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COUNTRYSIDE HAVEN ALF in PALM HARBOR, FL

6960 COUNTY RD 95, PALM HARBOR, FL 34684

(727) 786-8461

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Active License
Last Updated: 4/22/2026
Sourced from state & federal public records

Facility Intelligence Overview

Safety & Inspections
No recent CMS citations reported
Questions to ask on your tour

• Ask if they have had any state or federal inspections recently.

• Ask how they ensure a safe environment for residents.

Staffing Adequacy
Federal staffing data not filed
Questions to ask on your tour

Smaller residential facilities are often not required to file daily payroll records with the federal CMS. This is common and does not indicate a violation.

• What is your staff-to-resident ratio during the day and at night?

• How do you handle staff call-outs or shortages?

Capacity
30 Beds
Medium-sized community. Balances personal attention with robust activities.
Legal Sanctions
6
State disciplinary actions on record

Health Inspections & Citations

Rule Violation2025-01-30

Sanction Applied: Change of ownership occurred

Rule Violation2016-11-10

Sanction Applied: Change of ownership occurred

Survey2012-09-17

Sanction Applied: Fine

Fine: $1,500
Survey2004-08-27

Sanction Applied: Fine

Fine: $825
Survey2004-05-27

Sanction Applied: Fine

Fine: $750
Survey2004-03-05

Sanction Applied: Fine

Fine: $1,250

Location & Contact Information

Operational History

Originally Licensed
1/30/2025

Historical Name Changes

  • COUNTRYSIDE HAVEN ALFPrior to 2025
  • COUNTRYSIDE HAVENPrior to 2025

Room & Unit Types

Private Rooms10 units
Semi-Private Rooms20 units
Extended Congregate Care Beds0 capacity
Optional State Supplement Beds20 capacity
Private Beds10 capacity
Total Capacity Beds30 capacity

Amenities & Services

Payment Forms Accepted

  • Insurance and/or HMO
  • Medicaid
  • Other
  • VA

Languages Spoken

  • English
  • Spanish

Activities

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

Nurse Availability

  • 3rd Party Part-Time

Staffing Snapshot

The CMS staffing levels for RNs, LPNs, and CNAs assigned to handle the resident capacity.

Executive Roster

Ownership Entity

CITRUS AMBER OF FLORIDA INC For-Profit

CFO

DENIS LUBINGA

Administrator

JACKIE NABAJJA

Individual Stakeholders

  • DENIS LUBINGABOARD MEMBER/OFFICER — 100%

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