EDGEWATER AT WATERMAN VILLAGE
300 BROOKFIELD AVE
MOUNT DORA, FL, 32757
3523830051
CCN: 105796
4
Overall4
Health4
Staffing4
QualitySpecial 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
| Name | Role | % |
|---|---|---|
| DUJON, ANDREW | CORPORATE OFFICER | NOT APPLICABLE |
| LARSON, DAVID | CORPORATE OFFICER | NOT APPLICABLE |
| BUCHANAN, YVONNE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DUJON, ANDREW | OPERATIONAL/MANAGERIAL CONTROL | NOT 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/Day3.68
4.15
RN Hrs/Resident/Day0.54
0.47
LPN Hrs/Resident/Day0.81
1.40
CNA Hrs/Resident/Day2.33
2.28
PT Hrs/Resident/Day0.12
0.08
Data as of 2026-03-01