Inspection Reports for The Waterford at Carpenter’s Creek

FL, 32503

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Inspection Report Summary

The most recent inspection on October 8, 2024, found no deficiencies. Earlier inspections showed a mix of findings, with some citations related to staffing standards, risk management, medication administration, and resident care rights. Inspectors cited issues primarily in staffing, medication management, and quality assurance, with no enforcement actions or fines listed in the available reports. Complaint investigations were generally unsubstantiated or did not result in additional deficiencies. The facility’s record shows some recurring themes but no clear pattern of worsening or improvement over time.

Deficiencies (last 8 years)

Deficiencies (over 8 years) 2.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

50% better than Florida average
Florida average: 4.6 deficiencies/year

Deficiencies per year

4 3 2 1 0
2013
2014
2015
2016
2020
2022
2023
2024
Inspection Report Complaint Deficiencies: 0 Oct 8, 2024
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No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report Standard Deficiencies: 0 Oct 8, 2024
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State-compiled facility profile showing multiple inspections from 2012 to 2024 with deficiency history and inspection statuses.
Findings
Across the inspections from 2012 to 2024, the facility had a mix of deficiency findings including cited, corrected, and no deficiencies. The most recent inspections in 2024 showed both deficiencies cited and no deficiencies.
Report Facts
Inspections on page: 44
Inspection Report Annual Inspection Deficiencies: 1 Jul 25, 2024
Visit Reason
One Class 3 deficiency related to staffing standards was cited.
Findings
One Class 3 deficiency related to staffing standards was cited.
Severity Breakdown
Class 3: 1
Deficiencies (1)
DescriptionSeverity
Tag A0078 — STAFFING STANDARDS - STAFFClass 3
Inspection Report Complaint Deficiencies: 1 Dec 7, 2023
Visit Reason
One Class 3 deficiency related to risk management and quality assurance was cited.
Findings
One Class 3 deficiency related to risk management and quality assurance was cited.
Severity Breakdown
Class 3: 1
Deficiencies (1)
DescriptionSeverity
Tag A0165 — RISK MGMT & QAClass 3
Inspection Report Complaint Deficiencies: 1 Oct 5, 2022
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One Class 3 deficiency related to self-administered medications was cited.
Findings
One Class 3 deficiency related to self-administered medications was cited.
Severity Breakdown
Class 3: 1
Deficiencies (1)
DescriptionSeverity
Tag A0050 — MEDICATION - SELF ADMINISTERED MEDICATIONSClass 3
Inspection Report Complaint Deficiencies: 1 Jun 29, 2022
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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.
Severity Breakdown
Class 3: 1
Deficiencies (1)
DescriptionSeverity
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURESClass 3
Inspection Report Annual Inspection Deficiencies: 4 Feb 4, 2020
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Five deficiencies cited: three Class 3 and two Class 4 related to staff training, emergency environmental control, and background screening.
Findings
Five deficiencies cited: three Class 3 and two Class 4 related to staff training, emergency environmental control, and background screening.
Severity Breakdown
Class 3: 2 Class 4: 2
Deficiencies (4)
DescriptionSeverity
Tag A0081 — TRAINING - STAFF IN-SERVICEClass 3
Tag A0200 — EMERGENCY ENVIRONMENTAL CONTROLClass 3
Tag CZ813 — RESULTS OF SCREENING & NOTIFICATION IN FILEClass 4
Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSEClass 4
Inspection Report Change Of Ownership Deficiencies: 3 Jul 14, 2016
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Three deficiencies cited: one Class 3 and two Class 4 related to dietary standards and background screening.
Findings
Three deficiencies cited: one Class 3 and two Class 4 related to dietary standards and background screening.
Severity Breakdown
Class 3: 1 Class 4: 2
Deficiencies (3)
DescriptionSeverity
Tag A0093 — FOOD SERVICE - DIETARY STANDARDSClass 3
Tag AZ814 — BACKGROUND SCREENING CLEARINGHOUSEClass 4
Tag AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSESClass 4
Inspection Report Complaint Deficiencies: 1 Jun 8, 2016
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.
Severity Breakdown
Class 3: 1
Deficiencies (1)
DescriptionSeverity
Tag AN277 — LNS - RESIDENT CARE STANDARDSClass 3
Inspection Report Standard Deficiencies: 3 Dec 16, 2015
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Three Class 3 deficiencies related to resident care rights, medication assistance, and medication storage were cited.
Findings
Three Class 3 deficiencies related to resident care rights, medication assistance, and medication storage were cited.
Severity Breakdown
Class 3: 3
Deficiencies (3)
DescriptionSeverity
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURESClass 3
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMINClass 3
Tag A0055 — MEDICATION - STORAGE AND DISPOSALClass 3
Inspection Report Standard Deficiencies: 2 Jan 28, 2014
Visit Reason
Two Class 3 deficiencies related to admissions continued residency and emergency care AED were cited.
Findings
Two Class 3 deficiencies related to admissions continued residency and emergency care AED were cited.
Severity Breakdown
Class 3: 2
Deficiencies (2)
DescriptionSeverity
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCYClass 3
Tag A0075 — USE OF PERSONNEL; EMERGENCY CARE (AED)Class 3
Inspection Report Standard Deficiencies: 1 Jan 29, 2013
Visit Reason
One Class 3 deficiency related to limited nursing services records was cited.
Findings
One Class 3 deficiency related to limited nursing services records was cited.
Severity Breakdown
Class 3: 1
Deficiencies (1)
DescriptionSeverity
Tag AN278 — LNS - RECORDSClass 3

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