State assisted-living licensing record · Florida AHCA · record as pulled September 11, 2026· Not the federal nursing home survey
Good Sam's Assisted Living Residence, LLC
1 Pebble Wood Ln, Palm Coast, FL 32164 · Flagler County · 6 licensed beds
AHCA file number 11965709 · licence 10049 · licensed through February 27, 2027 · first licensed November 2016
The licence
Licensed by AHCA · Assisted Living Facility · For-Profit
Emergency power plan, as filed with AHCA
- Onsite Alternate Power Source: Portable Generator
- Yes
- Emergency Power Supports: Air Conditioning
- Yes
- Emergency Power Supports: Lights
- Yes
- Emergency Power Supports: Other
- open windows as necessary
- Emergency Power Supports: Refrigeration
- Yes
- Plan Approval: Approval Date
- Apr 27, 2018
- Implementation Date: Implement Date
- Apr 27, 2018
- Cooling Method: Air Conditioner
- Yes
- Cooling Method: Fans
- Yes
- Cooling Method: Other
- open windows as necessary
- Areas Cooled: Common Areas
- Yes
- Areas Cooled: Dining Room
- Yes
- Areas Cooled: Living room
- Yes
- Areas Cooled: Resident Rooms
- Yes
- Areas Cooled Location: Within Facility
- Yes
- Square Footage Cooled: Sq Ft Cooled
- 160
- Number of People to use Cooled Space: Number of people
- 8
Position within Florida
4 citations — more than 41% of the 3,013 licensed assisted living facilities in Florida. Compared only within Florida: a citation from AHCA means what it means in Florida, and there is no national assisted living record to compare to. Counted over 5 years, which holds two or three routine inspections. How this is calculated
Not in this record
Fire and life safety. In Florida the fire safety inspection of an assisted living facility is done by the local fire authority under the Florida Fire Prevention Code, not by AHCA, and those reports are not part of this record. What AHCA does cite about the building — physical plant, emergency management and emergency power — is here.
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How that compares
Compared with the median licensed assisted living facility in Florida. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 4 |
| Median facility in Florida | 5 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| November 18, 2021 | routine licensure inspection | 0 |
| March 23, 2023 | routine licensure inspection | 0 |
| June 25, 2025 | routine licensure inspection | 4 |
What the citations cover
- Food service 1
- Records and administration 1
- Resident care 1
- Medication 1
| Category | Citations |
|---|---|
| Food service | 1 |
| Records and administration | 1 |
| Resident care | 1 |
| Medication | 1 |
Every visit on file since September 2021
As published by AHCA, newest first, including visits that cited nothing. The wording and the classes are AHCA’s own.
June 25, 2025 — routine licensure inspection, 4 citations
| Tag | What AHCA checks | Class | Corrected |
|---|---|---|---|
| A0026 | Resident Care - Social & Leisure Activities | Class III | September 4, 2025 |
| A0052 | Medication - Assistance with Self-Admin | Class III | September 4, 2025 |
| A0093 | Food Services - Dietary Standards | Class III | September 4, 2025 |
| A0160 | Records - Facility | Class III | September 4, 2025 |
March 23, 2023 — routine licensure inspection, nothing cited
November 18, 2021 — routine licensure inspection, nothing cited
AHCA also holds 35 older citations for this facility from before September 2021, outside the 5-year window these pages use. They are on the state’s own record.
Reflects the AHCA record as pulled September 11, 2026. A recent visit may not appear yet. This is the Florida state licensing record; it is not the federal nursing home survey and the two are never combined.