Florida AHCA · Assisted Living Facility Report

Pacifica Senior Living of Palm Beach

📍 4760 Jog Road, Greenacres, FL, 33467

ID 11964922License 9409Palm Beach CountyIn Review
i
56
Inspections
Surveyor visits
i
24
With deficiencies
Visits that cited something
i
18
Clean visits
Nothing cited
i
66
Deficiencies
Individual findings
i
1
Serious deficiencies
Class 1 and 2
13
Legal actions
Fines and sanctions

Pacifica Senior Living of Palm Beach was inspected 56 times between July 2, 2012 and May 13, 2026 by Florida's Agency for Health Care Administration. 24 of those visits ended with deficiencies cited and 18 with none, and 14 were follow-up visits confirming corrections. Across that history AHCA recorded 66 deficiencies, 1 of them in the two most serious classes. The state has taken 13 legal actions against this license, with fines totalling $16,000.

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
In Review
Licensee
Extended Care Portfolio Florida LLC
Administrator
Jason Frandsen
Management company
KSL Management LLC
Ownership
For-Profit
Phone
(561) 434-0434
Licensed since
April 1, 2008
Medicaid services
Not reported
Nurse availability
Direct 24hr | Direct Part-Time

Inspection History

63 documents across 56 visits
Visit dateTypeOutcomeDocument
May 13, 2026StandardDeficiencies citedStatement of Deficiencies
February 10, 2025ComplaintCorrectedStatement of Deficiencies
September 21, 2024ComplaintDeficiencies citedStatement of Deficiencies
March 30, 2023StandardCorrectedStatement of Deficiencies
November 16, 2022StandardDeficiencies citedStatement of Deficiencies
October 8, 2021StandardCorrectedStatement of Deficiencies
June 9, 2021StandardDeficiencies citedStatement of Deficiencies
March 10, 2021StandardDeficiencies citedStatement of Deficiencies
February 12, 2021ComplaintCorrectedStatement of Deficiencies
December 3, 2020ComplaintDeficiencies citedStatement of Deficiencies

Deficiencies

66 deficiencies - Class 2: 1 / Class 3: 58 / Class 4: 4
Survey dateSeverityRequirement citedCorrected
May 13, 2026Class 3Resident Care - SupervisionNot recorded
May 13, 2026Class 3Infection Control ProceduresNot recorded
May 13, 2026Class 3Medication - AdministrationNot recorded
May 13, 2026Class 3Emergency Environmental ControlNot recorded
September 21, 2024UnclassifiedBackground Screening ClearinghouseFebruary 10, 2025
November 16, 2022Class 3Resident Care - SupervisionMarch 30, 2023
November 16, 2022Class 3Medication - AdministrationMarch 30, 2023
November 16, 2022Class 3Training - Staff In-serviceMarch 30, 2023
November 16, 2022Class 3Risk Mgmt & QaMarch 30, 2023
November 16, 2022Class 4In-person VisitationMarch 30, 2023

Enforcement Actions

13 actions, $16,000 in fines
February 3, 2025$1,000 fine
Action
Fine
Reason
Survey
Date imposed
June 9, 2025

Final order 2025001351

July 19, 2021$500 fine
Action
Fine
Reason
Survey
Date imposed
October 15, 2021

Final order 2021010361

April 22, 2021$500 fine
Action
Fine
Reason
Survey
Date imposed
August 24, 2021

Final order 2021006067