i
6
Inspections
Surveyor visits
i
2
With deficiencies
Visits that cited something
i
2
Clean visits
Nothing cited
i
7
Deficiencies
Individual findings
i
0
Serious deficiencies
Class 1 and 2
1
Legal actions
Fines and sanctions

Shangri-la ALF 868 LLC was inspected 6 times between June 2, 2022 and January 28, 2026 by Florida's Agency for Health Care Administration. 2 of those visits ended with deficiencies cited and 2 with none, and 2 were follow-up visits confirming corrections. Across that history AHCA recorded 7 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
Shangri-la ALF 868 LLC
Administrator
Isaiah Primo
Ownership
Not-For-Profit
Phone
(321) 508-8722
Licensed since
November 1, 2025
Medicaid services
Not reported
Nurse availability
No nurse on staff

Inspection History

6 documents across 6 visits
Visit dateTypeOutcomeDocument
January 28, 2026StandardCorrectedStatement of Deficiencies
November 20, 2025StandardDeficiencies citedStatement of Deficiencies
June 3, 2024ComplaintCorrectedStatement of Deficiencies
May 8, 2024StandardNo deficienciesStatement of Deficiencies
April 3, 2024ComplaintDeficiencies citedStatement of Deficiencies
June 2, 2022Initial LicensureNo deficienciesStatement of Deficiencies

Deficiencies

7 deficiencies - Class 3: 6
Survey dateSeverityRequirement citedCorrected
November 20, 2025Class 3Medication - Assistance With Self-adminJanuary 22, 2026
November 20, 2025Class 3Staffing Standards - LevelsJanuary 7, 2026
November 20, 2025Class 3Emergency Management PlanningJune 9, 2025
April 3, 2024Class 3Admissions - Continued ResidencyJune 3, 2024
April 3, 2024Class 3Resident Care - SupervisionJune 3, 2024
April 3, 2024Class 3Resident Care - Social & Leisure ActivitiesJune 3, 2024
April 3, 2024UnclassifiedReporting Requirements; Electronic SubmissionJune 3, 2024

Enforcement Actions

1 action, $500 in fines
May 14, 2024$500 fine
Action
Fine
Reason
Survey
Date imposed
October 7, 2024

Final order 2024006784