EDGEWATER AT WATERMAN VILLAGE

300 BROOKFIELD AVE
MOUNT DORA, FL, 32757
3523830051
CCN: 105796
4
Overall
4
Health
4
Staffing
4
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (5)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
A-COMMUNITY HOME HEALTH, INC
1128b8
Excluded 2003-03-20
A-COMMUNITY HOME HEALTH, INC
1128b8
Excluded 1998-03-19
COMMUNITY CLINICAL LAB, INC
1128a1
Excluded 2001-09-20
FL COMMUNITY CARE CTRS, INC
1128b8
Excluded 2002-09-19
PSL COMMUNITY CARE CTR, INC
1128b8
Excluded 2002-09-19
Ownership
NameRole%
DUJON, ANDREWCORPORATE OFFICERNOT APPLICABLE
LARSON, DAVIDCORPORATE OFFICERNOT APPLICABLE
BUCHANAN, YVONNEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
DUJON, ANDREWOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (11)
2024-11-06 · Health
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
F770 · Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-09-25 · Health
D
F761 · Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2023-06-02 · Health
D
F847 · Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
D
F761 · Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
2022-01-27 · Health
E
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
4.15
3.68
RN Hrs/Resident/Day
0.47
0.54
LPN Hrs/Resident/Day
1.40
0.81
CNA Hrs/Resident/Day
2.28
2.33
PT Hrs/Resident/Day
0.08
0.12
Data as of 2026-03-01