Inspection Details

Facility ID: 11911165 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
1/2/2025 12:00:00 AMStandardERHYA0054Class 3MEDICATION - RECORDS04/26/2025-
1/2/2025 12:00:00 AMStandardERHYA0055Class 3MEDICATION - STORAGE AND DISPOSAL04/26/2025-
1/10/2024 12:00:00 AMComplaint3GIKA00322RESIDENT CARE - ELOPEMENT STANDARDS04/30/2024-
1/10/2024 12:00:00 AMComplaint3GIKA0165Class 3RISK MGMT & QA04/30/2024-
1/10/2024 12:00:00 AMComplaint3GIKA0167Class 3RESIDENT CONTRACTS04/30/2024-
8/23/2022 12:00:00 AMStandardECRJA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN11/22/2022
429.256 (3) Assistance with self-administration of medication includes: (a) Taking the medication, in its previously dispensed, properly labeled container, from where it is stored, and bringing it to the resident. For purposes of this paragraph, an insulin syringe that is prefilled with the proper dosage by a pharmacist and an insulin pen that is prefilled by the manufacturer are considered medications in previously dispensed, properly labeled containers. (b) In the presence of the resident, co...
8/23/2022 12:00:00 AMStandardECRJA0055Class 3MEDICATION - STORAGE AND DISPOSAL11/22/2022
(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...
5/16/2022 12:00:00 AMStandardDQ1JNoneNoneNoneNoneNone
11/4/2021 12:00:00 AMComplaintOIOWCZ814UnclassifiedBACKGROUND SCREENING CLEARINGHOUSE02/16/2022
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...
11/4/2021 12:00:00 AMComplaintOIOWCZ815UnclassifiedBACKGROUND SCREENING; PROHIBITED OFFENSES02/16/2022
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...
10/16/2020 12:00:00 AMComplaint6TQYNoneNoneNoneNoneNone
1/21/2020 12:00:00 AMStandardTNG5A0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS02/12/2020
59A-36.007 (8) ELOPEMENT STANDARDS. (a) Residents Assessed at Risk for Elopement. All residents assessed at risk for elopement or with any history of elopement must be identified so staff can be alerted to their needs for support and supervision. All residents must be assessed for risk of elopement by a health care provider or a mental health care provider within 30 calendar days of being admitted to a facility. If the resident has had a health assessment performed prior to admission pursuant to...
7/19/2019 12:00:00 AMComplaintCIH7A0030Class 4RESIDENT CARE - RIGHTS & FACILITY PROCEDURES10/04/2019
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...
7/19/2019 12:00:00 AMComplaintCIH7A0085Class 3TRAINING - NUTRITION & FOOD SERVICE10/04/2019
(7) NUTRITION AND FOOD SERVICE. The administrator or person designated by the administrator as responsible for the facility's food service and the day-to-day supervision of food service staff must obtain, annually, a minimum of 2 hours continuing education in topics pertinent to nutrition and food service in an assisted living facility. This requirement does not apply to administrators and designees who are exempt from training requirements under paragraph 58A-5.020(1)(b). A certified food m...
7/19/2019 12:00:00 AMComplaintCIH7A0181Class 3EMERGENCY PLAN APPROVAL02/12/2020
(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 58A-5.023, F.A.C., and facilities whose ownership has been transferred, must submit an emergenc...
7/19/2019 12:00:00 AMComplaintCIH7A0200Class 3EMERGENCY ENVIRONMENTAL CONTROL01/21/2020
(1) DETAILED EMERGENCY ENVIRONMENTAL CONTROL PLAN. Each assisted living facility shall prepare a detailed plan ("plan") to serve as a supplement to its Comprehensive Emergency Management Plan, to address emergency environmental control in the event of the loss of primary electrical power in that assisted living facility which includes the following information: (a) The acquisition of a sufficient alternate power source such as a generator(s), maintained at the assisted living facility,...
3/13/2018 12:00:00 AMStandardKP0WNoneNoneNoneNoneNone
4/28/2017 12:00:00 AMComplaintVBBLNoneNoneNoneNoneNone
2/23/2016 12:00:00 AMStandard95LYA0086Class 3TRAINING - ADRD04/29/2016
(9) ALZHEIMER ' S DISEASE AND RELATED DISORDERS ( " ADRD " ) TRAINING REQUIREMENTS. Facilities which advertise that they provide special care for persons with ADRD, or who maintain secured areas as described in Chapter 4, Section 434.4.6 of the Florida Building Code, as adopted in Rule 9N-1.001, F.A.C., Florida Building Code Adopted, must ensure that facility staff receive the following training. (a) Facility staff who have regular contact with or provide direct care to residents w...
2/23/2016 12:00:00 AMStandard95LYAZ816Class 4BACKGROUND SCREENING-COMPLIANCE ATTESTATION04/29/2016
(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 Bureau of ...
7/27/2015 12:00:00 AMComplaintN19DNoneNoneNoneNoneNone
11/19/2014 12:00:00 AMComplaint94SYNoneNoneNoneNoneNone
2/12/2014 12:00:00 AMStandardPDY4A0010Class 3ADMISSIONS - CONTINUED RESIDENCY04/09/2014
(4) CONTINUED RESIDENCY. Except as follows in paragraphs (a) through (e) of this subsection, criteria for continued residency in any licensed facility shall 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 licensed 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...
2/12/2014 12:00:00 AMStandardPDY4A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN04/09/2014
(3) ASSISTANCE WITH SELF-ADMINISTRATION. (a) For facilities which provide assistance with self-administered medication, either: a nurse; or an unlicensed staff member, who is at least 18 years old, trained to assist with self-administered medication in accordance with Rule 58A-5.0191, F.A.C., and able to demonstrate to the administrator the ability to accurately read and interpret a prescription label, must be available to assist residents with self-administered medications in accordance with pr...
2/12/2014 12:00:00 AMStandardPDY4A0167Class 3RESIDENT CONTRACTS04/09/2014
Resident Contracts. (1) Pursuant to Section 429.24, F.S., prior to or at the time of admission, each resident or legal representative shall execute a contract with the facility which contains 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 if the facility is licensed to provide such services. (b) The daily, weekly, or monthly rate. (c) A list ...