Assisted Living

Good Sam'S Assisted Living Residence, LLC

1 Pebble Wood Ln, Palm Coast, FL 32164

6 bedsFlagler CountyActive licenseAssistive Care ServicesAHCA licensedFor-Profit
Community snapshot

Inspection & facility statistics

Public AHCA rollup for Good Sam'S Assisted Living Residence, LLC (Assisted Living). Class I-IV charts are public below; sign in for citation narratives and the full timeline.

Licensed beds
6
Certified capacity
Deficiencies
6
Limited compliance findings on record
Complaints
0
None on current rollup
Recorded fines
$0
No fine amount on file
6total
  • Class I0
  • Class II0
  • Class III6
  • Class IV0

Class I-IV breakdown

Class I0
Class II0
Class III6
Class IV0

Good Sam'S Assisted Living Residence, LLC is a licensed assisted living facility in Palm Coast, Florida (Flagler County). Licensed capacity is 6 beds. Specialty license(s): Assistive Care Services. Nursing coverage: 3rd Party 24hr. Activities include arts and crafts, dancing, games/cards, music programs. Owner: Good Sam'S Assisted Living Residence, LLC.

Contact & Location

Verified mailing details for Good Sam'S Assisted Living Residence, LLC.

Street
1 Pebble Wood Ln
City
Palm Coast, FL 32164
County
Flagler County
Website
Visit website

License & Facility Details

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

6 licensed beds6 private roomsFlagler CountyActive licenseAssistive Care ServicesFor-Profit
AHCA file #
11965709
AHCA license #
10049
AHCA license ID
4595
Licensed beds
6
Private rooms
6
County
Flagler County
License status
Active license
License effective
Feb 28, 2025
License expires
Feb 27, 2027
Originally licensed
Nov 30, 2016
Specialty licenses
Assistive Care Services
Ownership type
For-Profit
Owner / licensee
Good Sam'S Assisted Living Residence, LLC
Administrator
Leanne Judith Fermin-Ostrin
Deficiencies
6Class I: 0 · Class II: 0 · Class III: 6 · Class IV: 0Sign in for citation details & timeline
Complaints
0

Services & characteristics

Activities
  • Arts and Crafts
  • Dancing
  • Games/Cards
  • Music Programs
  • Other
  • Social Events/Outings
Languages Spoken
  • Creole
  • English
  • French
  • Italian
Nurse Availability
  • 3rd Party 24hr
Consumer Information
  • Bed Hold Policy
Payment Forms Accepted
  • Insurance and/or HMO
  • Medicaid
  • Other
  • VA
Religious Affiliations
  • Other
Special Programs and Services
  • Massage Therapy/Spa
  • Other
  • Pet Therapy

Inspection & Deficiency Insights

Public Class I-IV rollup and survey recency for Good Sam'S Assisted Living Residence, LLC. Sign in for citation narratives and the full dated timeline.

Limited compliance findings on record6 deficiencies on recordLast survey Jun 25, 2025

Good Sam'S Assisted Living Residence, LLC has a relatively light deficiency profile. Review Class III/IV details and complaint history before deciding.

6total
  • Class I0
  • Class II0
  • Class III6
  • Class IV0
Class III6

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Amenities & Services

Pet Therapy
Games/Cards
Dancing
Massage Therapy/Spa
Arts and Crafts
Music Programs
Other
3rd Party 24hr
Social Events/Outings

Location & Nearby

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