Sunset Grove Assisted Living — Florida Assisted Living Facility Report

i

42

Inspections

Surveyor visits

i

22

With deficiencies

Visits that cited something

i

11

Clean visits

Nothing cited

i

92

Deficiencies

Individual findings

i

9

Serious deficiencies

Class 1 and 2

24

Legal actions

Fines and sanctions

Sunset Grove Assisted Living was inspected 42 times between December 26, 2012 and May 15, 2024 by Florida's Agency for Health Care Administration. 22 of those visits ended with deficiencies cited and 11 with none, and 9 were follow-up visits confirming corrections. Across that history AHCA recorded 92 deficiencies, 9 of them in the two most serious classes. The state has taken 24 legal actions against this license, with fines totalling $88,721.

The most recent visit is recorded as “Deficiencies Cited”. 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

Lic Surrender

Licensee

Langham Healthcare LLC

Administrator

Mary Frances Moore

Ownership

For-Profit

Phone

(239) 574-8789

Licensed since

January 1, 2019

Medicaid services

Assistive Care Services

Nurse availability

Direct Part-Time

Inspection History

52 documents across 42 visits

Visit date	Type	Outcome	Document
May 15, 2024	Monitor	Deficiencies cited	Statement of Deficiencies
November 14, 2023	Monitor	No deficiencies	Statement of Deficiencies
November 9, 2023	Complaint	No deficiencies	Statement of Deficiencies
November 1, 2023	Complaint	Deficiencies cited	Statement of Deficiencies
November 1, 2023	Complaint	Deficiencies cited	Statement of Deficiencies
November 1, 2023	Complaint	Deficiencies cited	Statement of Deficiencies
August 24, 2023	Complaint	Corrected	Statement of Deficiencies
August 24, 2023	Complaint	Deficiencies cited	Statement of Deficiencies
August 24, 2023	Complaint	Deficiencies cited	Statement of Deficiencies
November 7, 2022	Complaint	No deficiencies	Statement of Deficiencies
September 15, 2022	Complaint	Deficiencies cited	Statement of Deficiencies
September 15, 2022	Complaint	No deficiencies	Statement of Deficiencies
September 15, 2022	Complaint	Deficiencies cited	Statement of Deficiencies
July 22, 2022	Complaint	Deficiencies cited	Statement of Deficiencies
July 22, 2022	Complaint	Deficiencies cited	Statement of Deficiencies
April 2, 2022	Complaint	Deficiencies cited	Statement of Deficiencies
December 8, 2021	Complaint	Corrected	Statement of Deficiencies
December 8, 2021	Standard	Corrected	Statement of Deficiencies
November 3, 2021	Complaint	Deficiencies cited	Statement of Deficiencies
November 3, 2021	Standard	Deficiencies cited	Statement of Deficiencies
March 9, 2021	Complaint	Deficiencies cited	Statement of Deficiencies
December 8, 2020	Complaint	No deficiencies	Statement of Deficiencies
December 8, 2020	Complaint	Corrected	Statement of Deficiencies
October 21, 2020	Complaint	Deficiencies cited	Statement of Deficiencies
August 26, 2020	Complaint	Deficiencies cited	Statement of Deficiencies
October 23, 2019	Monitor	No deficiencies	Statement of Deficiencies
August 21, 2019	Complaint	Corrected	Statement of Deficiencies
August 21, 2019	Standard	Corrected	Statement of Deficiencies
June 13, 2019	Complaint	Deficiencies cited	Statement of Deficiencies
June 13, 2019	Standard	Deficiencies cited	Statement of Deficiencies
April 11, 2019	Complaint	Deficiencies cited	Statement of Deficiencies
April 11, 2019	Complaint	Corrected	Statement of Deficiencies
April 11, 2019	Standard	Deficiencies cited	Statement of Deficiencies
January 31, 2019	Not stated	Corrected	Statement of Deficiencies
January 31, 2019	Complaint	Deficiencies cited	Statement of Deficiencies
November 8, 2018	Monitor	Deficiencies cited	Statement of Deficiencies
December 19, 2017	Standard	No deficiencies	Statement of Deficiencies
May 4, 2017	Complaint	Deficiencies cited	Statement of Deficiencies
January 7, 2016	Standard	No deficiencies	Statement of Deficiencies
March 30, 2015	Monitor	Corrected	Statement of Deficiencies
March 12, 2015	Monitor	Deficiencies cited	Statement of Deficiencies
July 23, 2014	Monitor	No deficiencies	Statement of Deficiencies
July 2, 2014	Monitor	No deficiencies	Statement of Deficiencies
April 2, 2014	Standard	Corrected	Statement of Deficiencies
February 4, 2014	Standard	Deficiencies cited	Statement of Deficiencies
November 6, 2013	Monitor	No deficiencies	Statement of Deficiencies
April 12, 2013	Monitor	No deficiencies	Statement of Deficiencies
March 27, 2013	Complaint	Corrected	Statement of Deficiencies
March 27, 2013	Complaint	Corrected	Statement of Deficiencies
January 14, 2013	Complaint	Deficiencies cited	Statement of Deficiencies
December 26, 2012	Complaint	Deficiencies cited	Statement of Deficiencies
December 26, 2012	Monitor	No deficiencies	Statement of Deficiencies

Deficiencies

92 deficiencies - Class 1: 3 / Class 2: 6 / Class 3: 73 / Class 4: 5

Survey date	Severity	Requirement cited	Corrected
May 15, 2024	Class 3	Admissions - Admission Package	Not recorded
May 15, 2024	Class 3	Staffing Standards - Staff	Not recorded
May 15, 2024	Class 3	Training - Staff In-service	Not recorded
May 15, 2024	Class 3	Training - Hiv/aids	Not recorded
May 15, 2024	Class 3	Training - Assis Self-admin Meds & Med Mgmt	Not recorded
May 15, 2024	Class 3	Training - Do Not Resuscitate Orders	Not recorded
May 15, 2024	Class 3	Training - Documentation & Monitoring	Not recorded
May 15, 2024	Class 2	Fiscal - Financial Stability	Not recorded
May 15, 2024	Class 2	Physical Plant - Safe Living Environ/other	Not recorded
May 15, 2024	Class 3	Records - Staff	Not recorded
May 15, 2024	Class 3	Resident Contracts	Not recorded
May 15, 2024	Unclassified	Background Screening Clearinghouse	Not recorded
May 15, 2024	Unclassified	Background Screening; Prohibited Offenses	Not recorded
November 1, 2023	Class 3	Admissions - Discharge	Not recorded
November 1, 2023	Class 1	Resident Care - Supervision	Not recorded
November 1, 2023	Class 1	Staffing Standards - Administrators	Not recorded
November 1, 2023	Class 3	Staffing Standards - Staff	Not recorded
November 1, 2023	Class 3	Training - Staff In-service	Not recorded
November 1, 2023	Class 3	Training - Adrd	Not recorded
November 1, 2023	Class 3	Training - Do Not Resuscitate Orders	Not recorded
November 1, 2023	Class 1	Physical Plant - Safe Living Environ/other	Not recorded
November 1, 2023	Class 3	Records - Staff	Not recorded
November 1, 2023	Class 2	Risk Mgmt & Qa	Not recorded
November 1, 2023	Class 3	Resident Contracts	Not recorded
November 1, 2023	Class 3	Resident Refund Policy	Not recorded
August 24, 2023	Class 3	Lns - Resident Care Standards	Not recorded
August 24, 2023	Class 3	Proof of Financial Ability To Operate	Not recorded
July 22, 2022	Class 2	Resident Care - Supervision	August 24, 2023
July 22, 2022	Class 3	Resident Care - Social & Leisure Activities	September 14, 2022
July 22, 2022	Class 3	Resident Care - Rights & Facility Procedures	Not recorded
July 22, 2022	Class 3	Resident Care - Elopement Standards	August 24, 2023
July 22, 2022	Class 3	Training - Nutrition & Food Service	September 14, 2022
July 22, 2022	Class 3	Food Service - General Responsibilities	August 24, 2023
July 22, 2022	Class 3	Physical Plant - Safe Living Environ/other	August 24, 2023
July 22, 2022	Class 3	Risk Mgmt & Qa	August 24, 2023
July 22, 2022	Class 3	Emergency Plan Approval	Not recorded
July 22, 2022	Class 3	In-person Visitation	September 15, 2022
April 2, 2022	Class 3	Medication - Assistance With Self-admin	September 15, 2022
April 2, 2022	Class 3	Medication - Records	September 15, 2022
April 2, 2022	Class 3	Medication - Storage and Disposal	September 15, 2022
April 2, 2022	Class 2	Medication - Labeling and Orders	August 24, 2023
April 2, 2022	Class 3	Staffing Standards - Staff	July 20, 2022
April 2, 2022	Class 3	Training - Staff In-service	July 20, 2022
April 2, 2022	Class 3	Training - First Aid and Cpr	July 6, 2022
April 2, 2022	Class 3	Training - Assis Self-admin Meds & Med Mgmt	July 5, 2022
April 2, 2022	Class 3	Training - Do Not Resuscitate Orders	July 20, 2022
April 2, 2022	Class 3	Food Service - Dietary Standards	July 20, 2022
April 2, 2022	Unclassified	Background Screening Clearinghouse	July 20, 2022
April 2, 2022	Unclassified	Background Screening-compliance Attestation	July 20, 2022
November 3, 2021	Class 3	Licensure - Requirements	December 8, 2021
November 3, 2021	Class 3	Admissions - Continued Residency	December 8, 2021
November 3, 2021	Class 3	Resident Care - Social & Leisure Activities	December 8, 2021
November 3, 2021	Class 3	Training - Staff In-service	December 8, 2021
November 3, 2021	Class 3	Training - Hiv/aids	December 8, 2021
November 3, 2021	Class 3	Training - Do Not Resuscitate Orders	December 8, 2021
November 3, 2021	Class 3	Lns - Resident Care Standards	December 8, 2021
November 3, 2021	Unclassified	Background Screening-compliance Attestation	December 8, 2021
March 9, 2021	Class 3	Resident Care - Supervision	December 8, 2021
March 9, 2021	Class 3	Resident Care - Elopement Standards	March 23, 2021
March 9, 2021	Class 3	Emergency Management Planning	April 9, 2021
August 26, 2020	Class 3	Resident Care - Rights & Facility Procedures	December 8, 2020
August 26, 2020	Class 3	Physical Plant - Safe Living Environ/other	October 21, 2020
August 26, 2020	Class 3	Resident Refund Policy	October 21, 2020
August 26, 2020	Class 3	Emergency Environmental Control	October 21, 2020
April 11, 2019	Class 3	Resident Care - Elopement Standards	July 3, 2019
April 11, 2019	Class 3	Risk Mgmt & Qa; Adverse Incident Report	May 11, 2019
April 11, 2019	Class 3	Reporting Requirements; Electronic Submission	May 11, 2019
April 11, 2019	Class 3	Admissions - Admission Package	May 11, 2019
April 11, 2019	Class 3	Admissions - Continued Residency	July 3, 2019
April 11, 2019	Class 3	Resident Care - Supervision	July 3, 2019
April 11, 2019	Class 3	Resident Care - Arrangement for Health Care	May 11, 2019
April 11, 2019	Class 3	Training - Staff In-service	July 3, 2019
April 11, 2019	Class 4	Training - Documentation & Monitoring	May 11, 2019
April 11, 2019	Class 4	Food Service - Dietary Standards	May 11, 2019
April 11, 2019	Class 3	Physical Plant - Safe Living Environ/other	May 11, 2019
April 11, 2019	Class 3	Resident Contracts	May 11, 2019
April 11, 2019	Class 3	Lns - Resident Care Standards	May 11, 2019
April 11, 2019	Class 3	Lns - Records	May 11, 2019
April 11, 2019	Class 4	Background Screening Clearinghouse	May 11, 2019
January 31, 2019	Class 3	Resident Care - Rights & Facility Procedures	April 11, 2019
January 31, 2019	Class 3	Medication - Assistance With Self-admin	April 11, 2019
November 8, 2018	Class 3	Emergency Environmental Control	January 31, 2019
May 4, 2017	Class 3	Physical Plant - Safe Living Environ/other	June 20, 2017
May 4, 2017	Class 3	Records - Facility	June 1, 2017
March 12, 2015	Class 4	Background Screening; Prohibited Offenses	March 30, 2015
February 4, 2014	Class 3	Resident Care - Rights & Facility Procedures	April 2, 2014
February 4, 2014	Class 4	Food Service - Dietary Standards	April 2, 2014
January 14, 2013	Class 3	Licensure - Requirements	March 27, 2013
January 14, 2013	Class 2	Resident Care - Supervision	March 27, 2013
January 14, 2013	Class 3	Resident Care - Rights & Facility Procedures	March 27, 2013
January 14, 2013	Class 3	Physical Plant - Safe Living Environ/other	March 27, 2013
December 26, 2012	Class 3	Resident Care - Supervision	March 27, 2013

Enforcement Actions

24 actions, $88,721 in fines

November 15, 2023$33,221 fine

Action

Fine

Reason

Survey

Date imposed

May 26, 2026

Final order 2023016914

November 15, 2023$10,500 fine

Action

Fine

Reason

Survey

Date imposed

May 26, 2026

Final order 2023016915

November 15, 2023$1,500 fine

Action

Fine

Reason

Survey

Date imposed

May 26, 2026

Final order 2023016919

Provider Information

Inspection History

Deficiencies

Enforcement Actions

Deficiency classes

What these numbers count