i
14
Inspections
Surveyor visits
i
5
With deficiencies
Visits that cited something
i
4
Clean visits
Nothing cited
i
39
Deficiencies
Individual findings
i
0
Serious deficiencies
Class 1 and 2
1
Legal actions
Fines and sanctions
Good Sam's Assisted Living Residence, LLC was inspected 14 times between May 8, 2013 and September 4, 2025 by Florida's Agency for Health Care Administration. 5 of those visits ended with deficiencies cited and 4 with none, and 5 were follow-up visits confirming corrections. Across that history AHCA recorded 39 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
Good Sam's Assisted Living Residence, LLC
Administrator
Leanne Judith Fermin-ostrin
Ownership
For-Profit
Phone
(386) 447-8145
Licensed since
November 30, 2016
Medicaid services
Assistive Care Services
Nurse availability
3rd Party 24hr
Inspection History
14 documents across 14 visits| Visit date | Type | Outcome | Document |
|---|---|---|---|
| September 4, 2025 | Standard | Corrected | Statement of Deficiencies |
| June 25, 2025 | Standard | Deficiencies cited | Statement of Deficiencies |
| March 23, 2023 | Standard | No deficiencies | Statement of Deficiencies |
| November 18, 2021 | Standard | No deficiencies | Statement of Deficiencies |
| July 21, 2020 | Complaint | No deficiencies | Statement of Deficiencies |
| December 17, 2019 | Complaint | No deficiencies | Statement of Deficiencies |
| December 3, 2018 | Standard | Corrected | Statement of Deficiencies |
| September 28, 2018 | Standard | Deficiencies cited | Statement of Deficiencies |
| April 25, 2017 | Standard | Corrected | Statement of Deficiencies |
| January 25, 2017 | Standard | Deficiencies cited | Statement of Deficiencies |
Deficiencies
39 deficiencies - Class 3: 35 / Class 4: 4| Survey date | Severity | Requirement cited | Corrected |
|---|---|---|---|
| June 25, 2025 | Class 3 | Resident Care - Social & Leisure Activities | September 4, 2025 |
| June 25, 2025 | Class 3 | Medication - Assistance With Self-admin | September 4, 2025 |
| June 25, 2025 | Class 3 | Food Service - Dietary Standards | September 4, 2025 |
| June 25, 2025 | Class 3 | Records - Facility | September 4, 2025 |
| September 28, 2018 | Class 3 | Staffing Standards - Staff | December 3, 2018 |
| September 28, 2018 | Class 3 | Staffing Standards - Levels | December 3, 2018 |
| September 28, 2018 | Class 3 | Training - Hiv/aids | December 3, 2018 |
| September 28, 2018 | Class 3 | Training - Do Not Resuscitate Orders | December 3, 2018 |
| September 28, 2018 | Class 4 | Records - Staff | December 3, 2018 |
| September 28, 2018 | Class 3 | Records - Resident | December 3, 2018 |