This data is aggregated directly from state registries for informational purposes. It is not a recommendation or a substitute for touring a facility.
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COUNTRYSIDE LAKES in PORT ORANGE, FL

941 VILLAGE TRL, PORT ORANGE, FL 32127-9353

(386) 756-3480

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Active License
Last Updated: 4/23/2026
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
120 Beds
Institutional Care Setting. Larger facility with comprehensive 24/7 staffing.
Legal Sanctions
3
State disciplinary actions on record

Health Inspections & Citations

Survey2019-01-16

Sanction Applied: Fine

Fine: $500
Survey2017-02-22

Sanction Applied: Fine

Fine: $500
Rule Violation2016-12-19

Sanction Applied: Change of ownership occurred

Location & Contact Information

Operational History

Originally Licensed
12/19/2016
Current Management Since
9/1/2021

Room & Unit Types

Private Rooms120 units
Extended Congregate Care Beds0 capacity
Optional State Supplement Beds0 capacity
Private Beds120 capacity
Total Capacity Beds120 capacity

Amenities & Services

Payment Forms Accepted

  • Other

Languages Spoken

  • English

Activities

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

Nurse Availability

  • Direct Part-Time

Staffing Snapshot

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

Executive Roster

Ownership Entity

SHEPHERD CSL, LLC For-Profit

Management Company

PORT ORANGE AL CARE PROPERTIES, LLC

CFO

GREGORY ALAN RODERICK

Administrator

MARY KRISTINE WILLIAMS

Individual Stakeholders

  • FRONTIER MANAGEMENT LLC — 100%
  • SLF-SH COUNTRYSIDE LAKES, LLC — 100%

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