i
24
Inspections
Surveyor visits
i
6
With deficiencies
Visits that cited something
i
13
Clean visits
Nothing cited
i
15
Deficiencies
Individual findings
i
1
Serious deficiencies
Class 1 and 2
3
Legal actions
Fines and sanctions
Convivial Jacaranda Trace, LLC was inspected 24 times between April 18, 2013 and November 21, 2024 by Florida's Agency for Health Care Administration. 6 of those visits ended with deficiencies cited and 13 with none, and 5 were follow-up visits confirming corrections. Across that history AHCA recorded 15 deficiencies, 1 of them in the two most serious classes. The state has taken 3 legal actions against this license, with fines totalling $1,500.
The most recent visit is recorded as “No Deficiencies”. 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
Convivial Jacaranda Trace, LLC
Administrator
Marylin Hayward-bulloch
Management company
Lifestar Management Jacaranda Trace LLC
Ownership
Not-For-Profit
Phone
(941) 260-3922
Licensed since
July 1, 2022
Medicaid services
Not reported
Nurse availability
Direct 24hr
Inspection History
24 documents across 24 visits| Visit date | Type | Outcome | Document |
|---|---|---|---|
| November 21, 2024 | Standard | No deficiencies | Statement of Deficiencies |
| January 18, 2024 | Standard | Corrected | Statement of Deficiencies |
| November 27, 2023 | Standard | Deficiencies cited | Statement of Deficiencies |
| November 15, 2023 | Complaint | No deficiencies | Statement of Deficiencies |
| June 23, 2022 | Standard | No deficiencies | Statement of Deficiencies |
| September 22, 2021 | Complaint | No deficiencies | Statement of Deficiencies |
| September 28, 2020 | Complaint | No deficiencies | Statement of Deficiencies |
| April 3, 2019 | Standard | Corrected | Statement of Deficiencies |
| February 11, 2019 | Standard | Deficiencies cited | Statement of Deficiencies |
| October 15, 2018 | Monitor | No deficiencies | Statement of Deficiencies |
Deficiencies
15 deficiencies - Class 2: 1 / Class 3: 12 / Class 4: 2| Survey date | Severity | Requirement cited | Corrected |
|---|---|---|---|
| November 27, 2023 | Class 3 | Training - Staff In-service | December 27, 2023 |
| November 27, 2023 | Class 3 | Training - Do Not Resuscitate Orders | December 27, 2023 |
| November 27, 2023 | Class 3 | Food Service - General Responsibilities | December 27, 2023 |
| November 27, 2023 | Class 4 | Background Screening Clearinghouse | December 27, 2023 |
| February 11, 2019 | Class 3 | Staffing Standards - Staff | March 4, 2019 |
| February 11, 2019 | Class 3 | Training - Staff In-service | March 4, 2019 |
| February 11, 2019 | Class 3 | Training - Do Not Resuscitate Orders | March 4, 2019 |
| February 11, 2019 | Class 3 | Emergency Environmental Control | March 4, 2019 |
| February 11, 2019 | Class 3 | ECC - Training | March 4, 2019 |
| February 7, 2018 | Class 3 | Resident Care - Supervision | June 28, 2018 |