Inspection Reports for
The Springs Lady Lake Assisted Living Facility and Rehab

620 GRIFFIN AVE, LADY LAKE, FL, 32159-8103

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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/year

Deficiencies per year

8 6 4 2 0
2012
2013
2014
2015
2017
2018
2019
2020
2021
2022
2023
2024

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

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