| Survey Date | Inspection Type | Track ID | Deficiency | Class | Requirement Description | Correction Date | Requirement Long Description |
|---|---|---|---|---|---|---|---|
| 7/16/2025 12:00:00 AM | Complaint | 4C0E | None | None | None | None | None |
| 1/22/2025 12:00:00 AM | Standard | 5S3P | None | None | None | None | None |
| 1/5/2024 12:00:00 AM | Complaint | 61ZG | None | None | None | None | None |
| 9/6/2023 12:00:00 AM | Standard | P5LS | None | None | None | None | None |
| 6/14/2023 12:00:00 AM | Complaint | Z546 | A0152 | Class 3 | PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | 08/07/2023 | (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... |
| 4/5/2023 12:00:00 AM | Complaint | D49C | None | None | None | None | None |
| 11/7/2022 12:00:00 AM | Standard | ULRD | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 01/03/2023 | (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... |
| 11/7/2022 12:00:00 AM | Standard | ULRD | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 01/03/2023 | 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 ... |
| 11/7/2022 12:00:00 AM | Standard | ULRD | A0152 | Class 3 | PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | 01/03/2023 | (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... |
| 11/7/2022 12:00:00 AM | Standard | ULRD | CZ830 | Class 3 | EMERGENCY MANAGEMENT PLANNING | 01/03/2023 | 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 ... |
| 8/29/2022 12:00:00 AM | Complaint | GT0G | None | None | None | None | None |
| 8/29/2022 12:00:00 AM | Expansion | Y8P8 | A0004 | Class 3 | LICENSURE - REQUIREMENTS | 11/07/2022 | 59A-36.004 License Requirements.
(1) SERVICE PROHIBITION. An assisted living facility may not represent that it provides any service other than a service for which it is licensed to provide.
(2) CHANGE IN USE OF SPACE REQUIRING AGENCY CENTRAL OFFICE APPROVAL. A change in the use of space that increases or decreases a facility's capacity must not be made without prior approval from the Agency Central Office. Approval must be based on the compliance with the physical plant standards provided i... |
| 7/5/2022 12:00:00 AM | Complaint | USOQ | None | None | None | None | None |
| 6/13/2022 12:00:00 AM | Complaint | 99RP | A0025 | 1 | RESIDENT CARE - SUPERVISION | 07/05/2022 | 429.26
(7) The facility shall 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 must notify the resident's representative or ... |
| 6/13/2022 12:00:00 AM | Complaint | 99RP | A0030 | Class 3 | RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 07/05/2022 | 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... |
| 6/13/2022 12:00:00 AM | Complaint | 99RP | A0052 | Class 3 | MEDICATION - ASSISTANCE WITH SELF-ADMIN | 08/29/2022 | 429.256
(3) Assistance with self-administration of medication includes:
(a) Taking the medication, in its previously dispensed, properly labeled container, including an insulin syringe that is prefilled with the proper dosage by a pharmacist and an insulin pen that is prefilled by the manufacturer, from where it is stored, and bringing it to the resident.
(b) In the presence of the resident, confirming that the medication is intended for that resident, orally advising the resident of the medicat... |
| 6/13/2022 12:00:00 AM | Complaint | 99RP | A0056 | 1 | MEDICATION - LABELING AND ORDERS | 07/05/2022 | (7) MEDICATION LABELING AND ORDERS.
(a) The facility may not store prescription drugs for self-administration, assistance with self-administration, or administration unless they are 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. T... |
| 6/13/2022 12:00:00 AM | Complaint | 99RP | A0165 | Class 3 | RISK MGMT & QA | 07/05/2022 | 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 ... |
| 4/19/2022 12:00:00 AM | Complaint | YCXQ | None | None | None | None | None |
| 1/25/2022 12:00:00 AM | Complaint | CX8W | None | None | None | None | None |
| 10/4/2021 12:00:00 AM | Complaint | OFQK | None | None | None | None | None |
| 8/3/2021 12:00:00 AM | Complaint | 4EED | A0054 | Class 3 | MEDICATION - RECORDS | 10/04/2021 | (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... |
| 8/3/2021 12:00:00 AM | Complaint | 4EED | A0055 | Class 3 | MEDICATION - STORAGE AND DISPOSAL | 10/04/2021 | (6) MEDICATION STORAGE AND DISPOSAL.
(a) In order to accommodate the needs and preferences of residents and to encourage residents to remain as independent as possible, residents may keep their medications, both prescription and over-the-counter, in their possession both on or off the facility premises. Residents may also store their medication in their rooms or apartments if either the room is kept locked when residents are absent or the medication is stored in a secure place that is out of sig... |
| 8/3/2021 12:00:00 AM | Complaint | 4EED | A0083 | Class 3 | TRAINING - FIRST AID AND CPR | 10/04/2021 | (5) FIRST AID AND CARDIOPULMONARY RESUSCITATION (CPR). A staff member who has completed courses in First Aid and CPR and holds a currently valid card documenting completion of such courses must be in the facility at all times.
(a) Documentation that the staff member possess current CPR certification that requires the student to demonstrate, in person, that he or she is able to perform CPR and which is issued by an instructor or training provider that is approved to provide CPR training by the Am... |
| 8/3/2021 12:00:00 AM | Complaint | 4EED | A0161 | Class 3 | RECORDS - STAFF | 10/04/2021 | 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... |
| 8/3/2021 12:00:00 AM | Complaint | 4EED | CZ814 | Unclassified | BACKGROUND SCREENING CLEARINGHOUSE | 10/04/2021 | 435.12 Care Provider Background Screening Clearinghouse.-
(2)(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... |
| 8/3/2021 12:00:00 AM | Complaint | 4EED | CZ816 | Unclassified | BACKGROUND SCREENING-COMPLIANCE ATTESTATION | 10/04/2021 | 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... |
| 4/30/2021 12:00:00 AM | Expansion | GSGS | None | None | None | None | None |
| 4/30/2021 12:00:00 AM | Complaint | QRTR | None | None | None | None | None |
| 12/16/2020 12:00:00 AM | Standard | 26ZN | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 01/21/2021 | (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... |
| 12/16/2020 12:00:00 AM | Standard | 26ZN | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 01/21/2021 | 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... |
| 12/16/2020 12:00:00 AM | Standard | 26ZN | A0082 | Class 3 | TRAINING - HIV/AIDS | 01/21/2021 | (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 (... |
| 12/16/2020 12:00:00 AM | Standard | 26ZN | A0083 | Class 3 | TRAINING - FIRST AID AND CPR | 01/21/2021 | (5) FIRST AID AND CARDIOPULMONARY RESUSCITATION (CPR). A staff member who has completed courses in First Aid and CPR and holds a currently valid card documenting completion of such courses must be in the facility at all times.
(a) Documentation that the staff member possess current CPR certification that requires the student to demonstrate, in person, that he or she is able to perform CPR and which is issued by an instructor or training provider that is approved to provide CPR training by the Am... |
| 12/16/2020 12:00:00 AM | Standard | 26ZN | A0091 | Class 3 | TRAINING - DOCUMENTATION & MONITORING | 01/21/2021 | (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 traini... |
| 12/16/2020 12:00:00 AM | Standard | 26ZN | A0161 | Class 3 | RECORDS - STAFF | 01/21/2021 | 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... |
| 12/16/2020 12:00:00 AM | Standard | 26ZN | A0181 | Class 3 | EMERGENCY PLAN APPROVAL | 01/21/2021 | (2) EMERGENCY PLAN APPROVAL. The plan must be submitted for review and approval to the local emergency management agency.
(a) If the local emergency management agency requires revisions to the emergency management plan, such revisions must be made and the plan resubmitted to the local office within 30 days of receiving notification that the plan must be revised.
(b) A new facility as described in Rule 59A-36.014, F.A.C., and facilities whose ownership has been transferred, must submit an emergen... |
| 12/16/2020 12:00:00 AM | Standard | 26ZN | CZ816 | Unclassified | BACKGROUND SCREENING-COMPLIANCE ATTESTATION | 01/21/2021 | 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... |
| 7/10/2020 12:00:00 AM | Monitor | BI36 | None | None | None | None | None |
| 12/3/2018 12:00:00 AM | Complaint | 74H4 | None | None | None | None | None |
| 8/21/2018 12:00:00 AM | Standard | E0ZF | None | None | None | None | None |
| 10/23/2017 12:00:00 AM | Complaint | OEGP | None | None | None | None | None |
| 7/26/2016 12:00:00 AM | Standard | FOPO | None | None | None | None | None |
| 7/1/2015 12:00:00 AM | Expansion | H8YI | None | None | None | None | None |
| 5/20/2015 12:00:00 AM | Complaint | 6Y48 | None | None | None | None | None |
| 7/21/2014 12:00:00 AM | Standard | 0P43 | None | None | None | None | None |