: 2
Date: Feb 7, 2018
Visit Reason
Two Class 3 deficiencies related to physical plant safety and risk management.
Findings
Two Class 3 deficiencies related to physical plant safety and risk management.
Deficiencies (2)
Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER
Tag A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT
Inspection Report
Complaint
Deficiencies: 0
Date: May 12, 2017
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Mar 23, 2017
Visit Reason
Two Class 3 deficiencies related to admissions criteria and continued residency.
Findings
Two Class 3 deficiencies related to admissions criteria and continued residency.
Deficiencies (2)
Tag A0007 — ADMISSIONS - CRITERIA
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Inspection Report
Monitor
Deficiencies: 1
Date: Oct 19, 2015
Visit Reason
One Class 3 deficiency related to medication storage and disposal.
Findings
One Class 3 deficiency related to medication storage and disposal.
Deficiencies (1)
Tag A0055 — MEDICATION - STORAGE AND DISPOSAL
Inspection Report
Annual Inspection
Deficiencies: 5
Date: May 6, 2015
Visit Reason
Multiple Class 3 deficiencies and one Class 4 deficiency related to medication administration, labeling, training, and food service.
Findings
Multiple Class 3 deficiencies and one Class 4 deficiency related to medication administration, labeling, training, and food service.
Deficiencies (5)
Tag A0053 — MEDICATION - ADMINISTRATION
Tag A0056 — MEDICATION - LABELING AND ORDERS
Tag A0091 — TRAINING - DOCUMENTATION & MONITORING
Tag A0093 — FOOD SERVICE - DIETARY STANDARDS
Tag AE207 — ECC - SERVICES
Inspection Report
Monitor
Deficiencies: 0
Date: Mar 16, 2015
Visit Reason
No deficiencies noted during this monitor inspection.
Findings
No deficiencies noted during this monitor inspection.
Inspection Report
Monitor
Deficiencies: 1
Date: Dec 16, 2014
Visit Reason
One Class 3 deficiency related to ECC health assessment.
Findings
One Class 3 deficiency related to ECC health assessment.
Deficiencies (1)
Tag AE205 — ECC - HEALTH ASSESSMENT
Inspection Report
Monitor
Deficiencies: 0
Date: Sep 29, 2014
Visit Reason
No deficiencies noted during this monitor inspection.
Findings
No deficiencies noted during this monitor inspection.
Inspection Report
Monitor
Deficiencies: 0
Date: Apr 8, 2014
Visit Reason
No deficiencies noted during this monitor inspection.
Findings
No deficiencies noted during this monitor inspection.
Inspection Report
Monitor
Deficiencies: 2
Date: Oct 25, 2013
Visit Reason
Two Class 3 deficiencies related to ECC health assessment and service plans.
Findings
Two Class 3 deficiencies related to ECC health assessment and service plans.
Deficiencies (2)
Tag AE205 — ECC - HEALTH ASSESSMENT
Tag AE206 — ECC - SERVICE PLANS
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Apr 10, 2013
Visit Reason
Three deficiencies related to admissions criteria, resident rights, and medication administration with two Class 3 and one numeric severity.
Findings
Three deficiencies related to admissions criteria, resident rights, and medication administration with two Class 3 and one numeric severity.
Deficiencies (3)
Tag A0007 — ADMISSIONS - CRITERIA
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0053 — MEDICATION - ADMINISTRATION
Inspection Report
Monitor
Deficiencies: 0
Date: Jul 5, 2012
Visit Reason
No deficiencies noted during this monitor inspection.
Findings
No deficiencies noted during this monitor inspection.
Report
Reports Summary
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