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Assisted Living

Countryside Lakes

941 Village Trl, Port Orange, FL 32127

120 bedsVolusia CountyActive licenseAHCA licensedFor-Profit2 complaints

Community snapshot

Inspection & facility statistics

Public AHCA rollup for Countryside Lakes (Assisted Living). Class I-IV charts are public below; sign in for citation narratives and the full timeline.

Licensed beds

120

Certified capacity

Deficiencies

7

Limited compliance findings on record

Complaints

2

Linked to inspections

Recorded fines

$0

No fine amount on file

Class I0
Class II0
Class III6
Class IV1

Class I-IV breakdown

Class I0

Class II0

Class III6

Class IV1

Countryside Lakes is a licensed assisted living facility in Port Orange, Florida (Volusia County). Licensed capacity is 120 beds. Nursing coverage: Direct Part-Time. Activities include arts and crafts, cooking classes, dancing, exercise classes. Owner: Shepherd Csl, LLC. Managed by Port Orange Al Care Properties, LLC.

Contact & Location

Verified mailing details for Countryside Lakes.

Street: 941 Village Trl
City: Port Orange, FL 32127
County: Volusia County

License & Facility Details

Public licensing and inspection records from Florida AHCA and CMS where available.

120 licensed beds120 private roomsVolusia CountyActive licenseFor-Profit

AHCA file #: 11910310
AHCA license #: 5115
AHCA license ID: 910
Licensed beds: 120
Private rooms: 120
County: Volusia County
License status: Active license
License effective: Mar 19, 2025
License expires: Mar 18, 2027
Originally licensed: Dec 19, 2016
Ownership type: For-Profit
Owner / licensee: Shepherd Csl, LLC
Administrator: Mary Kristine Williams
Management: Port Orange Al Care Properties, LLC
Deficiencies: 7Class I: 0 · Class II: 0 · Class III: 6 · Class IV: 1Sign in for citation details & timeline
Complaints: 2
AHCA profile: View Florida Health Finder record

Services & characteristics

Activities

Arts and Crafts
Cooking Classes
Dancing
Exercise Classes
Games/Cards
Gardening
Music Programs
Other
Shopping
Social Events/Outings
Theater and Movies
Yoga

Languages Spoken

English

Nurse Availability

Direct Part-Time

Consumer Information

Bed Hold Policy

Payment Forms Accepted

Other

Inspection & Deficiency Insights

Public Class I-IV rollup and survey recency for Countryside Lakes. Sign in for citation narratives and the full dated timeline.

Limited compliance findings on record7 deficiencies on recordLast survey Jun 23, 20252 complaints

Countryside Lakes has a relatively light deficiency profile. Review Class III/IV details and complaint history before deciding.

Class I0
Class II0
Class III6
Class IV1

Class III6

Class IV1

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Amenities & Services

Yoga

Games/Cards

Dancing

Arts and Crafts

Theater and Movies

Gardening

Cooking Classes

Direct Part-Time

Music Programs

Exercise Classes

Shopping

Other

Social Events/Outings

Location & Nearby

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Countryside Lakes

Inspection & facility statistics

Class I-IV breakdown

Contact & Location

License & Facility Details

Services & characteristics

Inspection & Deficiency Insights

Unlock the full deficiency report

Amenities & Services

Location & Nearby

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