Inspection Details

Facility ID: 11910258 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
9/3/2025 12:00:00 AMComplaintW8KMA0083Class 3TRAINING - FIRST AID AND CPR10/09/2025-
8/27/2025 12:00:00 AMComplaintUC2GZZ875Class 3ALZHEIMER DISEASE/DEMENTIA; TRAINING10/09/2025-
3/19/2025 12:00:00 AMComplaintU0QNNoneNoneNoneNoneNone
2/5/2025 12:00:00 AMStandard6BTSA0080Class 3TRAINING - CORE & COMPETENCY TEST05/01/2025-
2/5/2025 12:00:00 AMStandard6BTSA0081Class 3TRAINING - STAFF IN-SERVICE03/19/2025-
2/5/2025 12:00:00 AMStandard6BTSCZ875Class 3ALZHEIMER DISEASE/DEMENTIA; TRAINING03/19/2025-
1/10/2024 12:00:00 AMComplaintC9H7NoneNoneNoneNoneNone
12/6/2023 12:00:00 AMComplaintUY2MNoneNoneNoneNoneNone
11/16/2023 12:00:00 AMComplaint8YDCNoneNoneNoneNoneNone
6/13/2023 12:00:00 AMStandard4NU0A0167Class 3RESIDENT CONTRACTS08/01/2023-
6/13/2023 12:00:00 AMComplaintEPVMA0058Class 3PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES08/01/2023-
4/19/2023 12:00:00 AMComplaintEPVMA0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS06/13/2023-
4/19/2023 12:00:00 AMComplaintEPVMA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN08/01/2023-
3/13/2023 12:00:00 AMStandardT24GA0162Class 3RECORDS - RESIDENT04/19/2023-
1/25/2023 12:00:00 AMStandardT24GA0010Class 3ADMISSIONS - CONTINUED RESIDENCY03/13/2023-
1/25/2023 12:00:00 AMStandardT24GA0025Class 3RESIDENT CARE - SUPERVISION03/13/2023-
1/25/2023 12:00:00 AMStandardT24GA0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS03/13/2023-
10/24/2022 12:00:00 AMComplaintUYGANoneNoneNoneNoneNone
8/22/2022 12:00:00 AMComplaintS1QCNoneNoneNoneNoneNone
7/5/2022 12:00:00 AMComplaintU41KA0010Class 3ADMISSIONS - CONTINUED RESIDENCY08/22/2022-
7/5/2022 12:00:00 AMComplaintU41KA0165Class 3RISK MGMT & QA08/22/2022-
11/22/2021 12:00:00 AMExpansionN8I6NoneNoneNoneNoneNone
11/22/2021 12:00:00 AMComplaintOSN9A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN02/14/2022-
11/22/2021 12:00:00 AMComplaintOSN9A0056Class 3MEDICATION - LABELING AND ORDERS02/14/2022-
11/22/2021 12:00:00 AMComplaintOSN9A0078Class 3STAFFING STANDARDS - STAFF02/14/2022-
11/22/2021 12:00:00 AMComplaintOSN9A0081Class 3TRAINING - STAFF IN-SERVICE02/14/2022-
11/22/2021 12:00:00 AMComplaintOSN9A0083Class 3TRAINING - FIRST AID AND CPR02/14/2022-
11/22/2021 12:00:00 AMComplaintOSN9A0162Class 3RECORDS - RESIDENT02/14/2022-
3/3/2021 12:00:00 AMStandard8TQ4A0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES04/08/2021-
1/21/2021 12:00:00 AMExpansion5BY5NoneNoneNoneNoneNone
1/21/2021 12:00:00 AMComplaintFKELA0162Class 3RECORDS - RESIDENT03/03/2021-
11/17/2020 12:00:00 AMComplaintGSWYA00252RESIDENT CARE - SUPERVISION01/21/2021-
11/17/2020 12:00:00 AMComplaintGSWYA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES01/21/2021-
11/17/2020 12:00:00 AMComplaintGSWYA0055Class 3MEDICATION - STORAGE AND DISPOSAL03/03/2021-
11/17/2020 12:00:00 AMComplaintGSWYA0081Class 3TRAINING - STAFF IN-SERVICE01/21/2021-
11/17/2020 12:00:00 AMComplaintGSWYA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT01/21/2021-
11/17/2020 12:00:00 AMComplaintGSWYA0086Class 3TRAINING - ADRD01/21/2021-
11/17/2020 12:00:00 AMComplaintGSWYA0160Class 3RECORDS - FACILITY01/21/2021-
11/17/2020 12:00:00 AMComplaintGSWYCZ816UnclassifiedBACKGROUND SCREENING-COMPLIANCE ATTESTATION01/21/2021-
8/26/2020 12:00:00 AMComplaintESE0NoneNoneNoneNoneNone
8/26/2020 12:00:00 AMComplaintUM99A0056Class 3MEDICATION - LABELING AND ORDERS01/21/2021-
2/11/2020 12:00:00 AMComplaintO49VNoneNoneNoneNoneNone
2/11/2020 12:00:00 AMComplaintUM99A0058Class 3PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES01/21/2021-
12/23/2019 12:00:00 AMComplaintUM99A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN08/26/2020-
12/23/2019 12:00:00 AMExpansionYCZ0NoneNoneNoneNoneNone
10/4/2019 12:00:00 AMComplaintPFF0A0010Class 3ADMISSIONS - CONTINUED RESIDENCY12/23/2019-
11/7/2018 12:00:00 AMStandard1DWNA0078Class 3STAFFING STANDARDS - STAFF12/27/2018-
11/7/2018 12:00:00 AMStandard1DWNA0081Class 3TRAINING - STAFF IN-SERVICE12/27/2018-
11/7/2018 12:00:00 AMStandard1DWNA0082Class 3TRAINING - HIV/AIDS12/27/2018-
11/7/2018 12:00:00 AMStandard1DWNA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS12/27/2018-
11/7/2018 12:00:00 AMStandard1DWNA0091Class 3TRAINING - DOCUMENTATION & MONITORING12/27/2018-
11/7/2018 12:00:00 AMStandard1DWNCZ813Class 4RESULTS OF SCREENING & NOTIFICATION IN FILE12/27/2018-
9/4/2018 12:00:00 AMMonitor3D83NoneNoneNoneNoneNone
1/29/2018 12:00:00 AMComplaintMH5BNoneNoneNoneNoneNone
1/29/2018 12:00:00 AMMonitorWZPMNoneNoneNoneNoneNone
8/11/2017 12:00:00 AMComplaintMCFHNoneNoneNoneNoneNone
3/16/2017 12:00:00 AMComplaintVWSRNoneNoneNoneNoneNone
10/5/2016 12:00:00 AMStandardJ5N6A0008Class 3ADMISSIONS - HEALTH ASSESSMENT11/23/2016-
10/5/2016 12:00:00 AMStandardJ5N6A0086Class 3TRAINING - ADRD11/23/2016-
10/5/2016 12:00:00 AMComplaintMU2PA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES11/23/2016-
2/8/2016 12:00:00 AMComplaintDF2SNoneNoneNoneNoneNone
7/1/2015 12:00:00 AMComplaintCGCRA0167Class 3RESIDENT CONTRACTS08/31/2015-
7/1/2015 12:00:00 AMMonitorZK7INoneNoneNoneNoneNone
3/5/2015 12:00:00 AMExpansionZJQWNoneNoneNoneNoneNone
11/18/2014 12:00:00 AMStandardLSLDNoneNoneNoneNoneNone
10/2/2014 12:00:00 AMComplaintM6RYNoneNoneNoneNoneNone
8/13/2014 12:00:00 AMMonitorVFDFNoneNoneNoneNoneNone
6/24/2014 12:00:00 AMMonitorIQZTNoneNoneNoneNoneNone
3/28/2014 12:00:00 AMMonitorX9V9AE210Class 3ECC - TRAINING05/28/2014-
11/19/2013 12:00:00 AMMonitor6FASNoneNoneNoneNoneNone
6/4/2013 12:00:00 AMComplaintDKNDNoneNoneNoneNoneNone
6/4/2013 12:00:00 AMMonitorRZ9WNoneNoneNoneNoneNone
3/1/2013 12:00:00 AMMonitorZWYENoneNoneNoneNoneNone
1/14/2013 12:00:00 AMComplaintSS4JA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER03/01/2013-
12/28/2012 12:00:00 AMComplaint1QJCNoneNoneNoneNoneNone
12/28/2012 12:00:00 AMMonitorOP3INoneNoneNoneNoneNone
9/24/2012 12:00:00 AMComplaint4MY3A0025Class 3RESIDENT CARE - SUPERVISION11/07/2012-
9/24/2012 12:00:00 AMMonitorYNUPAE210Class 3ECC - TRAINING11/07/2012-
8/29/2012 12:00:00 AMStandardW3OXA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER11/07/2012-
Florida Agency for Health Care Administration (AHCA) Inspection Data