i
20
Inspections
Surveyor visits
i
5
With deficiencies
Visits that cited something
i
10
Clean visits
Nothing cited
i
17
Deficiencies
Individual findings
i
0
Serious deficiencies
Class 1 and 2
1
Legal actions
Fines and sanctions
Inn at Cypress Village, the was inspected 20 times between December 17, 2012 and November 21, 2024 by Florida's Agency for Health Care Administration. 5 of those visits ended with deficiencies cited and 10 with none, and 5 were follow-up visits confirming corrections. Across that history AHCA recorded 17 deficiencies, none of them in the two most serious classes. The state has taken 1 legal action against this license, with fines totalling $500.
The most recent visit is recorded as “Deficiencies Corrected”. A deficiency is a rule violation recorded by a state surveyor. Follow-up visits that confirm a correction are counted separately from the visits that cited the problem, so the same issue is never counted twice.
Provider Information
Status
Licensed
Licensee
CCRC Opco - Cypress Village, LLC
Administrator
William Rouse
Management company
Life Care Services LLC
Ownership
For-Profit
Phone
(904) 807-6149
Licensed since
May 30, 2014
Medicaid services
Not reported
Nurse availability
Direct 24hr
Inspection History
22 documents across 20 visits| Visit date | Type | Outcome | Document |
|---|---|---|---|
| November 21, 2024 | Standard | Corrected | Statement of Deficiencies |
| November 21, 2024 | Standard | No deficiencies | Statement of Deficiencies |
| November 17, 2023 | Complaint | No deficiencies | Statement of Deficiencies |
| March 22, 2023 | Standard | Deficiencies cited | Statement of Deficiencies |
| August 4, 2022 | Complaint | No deficiencies | Statement of Deficiencies |
| February 16, 2022 | Complaint | No deficiencies | Statement of Deficiencies |
| November 25, 2020 | Standard | Corrected | Statement of Deficiencies |
| October 20, 2020 | Standard | Deficiencies cited | Statement of Deficiencies |
| October 7, 2019 | Complaint | No deficiencies | Statement of Deficiencies |
| August 7, 2018 | Standard | No deficiencies | Statement of Deficiencies |
Deficiencies
17 deficiencies - Class 3: 17| Survey date | Severity | Requirement cited | Corrected |
|---|---|---|---|
| March 22, 2023 | Class 3 | Admissions - Health Assessment | November 21, 2024 |
| March 22, 2023 | Class 3 | Resident Care - Supervision | November 21, 2024 |
| March 22, 2023 | Class 3 | Resident Care - Rights & Facility Procedures | November 21, 2024 |
| March 22, 2023 | Class 3 | Medication - Assistance With Self-admin | November 21, 2024 |
| March 22, 2023 | Class 3 | Medication - Labeling and Orders | November 21, 2024 |
| March 22, 2023 | Class 3 | Staffing Standards - Staff | November 21, 2024 |
| March 22, 2023 | Class 3 | Training - Staff In-service | November 21, 2024 |
| March 22, 2023 | Class 3 | Training - Do Not Resuscitate Orders | November 21, 2024 |
| March 22, 2023 | Class 3 | Risk Mgmt & Qa | November 21, 2024 |
| March 22, 2023 | Class 3 | Emergency Management Planning | November 21, 2024 |