Inspection Details

Facility ID: 11911412 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
10/25/2024 12:00:00 AMStandardIGEMA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES03/17/2025-
10/25/2024 12:00:00 AMStandardIGEMA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN03/17/2025-
10/25/2024 12:00:00 AMStandardIGEMA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER03/17/2025-
10/25/2024 12:00:00 AMStandardIGEMA0160Class 3RECORDS - FACILITY03/17/2025-
10/25/2024 12:00:00 AMStandardIGEMA0162Class 3RECORDS - RESIDENT03/17/2025-
10/25/2024 12:00:00 AMStandardIGEMA0182Class 3EMERGENCY MGMT - PLAN IMPLEMENTATION09/16/2025-
10/25/2024 12:00:00 AMStandardIGEMAL243Class 3LMH - TRAINING03/17/2025-
5/23/2024 12:00:00 AMComplaint0JITA00272RESIDENT CARE - ARRANGEMENT FOR HEALTH CARE07/01/2024-
5/23/2024 12:00:00 AMComplaint0JITA0055Class 3MEDICATION - STORAGE AND DISPOSAL07/01/2024-
3/20/2023 12:00:00 AMComplaintL9P2A0025Class 3RESIDENT CARE - SUPERVISION08/16/2023-
12/15/2022 12:00:00 AMStandard7JTPA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES03/20/2023-
12/15/2022 12:00:00 AMStandard7JTPA0078Class 3STAFFING STANDARDS - STAFF03/20/2023-
12/15/2022 12:00:00 AMStandard7JTPA0123Class 3FISCAL - RESIDENT TRUST FUNDS03/20/2023-
12/15/2022 12:00:00 AMStandard7JTPA01522PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER03/20/2023-
12/15/2022 12:00:00 AMStandard7JTPA0162Class 3RECORDS - RESIDENT03/20/2023-
11/21/2021 12:00:00 AMComplaint7WTAA0167Class 3RESIDENT CONTRACTS12/14/2022-
11/21/2021 12:00:00 AMComplaint7WTACZ803UnclassifiedLICENSE REQUIRED; DISPLAY12/14/2022-
11/17/2021 12:00:00 AMComplaint7MP9NoneNoneNoneNoneNone
10/8/2021 12:00:00 AMComplaintG6DMNoneNoneNoneNoneNone
10/6/2021 12:00:00 AMComplaint7WTAA00101ADMISSIONS - CONTINUED RESIDENCY11/17/2021-
10/6/2021 12:00:00 AMComplaint7WTAA0028Class 3RESIDENT CARE - ACTIVITIES OF DAILY LIVING11/17/2021-
10/6/2021 12:00:00 AMComplaint7WTAA00322RESIDENT CARE - ELOPEMENT STANDARDS03/20/2023-
10/6/2021 12:00:00 AMComplaint7WTAA0053Class 3MEDICATION - ADMINISTRATION11/17/2021-
10/6/2021 12:00:00 AMComplaint7WTAA0160Class 3RECORDS - FACILITY11/17/2021-
6/23/2021 12:00:00 AMComplaint7WTAA00252RESIDENT CARE - SUPERVISION11/17/2021-
6/23/2021 12:00:00 AMComplaint7WTAA0027Class 3RESIDENT CARE - ARRANGEMENT FOR HEALTH CARE10/22/2021-
4/9/2021 12:00:00 AMComplaint7WTAA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES11/17/2021-
4/9/2021 12:00:00 AMComplaint7WTAA0093Class 3FOOD SERVICE - DIETARY STANDARDS06/18/2021-
4/9/2021 12:00:00 AMComplaint7WTAA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER11/17/2021-
4/9/2021 12:00:00 AMComplaint7WTAA0182Class 3EMERGENCY MGMT - PLAN IMPLEMENTATION06/18/2021-
4/9/2021 12:00:00 AMComplaint7WTAAN277Class 3LNS - RESIDENT CARE STANDARDS06/18/2021-
8/14/2020 12:00:00 AMMonitorB1U6NoneNoneNoneNoneNone
6/10/2020 12:00:00 AMComplaintB7MJA0058Class 3PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES08/14/2020-
6/10/2020 12:00:00 AMMonitorGMJ5NoneNoneNoneNoneNone
5/12/2020 12:00:00 AMMonitorX01VNoneNoneNoneNoneNone
1/7/2020 12:00:00 AMComplaintD76SA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER06/10/2020-
1/7/2020 12:00:00 AMComplaintD76SCZ815Class 4BACKGROUND SCREENING; PROHIBITED OFFENSES06/10/2020-
11/20/2019 12:00:00 AMComplaintG2EYA0168Class 4RESIDENT REFUND POLICY06/10/2020-
10/25/2019 12:00:00 AMComplaint8J2EA0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS01/07/2020-
10/25/2019 12:00:00 AMComplaint8J2EA0163Class 3RECORDS - RESIDENT, PENALTIES FOR ALTERATION01/07/2020-
9/30/2019 12:00:00 AMComplaint8J2EA00251RESIDENT CARE - SUPERVISION01/07/2020-
9/30/2019 12:00:00 AMComplaint8J2EA00272RESIDENT CARE - ARRANGEMENT FOR HEALTH CARE01/07/2020-
9/30/2019 12:00:00 AMComplaint8J2EA00312RESIDENT CARE - THIRD PARTY SERVICES10/16/2019-
9/30/2019 12:00:00 AMComplaint8J2EA00792STAFFING STANDARDS - LEVELS10/16/2019-
9/30/2019 12:00:00 AMComplaint8J2EA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER10/16/2019-
9/30/2019 12:00:00 AMComplaint8J2EA0162Class 3RECORDS - RESIDENT01/07/2020-
9/30/2019 12:00:00 AMComplaint8J2EA0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT01/07/2020-
9/30/2019 12:00:00 AMComplaint8J2ECZ813Class 3RESULTS OF SCREENING & NOTIFICATION IN FILE10/16/2019-
8/27/2019 12:00:00 AMComplaintB7MJA00252RESIDENT CARE - SUPERVISION01/07/2020-
8/27/2019 12:00:00 AMComplaintB7MJA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES01/07/2020-
8/27/2019 12:00:00 AMComplaintB7MJA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN01/07/2020-
8/27/2019 12:00:00 AMComplaintB7MJA0054Class 3MEDICATION - RECORDS01/07/2020-
8/27/2019 12:00:00 AMComplaintB7MJA0055Class 3MEDICATION - STORAGE AND DISPOSAL08/14/2020-
8/27/2019 12:00:00 AMComplaintB7MJA00562MEDICATION - LABELING AND ORDERS01/07/2020-
8/27/2019 12:00:00 AMComplaintB7MJA0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT01/07/2020-
8/27/2019 12:00:00 AMComplaintB7MJCZ824Class 4RIGHT OF INSPECTION; INSPECTION REPORTS01/07/2020-
2/1/2019 12:00:00 AMStandard1YF2A0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES04/11/2019-
2/1/2019 12:00:00 AMStandard1YF2A0200Class 3EMERGENCY ENVIRONMENTAL CONTROL04/11/2019-
2/1/2019 12:00:00 AMStandard1YF2CZ816Class 3BACKGROUND SCREENING-COMPLIANCE ATTESTATION04/11/2019-
10/31/2018 12:00:00 AMMonitor4PBZNoneNoneNoneNoneNone
10/31/2018 12:00:00 AMComplaintDR46A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN04/11/2019-
10/31/2018 12:00:00 AMComplaintDR46A0055Class 3MEDICATION - STORAGE AND DISPOSAL04/11/2019-
6/13/2018 12:00:00 AMStandard9K1XA0078Class 3STAFFING STANDARDS - STAFF08/23/2018-
6/13/2018 12:00:00 AMComplaintPKURA0093Class 3FOOD SERVICE - DIETARY STANDARDS08/23/2018-
3/28/2018 12:00:00 AMComplaintPKURA0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS06/13/2018-
3/28/2018 12:00:00 AMComplaintPKURA0055Class 3MEDICATION - STORAGE AND DISPOSAL06/13/2018-
3/28/2018 12:00:00 AMComplaintPKURA0160Class 3RECORDS - FACILITY06/13/2018-
3/28/2018 12:00:00 AMComplaintPKURA0163Class 3RECORDS - RESIDENT, PENALTIES FOR ALTERATION06/13/2018-
3/8/2018 12:00:00 AMMonitorBI9UNoneNoneNoneNoneNone
8/11/2017 12:00:00 AMMonitorMT1UNoneNoneNoneNoneNone
8/11/2017 12:00:00 AMComplaintV11OA0057Class 3MEDICATION - OVER THE COUNTER (OTC) PRODUCTS11/08/2017-
8/10/2017 12:00:00 AMComplaint34TSNoneNoneNoneNoneNone
6/26/2017 12:00:00 AMStandardBUXTA0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT11/08/2017-
6/26/2017 12:00:00 AMStandardBUXTCZ813Class 4RESULTS OF SCREENING & NOTIFICATION IN FILE08/11/2017-
5/9/2017 12:00:00 AMComplaintV11OA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES08/10/2017-
5/9/2017 12:00:00 AMComplaintV11OA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN08/10/2017-
5/9/2017 12:00:00 AMComplaintV11OA0078Class 3STAFFING STANDARDS - STAFF08/10/2017-
5/9/2017 12:00:00 AMComplaintV11OA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT08/10/2017-
5/9/2017 12:00:00 AMComplaintV11OA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER11/08/2017-
3/9/2017 12:00:00 AMStandardBUXTA0025Class 3RESIDENT CARE - SUPERVISION08/11/2017-
3/9/2017 12:00:00 AMComplaintCE5SNoneNoneNoneNoneNone
3/9/2017 12:00:00 AMMonitorOQZ9NoneNoneNoneNoneNone
3/9/2017 12:00:00 AMStandardXD9EA0162Class 3RECORDS - RESIDENT08/10/2017-
3/9/2017 12:00:00 AMStandardXD9EAL243Class 3LMH - TRAINING08/10/2017-
9/21/2016 12:00:00 AMMonitorCGLXAZ815Class 4BACKGROUND SCREENING; PROHIBITED OFFENSES03/09/2017-
9/21/2016 12:00:00 AMComplaintCONUNoneNoneNoneNoneNone
9/21/2016 12:00:00 AMStandardXD9EA0010Class 3ADMISSIONS - CONTINUED RESIDENCY08/10/2017-
9/21/2016 12:00:00 AMStandardXD9EA0055Class 3MEDICATION - STORAGE AND DISPOSAL03/09/2017-
9/21/2016 12:00:00 AMStandardXD9EA0056Class 3MEDICATION - LABELING AND ORDERS03/09/2017-
5/3/2016 12:00:00 AMComplaint0Q3ENoneNoneNoneNoneNone
2/3/2016 12:00:00 AMComplaint5Y5TA0025Class 3RESIDENT CARE - SUPERVISION05/03/2016-
2/3/2016 12:00:00 AMComplaint5Y5TA0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT05/03/2016-
7/24/2015 12:00:00 AMComplaintV9XDA00251RESIDENT CARE - SUPERVISION09/03/2015-
7/24/2015 12:00:00 AMComplaintV9XDA0077Class 3STAFFING STANDARDS - ADMINISTRATORS09/03/2015-
7/24/2015 12:00:00 AMComplaintV9XDA0078Class 3STAFFING STANDARDS - STAFF09/03/2015-
7/24/2015 12:00:00 AMComplaintV9XDA0089Class 3ALZHEIMER'S/OTHER DISORDERS - SPECIAL CARE09/03/2015-
7/24/2015 12:00:00 AMComplaintV9XDA0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT09/03/2015-
12/11/2014 12:00:00 AMStandardT82INoneNoneNoneNoneNone
12/10/2014 12:00:00 AMMonitorGF4QNoneNoneNoneNoneNone
10/9/2014 12:00:00 AMComplaintMUL7NoneNoneNoneNoneNone
8/27/2014 12:00:00 AMComplaintXUQ0NoneNoneNoneNoneNone
5/12/2014 12:00:00 AMMonitor2C5CNoneNoneNoneNoneNone
10/30/2013 12:00:00 AMComplaintKY16NoneNoneNoneNoneNone
10/17/2013 12:00:00 AMComplaintU1W3NoneNoneNoneNoneNone
7/3/2013 12:00:00 AMStandardV6YYA0029Class 3RESIDENT CARE - NURSING SERVICES10/17/2013-
7/3/2013 12:00:00 AMStandardV6YYA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES10/17/2013-
7/3/2013 12:00:00 AMStandardV6YYA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN10/17/2013-
7/3/2013 12:00:00 AMStandardV6YYA0054Class 3MEDICATION - RECORDS10/17/2013-
7/3/2013 12:00:00 AMStandardV6YYAZ827Class 4UNLICENSED ACTIVITY10/17/2013-
7/2/2013 12:00:00 AMComplaint3PUMNoneNoneNoneNoneNone
7/2/2013 12:00:00 AMExpansionJFSGNoneNoneNoneNoneNone
3/11/2013 12:00:00 AMComplaintLT23NoneNoneNoneNoneNone
11/15/2012 12:00:00 AMComplaintPK72NoneNoneNoneNoneNone
9/5/2012 12:00:00 AMComplaint118QNoneNoneNoneNoneNone
Florida Agency for Health Care Administration (AHCA) Inspection Data