Inspection Report Summary
The most recent inspection on February 26, 2025, found no deficiencies. Earlier inspections showed a pattern of deficiencies primarily related to staffing standards, resident care supervision, training, and records management. Prior reports also noted issues with medication assistance, licensure requirements, and facility procedures. Complaint investigations were not substantiated or not listed in the available reports. The trend suggests some improvement as recent inspections have fewer or no deficiencies compared to earlier years.
Deficiencies (last 10 years)
Deficiencies (over 10 years)
6.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
41% worse than Florida average
Florida average: 4.6 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Standard
Deficiencies: 0
Date: Feb 26, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
The facility has undergone numerous inspections including complaint, standard, and monitoring types with a mix of deficiency findings: some inspections cited deficiencies, others corrected them, and several had no deficiencies noted.
Report Facts
Inspections on page: 49
Inspection Report
Routine
Deficiencies: 7
Date: Jan 7, 2025
Visit Reason
Multiple Class 3 deficiencies related to licensure, admissions, resident care, medication assistance, staffing, and records were identified.
Findings
Multiple Class 3 deficiencies related to licensure, admissions, resident care, medication assistance, staffing, and records were identified.
Deficiencies (7)
Tag A0004 — LICENSURE - REQUIREMENTS
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0160 — RECORDS - FACILITY
Tag CZ821 — REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION
Inspection Report
Monitor
Deficiencies: 0
Date: May 7, 2024
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Inspection Report
Complaint
Deficiencies: 1
Date: Nov 3, 2023
Visit Reason
Class 3 deficiency related to resident care rights and facility procedures.
Findings
Class 3 deficiency related to resident care rights and facility procedures.
Deficiencies (1)
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Inspection Report
Routine
Deficiencies: 2
Date: Feb 23, 2023
Visit Reason
Class 3 deficiency for staffing standards and unclassified deficiency for background screening clearinghouse.
Findings
Class 3 deficiency for staffing standards and unclassified deficiency for background screening clearinghouse.
Deficiencies (2)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE
Inspection Report
Complaint
Deficiencies: 2
Date: Aug 18, 2021
Visit Reason
Class 3 deficiencies related to licensure requirements and resident care supervision.
Findings
Class 3 deficiencies related to licensure requirements and resident care supervision.
Deficiencies (2)
Tag A0004 — LICENSURE - REQUIREMENTS
Tag A0025 — RESIDENT CARE - SUPERVISION
Inspection Report
Routine
Deficiencies: 6
Date: Apr 15, 2021
Visit Reason
Multiple Class 3 and Class 4 deficiencies related to resident care supervision, elopement standards, staffing, training, and resident records.
Findings
Multiple Class 3 and Class 4 deficiencies related to resident care supervision, elopement standards, staffing, training, and resident records.
Deficiencies (6)
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0032 — RESIDENT CARE - ELOPEMENT STANDARDS
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0083 — TRAINING - FIRST AID AND CPR
Tag A0162 — RECORDS - RESIDENT
Inspection Report
Complaint
Deficiencies: 1
Date: Aug 27, 2020
Visit Reason
Class 3 deficiency related to resident care rights and facility procedures.
Findings
Class 3 deficiency related to resident care rights and facility procedures.
Deficiencies (1)
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Inspection Report
Deficiencies: 4
Date: Oct 7, 2019
Visit Reason
Class 3 and Class 4 deficiencies related to staffing standards, training, and background screening.
Findings
Class 3 and Class 4 deficiencies related to staffing standards, training, and background screening.
Deficiencies (4)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0086 — TRAINING - ADRD
Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE
Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION
Inspection Report
Routine
Deficiencies: 17
Date: Dec 19, 2018
Visit Reason
Multiple Class 3 and Class 4 deficiencies related to training, records, medication, staffing, and extended congregate care.
Findings
Multiple Class 3 and Class 4 deficiencies related to training, records, medication, staffing, and extended congregate care.
Deficiencies (17)
Tag A0091 — TRAINING - DOCUMENTATION & MONITORING
Tag A0160 — RECORDS - FACILITY
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0055 — MEDICATION - STORAGE AND DISPOSAL
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0082 — TRAINING - HIV/AIDS
Tag A0083 — TRAINING - FIRST AID AND CPR
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Tag A0086 — TRAINING - ADRD
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER
Tag A0162 — RECORDS - RESIDENT
Tag AE203 — ECC - STAFFING REQUIREMENTS
Tag AE210 — ECC - TRAINING
Inspection Report
Monitor
Deficiencies: 5
Date: Mar 27, 2018
Visit Reason
Class 3 deficiencies related to staffing standards and training.
Findings
Class 3 deficiencies related to staffing standards and training.
Deficiencies (5)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag AE210 — ECC - TRAINING
Inspection Report
Complaint
Deficiencies: 1
Date: Jan 30, 2018
Visit Reason
Class 3 deficiencies related to emergency plan approval.
Findings
Class 3 deficiencies related to emergency plan approval.
Deficiencies (1)
Tag A0181 — EMERGENCY PLAN APPROVAL
Inspection Report
Complaint
Deficiencies: 2
Date: Dec 5, 2016
Visit Reason
Class 3 deficiencies related to resident care supervision and resident records.
Findings
Class 3 deficiencies related to resident care supervision and resident records.
Deficiencies (2)
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0162 — RECORDS - RESIDENT
Inspection Report
Routine
Deficiencies: 3
Date: Dec 5, 2016
Visit Reason
Class 3 deficiencies related to medication records, labeling, and resident contracts.
Findings
Class 3 deficiencies related to medication records, labeling, and resident contracts.
Deficiencies (3)
Tag A0054 — MEDICATION - RECORDS
Tag A0056 — MEDICATION - LABELING AND ORDERS
Tag A0167 — RESIDENT CONTRACTS
Inspection Report
Monitor
Deficiencies: 6
Date: Sep 29, 2014
Visit Reason
Class 3 and Class 4 deficiencies related to staffing, training, documentation, and background screening.
Findings
Class 3 and Class 4 deficiencies related to staffing, training, documentation, and background screening.
Deficiencies (6)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag A0091 — TRAINING - DOCUMENTATION & MONITORING
Tag AE210 — ECC - TRAINING
Tag AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES
Inspection Report
Monitor
Deficiencies: 6
Date: Feb 26, 2014
Visit Reason
Class 3 deficiencies related to staff in-service training, HIV/AIDS training, medication assistance, do not resuscitate orders training, documentation, and extended congregate care training.
Findings
Class 3 deficiencies related to staff in-service training, HIV/AIDS training, medication assistance, do not resuscitate orders training, documentation, and extended congregate care training.
Deficiencies (6)
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0082 — TRAINING - HIV/AIDS
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag A0091 — TRAINING - DOCUMENTATION & MONITORING
Tag AE210 — ECC - TRAINING
Inspection Report
Monitor
Deficiencies: 2
Date: Mar 13, 2013
Visit Reason
Class 3 deficiencies related to staff in-service training and do not resuscitate orders training.
Findings
Class 3 deficiencies related to staff in-service training and do not resuscitate orders training.
Deficiencies (2)
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
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