This data is aggregated directly from state registries for informational purposes. It is not a recommendation or a substitute for touring a facility.

COUNTRYSIDE LAKES in PORT ORANGE, FL

Name: COUNTRYSIDE LAKES
Address: 941 VILLAGE TRL, PORT ORANGE, FL, 32127-9353, US
Telephone: (386) 756-3480

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

CMS Citations Record

Clear Record

Severe

Standard

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

—

No Data Filed

Capacity

120

Beds

Legal Sanctions

On Record

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Sanctions

Inspection rows

CMS citations

Owner records

What we found

Source Evidence Preview

Florida AHCALegal sanctionVERIFIED FINDING

Survey

Jan 16, 2019$500Severity: SanctionStatus: 01

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Florida AHCALegal sanctionVERIFIED FINDING

Survey

Feb 22, 2017$500Severity: SanctionStatus: 01

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Florida AHCALegal sanctionVERIFIED FINDING

Change of ownership occurred

Dec 19, 2016$0Severity: CHOW

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Full Insight Report Would Add

Verified AHCA source links and source-document notes

Plain-English explanation of sanctions and inspection findings

Owner, management, executive, and stakeholder summary

Facility name-history review for continuity questions

Monitoring checklist for future AHCA or CMS record changes

Questions to ask the facility based on public-record signals

Ownership and control

Public Record Summary

Ownership entity: SHEPHERD CSL, LLC (For-Profit)
Management company: PORT ORANGE AL CARE PROPERTIES, LLC
Administrator listed in AHCA profile: MARY KRISTINE WILLIAMS
2 principal stakeholder records available from the AHCA profile.

Health Inspections & Citations

Survey2019-01-16

Sanction Applied: Fine

Fine: $500

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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%