Inspection Details

Facility ID: 11910005 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
8/27/2025 12:00:00 AMComplaint4B10NoneNoneNoneNoneNone
2/3/2025 12:00:00 AMComplaintE33ENoneNoneNoneNoneNone
12/12/2024 12:00:00 AMStandardXSMLA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN02/03/2025-
12/12/2024 12:00:00 AMStandardXSMLA0078Class 3STAFFING STANDARDS - STAFF02/03/2025-
12/12/2024 12:00:00 AMStandardXSMLA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT02/03/2025-
12/12/2024 12:00:00 AMStandardXSMLA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER03/26/2025-
5/17/2024 12:00:00 AMComplaint21I2NoneNoneNoneNoneNone
2/8/2023 12:00:00 AMStandard58ETA0058Class 3PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES04/05/2023
429.42 Pharmacy and dietary services.- (1) Any assisted living facility in which the agency has documented a class I or class II deficiency or uncorrected class III deficiencies regarding medicinal drugs or over-the-counter preparations, including their storage, use, delivery, or administration, or dietary services, or both, during a biennial survey or a monitoring visit or an investigation in response to a complaint, shall, in addition to or as an alternative to any penalties imposed under s. ...
12/15/2022 12:00:00 AMStandard58ETA0010Class 3ADMISSIONS - CONTINUED RESIDENCY04/05/2023
429.26 Appropriateness of placements; examinations of residents.- (1) The owner or administrator of a facility is responsible for determining the appropriateness of admission of an individual to the facility and for determining the continued appropriateness of residence of an individual in the facility. A determination must be based upon an evaluation of the strengths, needs, and preferences of the resident, a medical examination, the care and services offered or arranged for by the facility in ...
12/15/2022 12:00:00 AMStandard58ETA0054Class 3MEDICATION - RECORDS04/05/2023
(5) MEDICATION RECORDS. (a) For residents who use a pill organizer managed in subsection (2), the facility must keep either the original labeled medication container; or a medication listing with the prescription number, the name and address of the issuing pharmacy, the health care provider's name, the resident's name, the date dispensed, the name and strength of the drug, and the directions for use. (b) The facility must maintain a daily medication observation record for each resident w...
12/15/2022 12:00:00 AMStandard58ETA0078Class 3STAFFING STANDARDS - STAFF04/05/2023
(2) STAFF. (a) Within 30 days after beginning employment, newly hired staff must submit a written statement from a health care provider documenting that the individual does not have any signs or symptoms of communicable disease. The examination performed by the health care provider must have been conducted no earlier than 6 months before submission of the statement. Newly hired staff does not include an employee transferring without a break in service from one facility to another when the facili...
12/15/2022 12:00:00 AMStandard58ETA0082Class 3TRAINING - HIV/AIDS04/05/2023
(4) HUMAN IMMUNODEFICIENCY VIRUS/ACQUIRED IMMUNE DEFICIENCY SYNDROME (HIV/AIDS). Pursuant to section 381.0035, F.S., all facility employees, with the exception of employees subject to the requirements of section 456.033, F.S., must complete a one-time education course on HIV and AIDS, including the topics prescribed in the section 381.0035, F.S. New facility staff must obtain the training within 30 days of employment. Documentation of compliance must be maintained in accordance with subsection (...
12/15/2022 12:00:00 AMStandard58ETA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT02/08/2023
59A-36.011 (6) ASSISTANCE WITH THE SELF-ADMINISTRATION OF MEDICATION AND MEDICATION MANAGEMENT. Unlicensed persons who will be providing assistance with the self-administration of medications as described in rule 59A-36.008, F.A.C., must meet the training requirements pursuant to section 429.52(6), F.S., prior to assuming this responsibility. Courses provided in fulfilment of this requirement must meet the following criteria: (a) Training must cover state law and rule requirements with respect t...
12/15/2022 12:00:00 AMStandard58ETA0161Class 3RECORDS - STAFF02/08/2023
429.275 (2) The administrator or owner of a facility shall maintain personnel records for each staff member which contain, at a minimum, documentation of background screening, if applicable, documentation of compliance with all training requirements of this part or applicable rule, and a copy of all licenses or certification held by each staff who performs services for which licensure or certification is required under this part or rule. 59A-36.015 (2) STAFF RECORDS. (a) Personnel records for e...
12/15/2022 12:00:00 AMStandard58ETCZ815UnclassifiedBACKGROUND SCREENING; PROHIBITED OFFENSES02/08/2023
408.809 Background screening; prohibited offenses.- (1) Level 2 background screening pursuant to chapter 435 must be conducted through the agency on each of the following persons, who are considered employees for the purposes of conducting screening under chapter 435: (a) The licensee, if an individual. (b) The administrator or a similarly titled person who is responsible for the day-to-day operation of the provider. (c) The financial officer or similarly titled individual who is responsible for...
12/15/2022 12:00:00 AMStandard58ETCZ816UnclassifiedBACKGROUND SCREENING-COMPLIANCE ATTESTATION04/05/2023
408.809 Background screening; prohibited offenses.- (2) Every 5 years following his or her licensure, employment, or entry into a contract in a capacity that under subsection (1) would require level 2 background screening under chapter 435, each such person must submit to level 2 background rescreening as a condition of retaining such license or continuing in such employment or contractual status. For any such rescreening, the agency shall request the Department of Law Enforcement to forward the...
9/22/2022 12:00:00 AMInitial LicensureUT7EA0081Class 3TRAINING - STAFF IN-SERVICE04/05/2023
429.52(1) (1) Each new assisted living facility employee who has not previously completed core training must attend a preservice orientation provided by the facility before interacting with residents. The preservice orientation must be at least 2 hours in duration and cover topics that help the employee provide responsible care and respond to the needs of facility residents. Upon completion, the employee and the administrator of the facility must sign a statement that the employee completed the ...
1/12/2022 12:00:00 AMComplaint05S3NoneNoneNoneNoneNone
1/12/2022 12:00:00 AMMonitorOPWTNoneNoneNoneNoneNone
3/11/2021 12:00:00 AMStandardRKSPA0003Class 3LICENSURE - CHANGE OF OWNERSHIP (CHOW)04/21/2021
59A-36.003(2) CHANGE OF OWNERSHIP. In addition to the requirements for a change of ownership contained in chapter 408, part II, F.S., section 429.12, F.S., and rule chapter 59A-35, F.A.C., the following provisions relating to resident funds apply pursuant to section 429.27, F.S.: (a) At the time of transfer of ownership, all resident funds on deposit, advance payments of resident rents, resident security deposits, and resident trust funds held by the current licensee must be transferred to the a...
3/11/2021 12:00:00 AMStandardRKSPA0078Class 3STAFFING STANDARDS - STAFF04/21/2021
(2) STAFF. (a) Within 30 days after beginning employment, newly hired staff must submit a written statement from a health care provider documenting that the individual does not have any signs or symptoms of communicable disease. The examination performed by the health care provider must have been conducted no earlier than 6 months before submission of the statement. Newly hired staff does not include an employee transferring without a break in service from one facility to another when the facili...
3/11/2021 12:00:00 AMStandardRKSPA0081Class 3TRAINING - STAFF IN-SERVICE04/21/2021
429.52(1) (1)Each new assisted living facility employee who has not previously completed core training must attend a preservice orientation provided by the facility before interacting with residents. The preservice orientation must be at least 2 hours in duration and cover topics that help the employee provide responsible care and respond to the needs of facility residents. Upon completion, the employee and the administrator of the facility must sign a statement that the employee completed the r...
3/11/2021 12:00:00 AMStandardRKSPA0082Class 3TRAINING - HIV/AIDS04/21/2021
(4) HUMAN IMMUNODEFICIENCY VIRUS/ACQUIRED IMMUNE DEFICIENCY SYNDROME (HIV/AIDS). Pursuant to section 381.0035, F.S., all facility employees, with the exception of employees subject to the requirements of section 456.033, F.S., must complete a one-time education course on HIV and AIDS, including the topics prescribed in the section 381.0035, F.S. New facility staff must obtain the training within 30 days of employment. Documentation of compliance must be maintained in accordance with subsection (...
12/18/2020 12:00:00 AMExpansionOMFJNoneNoneNoneNoneNone
8/14/2020 12:00:00 AMComplaintSTQ5NoneNoneNoneNoneNone
5/5/2020 12:00:00 AM-3JWTNoneNoneNoneNoneNone
12/20/2019 12:00:00 AMMonitor5MRNNoneNoneNoneNoneNone
11/15/2018 12:00:00 AMComplaint3JYDNoneNoneNoneNoneNone
11/15/2018 12:00:00 AMExpansionTRVGNoneNoneNoneNoneNone
11/15/2018 12:00:00 AMStandardZC42NoneNoneNoneNoneNone
7/9/2018 12:00:00 AMComplaintX02ENoneNoneNoneNoneNone
5/11/2018 12:00:00 AMComplaint8RX2A0081Class 3TRAINING - STAFF IN-SERVICE07/09/2018
(2) STAFF IN-SERVICE TRAINING. Facility administrators or managers shall provide or arrange for the following in-service training to facility staff: (a) Staff who provide direct care to residents, other than nurses, certified nursing assistants, or home health aides trained in accordance with Rule 59A-8.0095, F.A.C., must receive a minimum of 1 hour in-service training in infection control, including universal precautions, and facility sanitation procedures before providing personal care to resi...
5/11/2018 12:00:00 AMComplaint8RX2CZ814Class 4BACKGROUND SCREENING CLEARINGHOUSE07/09/2018
435.12(2) Care Provider Background Screening Clearinghouse.- (b) Until such time as the fingerprints are enrolled in the national retained print arrest notification program at the Federal Bureau of Investigation, an employee with a break in service of more than 90 days from a position that requires screening by a specified agency must submit to a national screening if the person returns to a position that requires screening by a specified agency. (c) An employer of persons subject to screening b...
5/11/2018 12:00:00 AMComplaint8RX2CZ815Class 4BACKGROUND SCREENING; PROHIBITED OFFENSES07/09/2018
408.809 Background screening; prohibited offenses.- (1) Level 2 background screening pursuant to chapter 435 must be conducted through the agency on each of the following persons, who are considered employees for the purposes of conducting screening under chapter 435: (a) The licensee, if an individual. (b) The administrator or a similarly titled person who is responsible for the day-to-day operation of the provider. (c) The financial officer or similarly titled individual who is responsible for...
11/9/2017 12:00:00 AMComplaintN11LNoneNoneNoneNoneNone
3/9/2017 12:00:00 AMComplaint8K3HNoneNoneNoneNoneNone
10/31/2016 12:00:00 AMStandard9QCHA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN12/09/2016
(3) ASSISTANCE WITH SELF-ADMINISTRATION. (a) Any unlicensed person providing assistance with self administration of medication must be 18 years of age or older, trained to assist with self administered medication pursuant to the training requirements of Rule 58A-5.0191, F.A.C., and must be available to assist residents with self-administered medications in accordance with procedures described in Section 429.256, F.S. and this rule. (b) In addition to the specifications of Section 429.256(3), F.S...
10/31/2016 12:00:00 AMStandard9QCHA0160Class 3RECORDS - FACILITY12/09/2016
The facility must maintain required records in a manner that makes such records readily available at the licensee ' s physical address for review by a legally authorized entity. If records are maintained in an electronic format, facility staff must be readily available to access the data and produce the requested information. For purposes of this section, " readily available " means the ability to immediately produce documents, records, or other such data, either in electronic or...
11/23/2015 12:00:00 AMComplaint4XE0NoneNoneNoneNoneNone
6/25/2015 12:00:00 AMComplaintOJC3NoneNoneNoneNoneNone
10/27/2014 12:00:00 AMComplaintSFB2NoneNoneNoneNoneNone
10/27/2014 12:00:00 AMStandardZB8SA0081Class 3TRAINING - STAFF IN-SERVICE01/07/2015
(2) STAFF IN-SERVICE TRAINING. Facility administrators or managers shall provide or arrange for the following in-service training to facility staff: (a) Staff who provide direct care to residents, other than nurses, certified nursing assistants, or home health aides trained in accordance with Rule 59A-8.0095, F.A.C., must receive a minimum of 1 hour in-service training in infection control, including universal precautions, and facility sanitation procedures before providing personal care to resi...
10/27/2014 12:00:00 AMStandardZB8SA0082Class 3TRAINING - HIV/AIDS01/07/2015
(3) HUMAN IMMUNODEFICIENCY VIRUS/ACQUIRED IMMUNE DEFICIENCY SYNDROME (HIV/AIDS). Pursuant to Section 381.0035, F.S., all facility employees, with the exception of employees subject to the requirements of Section 456.033, F.S., must complete a one-time education course on HIV and AIDS, including the topics prescribed in the Section 381.0035, F.S. New facility staff must obtain the training within 30 days of employment. Documentation of compliance must be maintained in accordance with subsection (...
10/27/2014 12:00:00 AMStandardZB8SA0091Class 3TRAINING - DOCUMENTATION & MONITORING01/07/2015
(12) TRAINING DOCUMENTATION AND MONITORING. (a) Except as otherwise noted, certificates, or copies of certificates, of any training required by this rule must be documented in the facility's personnel files. The documentation must include the following: 1. The title of the training program; 2. The subject matter of the training program; 3. The training program agenda; 4. The number of hours of the training program; 5. The trainee's name, dates of participation, and location of the trai...
12/28/2012 12:00:00 AMComplaintGM8WA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES02/20/2013
(6) RESIDENT RIGHTS AND FACILITY PROCEDURES. (a) A copy of the Resident Bill of Rights as described in Section 429.28, F.S., or a summary provided by the Long-Term Care Ombudsman Council shall be posted in full view in a freely accessible resident area, and included in the admission package provided pursuant to Rule 58A-5.0181, F.A.C. (b) In accordance with Section 429.28, F.S., the facility shall have a written grievance procedure for receiving and responding to resident complaints, and for res...
7/27/2012 12:00:00 AMComplaintGQ4VA00302RESIDENT CARE - RIGHTS & FACILITY PROCEDURES10/17/2012
(6) RESIDENT RIGHTS AND FACILITY PROCEDURES. (a) A copy of the Resident Bill of Rights as described in Section 429.28, F.S., or a summary provided by the Long-Term Care Ombudsman Council shall be posted in full view in a freely accessible resident area, and included in the admission package provided pursuant to Rule 58A-5.0181, F.A.C. (b) In accordance with Section 429.28, F.S., the facility shall have a written grievance procedure for receiving and responding to resident complaints, and for res...
7/17/2012 12:00:00 AMStandard9XXPNoneNoneNoneNoneNone