Inspection Reports for The Summit of Winter Garden

FL, 34787

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Inspection Report Summary

The most recent inspection on October 7, 2025, was a complaint investigation and did not identify any deficiencies. Prior inspections showed a pattern of deficiencies mainly related to resident care, medication management, training, and physical plant safety. Complaint investigations were generally unsubstantiated, and no fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. Earlier reports noted issues with staffing, background screening, and emergency preparedness as well. The facility’s record shows ongoing citations over time without a clear trend of improvement or worsening.

Deficiencies (last 7 years)

Deficiencies (over 7 years) 4.7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

2% worse than Florida average
Florida average: 4.6 deficiencies/year

Deficiencies per year

8 6 4 2 0
2018
2019
2021
2022
2023
2024
2025

Inspection Report

Complaint
Deficiencies: 0 Date: Oct 7, 2025

Visit Reason
State-compiled facility profile showing multiple inspections from 2017 to 2025 with deficiency history and inspection statuses.

Findings
The facility has undergone numerous inspections including initial licensure, monitoring, standard, and complaint investigations with a mix of no deficiencies, deficiencies cited, and deficiencies corrected across the years.

Report Facts
Inspections on page: 26

Inspection Report

Complaint
Deficiencies: 1 Date: Aug 13, 2025

Visit Reason
One Class 3 deficiency related to physical plant safe living environment was found.

Findings
One Class 3 deficiency related to physical plant safe living environment was found.

Deficiencies (1)
Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER

Inspection Report

Annual Inspection
Deficiencies: 4 Date: Mar 27, 2024

Visit Reason
Five Class 3 deficiencies related to resident care, medication records, medication storage, and training were found.

Findings
Five Class 3 deficiencies related to resident care, medication records, medication storage, and training were found.

Deficiencies (4)
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0054 — MEDICATION - RECORDS
Tag A0055 — MEDICATION - STORAGE AND DISPOSAL
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT

Inspection Report

Complaint
Deficiencies: 0 Date: Dec 7, 2023

Visit Reason
No deficiencies noted.

Findings
No deficiencies noted.

Inspection Report

Follow-Up
Deficiencies: 5 Date: Jun 23, 2022

Visit Reason
Five deficiencies found including four Class 3 and one Unclassified related to licensure, emergency control, resident care standards, background screening, and visitation.

Findings
Five deficiencies found including four Class 3 and one Unclassified related to licensure, emergency control, resident care standards, background screening, and visitation.

Deficiencies (5)
Tag A0004 — LICENSURE - REQUIREMENTS
Tag A0200 — EMERGENCY ENVIRONMENTAL CONTROL
Tag AN277 — LNS - RESIDENT CARE STANDARDS
Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION
Tag CZ841 — IN-PERSON VISITATION

Inspection Report

Standard
Deficiencies: 7 Date: Feb 3, 2022

Visit Reason
Eight Class 3 and one Class 4 deficiencies related to admissions, resident care, medication, training, records, emergency planning, and pharmacy/dietary were found.

Findings
Eight Class 3 and one Class 4 deficiencies related to admissions, resident care, medication, training, records, emergency planning, and pharmacy/dietary were found.

Deficiencies (7)
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0054 — MEDICATION - RECORDS
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag A0161 — RECORDS - STAFF
Tag CZ830 — EMERGENCY MANAGEMENT PLANNING
Tag A0058 — PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES

Inspection Report

Complaint
Deficiencies: 6 Date: Dec 13, 2021

Visit Reason
Multiple Class 3 and Class 4 deficiencies related to staffing, medication, records, and background screening were found.

Findings
Multiple Class 3 and Class 4 deficiencies related to staffing, medication, records, and background screening were found.

Deficiencies (6)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0079 — STAFFING STANDARDS - LEVELS
Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE
Tag A0054 — MEDICATION - RECORDS
Tag A0162 — RECORDS - RESIDENT
Tag A0056 — MEDICATION - LABELING AND ORDERS

Inspection Report

Complaint
Deficiencies: 4 Date: Sep 1, 2021

Visit Reason
Three Class 3 deficiencies related to resident care supervision, rights, and medication assistance were found.

Findings
Three Class 3 deficiencies related to resident care supervision, rights, and medication assistance were found.

Deficiencies (4)
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag A0056 — MEDICATION - LABELING AND ORDERS

Inspection Report

Standard
Deficiencies: 5 Date: Sep 18, 2019

Visit Reason
Four deficiencies including three Class 3 and one Class 4 related to admissions, resident care, medication, and background screening were found.

Findings
Four deficiencies including three Class 3 and one Class 4 related to admissions, resident care, medication, and background screening were found.

Deficiencies (5)
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0055 — MEDICATION - STORAGE AND DISPOSAL
Tag A0056 — MEDICATION - LABELING AND ORDERS
Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE

Inspection Report

Monitor
Deficiencies: 1 Date: Nov 15, 2018

Visit Reason
One Class 3 deficiency related to staffing standards was found.

Findings
One Class 3 deficiency related to staffing standards was found.

Deficiencies (1)
Tag A0078 — STAFFING STANDARDS - STAFF

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