Daytona Beach Senior AdvisorWhat does Florida license Countryside Lakes in Port Orange to do?
AHCA license #5115 covers Countryside Lakes, an assisted living facility for up to 120 residents at 941 Village Trl in Port Orange (32127), on a standard license with no specialty add-on, and the license period now in force ends March 18, 2027.
| Record | AHCA data |
|---|---|
| AHCA license number | 5115 |
| License status | Licensed |
| License category | Standard only |
| Licensed residents (beds) | 120 |
| Private / semi-private rooms | 120 / 0 |
| Beds set aside for OSS residents | 0 |
| First licensed | December 19, 2016 |
| Current license period | 03/19/2025 to 03/18/2027 |
| Licensee (owner) on file | Shepherd Csl, LLC (For-Profit) |
| Management company on file | Port Orange Al Care Properties, LLC |
| Memory care listed in AHCA profile | No |
| Nurse availability reported | Direct Part-Time |
| Fixed generator reported | Yes |
| Languages reported | English |
Staff can assist with personal care and medications under the standard license, but recurring nursing tasks such as dressing a wound must be arranged with a separately licensed agency or nurse.
What have AHCA surveyors cited at Countryside Lakes?
Since 2018, AHCA has posted 6 visits to Countryside Lakes (3 standard surveys, 3 complaint or other visits) and 7 deficiencies in total; at the most recent standard survey, April 29, 2024, surveyors cited 0 deficiencies.
| Visit date | Type | Tag | Class | What AHCA cited | Corrected |
|---|---|---|---|---|---|
| 06/23/2025 | Complaint | A0200 | Class 3 | Emergency Environmental Control | 07/30/2025 |
| 04/29/2024 | Standard | — | — | No deficiency cited | — |
| 08/15/2022 | Complaint | — | — | No deficiency cited | — |
| 06/15/2021 | Standard | — | — | No deficiency cited | — |
| 09/29/2020 | Complaint | CZ830 | Class 3 | Emergency Management Planning 408.821 Emergency Management Planning; Emergency Operations; | 10/23/2020 |
| 11/15/2018 | Standard | A0076 | Class 3 | Do Not Resuscitate Orders (Dnros) (1) Policies And Procedures. (A) Each Assisted Living Fa | 01/09/2019 |
| 11/15/2018 | Standard | A0081 | Class 3 | Training - Staff In-Service (2) Staff Preservice Orientation. (A) Facilities Must Provide | 01/09/2019 |
| 11/15/2018 | Standard | A0160 | Class 3 | Records - Facility The Facility Must Maintain Required Records In A Manner That Makes Such | 01/09/2019 |
| 11/15/2018 | Standard | A0161 | Class 3 | Records - Staff 429.275 (2) The Administrator Or Owner Of A Facility Shall Maintain Person | 01/09/2019 |
| 11/15/2018 | Standard | CZ816 | Class 4 | Background Screening-Compliance Attestation 408.809 (2) Every 5 Years Following His Or Her | 01/09/2019 |
Sorted by severity class, the citations are 6 class 3, 1 class 4. Florida ranks class I as the gravest and class IV as the mildest.
Across the 49 Volusia and Flagler County ALFs licensed for 40 or more residents, the latest standard survey cited a median of 0 deficiencies; here the count was 0.
Is there any AHCA fine or sanction on Countryside Lakes's record?
Yes: 2 final sanctions appear on this license's AHCA profile, with $1,000 in fines in all; the newest was initiated January 16, 2019.
| Initiated | Sanction | Basis | Fine |
|---|---|---|---|
| January 16, 2019 | Fine | Survey | $500 |
| February 22, 2017 | Fine | Survey | $500 |
Check the dates: a fine from years ago says less than one from last year, so ask what the facility changed afterward.
Has ownership of Countryside Lakes changed hands?
Yes: the AHCA profile shows 1 change of ownership, the latest dated December 19, 2016.
New owners can change staffing, prices and policies, so ask who stayed through the sale, starting with the administrator and nurses.
How does Countryside Lakes compare with other assisted living in Volusia and Flagler counties?
By AHCA's figures, its 120 beds are more than the median of 26 for all 105 licensed ALFs in Volusia and Flagler counties; its first license dates back 10 years, against a county median of 6; the nearest other licensed ALF is Brookdale Port Orange, roughly 0.1 miles off.
| Facility | Miles away | License | Licensed beds | Last standard survey | Cites at that survey |
|---|---|---|---|---|---|
| Brookdale Port Orange 955 Village Trl, 32127 | 0.1 | Standard + LNS | 60 | 09/11/2024 | 1 |
| Reflections Memory Care of Port Orange 1321 Herbert St, 32129 | 1.0 | Standard only | 54 | 10/13/2026 | 0 |
| Canalview Rest Home 864 Canal View Blvd, 32129 | 1.1 | Standard only | 6 | Not posted | — |
| Port Orange Assisted Living Facility 1111 Buttermilk Ln, 32129 | 1.3 | Standard only | 8 | Not posted | — |
| Colliers at Port Orange Opco, LLC 1675 Dunlawton Avenue, 32127 | 1.3 | Standard only | 102 | 12/09/2025 | 0 |
How far is Countryside Lakes from a hospital?
Halifax Health Medical Center in Daytona Beach is the closest acute-care hospital, roughly 5.3 miles away as the crow flies; next is AdventHealth Daytona Beach, roughly 8.4 miles.
CMS's overall hospital star rating for Halifax Health Medical Center is 2 of 5.
What should a family ask Countryside Lakes before moving in?
Each question below comes from something in this facility's own state record:
- Who is on duty between 11 p.m. and 7 a.m., and is at least one of them awake the whole night?
- May we take home the contract, with its full fee schedule and the 45-day notice terms, before deciding?
State record: AHCA FloridaHealthFinder profile · inspection history
