Inspection Report Summary
The most recent inspection on September 29, 2025, cited one Class 3 deficiency related to risk management and quality assurance. Earlier inspections showed a pattern of deficiencies primarily involving medication assistance, staffing standards, staff training, and resident care supervision and rights. Complaint investigations were conducted over the years, with deficiencies cited and corrected, but no enforcement actions or fines were listed in the available reports. Most complaints were unsubstantiated or addressed through cited deficiencies, with no immediate jeopardy or license actions noted. The facility’s inspection history shows ongoing challenges in similar areas without a clear trend of improvement or worsening.
Deficiencies (last 6 years)
Deficiencies (over 6 years)
6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
30% worse than Florida average
Florida average: 4.6 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Sep 29, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2016 to 2025 with deficiency history and inspection statuses.
Complaint Details
Multiple complaint investigations are present with deficiencies cited and corrected on various dates including 07/03/2017, 09/06/2017, 09/18/2018, 09/26/2019, 12/02/2019, 06/04/2020, 08/21/2020, 06/09/2021, and 09/29/2025.
Findings
The facility has undergone numerous inspections including initial licensure, monitoring, complaint, and standard inspections with a mix of no deficiencies, deficiencies cited, and deficiencies corrected across the years.
Deficiencies (3)
Deficiencies Cited
Deficiencies Corrected
No Deficiencies
Report Facts
Inspections on page: 27
Inspection Report
Complaint
Deficiencies: 1
Date: Sep 29, 2025
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.
Deficiencies (1)
Tag A0165 — RISK MGMT & QA
Inspection Report
Routine
Deficiencies: 4
Date: Jan 30, 2025
Visit Reason
Five Class 3 deficiencies related to medication assistance, staffing standards, and training were cited.
Findings
Five Class 3 deficiencies related to medication assistance, staffing standards, and training were cited.
Deficiencies (4)
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0091 — TRAINING - DOCUMENTATION & MONITORING
Inspection Report
Routine
Deficiencies: 3
Date: Aug 1, 2023
Visit Reason
Three deficiencies were cited: two Class 3 deficiencies related to medication assistance and staffing, and one unclassified deficiency for background screening.
Findings
Three deficiencies were cited: two Class 3 deficiencies related to medication assistance and staffing, and one unclassified deficiency for background screening.
Deficiencies (3)
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag A0078 — STAFFING STANDARDS - STAFF
Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE
Inspection Report
Complaint
Deficiencies: 2
Date: Jun 4, 2020
Visit Reason
Two Class 3 deficiencies related to resident care supervision and rights were cited.
Findings
Two Class 3 deficiencies related to resident care supervision and rights were cited.
Deficiencies (2)
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Inspection Report
Complaint
Deficiencies: 11
Date: Sep 26, 2019
Visit Reason
Multiple deficiencies including Class 3 and Class 2 related to admissions, resident care, training, and background screening were cited.
Findings
Multiple deficiencies including Class 3 and Class 2 related to admissions, resident care, training, and background screening were cited.
Deficiencies (11)
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0086 — TRAINING - ADRD
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE
Inspection Report
Monitor
Deficiencies: 3
Date: Jul 17, 2018
Visit Reason
Three Class 3 deficiencies related to extended congregate care health assessment, service plans, and records were cited.
Findings
Three Class 3 deficiencies related to extended congregate care health assessment, service plans, and records were cited.
Deficiencies (3)
Tag AE205 — ECC - HEALTH ASSESSMENT
Tag AE206 — ECC - SERVICE PLANS
Tag AE208 — ECC - RECORDS
Inspection Report
Standard
Deficiencies: 8
Date: Sep 6, 2017
Visit Reason
Multiple Class 3 and Class 4 deficiencies related to staff training, physical plant, extended congregate care training, and background screening were cited.
Findings
Multiple Class 3 and Class 4 deficiencies related to staff training, physical plant, extended congregate care training, and background screening were cited.
Deficiencies (8)
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0082 — TRAINING - HIV/AIDS
Tag A0087 — ALZHEIMER'S TRAINING - PROV & CURRICULUM APPR
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER
Tag AE210 — ECC - TRAINING
Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE
Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION
Inspection Report
Complaint
Deficiencies: 1
Date: Jul 3, 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
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