I toured and ultimately chose this community and I'm very pleased. The staff are friendly, professional and genuinely caring; the dining is chef-quality and delicious; activities are plentiful; and the grounds and amenities (indoor/outdoor pools, fitness, roomy cottages/apartments) are clean and resort-like. Communication and follow-up have been excellent-my family feels well cared for and at home.
Loved one of resident
Jul 2026
Pricing
Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.
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Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Coordination with health care providers
Hospice waiver
Medication management
Mental wellness program
Healthcare staffing
12-16 hour nursing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Restaurant-style dining
Special dietary restrictions
Room
Air-conditioning
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Private bathrooms
Telephone
Wifi
Memory care community services
Dementia waiver
Mild cognitive impairment
Specialized memory care programming
Transportation
Community operated transportation
Transportation arrangement
Transportation arrangement (medical)
Transportation arrangement (non-medical)
Transportation to doctors appointments
Common areas
Beauty salon
Computer center
Dining room
Fitness room
Gaming room
Garden
Outdoor space
Small library
Wellness center
Community services
Concierge services
Fitness programs
Move-in coordination
Swimming pool
Activities
Community-sponsored activities
Planned day trips
Resident-run activities
Scheduled daily activities
Reviews
3.65·(224)
Overall rating
5
4
3
2
1
Care
3.3
Staff
3.5
Meals
3.1
Amenities
3.8
Value
2.2
Pros
Attractive, resort-style grounds and common areas
Spacious independent-living apartments and cottages
In-unit washer and dryer in many units
Indoor and outdoor swimming pools, including a heated therapy pool
Robust activities and wellness programming
Restaurant-style dining and accommodating chefs
Housekeeping and maintenance services
On-site salon and rehabilitation/therapy services
Secure, dedicated memory-care neighborhood
Transportation services for appointments and outings
Pet-friendly accommodations
Home-like atmosphere and opportunities for personalization
Responsive admissions and move-in support
Private dining and room-service options
Cons
High leadership turnover
High direct-care staff turnover
Understaffing and reduced staff-to-resident ratios
Delayed response to call buttons and incident notifications
Gaps in medication administration and clinical oversight
Inconsistent dining quality, temperature control, and meal service
Additional fees and recurring annual rent increases
Maintenance and housekeeping inconsistencies
Safety and environmental hazards (slippery flooring, limited shade, uneven surfaces)
Limited on-site nursing coverage for independent-living residents
Communication breakdowns between staff, management, and families
Pest-control and sanitation concerns in some units and areas
Activity access or design not always appropriate for less-mobile residents
Inconsistent behavioral-management practices in communal areas
Summary of reviews
The Brennity at Melbourne presents a divided picture: many reviewers highlight a resort-like campus with large apartments and cottages, multiple pools (including a heated therapy pool), an active wellness program, and a range of amenities such as an on-site salon, therapy services, transportation, and pet-friendly policies. Several accounts praise restaurant-style dining when the kitchen is fully staffed and an adaptable admissions team and sales staff who facilitate smooth move-ins. The community’s size and variety of housing types (independent living, assisted living, memory care, and cottages) are strengths for families seeking continuity of care and options to age in place.
Care quality and staffing are areas with the most variation. Positive reports describe compassionate, attentive aides and effective response to falls and acute needs when staffing is adequate. However, a clear pattern of staff shortages, high turnover, and leadership changes has been associated with delayed call-button responses, lapses in medication administration and clinical follow-up, and reduced staff presence on some shifts. Families report gaps in incident reporting and in timely communication after falls or medical events. These operational weaknesses have sometimes translated into transfers out of the community when clinical needs increased.
Dining and food service are polarizing. When operating as intended, reviewers describe chef-driven, restaurant-level meals, made-to-order options, and attentive dining-room service. At other times the program has shifted to pre-orders, buffets, or limited menus; reviewers cite inconsistent meal temperature, bland or under/overcooked items, and service interruptions. Changes in dining staffing and menu policies — including imposed reservation systems and additional charges for certain services — are recurring themes.
Activities and wellness programming are commonly cited as strengths: active calendars, fitness and functional-therapy classes, social clubs, continuing-education offerings, and well-run outings contribute to resident engagement. That said, accessibility and equity of programming have been questioned where new amenities or activity schedules are less usable by residents with limited mobility or advanced age, and some activities have been moved behind fee structures.
The physical plant and maintenance record are likewise mixed. The campus, public spaces, and newer cottages are frequently described as attractive, hotel-like, and well-appointed. At the same time, reviewers cite maintenance inconsistencies (delays in repairs, repeated appliance issues, mold concerns in some areas), environmental safety items (slippery tile floors, limited shaded outdoor walking areas), and uneven housekeeping in certain wings. Pest-control and sanitation concerns appear in a subset of reports and have been raised as operational issues to monitor.
Management and business practices are a central concern for many reviewers. Frequent executive and departmental leadership turnover, perceived unresponsiveness from corporate, recurring rent increases and supplemental charges, and inconsistently enforced policies underpin dissatisfaction among some residents and families. There are also isolated but serious allegations of safety and security incidents; such claims have generated significant alarm among families and warrant thorough review by prospective residents and regulators.
In summary, Brennity at Melbourne offers many of the amenities and lifestyle elements prospective residents seek — attractive grounds, spacious units, robust programming, and the potential for high-quality dining and attentive care. At the same time, the facility exhibits notable operational risks tied to staffing stability, clinical oversight, dining consistency, maintenance follow-through, and management continuity. Prospective residents and families should weigh the appeal of the campus and services against these operational patterns, confirm current staffing and clinical coverage levels, review the fee and rent-increase structure, ask about recent leadership changes and incident reporting practices, and, where possible, speak directly with current residents and families about recent trends in care and service delivery.
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Location
The Brennity at Melbourne Senior Living is located at 7300 Watersong Ln, Melbourne, FL, 32940.
About The Brennity at Melbourne Senior Living
The Brennity at Melbourne Senior Living sits in Melbourne, Florida, and gives people aged 55 and up several types of care, with independent living, assisted living, and memory care options all on one campus, and you'll find it has pretty much everything you'd expect plus some extras people might enjoy, like cottages with garages and laundry rooms, apartments, and villas with a pond view, even screened-in porches where you can sit outside while staying out of the sun. There's a big focus on letting people make their own choices and keep their independence, with daily help and care plans that match each person's needs, and the memory care program pays special attention to folks with Alzheimer's or dementia-there's always fully trained staff around who know how to help. Residents can swim in a big indoor pool with a beach mural and accessibility features, soak in a hot tub, lounge in outdoor pool areas with crystal-clear water and a basketball hoop, or head to the fitness center full of equipment, and every space-like den areas with daybeds, living rooms with hardwood floors, a modern kitchen with granite countertops, or the bright yellow two-story main building-looks designed with seniors' comfort and safety in mind, since you'll spot things like walk-in showers with grab bars. The Brennity offers meals through a chef-led program in a restaurant-style dining room with chandeliers and a grand piano, or enjoy snacks in a cozy refreshment area with bar stools. You'll find activity spaces all over: a game room with shuffleboard and leather seating, a computer room for emails or games, and a common area with a TV and bar for social times. The community also has a salon and beautician onsite, devotional services, social gatherings, and both on and offsite trips, run by their own Activities Director, and there's scheduled transportation for errands or doctor visits. For people who need more support, the assisted living and memory care wings have private apartments and communal spaces, with programs to focus on keeping minds active and safe, and there's a Resident Council to help shape the daily life of the place. With lawns, landscaping, pet park, a dining room, and covered porches, it's set up for easy walks and outdoor time. The Brennity uses a continuing care retirement community model, so if your needs change, you won't have to move far, and with daily housekeeping, maintenance, and support, folks here seem to settle in, enjoy meals, activities, and company, and still have a lot of choice about how they spend their days.
Sagora Senior Living, founded in 1990 under The Covenant Group, has established itself as one of the nation's top 50 senior housing operators and a leading provider of comprehensive senior living services. Headquartered in Fort Worth, Texas, the privately-owned company has experienced remarkable growth, expanding from 61 communities in 2023 to 95 communities by 2025, representing a 56% increase in just two years. The company operates across 12 states, with significant presence in Texas, Oklahoma, Florida, Alabama, California, New York, Ohio, West Virginia, Mississippi, and Nebraska.
People often ask...
The Brennity at Melbourne Senior Living offers competitive pricing, with rates starting at a cost of $5,674 per month.
The Brennity at Melbourne Senior Living offers independent living, assisted living, and memory care.
There are 110 photos of The Brennity at Melbourne Senior Living on Mirador.
Yes, The Brennity at Melbourne Senior Living allows residents to age in place and adjust their level of care as needed.
The full address for this community is 7300 Watersong Ln, Melbourne, FL 32940.
No, The Brennity at Melbourne Senior Living does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In Florida, the Agency for Health Care Administration (AHCA) licenses assisted living facilities and publishes the results of its standard, complaint, and monitoring inspections.
Investigated a complaint and generator monitoring; found no deficiencies. No deficiencies identified.
05 Feb 2026Complaint
05 Feb 2026Complaint
Found no deficiencies during a complaint investigation.
03 Feb 2026Complaint
03 Feb 2026Complaint
Investigated complaints and found no deficiencies.
A0004LICENSURE - REQUIREMENTS
03 Feb 2026Complaint
03 Feb 2026Complaint
Concluded that no deficiencies were found after a follow-up on a complaint.
A0001DEFINITIONS
03 Feb 2026Complaint
03 Feb 2026Complaint
Investigated a complaint and found no deficiencies.
04 Dec 2025Complaint
04 Dec 2025Complaint
Identified deficiencies in medication records; daily medication observation records were not maintained for residents receiving assistance with medications.
Found deficient policies and procedures and missing or incomplete documentation related to advance directives and the DH Form 1896; several deficiencies were not corrected during the visit.
A0001DEFINITIONS
A0076DO NOT RESUSCITATE ORDERS (DNROS)
03 Dec 2025Complaint
03 Dec 2025Complaint
Investigated deficiencies in supervision and medication management, including issues with resident safety and proper medication administration.
Class 3A0025RESIDENT CARE - SUPERVISION
Class 3A0052MEDICATION - ASSISTANCE WITH SELF-ADMIN
19 Nov 2025Complaint
19 Nov 2025Complaint
Found no deficiencies after revisiting the complaint.
A0008ADMISSIONS - HEALTH ASSESSMENT
13 Nov 2025Complaint
13 Nov 2025Complaint
Found no deficiencies.
A0004LICENSURE - REQUIREMENTS
17 Sept 2025Complaint
17 Sept 2025Complaint
Identified deficiencies in medication administration documentation, including improper or incomplete medication records and required physician evaluations.
Class 3A0054MEDICATION - RECORDS
ZZ000INITIAL COMMENTS
Class 3ZZ821REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION
ZZ828ADMINISTRATIVE FINES; VIOLATIONS
A0008ADMISSIONS - HEALTH ASSESSMENT
16 Sept 2025Complaint
16 Sept 2025Complaint
Identified deficiencies in emergency planning, recordkeeping, and safety procedures, including issues with emergency management documentation and compliance with related rules.
A0160RECORDS - FACILITY
A0200EMERGENCY ENVIRONMENTAL CONTROL
12 Sept 2025Complaint
12 Sept 2025Complaint
Investigated resident records and found deficiencies in documentation, including missing demographic sheets and missing evidence of the executed forms.
Class 3A0076DO NOT RESUSCITATE ORDERS (DNROS)
A0004LICENSURE - REQUIREMENTS
03 Sept 2025Standard
03 Sept 2025Standard
Found no deficiencies.
06 Aug 2025Complaint
06 Aug 2025Complaint
Investigated a complaint; found deficiencies in daily medication observation recording, facility records accessibility, and emergency management planning.
Class 3A0054MEDICATION - RECORDS
Class 3A0160RECORDS - FACILITY
Class 3A0200EMERGENCY ENVIRONMENTAL CONTROL
09 Jun 2025Standard
09 Jun 2025Standard
Investigated deficiencies found in reporting incidents, medication handling, and staff training across multiple areas. Several findings indicate failures to meet regulatory requirements and maintain required documentation.
Class 2A0025RESIDENT CARE - SUPERVISION
Class 3A0032RESIDENT CARE - ELOPEMENT STANDARDS
Class 3A0052MEDICATION - ASSISTANCE WITH SELF-ADMIN
Determined that deficiencies identified in two complaints were corrected at the time of the survey.
10 Jun 2024Complaint
10 Jun 2024Complaint
Investigated deficiencies in medication administration records, staff training for self-administration, and emergency environmental controls.
Class 3A0054MEDICATION - RECORDS
Class 3A0084TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Class 3A0200EMERGENCY ENVIRONMENTAL CONTROL
A0008ADMISSIONS - HEALTH ASSESSMENT
16 Oct 2023Standard
16 Oct 2023Standard
Found a deficiency during the re-licensing survey and complaint review; it was corrected at the time of the desk review.
04 Oct 2023Complaint
04 Oct 2023Complaint
Investigated complaints and found no deficiencies during the visit.
29 Aug 2023Standard
29 Aug 2023Standard
Identified deficiencies in emergency management planning and on-site fuel/power readiness, including plan accessibility, fuel supply, and resident notification requirements.
A0200EMERGENCY ENVIRONMENTAL CONTROL
29 Aug 2023Complaint
29 Aug 2023Complaint
Concluded that the previously cited deficiencies were corrected during the revisit on 2023-08-29.
12 Jul 2023Monitor
12 Jul 2023Monitor
Identified generator deficiencies; two of four generators remained inoperable.
A0004LICENSURE - REQUIREMENTS
10 Jul 2023Standard
10 Jul 2023Standard
Identified multiple deficiencies in resident health assessments, staff training and orientation, medication management, dietary planning, and emergency preparedness.
Class 3A0008ADMISSIONS - HEALTH ASSESSMENT
Class 3A0078STAFFING STANDARDS - STAFF
Class 3A0081TRAINING - STAFF IN-SERVICE
Class 3A0082TRAINING - HIV/AIDS
Class 3A0084TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Class 3A0090TRAINING - DO NOT RESUSCITATE ORDERS
Class 3A0093FOOD SERVICE - DIETARY STANDARDS
Class 3A0161RECORDS - STAFF
Class 3A0200EMERGENCY ENVIRONMENTAL CONTROL
Class 3CZ830EMERGENCY MANAGEMENT PLANNING
Class 3CZ841IN-PERSON VISITATION
A0080TRAINING - CORE & COMPETENCY TEST
16 May 2023Complaint
16 May 2023Complaint
Found deficiencies in supervision and safety, with residents at risk due to inadequate monitoring and missing required information postings and policies.
Class 2A0025RESIDENT CARE - SUPERVISION
Class 3A0030RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
20 Mar 2023Complaint
20 Mar 2023Complaint
Concluded that the deficiencies identified in the prior survey were corrected during the visit.
16 Mar 2023Complaint
16 Mar 2023Complaint
Found the deficiency corrected at the time of the survey following a complaint investigation.
24 Jan 2023Complaint
24 Jan 2023Complaint
Identified deficiencies in elopement drill participation and documentation for direct care staff.
Class 3A0032RESIDENT CARE - ELOPEMENT STANDARDS
24 Jan 2023Complaint
24 Jan 2023Complaint
Found no deficiencies identified during the complaint investigation.
Class 3A0032RESIDENT CARE - ELOPEMENT STANDARDS
15 Dec 2022Complaint
15 Dec 2022Complaint
Found deficiencies related to residents' rights and the facility's policies, including the need for a written house rules document and adequate privacy, grievance processes, and resident interactions across several pages.
Class 3A0030RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
A0001DEFINITIONS
01 Nov 2022Complaint
01 Nov 2022Complaint
Investigators found deficiencies in supervision and daily care, with multiple safety incidents and health concerns documented during the investigation.
Class 2A0025RESIDENT CARE - SUPERVISION
27 Jan 2022Standard
27 Jan 2022Standard
Found deficiencies in medication recordkeeping and monitoring, including inaccurate electronic medication administration records and lack of timely notification to physicians or family when medications were unavailable.
A0025RESIDENT CARE - SUPERVISION
A0054MEDICATION - RECORDS
27 Jan 2022Complaint
27 Jan 2022Complaint
Investigated a follow-up on complaint investigations and found a deficiency that was corrected.
03 Nov 2021Complaint
03 Nov 2021Complaint
Found a deficiency in medication handling where an unlicensed staff member assisted with self-administration and did not follow required procedures.
Class 3A0052MEDICATION - ASSISTANCE WITH SELF-ADMIN
03 Nov 2021Complaint
03 Nov 2021Complaint
Investigative findings showed several deficiencies in health assessments, resident records and rights, staff training, and related care practices. The findings indicate noncompliance with state rules of care, documentation, and resident protections.
Class 3A0052MEDICATION - ASSISTANCE WITH SELF-ADMIN
Identified deficiencies from a complaint investigation conducted on 8/16/21 and 8/17/21 during a re-licensure revisit survey.
Class 3A0054MEDICATION - RECORDS
Class 3A0058PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES
Class 3A0078STAFFING STANDARDS - STAFF
Class 3A0081TRAINING - STAFF IN-SERVICE
Class 3A0082TRAINING - HIV/AIDS
Class 3A0089ALZHEIMER'S/OTHER DISORDERS - SPECIAL CARE
Class 3A0090TRAINING - DO NOT RESUSCITATE ORDERS
Class 3A0152PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER
Class 3A0160RECORDS - FACILITY
Class 3A0161RECORDS - STAFF
CZ814BACKGROUND SCREENING CLEARINGHOUSE
A0008ADMISSIONS - HEALTH ASSESSMENT
17 Aug 2021Complaint
17 Aug 2021Complaint
The findings show multiple deficiencies in health assessments, resident monitoring, and medication-related processes, indicating noncompliance with required state rules for health assessments and resident care.
Class 3A0054MEDICATION - RECORDS
Class 3A0058PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES
Class 3A0078STAFFING STANDARDS - STAFF
Class 3A0081TRAINING - STAFF IN-SERVICE
Class 3A0082TRAINING - HIV/AIDS
Class 3A0089ALZHEIMER'S/OTHER DISORDERS - SPECIAL CARE
Class 3A0090TRAINING - DO NOT RESUSCITATE ORDERS
Class 3A0152PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER
Class 3A0160RECORDS - FACILITY
Class 3A0161RECORDS - STAFF
CZ814BACKGROUND SCREENING CLEARINGHOUSE
A0080TRAINING - CORE & COMPETENCY TEST
A0001DEFINITIONS
A0008ADMISSIONS - HEALTH ASSESSMENT
A0010ADMISSIONS - CONTINUED RESIDENCY
A0053MEDICATION - ADMINISTRATION
A0125FISCAL - SURETY BONDS
A0163RECORDS - RESIDENT, PENALTIES FOR ALTERATION
A0164RECORDS - INSPECTION AVAILABILITY
A0165RISK MGMT & QA; ADVERSE INCIDENT REPORT
A0025RESIDENT CARE - SUPERVISION
A0300FACILITY CLOSURE
A0032RESIDENT CARE - ELOPEMENT STANDARDS
CZ815BACKGROUND SCREENING; PROHIBITED OFFENSES
CZ827UNLICENSED ACTIVITY
E0309STAFFING REQUIREMENTS
ZZ814BACKGROUND SCREENING CLEARINGHOUSE
ZZ816BACKGROUND SCREENING-COMPLIANCE ATTESTATION
ZZ817MINIMUM LICENSURE REQUIREMENT - INFORM AHCA
ZZ828ADMINISTRATIVE FINES; VIOLATIONS
ZZ875ALZHEIMER DISEASE/DEMENTIA; TRAINING
ZZ809PROOF OF FINANCIAL ABILITY TO OPERATE
05 May 2021Standard
05 May 2021Standard
Deficiencies identified in admission criteria, resident health assessments, and overall resident rights and care planning. Findings show residents admitted without meeting required criteria and health assessments documentation was not properly completed.
Class 3A0007ADMISSIONS - CRITERIA
Class 3A0008ADMISSIONS - HEALTH ASSESSMENT
Class 3A0010ADMISSIONS - CONTINUED RESIDENCY
Class 2A0025RESIDENT CARE - SUPERVISION
Class 3A0030RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Class 3A0032RESIDENT CARE - ELOPEMENT STANDARDS
Class 3A0055MEDICATION - STORAGE AND DISPOSAL
Class 3A0079STAFFING STANDARDS - LEVELS
Class 3A0162RECORDS - RESIDENT
Class 3AE203ECC - STAFFING REQUIREMENTS
Class 3AE206ECC - SERVICE PLANS
Class 3AE207ECC - SERVICES
Class 3AE210ECC - TRAINING
A0078STAFFING STANDARDS - STAFF
A0080TRAINING - CORE & COMPETENCY TEST
A0085TRAINING - NUTRITION & FOOD SERVICE
A0092FOOD SERVICE - GENERAL RESPONSIBILITIES
25 Feb 2021Complaint
25 Feb 2021Complaint
Investigated a second revisit following a complaint investigation and infection control monitoring. Found no deficiencies at the time of the visit.
25 Feb 2021Complaint
25 Feb 2021Complaint
Found no deficiencies related to the complaint investigation and infection-control monitoring.
04 Feb 2021Complaint
04 Feb 2021Complaint
Determined that required background screening information for staff was not reported timely and that the clearinghouse roster was not maintained, with deficiencies remaining uncorrected.
CZ814BACKGROUND SCREENING CLEARINGHOUSE
A0025RESIDENT CARE - SUPERVISION
21 Dec 2020Complaint
21 Dec 2020Complaint
Identified deficiencies in care documentation and record-keeping, including unnotified health concerns and missing DOH documentation.
A0025RESIDENT CARE - SUPERVISION
A0160RECORDS - FACILITY
19 Nov 2020Complaint
19 Nov 2020Complaint
Found deficiencies in supervision, elopement drills, and record-keeping after residents eloped, and lapses in medication management tied to the elopement.
Class 2A0025RESIDENT CARE - SUPERVISION
Class 3A0032RESIDENT CARE - ELOPEMENT STANDARDS
Class 3A0055MEDICATION - STORAGE AND DISPOSAL
Class 3A0160RECORDS - FACILITY
29 Oct 2020Complaint
29 Oct 2020Complaint
Identified several deficiencies in resident supervision, staff training, medication labeling, and recordkeeping. Findings showed failures in documenting changes in resident conditions and in adhering to required training programs.
Class 3A0025RESIDENT CARE - SUPERVISION
Class 3A0056MEDICATION - LABELING AND ORDERS
Class 3A0081TRAINING - STAFF IN-SERVICE
Class 3A0086TRAINING - ADRD
Class 3A0160RECORDS - FACILITY
Class 3AE210ECC - TRAINING
11 Mar 2020Complaint
11 Mar 2020Complaint
Investigated the complaint; deficiencies were found and corrected during the survey.
16 Jan 2020Complaint
16 Jan 2020Complaint
Identified deficiencies in administrator qualifications and staffing standards, including failure to notify the agency of an administrator change within 10 days and failures to meet training, background checks, and ongoing education requirements for staff.
Class 3A0077STAFFING STANDARDS - ADMINISTRATORS
Class 3A0078STAFFING STANDARDS - STAFF
09 Jan 2020Complaint
09 Jan 2020Complaint
Investigated a complaint and found no deficiencies.
09 Jan 2020Complaint
09 Jan 2020Complaint
Concluded that no deficiency was found during a revisit conducted on 2020-01-09.
23 Oct 2019Complaint
23 Oct 2019Complaint
The regulator found deficiencies in timely electronic reporting of adverse incidents and related submission procedures.
Class 3A0010ADMISSIONS - CONTINUED RESIDENCY
Class 3A0025RESIDENT CARE - SUPERVISION
Class 3A0030RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Class 4CZ821REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION
A0004LICENSURE - REQUIREMENTS
05 Jun 2019Complaint
05 Jun 2019Complaint
Investigated an unannounced complaint investigation and found no deficient practices.
29 May 2019Change of Ownership
29 May 2019Change of Ownership
Found no deficiencies during the Change of Ownership revisit conducted on 5/29/2019.
04 Apr 2019Change of Ownership
04 Apr 2019Change of Ownership
Several deficiencies were found in resident rights notifications, consent for equipment, staff training/records, and several program areas including dietary services, emergency planning, health assessments, and contracts.
Class 3A0025RESIDENT CARE - SUPERVISION
Class 3A0030RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Class 3A0052MEDICATION - ASSISTANCE WITH SELF-ADMIN
Class 3A0055MEDICATION - STORAGE AND DISPOSAL
Class 3A0081TRAINING - STAFF IN-SERVICE
Class 3A0086TRAINING - ADRD
Class 3A0090TRAINING - DO NOT RESUSCITATE ORDERS
Class 3A0091TRAINING - DOCUMENTATION & MONITORING
Class 4A0093FOOD SERVICE - DIETARY STANDARDS
Class 3A0160RECORDS - FACILITY
Class 4A0161RECORDS - STAFF
Class 3A0162RECORDS - RESIDENT
Class 4A0167RESIDENT CONTRACTS
Class 3A0200EMERGENCY ENVIRONMENTAL CONTROL
Class 3AE205ECC - HEALTH ASSESSMENT
Class 3AE206ECC - SERVICE PLANS
Class 3AE207ECC - SERVICES
Class 4CZ816BACKGROUND SCREENING-COMPLIANCE ATTESTATION
A0084TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
A0180EMERGENCY MANAGEMENT
ZZ816BACKGROUND SCREENING-COMPLIANCE ATTESTATION
04 Apr 2019Complaint
04 Apr 2019Complaint
Investigated the complaint and found no deficiencies.
03 Apr 2019Complaint
03 Apr 2019Complaint
Investigated the complaint and found no deficiencies.
20 Mar 2019
20 Mar 2019
Investigated an unannounced monitoring re-visit for emergency environmental control planning and found no deficiencies at the time of the visit.
30 Jan 2019Complaint
30 Jan 2019Complaint
Investigated medication self-administration practices and emergency power planning; found unlicensed staff assisted residents with medications without adequate procedures or training, and written emergency power policies and resident notifications were lacking.
Class 3A0025RESIDENT CARE - SUPERVISION
Class 3A0052MEDICATION - ASSISTANCE WITH SELF-ADMIN
Class 3A0084TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Class 3A0200EMERGENCY ENVIRONMENTAL CONTROL
09 Jan 2019Monitor
09 Jan 2019Monitor
Found deficiencies in emergency environmental control planning, including an incomplete emergency action plan and lack of backup generators or spot coolers.
Class 3A0200EMERGENCY ENVIRONMENTAL CONTROL
14 Aug 2018Complaint
14 Aug 2018Complaint
Investigated a complaint and found no deficiencies during the visit.
31 May 2018
31 May 2018
Found no deficiencies during the ECC monitoring review conducted May 31, 2018.
03 May 2018Monitor
03 May 2018Monitor
Found no deficiencies during a monitoring visit conducted on 2018-05-03.
12 Apr 2018
12 Apr 2018
Found no deficiencies.
08 Mar 2018Monitor
08 Mar 2018Monitor
Identified a background screening deficiency that remained uncorrected.
25 Jan 2018
25 Jan 2018
Investigated deficiencies related to staff health documentation and in-service training, which remained uncorrected.
A0078STAFFING STANDARDS - STAFF
A0081TRAINING - STAFF IN-SERVICE
25 Jan 2018Monitor
25 Jan 2018Monitor
Identified deficiencies in medication records, background screening, ECC health assessments, and resident contracts. The deficiencies remained uncorrected.
Class 4CZ814BACKGROUND SCREENING CLEARINGHOUSE
A0054MEDICATION - RECORDS
A0167RESIDENT CONTRACTS
28 Nov 2017Monitor
28 Nov 2017Monitor
Identified multiple deficiencies related to admissions decisions, medication administration, emergency water supply, resident contracts, health assessments, and ECC service planning.
Class 3A0010ADMISSIONS - CONTINUED RESIDENCY
Class 3A0052MEDICATION - ASSISTANCE WITH SELF-ADMIN
Class 3A0054MEDICATION - RECORDS
Class 3A0082TRAINING - HIV/AIDS
Class 3A0093FOOD SERVICE - DIETARY STANDARDS
Class 4A0167RESIDENT CONTRACTS
Class 3AE205ECC - HEALTH ASSESSMENT
Class 3AE206ECC - SERVICE PLANS
Class 4CZ813RESULTS OF SCREENING & NOTIFICATION IN FILE
28 Nov 2017
28 Nov 2017
Found deficiencies in staff records and training, with several uncorrected issues identified. The issues included missing documentation of in-service training and job descriptions.
05 Sept 2017
05 Sept 2017
Identified deficiencies in staff training and recordkeeping, including failures to provide required in-service training and to document training within required timeframes.
29 Jun 2017Monitor
29 Jun 2017Monitor
Investigated staff training deficiencies; several required trainings were not completed by multiple staff.
Class 3A0078STAFFING STANDARDS - STAFF
Class 3A0081TRAINING - STAFF IN-SERVICE
Class 3A0089ALZHEIMER'S/OTHER DISORDERS - SPECIAL CARE
Class 3A0090TRAINING - DO NOT RESUSCITATE ORDERS
Class 3AE210ECC - TRAINING
04 Jan 2017Standard
04 Jan 2017Standard
Concluded prior deficiencies were corrected during the revisit.
A0052MEDICATION - ASSISTANCE WITH SELF-ADMIN
A0058PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES
A0162RECORDS - RESIDENT
A0078STAFFING STANDARDS - STAFF
16 Nov 2016Standard
16 Nov 2016Standard
Investigated deficiencies in medication administration, background screening, and contract documentation identified during a re-licensure survey.
Class 3A0052MEDICATION - ASSISTANCE WITH SELF-ADMIN
Class 3A0056MEDICATION - LABELING AND ORDERS
Class 3A0078STAFFING STANDARDS - STAFF
Class 4A0167RESIDENT CONTRACTS
Class 4CZ814BACKGROUND SCREENING CLEARINGHOUSE
AZ814BACKGROUND SCREENING CLEARINGHOUSE
05 Aug 2016
05 Aug 2016
Investigated previously cited deficiencies and found them corrected on the revisit date.
AZ815BACKGROUND SCREENING; PROHIBITED OFFENSES
A0162RECORDS - RESIDENT
A0160RECORDS - FACILITY
A0161RECORDS - STAFF
27 Jun 2016Monitor
27 Jun 2016Monitor
Investigated staff background screenings and found that one administrator lacked a required Level 2 background check before resident contact.
Class 4AZ815BACKGROUND SCREENING; PROHIBITED OFFENSES
22 Feb 2016
22 Feb 2016
Confirmed corrections completed for deficiencies cited in the prior review.
AZ815BACKGROUND SCREENING; PROHIBITED OFFENSES
27 Aug 2015Complaint
27 Aug 2015Complaint
Concluded that corrective actions for identified deficiencies were completed during the August 27, 2015 revisit.
A0010ADMISSIONS - CONTINUED RESIDENCY
A0025RESIDENT CARE - SUPERVISION
A0030RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
A0076DO NOT RESUSCITATE ORDERS (DNROS)
A0084TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
A0165RISK MGMT & QA; ADVERSE INCIDENT REPORT
27 Aug 2015Complaint
27 Aug 2015Complaint
Concluded that previously cited deficiencies were corrected on the day of the revisit.
A0030RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
A0032RESIDENT CARE - ELOPEMENT STANDARDS
A0084TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
A0086TRAINING - ADRD
A0162RECORDS - RESIDENT
27 Aug 2015
27 Aug 2015
Investigated a second ECC monitoring revisit; found that previously cited deficiencies were corrected on the day of the revisit.
A0161RECORDS - STAFF
19 Jun 2015Monitor
19 Jun 2015Monitor
Investigated ECC revisit; found deficiencies in required health clearance documentation and personnel records.
A0078STAFFING STANDARDS - STAFF
A0161RECORDS - STAFF
24 Mar 2015Monitor
24 Mar 2015Monitor
Identified deficiencies in ECC training compliance and in staff records during the survey.
Class 3A0161RECORDS - STAFF
Class 3AE210ECC - TRAINING
A0078STAFFING STANDARDS - STAFF
08 Oct 2014Complaint
08 Oct 2014Complaint
Investigated a complaint and found no deficiencies during the survey on October 8, 2014.
08 Oct 2014Complaint
08 Oct 2014Complaint
Found no deficiencies during the survey.
30 Sept 2014Complaint
30 Sept 2014Complaint
Verified no deficiencies were found during the follow-up visit.
30 Sept 2014Standard
30 Sept 2014Standard
Found no deficiencies during the biennial licensure survey conducted on 09/30/2014.
18 Aug 2014Complaint
18 Aug 2014Complaint
Investigated deficiencies in the admission process and medication self-administration consent documentation. Found that admission packets lacked resident elopement policies and resident records lacked complete informed consent for self-administration of medications.
Class 3A0009ADMISSIONS - ADMISSION PACKAGE
Class 3A0052MEDICATION - ASSISTANCE WITH SELF-ADMIN
13 May 2014Monitor
13 May 2014Monitor
Concluded no deficiencies were found during a follow-up visit conducted on 2014-05-13.
A0078STAFFING STANDARDS - STAFF
A0081TRAINING - STAFF IN-SERVICE
A0082TRAINING - HIV/AIDS
A0086TRAINING - ADRD
A0090TRAINING - DO NOT RESUSCITATE ORDERS
A0161RECORDS - STAFF
27 Mar 2014Monitor
27 Mar 2014Monitor
Found deficiencies in staffing, training, and records, including missing in-service training on elopement and emergency procedures and incomplete personnel documentation.
Class 3A0078STAFFING STANDARDS - STAFF
Class 3A0081TRAINING - STAFF IN-SERVICE
Class 3A0082TRAINING - HIV/AIDS
Class 3A0086TRAINING - ADRD
Class 3A0090TRAINING - DO NOT RESUSCITATE ORDERS
Class 3A0161RECORDS - STAFF
Class 3AE210ECC - TRAINING
A0091TRAINING - DOCUMENTATION & MONITORING
A0162RECORDS - RESIDENT
25 Jul 2013Monitor
25 Jul 2013Monitor
Found no deficiencies during the unannounced change of ownership revisit conducted on July 25, 2013.
24 Apr 2013Monitor
24 Apr 2013Monitor
Found deficiencies in staff duties and health documentation, plus gaps in dietary standards and service planning during the licensing visit.
Class 3A0076DO NOT RESUSCITATE ORDERS (DNROS)
Class 3A0078STAFFING STANDARDS - STAFF
Class 3A0093FOOD SERVICE - DIETARY STANDARDS
Class 3A0167RESIDENT CONTRACTS
Class 3AE206ECC - SERVICE PLANS
Class 3AE207ECC - SERVICES
A0004LICENSURE - REQUIREMENTS
A0086TRAINING - ADRD
08 Jan 2013Complaint
08 Jan 2013Complaint
Found that the deficiencies cited earlier were corrected on the day of the revisit conducted January 8, 2013.
A0025RESIDENT CARE - SUPERVISION
A0052MEDICATION - ASSISTANCE WITH SELF-ADMIN
A0056MEDICATION - LABELING AND ORDERS
08 Jan 2013Complaint
08 Jan 2013Complaint
Confirmed that previously cited deficiencies were corrected during the revisit.
08 Jan 2013Monitor
08 Jan 2013Monitor
Found no deficiencies noted during the licensure survey.
30 Nov 2012Complaint
30 Nov 2012Complaint
Identified deficiencies in supervision and medication management, including improper medication handling, gaps in self-administration assistance, and labeling/order documentation problems.
Class 2A0025RESIDENT CARE - SUPERVISION
Class 3A0052MEDICATION - ASSISTANCE WITH SELF-ADMIN
Class 3A0056MEDICATION - LABELING AND ORDERS
08 Oct 2012Complaint
08 Oct 2012Complaint
Found no deficiencies identified in the complaint survey conducted on October 8, 2012.
Class 4AE206ECC - SERVICE PLANS
08 Oct 2012Complaint
08 Oct 2012Complaint
Identified deficiencies in service planning and resident health documentation, including missing signatures on the service plan and incomplete health assessment records.
Class 4AE206ECC - SERVICE PLANS
25 Jul 2012Complaint
25 Jul 2012Complaint
Found no deficiencies. Prior deficiencies were corrected during the revisit.
A0030RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
15 May 2012Complaint
15 May 2012Complaint
Identified violations related to residents' rights and required facility policies, including posting rights and providing grievance procedures and information to residents.
Class 2A0030RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
A0008ADMISSIONS - HEALTH ASSESSMENT
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