Assisted LivingSafety Harbor, FLAHCA #11963853Updated October 5, 2026
Evergreen ManorDeficiencies, fines & AHCA inspection record
Searching for Evergreen Manor deficiencies? This landing page summarizes Florida AHCA inspection data for this assisted living in Safety Harbor, FL: Class I–IV counts, fines ($3,000), complaints, and a dated timeline of public findings so you can tour with clearer questions.
On this page: Class I–IV totals, fines ($3,000), 1 complaint, and 9 dated timeline events.
Inspection snapshot
At a glance
Public AHCA Class I–IV rollup for Evergreen Manor.
Deficiencies
8
Moderate inspection concerns
Complaints
1
Linked to inspections
Recorded fines
$3,000
AHCA / CMS total on file
Risk level
Moderate
Moderate inspection concerns
Moderate inspection concerns
Evergreen Manor has enough citations or fines to warrant a careful read of inspection history, especially recurring categories.
Class I0
Class II1
Class III7
Class IV0
Findings by AHCA class
Class I
0
Class II
1
Class III
7
Class IV
0
1 Class II citation: Class II findings point to care or operations problems that put residents at direct risk. Ask for the plan of correction and follow-up survey results.
7 Class III citations: Class III citations are the most common serious rollup. Patterns over time matter more than a single count.
1 complaint on the AHCA rollup. Complaints can trigger focused surveys.
Administrative fines on record total $3,000.
Evergreen Manor deficiency timeline
Dated findings, fines, corrections, and license milestones · 9 events on record. Newest first.
First Florida AHCA license date on record for this community. Later inspections and fines appear above as newer events.
Class IIIahca
ADMISSIONS - CONTINUED RESIDENCY
ADMISSIONS
ADMISSIONS - CONTINUED RESIDENCY
Corrected Aug 27, 2024
Class IIIahca
ALZHEIMER DISEASE/DEMENTIA; TRAINING
ALZHEIMER DISEASE/DEMENTIA; TRAINING
Corrected Aug 27, 2024
Class IIIahca
STAFFING STANDARDS - STAFF
STAFFING STANDARDS
STAFFING STANDARDS - STAFF(2) STAFF. (a) Within 30 days after beginning employment, newly hired staff must submit a written statement from a health care provider documenting that the individual does not have any signs or symptoms of communicable disease. The examination performed by the health care provider must have been conducted no earlier than 6 months before submission of the statement. Newly hired staff does not include an employee transferring without a break in service from one facility to another when the facility is under the same management or ownership. 1. Evidence of a negative tuberculosis examination must be documented on an annual basis. Documentation provided by the Florida Department of Health or a licensed health care provider certifying that there is a shortage of tuberculosis testing materials satisfies the annual tuberculosis examination requirement. An individual with a positive tuberculosis test must submit a health care provider's statement that the individual does not constitute a risk of communicating tuberculosis. 2. If any staff member has, or is suspected of having, a communicable disease, such individual must be immediately removed from duties until a written statement is submitted from a health care provider indicating that the individual does not constitute a risk of transmitting a communicable disease. (b) Staff must be qualified to perform their assigned duties consistent with their level of education, training, preparation, and experience. Staff providing services requiring licensing or certification must be appropriately licensed or certified. All staff must exercise their responsibilities, consistent with their qualifications, to observe residents, to document observations on the appropriate resident's record, and to report the observations to the resident's health care provider in accordance with this rule chapter. (c) All staff must comply with the training requirements of rule 59A-36.011, F.A.C. (d) An assisted living facility contracting to provide services to residents must ensure that individuals providing services are qualified to perform their assigned duties in accordance with this rule chapter. The contract between the facility and the staffing agency or contractor must specifically describe the services the staffing agency or contractor will provide to residents. (e) For facilities with a licensed capacity of 17 or more residents, the facility must: 1. Develop a written job description for each staff position and provide a copy of the job description to each staff member; and, 2. Maintain time sheets for all staff. (f) Level 2 background screening must be conducted for staff, including staff contracted by the facility to provide services to residents, pursuant to sections 408.809 and 429.174, F.S.
Corrected Jul 29, 2021
Class IIahca
STAFFING STANDARDS - LEVELS
STAFFING STANDARDS
STAFFING STANDARDS - LEVELS(3) STAFFING STANDARDS. (a) Minimum staffing: 1. Facilities must maintain the following minimum staff hours per week: Number of Residents, Day Care Participants, and Respite Care Residents Staff Hours/Week 0-5 168 6-15 212 16-25 253 26-35 294 36-45 335 46-55 375 56-65 416 66-75 457 76-85 498 86-95 539 For every 20 total combined residents, day care participants, and respite care residents over 95 add 42 staff hours per week. 2. Independent living residents, as referenced in subsection 59A-36.015(3), F.A.C., who occupy beds included within the licensed capacity of an assisted living facility but do not receive personal, limited nursing, or extended congregate care services, are not counted as residents for purposes of computing minimum staff hours. 3. At least one staff member who has access to facility and resident records in case of an emergency must be in the facility at all times when residents are in the facility. Residents serving as paid or volunteer staff may not be left solely in charge of other residents while the facility administrator, manager or other staff are absent from the facility. 4. In facilities with 17 or more residents, there must be at least one staff member awake at all hours of the day and night. 5. A staff member who has completed courses in First Aid and Cardiopulmonary Resuscitation (CPR) and holds a currently valid card documenting completion of such courses must be in the facility at all times. a. Documentation of attendance at First Aid or CPR courses pursuant to subsection 59A-36.011(5), F.A.C., satisfies this requirement. b. A nurse is considered as having met the course requirements for First Aid. An emergency medical technician or paramedic currently certified under chapter 401, part III, F.S., is considered as having met the course requirements for both First Aid and CPR. 6. During periods of temporary absence of the administrator or manager of more than 48 hours when residents are on the premises, a staff member who is at least 21 years of age must be physically present and designated in writing to be in charge of the facility. No staff member shall be in charge of a facility for a consecutive period of 21 days or more, or for a total of 60 days within a calendar year, without being an administrator or manager. 7. Staff whose duties are exclusively building or grounds maintenance, clerical, or food preparation do not count towards meeting the minimum staffing hours requirement. 8. The administrator or manager's time may be counted for the purpose of meeting the required staffing hours, provided the administrator or manager is actively involved in the day-to-day operation of the facility, including making decisions and providing supervision for all aspects of resident care, and is listed on the facility's staffing schedule. 9. Only on-the-job staff may be counted in meeting the minimum staffing hours. Vacant positions or absent staff may not be counted. (b) Notwithstanding the minimum staffing requirements specified in paragraph (a), all facilities, including those composed of apartments, must have enough qualified staff to provide resident supervision, and to provide or arrange for resident services in accordance with the residents' scheduled and unscheduled service needs, resident contracts, and resident care standards as described in rule 59A-36.007, F.A.C. (c) The facility must maintain a written work schedule that reflects its 24-hour staffing pattern for a given time period. Upon request, the facility must make the daily work schedules of direct care staff available to residents or their representatives. (d) The facility must provide staff immediately when the agency determines that the requirements of paragraph (a) are not met. The facility must immediately increase staff above the minimum levels established in paragraph (a), if the agency determines that adequate supervision and care are not being provided to residents, resident care s
Corrected Jul 29, 2021
Class IIIahca
MEDICATION - ASSISTANCE WITH SELF-ADMIN429.256
MEDICATION
MEDICATION - ASSISTANCE WITH SELF-ADMIN429.256 (3) Assistance with self-administration of medication includes: (a) Taking the medication, in its previously dispensed, properly labeled container, including an insulin syringe that is prefilled with the proper dosage by a pharmacist and an insulin pen that is prefilled by the manufacturer, from where it is stored, and bringing it to the resident. (b) In the presence of the resident, confirming that the medication is intended for that resident, orally advising the resident of the medication name and dosage, opening the container, removing a prescribed amount of medication from the container, and closing the container. The resident may sign a written waiver to opt out of being orally advised of the medication name and dosage. The waiver must identify all of the medications intended for the resident, including names and dosages of such medications, and must immediately be updated each time the resident's medications or dosages change. (c) Placing an oral dosage in the resident's hand or placing the dosage in another container and helping the resident by lifting the container to his or her mouth. (d) Applying topical medications. (e) Returning the medication container to proper storage. (f) Keeping a record of when a resident receives assistance with self-administration under this section. (g) Assisting with the use of a nebulizer, including removing the cap of a nebulizer, opening the unit dose of nebulizer solution, and pouring the prescribed premeasured dose of medication into the dispensing cup of the nebulizer. (h) Using a glucometer to perform blood-glucose level checks. (i) Assisting with putting on and taking off antiembolism stockings. (j) Assisting with applying and removing an oxygen cannula but not with titrating the prescribed oxygen settings. (k) Assisting with the use of a continuous positive airway pressure device but not with titrating the prescribed setting of the device. (l) Assisting with measuring vital signs. (m) Assisting with colostomy bags. (4) Assistance with self-administration does not include: (a) Mixing, compounding, converting, or calculating medication doses, except for measuring a prescribed amount of liquid medication or breaking a scored tablet or crushing a tablet as prescribed. (b) The preparation of syringes for injection or the administration of medications by any injectable route. (c) Administration of medications by way of a tube inserted in a cavity of the body. (d) Administration of parenteral preparations. (e) The use of irrigations or debriding agents used in the treatment of a skin condition. (f) Assisting with rectal, urethral, or vaginal preparations. (g) Assisting with medications ordered by the physician or health care professional with prescriptive authority to be given "as needed," unless the order is written with specific parameters that preclude independent judgment on the part of the unlicensed person, and the resident requesting the medication is aware of his or her need for the medication and understands the purpose for taking the medication. (h) Medications for which the time of administration, the amount, the strength of dosage, the method of administration, or the reason for administration requires judgment or discretion on the part of the unlicensed person. (5) Assistance with the self-administration of medication by an unlicensed person as described in this section shall not be considered administration as defined in s. 465.003. 59A-36.008 (3) ASSISTANCE WITH SELF-ADMINISTRATION. (a) Any unlicensed person providing assistance with self-administration of medication must be 18 years of age or older, trained to assist with self administered medication pursuant to the training requirements of rule 59A-36.011, F.A.C., and must be available to assist residents with self-administered medications in accordance with procedures described in section 429.256, F.S. and this rule. (b) In addition to the specifications of section 429.256(3), F.
Florida groups assisted living violations into four classes by how serious the risk is to residents (Fla. Stat. §§ 408.813, 429.19).
Class I: Imminent danger
0 on record
Conditions that present an imminent danger to residents or a substantial probability of death or serious physical or emotional harm.
Typical ALF fine: $5,000-$10,000 per violation (ALF). Highest severity. Must be corrected quickly, often within 24 hours.
Class II: Direct threat
1 on record
Conditions that directly threaten the physical or emotional health, safety, or security of residents (short of Class I).
Typical ALF fine: $1,000-$5,000 per violation (ALF). Direct risk to resident well-being; fines apply even after correction.
Class III: Indirect or potential threat
7 on record
Conditions that indirectly or potentially threaten resident health, safety, or security.
Typical ALF fine: $500-$1,000 per violation (ALF). Potential harm if left uncorrected; correction deadlines are specified.
Class IV: No direct resident threat
0 on record
Conditions related to operations, reports, or paperwork that do not threaten resident health, safety, or security.
Typical ALF fine: $100-$200 per violation (ALF). Lowest severity; often administrative. Fines may be waived if corrected on time.
Evergreen Manor deficiency FAQ
Common questions families ask when researching Evergreen Manor inspection history in Safety Harbor, FL.
Does Evergreen Manor have deficiencies?
Yes. Evergreen Manor has 8 public deficiencies on the AHCA/CMS totals we track, with $3,000 in recorded fines. Review the class breakdown and timeline on this page for dates and categories.
How many deficiencies does Evergreen Manor have?
Evergreen Manor has 8 deficiencies on the public totals we track, with $3,000 in fines on record.
What do AHCA deficiency classes mean for Evergreen Manor?
Florida grades assisted living deficiencies Class I through IV by how serious the risk is to residents. Class I is imminent danger; Class IV is typically paperwork with no direct resident threat. Use the class chart on this page to see how this community's totals break down.
Are there fines or complaints for Evergreen Manor?
Recorded fines total $3,000. AHCA lists 1 complaint on file.
Where do these deficiency numbers come from?
Totals come from Florida AHCA Health Finder public facility comparison data (deficiency class counts, complaints, and fines).
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Evergreen Manor deficiency data is compiled from Florida AHCA public facility comparison fields and CMS Provider Data Catalog where available (page data refreshed October 5, 2026). Facilities may contest findings; always verify with the latest official inspection report before making a care decision.