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 Date: Oct 8, 2024

Visit Reason
No deficiencies noted during this complaint inspection.

Findings
No deficiencies noted during this complaint inspection.

Inspection Report

Standard
Deficiencies: 0 Date: Oct 8, 2024

Visit Reason
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 Date: 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.

Deficiencies (1)
Tag A0078 — STAFFING STANDARDS - STAFF

Inspection Report

Complaint
Deficiencies: 1 Date: 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.

Deficiencies (1)
Tag A0165 — RISK MGMT & QA

Inspection Report

Complaint
Deficiencies: 1 Date: Oct 5, 2022

Visit Reason
One Class 3 deficiency related to self-administered medications was cited.

Findings
One Class 3 deficiency related to self-administered medications was cited.

Deficiencies (1)
Tag A0050 — MEDICATION - SELF ADMINISTERED MEDICATIONS

Inspection Report

Complaint
Deficiencies: 1 Date: Jun 29, 2022

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

Annual Inspection
Deficiencies: 4 Date: Feb 4, 2020

Visit Reason
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.

Deficiencies (4)
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0200 — EMERGENCY ENVIRONMENTAL CONTROL
Tag CZ813 — RESULTS OF SCREENING & NOTIFICATION IN FILE
Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE

Inspection Report

Change Of Ownership
Deficiencies: 3 Date: Jul 14, 2016

Visit Reason
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.

Deficiencies (3)
Tag A0093 — FOOD SERVICE - DIETARY STANDARDS
Tag AZ814 — BACKGROUND SCREENING CLEARINGHOUSE
Tag AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES

Inspection Report

Complaint
Deficiencies: 1 Date: 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.

Deficiencies (1)
Tag AN277 — LNS - RESIDENT CARE STANDARDS

Inspection Report

Standard
Deficiencies: 3 Date: Dec 16, 2015

Visit Reason
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.

Deficiencies (3)
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag A0055 — MEDICATION - STORAGE AND DISPOSAL

Inspection Report

Standard
Deficiencies: 2 Date: 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.

Deficiencies (2)
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Tag A0075 — USE OF PERSONNEL; EMERGENCY CARE (AED)

Inspection Report

Standard
Deficiencies: 1 Date: 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.

Deficiencies (1)
Tag AN278 — LNS - RECORDS

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