Skip to the content

Countryside Lakes

Assisted living facility (ALF) in Port Orange, Florida, licence 5115

941 Village Trl, Port Orange, FL 32127 · Volusia County

Call (386) 756-3480

Licence
5115, licensed
Licensed beds
120
Medicaid waiver list
No
Specialty licences
Standard licence only
Deficiencies cited
1
Fines
None on record

Does Countryside Lakes accept Medicaid?

No. Countryside Lakes isn't on AHCA's Medicaid waiver list and doesn't report Medicaid as a form of payment.

See every Florida ALF on the waiver list, or read how the Medicaid waiver for assisted living works.

Monthly cost at Countryside Lakes

AHCA doesn't collect prices, so the state record has no rate for Countryside Lakes. The CareScout Cost of Care Survey 2025 puts the Florida median at $5,610 a month for a private one-bedroom unit, against $6,200 for the US.

Ask for the written rates: what the base fee covers, what each level of care adds and how much notice you get before a rise. Our guide to the cost of assisted living in Florida covers the ways to pay.

Licence and the care it may give

Licence detailFrom the AHCA record
Licence number5115
AHCA file number11910310
TypeAssisted Living Facility
StatusLicensed
OwnershipFor-Profit
First licensedDecember 19, 2016
Current licenceMarch 19, 2025 to March 18, 2027

Countryside Lakes holds a standard ALF licence. That covers housing, meals and help with daily tasks such as bathing, dressing and taking medication, but not ongoing nursing care.

State inspections, complaints and fines

Florida inspectors cited Countryside Lakes for 1 deficiency on the AHCA comparison record. Class I is the most serious, a risk of death or serious harm; Class IV is the least.

ClassCited
Class III1

The record also lists no complaints to AHCA on the comparison record and 2 sanctions with $0 in fines.

ActionStartedFineOutcome
FineJanuary 16, 2019$500-
FineFebruary 22, 2017$500-

Beds and rooms

With 120 licensed beds, Countryside Lakes is larger than the typical ALF in Port Orange, where the median is 54.

Licensed beds
120
Private beds
120
Private rooms
120

Services Countryside Lakes reports to the state

Countryside Lakes reported these to AHCA. The state doesn't check them, so ask to see each one in person.

Nurse availability
Direct Part-Time
Activities
Arts and Crafts, Cooking Classes, Dancing, Exercise Classes, Games/Cards, Gardening, Music Programs, Other, Shopping, Social Events/Outings, Theater and Movies, Yoga
Languages spoken
English
Payment accepted
Other
Bed hold policy
Yes

Who owns and runs Countryside Lakes

Licensee
Shepherd CSL, LLC
Administrator
Mary Kristine Williams
Management company
Port Orange Al Care Properties, LLC
Changes of ownership
1

Other assisted living near Countryside Lakes

  1. Brookdale Port Orange955 Village Trl, Port Orange 321270.1 mi · 60 beds · 3 deficiencies LNS
  2. Reflections Memory Care of Port Orange1321 Herbert St, Port Orange 321291.0 mi · 54 beds · no cited deficiencies Memory care
  3. Canalview Rest Home864 Canal View Blvd, Port Orange 321291.1 mi · 6 beds · 11 deficiencies Medicaid waiver
  4. Port Orange Assisted Living Facility1111 Buttermilk Ln, Port Orange 321291.3 mi · 8 beds · 5 deficiencies Memory care
  5. Colliers at Port Orange Opco, LLC1675 Dunlawton Avenue, Port Orange 321271.3 mi · 102 beds · 11 deficiencies

See also all assisted living in Port Orange.

Florida rules that apply here

AHCA licenses and inspects every assisted living facility in Florida under Chapter 429 of the Florida Statutes and rule chapter 59A-36. Those rules set who a home may admit, the staff training it needs, how it helps with medication and the 45 days' notice it must give before a discharge.

Our plain guide to Florida assisted living regulations walks through each one, and how to complain to AHCA if something goes wrong.

Is this your facility?

If you run Countryside Lakes, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.

Questions about Countryside Lakes

Does Countryside Lakes accept Medicaid?

No, it isn't on the waiver list.

How many residents is Countryside Lakes licensed for?

120 residents, its licensed bed count.

What did Florida inspectors find at Countryside Lakes?

1 cited, 0 Class I and 0 Class II.

Who owns Countryside Lakes?

The licensee is Shepherd CSL, LLC.

From the state record: Florida AHCA FloridaHealthFinder facility profile and the AHCA assisted living facility comparison.