Inspection Report Summary
The most recent inspection on March 14, 2024, found no deficiencies. Earlier inspections showed a pattern of cited deficiencies mostly related to staff training, resident records, and staffing standards, with no enforcement actions or fines listed in the available reports. Complaint investigations were conducted but were not substantiated, and no notable enforcement events appeared. Prior reports noted issues with Alzheimer’s disease and related dementias (ADRD) training, medication records, and facility procedures. The trend suggests improvement over time, with recent inspections consistently free of deficiencies.
Deficiencies (last 9 years)
Deficiencies (over 9 years)
2.1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
54% better than Florida average
Florida average: 4.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Deficiencies: 0
Date: Mar 14, 2024
Visit Reason
State-compiled facility profile showing multiple inspections from 2016 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 in various complaint, standard, and monitor inspections, with some later corrected.
Report Facts
Inspections on page: 38
Inspection Report
Standard
Deficiencies: 0
Date: Mar 14, 2024
Visit Reason
No deficiencies noted during this standard inspection.
Findings
No deficiencies noted during this standard inspection.
Inspection Report
Complaint
Deficiencies: 0
Date: Aug 25, 2023
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Complaint
Deficiencies: 0
Date: Jun 5, 2023
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Complaint
Deficiencies: 0
Date: Apr 26, 2023
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Complaint
Deficiencies: 1
Date: Mar 15, 2023
Visit Reason
One Class 3 deficiency related to ADRD training was cited.
Findings
One Class 3 deficiency related to ADRD training was cited.
Deficiencies (1)
Tag A0086 — TRAINING - ADRD
Inspection Report
Complaint
Deficiencies: 1
Date: Oct 5, 2022
Visit Reason
One Class 3 deficiency related to resident records was cited.
Findings
One Class 3 deficiency related to resident records was cited.
Deficiencies (1)
Tag A0162 — RECORDS - RESIDENT
Inspection Report
Standard
Deficiencies: 5
Date: Aug 10, 2022
Visit Reason
Multiple Class 3 deficiencies related to staffing, training, records, and background screening were cited.
Findings
Multiple Class 3 deficiencies related to staffing, training, records, and background screening were cited.
Deficiencies (5)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag A0160 — RECORDS - FACILITY
Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE
Inspection Report
Expansion
Deficiencies: 0
Date: Dec 20, 2021
Visit Reason
No deficiencies noted during this expansion inspection.
Findings
No deficiencies noted during this expansion inspection.
Inspection Report
Deficiencies: 0
Date: Feb 3, 2021
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Inspection Report
Standard
Deficiencies: 0
Date: Nov 5, 2020
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Inspection Report
Complaint
Deficiencies: 2
Date: Oct 14, 2019
Visit Reason
Two Class 3 deficiencies related to medication records and resident records were cited.
Findings
Two Class 3 deficiencies related to medication records and resident records were cited.
Deficiencies (2)
Tag A0054 — MEDICATION - RECORDS
Tag A0162 — RECORDS - RESIDENT
Inspection Report
Complaint
Deficiencies: 0
Date: Apr 12, 2019
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Inspection Report
Expansion
Deficiencies: 0
Date: Feb 22, 2019
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Inspection Report
Monitor
Deficiencies: 0
Date: Feb 22, 2019
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Inspection Report
Monitor
Deficiencies: 0
Date: Sep 12, 2018
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Inspection Report
Standard
Deficiencies: 6
Date: Mar 15, 2018
Visit Reason
Multiple Class 3 deficiencies related to staffing, training, ADRD, DNRO, HIV/AIDS training, and staff records were cited.
Findings
Multiple Class 3 deficiencies related to staffing, training, ADRD, DNRO, HIV/AIDS training, and staff records were cited.
Deficiencies (6)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0082 — TRAINING - HIV/AIDS
Tag A0086 — TRAINING - ADRD
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag A0161 — RECORDS - STAFF
Inspection Report
Complaint
Deficiencies: 1
Date: Nov 4, 2017
Visit Reason
One Class 3 deficiency related to resident care rights and facility procedures was cited.
Findings
One Class 3 deficiency related to resident care rights and facility procedures was cited.
Deficiencies (1)
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Inspection Report
Complaint
Deficiencies: 2
Date: Oct 10, 2017
Visit Reason
Two Class 3 deficiencies related to medication assistance and labeling were cited.
Findings
Two Class 3 deficiencies related to medication assistance and labeling were cited.
Deficiencies (2)
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag A0056 — MEDICATION - LABELING AND ORDERS
Inspection Report
Monitor
Deficiencies: 1
Date: Oct 10, 2017
Visit Reason
One Class 3 deficiency related to limited nursing services resident care standards was cited.
Findings
One Class 3 deficiency related to limited nursing services resident care standards was cited.
Deficiencies (1)
Tag AN277 — LNS - RESIDENT CARE STANDARDS
Inspection Report
Complaint
Deficiencies: 0
Date: Jun 12, 2017
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Inspection Report
Monitor
Deficiencies: 0
Date: Dec 15, 2016
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Inspection Report
Initial Licensure
Deficiencies: 0
Date: Jun 17, 2016
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
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