Inspection Details

Facility ID: 11910486 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
2/11/2025 12:00:00 AMStandardZ6O7A0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS05/01/2025-
2/11/2025 12:00:00 AMStandardZ6O7A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN05/01/2025-
2/11/2025 12:00:00 AMStandardZ6O7A0078Class 3STAFFING STANDARDS - STAFF05/01/2025-
2/11/2025 12:00:00 AMStandardZ6O7A0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER05/01/2025-
10/4/2023 12:00:00 AMComplaintXC8IA00301RESIDENT CARE - RIGHTS & FACILITY PROCEDURES10/26/2023
59A-36.007 (5) 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 Program must be posted in full view in a freely accessible resident area, and included in the admission package provided pursuant to Rule 59A-36.006, F.A.C. (b) In accordance with Section 429.28, F.S., the facility must have a written grievance procedure for receiving and responding to resident complaints and...
10/4/2023 12:00:00 AMComplaintXC8IA00771STAFFING STANDARDS - ADMINISTRATORS10/26/2023
429.176 Notice of change of administrator.-If, during the period for which a license is issued, the owner changes administrators, the owner must notify the agency of the change within 10 days and provide documentation within 90 days that the new administrator meets educational requirements and has completed the applicable core educational requirements under s. 429.52. A facility may not be operated for more than 120 consecutive days without an administrator who has completed the core educational...
10/4/2023 12:00:00 AMComplaintXC8IA00791STAFFING STANDARDS - LEVELS10/26/2023
(3) STAFFING STANDARDS. (a) Minimum staffing: 1. Facilities must maintain the following minimum staff hours per week: Number of Residents, Day Care Participants, and Respite Care Residents Staff Hours/Week 0-5 168 6-15 212 16-25 253 26-35 294 36-45 335 46-55 375 56-65 416 66-75 457 76-85 498 86-95 539 For every 20 total combined residents, day care participants, and respite care residents over 95 add 42 staff hours per week. 2. Independent living residents, as referenced in s...
10/4/2023 12:00:00 AMComplaintXC8IA0165Class 3RISK MGMT & QA10/26/2023
429.23 Internal risk management and quality assurance program; adverse incidents and reporting requirements.- (1) Every facility licensed under this part may, as part of its administrative functions, voluntarily establish a risk management and quality assurance program, the purpose of which is to assess resident care practices, facility incident reports, deficiencies cited by the agency, adverse incident reports, and resident grievances and develop plans of action to correct and respond quickly ...
4/3/2023 12:00:00 AMStandardQTCSCZ830Class 3EMERGENCY MANAGEMENT PLANNING05/25/2023
408.821 Emergency management planning; emergency operations; inactive license.- (1) A licensee required by authorizing statutes and agency rule to have a comprehensive emergency management plan must designate a safety liaison to serve as the primary contact for emergency operations. Such licensee shall submit its comprehensive emergency management plan to the local emergency management agency, county health department, or Department of Health as follows: (a) Submit the plan within 30 days after ...
10/14/2020 12:00:00 AMStandardI32ENoneNoneNoneNoneNone
3/31/2020 12:00:00 AM-TEDFNoneNoneNoneNoneNone
9/5/2019 12:00:00 AMStandardGOTZCZ816Class 3BACKGROUND SCREENING-COMPLIANCE ATTESTATION09/09/2019
408.809 (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 person's fingerprints to the Federal B...
1/31/2019 12:00:00 AMMonitorHPZHNoneNoneNoneNoneNone
10/26/2017 12:00:00 AMStandardM8DWNoneNoneNoneNoneNone
11/17/2015 12:00:00 AMStandardHGHQA0053Class 3MEDICATION - ADMINISTRATION12/30/2015
(4) MEDICATION ADMINISTRATION. (a) For facilities that provide medication administration, a staff member licensed to administer medications must be available to administer medications in accordance with a health care provider ' s order or prescription label. (b) Unusual reactions or a significant change in the resident ' s health or behavior must be documented in the resident ' s record and reported immediately to the resident ' s health care provider. The contact with the health...
11/17/2015 12:00:00 AMStandardHGHQA0054Class 3MEDICATION - RECORDS12/30/2015
(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 (MOR) for each ...
11/17/2015 12:00:00 AMStandardHGHQA0056Class 3MEDICATION - LABELING AND ORDERS02/18/2016
(7) MEDICATION LABELING AND ORDERS. (a) The facility may not store prescription drugs for self-administration, assistance with self-administration, or administration unless it is properly labeled and dispensed in accordance with Chapters 465 and 499, F.S., and Rule 64B16-28.108, F.A.C. If a customized patient medication package is prepared for a resident, and separated into individual medicinal drug containers, then the following information must be recorded on each individual container: 1. The ...
11/17/2015 12:00:00 AMStandardHGHQA0081Class 4TRAINING - STAFF IN-SERVICE12/30/2015
(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...
11/17/2015 12:00:00 AMStandardHGHQA0092Class 3FOOD SERVICE - GENERAL RESPONSIBILITIES12/30/2015
(1) GENERAL RESPONSIBILITIES. When food service is provided by the facility, the administrator, or an individual designated in writing by the administrator, must be responsible for total food services and the day-to-day supervision of food services staff. In addition, the following requirements apply: (a) If the designee is an individual who has not completed an approved assisted living facility core training course, such individual must complete the food and nutrition services module of the cor...
11/17/2015 12:00:00 AMStandardHGHQA0093Class 3FOOD SERVICE - DIETARY STANDARDS12/30/2015
(2) DIETARY STANDARDS. (a) The meals provided by the assisted living facility must be planned based on the current USDA Dietary Guidelines for Americans, 2010, which are incorporated by reference and available for review at: http://www.flrules.org/Gateway/reference.asp?No=Ref-04003, and the current summary of Dietary Reference Intakes established by the Food and Nutrition Board of the Institute of Medicine of the National Academies, 2010, which are incorporated by reference and available for rev...
3/12/2014 12:00:00 AMChange of OwnershipK9J3A0008Class 3ADMISSIONS - HEALTH ASSESSMENT04/28/2014
(2) HEALTH ASSESSMENT. As part of the admission criteria, an individual must undergo a face-to-face medical examination completed by a licensed health care provider, as specified in either paragraph (a) or (b) of this subsection. (a) A medical examination completed within 60 calendar days prior to the individual ' s admission to a facility pursuant to Section 429.26(4), F.S. The examination must address the following: 1. The physical and mental status of the resident, including the identific...
3/12/2014 12:00:00 AMChange of OwnershipK9J3A0093Class 3FOOD SERVICE - DIETARY STANDARDS04/28/2014
(2) DIETARY STANDARDS. (a) The Tenth Edition Recommended Dietary Allowances established by the Food and Nutrition Board - National Research Council, adjusted for age, sex and activity, shall be the nutritional standard used to evaluate meals. Therapeutic diets shall meet these nutritional standards to the extent possible. A summary of the Tenth Edition Recommended Dietary Allowances, interpreted by a daily food guide, is available from the DOEA Assisted Living Program. (b) The recommended dietar...
3/12/2014 12:00:00 AMChange of OwnershipK9J3AZ815Class 4BACKGROUND SCREENING; PROHIBITED OFFENSES04/28/2014
408.809, F.S. (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 the financial operation of...