Inspection Details

Facility ID: 11910770 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
9/24/2025 12:00:00 AMComplaintSMHUA00252RESIDENT CARE - SUPERVISION10/07/2025-
9/24/2025 12:00:00 AMComplaintSMHUA00301RESIDENT CARE - RIGHTS & FACILITY PROCEDURES10/07/2025-
9/24/2025 12:00:00 AMComplaintSMHUA0162Class 3RECORDS - RESIDENT10/07/2025-
9/24/2025 12:00:00 AMComplaintSMHUA0165Class 3RISK MGMT & QA10/07/2025-
2/18/2025 12:00:00 AMStandardD6WJNoneNoneNoneNoneNone
11/25/2024 12:00:00 AMComplaint6MLDNoneNoneNoneNoneNone
9/9/2024 12:00:00 AMMonitor5HQ5NoneNoneNoneNoneNone
5/2/2024 12:00:00 AMInitial Licensure1FXNA0161Class 3RECORDS - STAFF07/10/2024-
3/19/2024 12:00:00 AMExpansion0WF3A0004Class 3LICENSURE - REQUIREMENTS07/10/2024-
3/19/2024 12:00:00 AMInitial Licensure1FXNA0081Class 3TRAINING - STAFF IN-SERVICE05/02/2024-
3/19/2024 12:00:00 AMInitial Licensure1FXNAN277Class 3LNS - RESIDENT CARE STANDARDS07/10/2024-
1/11/2024 12:00:00 AMComplaint9D5CNoneNoneNoneNoneNone
9/18/2023 12:00:00 AMComplaint3BMPNoneNoneNoneNoneNone
7/5/2023 12:00:00 AMComplaint87DRNoneNoneNoneNoneNone
5/8/2023 12:00:00 AMComplaintNZL9NoneNoneNoneNoneNone
11/21/2022 12:00:00 AMStandardL22RNoneNoneNoneNoneNone
8/26/2022 12:00:00 AMComplaint8NT1NoneNoneNoneNoneNone
5/26/2022 12:00:00 AMComplaint7K15NoneNoneNoneNoneNone
4/4/2022 12:00:00 AMStandardLISPNoneNoneNoneNoneNone
1/13/2022 12:00:00 AMComplaintKPXYNoneNoneNoneNoneNone
4/2/2021 12:00:00 AMComplaintT4IENoneNoneNoneNoneNone
1/11/2021 12:00:00 AM-RC1LNoneNoneNoneNoneNone
5/15/2020 12:00:00 AM-DRV4NoneNoneNoneNoneNone
1/6/2020 12:00:00 AMStandardTAK8NoneNoneNoneNoneNone
10/21/2019 12:00:00 AMComplaint6H98NoneNoneNoneNoneNone
6/19/2019 12:00:00 AMMonitor5KI0NoneNoneNoneNoneNone
6/19/2019 12:00:00 AMComplaintEPHZNoneNoneNoneNoneNone
6/26/2018 12:00:00 AMComplaint85KGNoneNoneNoneNoneNone
12/6/2017 12:00:00 AMStandardYJNUA0167Class 3RESIDENT CONTRACTS01/26/2018
(1) Pursuant to Section 429.24, F.S., the facility must offer a contract for execution by the resident or the resident ' s legal representative before or at the time of admission. The contract must contain the following provisions: (a) A list of the specific services, supplies and accommodations to be provided by the facility to the resident, including limited nursing and extended congregate care services that the resident elects to receive; (b) The daily, weekly, or monthly rate; (c) A list...
5/26/2017 12:00:00 AMComplaintI3NBA0167Class 3RESIDENT CONTRACTS07/13/2017
(1) Pursuant to Section 429.24, F.S., the facility must offer a contract for execution by the resident or the resident ' s legal representative before or at the time of admission. The contract must contain the following provisions: (a) A list of the specific services, supplies and accommodations to be provided by the facility to the resident, including limited nursing and extended congregate care services that the resident elects to receive; (b) The daily, weekly, or monthly rate; (c) A list...
12/1/2016 12:00:00 AMStandardBSONA0056Class 3MEDICATION - LABELING AND ORDERS02/03/2017
(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 ...
8/17/2016 12:00:00 AMComplaintM5UWA00301RESIDENT CARE - RIGHTS & FACILITY PROCEDURES08/31/2016
58A-5.0182(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 Program must 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 must have a written grievance procedure for receiving and responding to resident complaints, and...
8/17/2016 12:00:00 AMComplaintM5UWA00761DO NOT RESUSCITATE ORDERS (DNROS)08/31/2016
(1) POLICIES AND PROCEDURES. (a) Each assisted living facility must have written policies and procedures that explain its implementation of state laws and rules relative to Do Not Resuscitate Orders (DNROs). An assisted living facility may not require execution of a DNRO as a condition of admission or treatment. The assisted living facility must provide the following to each resident, or resident ' s representative, at the time of admission: 1. Form SCHS-4-2006, " Health Care Advance D...
8/17/2016 12:00:00 AMComplaintM5UWA0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT08/31/2016
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 ...
7/18/2016 12:00:00 AMComplaintLOPRNoneNoneNoneNoneNone
5/27/2016 12:00:00 AMComplaintIGNTNoneNoneNoneNoneNone
5/17/2016 12:00:00 AMExpansionE11UNoneNoneNoneNoneNone
4/4/2016 12:00:00 AMComplaintPTE1NoneNoneNoneNoneNone
1/28/2016 12:00:00 AMComplaintRIDMNoneNoneNoneNoneNone
9/22/2015 12:00:00 AMComplaintQ68GA0025Class 3RESIDENT CARE - SUPERVISION11/09/2015
429.26 (7) The facility must notify a licensed physician when a resident exhibits signs of dementia or cognitive impairment or has a change of condition in order to rule out the presence of an underlying physiological condition that may be contributing to such dementia or impairment. The notification must occur within 30 days after the acknowledgment of such signs by facility staff. If an underlying condition is determined to exist, the facility shall arrange, with the appropriate health care pr...
9/22/2015 12:00:00 AMComplaintQ68GA0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT11/09/2015
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 ...
6/2/2015 12:00:00 AMComplaintG11JNoneNoneNoneNoneNone
2/18/2015 12:00:00 AMComplaintKJT0NoneNoneNoneNoneNone
11/18/2014 12:00:00 AMStandard0MUSA0008Class 3ADMISSIONS - HEALTH ASSESSMENT01/23/2015
(2) HEALTH ASSESSMENT. As part of the admission criteria, an individual must undergo a face-to-face medical examination completed by a health care provider as specified in either paragraph (a) or (b) of this subsection. (a) A medical examination completed within 60 calendar days before 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 identification of a...
11/18/2014 12:00:00 AMStandard0MUSA0010Class 3ADMISSIONS - CONTINUED RESIDENCY01/23/2015
(4) CONTINUED RESIDENCY. Except as follows in paragraphs (a) through (e) of this subsection, criteria for continued residency in any licensed facility must be the same as the criteria for admission. As part of the continued residency criteria, a resident must have a face-to-face medical examination by a health care provider at least every 3 years after the initial assessment, or after a significant change, whichever comes first. A significant change is defined in Rule 58A-5.0131, F.A.C. The resu...
11/18/2014 12:00:00 AMStandard0MUSA0054Class 3MEDICATION - RECORDS01/23/2015
(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 resi...
11/18/2014 12:00:00 AMComplaintU479A00252RESIDENT CARE - SUPERVISION01/23/2015
An assisted living facility must provide care and services appropriate to the needs of residents accepted for admission to the facility. (1) SUPERVISION. Facilities must offer personal supervision as appropriate for each resident, including the following: (a) Monitoring of the quantity and quality of resident diets in accordance with Rule 58A-5.020, F.A.C. (b) Daily observation by designated staff of the activities of the resident while on the premises, and awareness of the general health, safet...
11/18/2014 12:00:00 AMComplaintU479A00522MEDICATION - ASSISTANCE WITH SELF-ADMIN01/23/2015
(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....
11/18/2014 12:00:00 AMComplaintU479A0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER01/23/2015
3) OTHER REQUIREMENTS. (a) All facilities must: 1. Provide a safe living environment pursuant to Section 429.28(1)(a), F.S.; 2. Be maintained free of hazards; and 3. Ensure that all existing architectural, mechanical, electrical and structural systems, and appurtenances are maintained in good working order. (b) Pursuant to Section 429.27, F.S., residents must be given the option of using their own belongings as space permits. When the facility supplies the furnishings, each resident bedroom or s...
7/28/2014 12:00:00 AMMonitorC43LNoneNoneNoneNoneNone
7/28/2014 12:00:00 AMComplaintVK5QA0054Class 3MEDICATION - RECORDS09/16/2014
(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 resi...
1/24/2014 12:00:00 AMComplaintMJW3NoneNoneNoneNoneNone
11/8/2013 12:00:00 AMComplaintDDDZNoneNoneNoneNoneNone
11/4/2013 12:00:00 AMMonitorET1ENoneNoneNoneNoneNone
5/28/2013 12:00:00 AMMonitorDV82NoneNoneNoneNoneNone
11/13/2012 12:00:00 AMMonitor1B65NoneNoneNoneNoneNone
11/13/2012 12:00:00 AMComplaintIYPLA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES12/20/2012
(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...
8/2/2012 12:00:00 AMStandardSZENA0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT10/08/2012
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 to ide...