Inspection Details

Facility ID: 11911439 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
9/19/2024 12:00:00 AMStandardPL24NoneNoneNoneNoneNone
5/9/2024 12:00:00 AMStandardOGZFA0078Class 3STAFFING STANDARDS - STAFF06/07/2024-
10/12/2021 12:00:00 AM-PNISNoneNoneNoneNoneNone
4/14/2021 12:00:00 AMComplaintKJJTNoneNoneNoneNoneNone
12/2/2020 12:00:00 AMComplaintQWV4A0050Class 3MEDICATION - SELF ADMINISTERED MEDICATIONS01/06/2021
429.256(2) Residents who are capable of self-administering their own medications without assistance shall be encouraged and allowed to do so. However, an unlicensed person may, consistent with a dispensed prescription ' s label or the package directions of an over-the-counter medication, assist a resident whose condition is medically stable with the self-administration of routine, regularly scheduled medications that are intended to be self-administered. Assistance with self-medication by a...
12/2/2020 12:00:00 AMComplaintQWV4A0161Class 3RECORDS - STAFF01/06/2021
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...
10/10/2019 12:00:00 AMComplaintKSR5NoneNoneNoneNoneNone
6/12/2019 12:00:00 AMComplaintBE0MCZ815Class 4BACKGROUND SCREENING; PROHIBITED OFFENSES08/15/2019
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...
2/28/2019 12:00:00 AMComplaintU4RMNoneNoneNoneNoneNone
12/5/2018 12:00:00 AMComplaintHFUYNoneNoneNoneNoneNone
5/22/2018 12:00:00 AMComplaintLG39NoneNoneNoneNoneNone
4/16/2018 12:00:00 AMStandard0Q1JA0078Class 3STAFFING STANDARDS - STAFF06/06/2018
(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...
4/16/2018 12:00:00 AMStandard0Q1JA0161Class 3RECORDS - STAFF06/06/2018
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. 58A-5.024 (2) STAFF RECORDS. (a) Personnel records for e...
4/19/2017 12:00:00 AMComplaint6SJ0NoneNoneNoneNoneNone
4/19/2017 12:00:00 AMComplaintV16KA0056Class 3MEDICATION - LABELING AND ORDERS07/28/2017
(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 ...
1/10/2017 12:00:00 AMComplaintV16KA0008Class 3ADMISSIONS - HEALTH ASSESSMENT07/28/2017
429.26 (4) If possible, each resident shall have been examined by a licensed physician, a licensed physician assistant, or a licensed nurse practitioner within 60 days before admission to the facility. The signed and completed medical examination report shall be submitted to the owner or administrator of the facility who shall use the information contained therein to assist in the determination of the appropriateness of the resident ' s admission and continued stay in the facility. The medic...
1/10/2017 12:00:00 AMComplaintV16KA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES07/28/2017
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...
1/10/2017 12:00:00 AMComplaintV16KA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN04/19/2017
(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.S...
5/10/2016 12:00:00 AMStandardRZA7A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN08/19/2016
(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.S...
6/10/2015 12:00:00 AMMonitorBH8ZNoneNoneNoneNoneNone
11/4/2014 12:00:00 AMMonitorJZ9UNoneNoneNoneNoneNone
7/8/2014 12:00:00 AMComplaintSZ6JA0008Class 3ADMISSIONS - HEALTH ASSESSMENT09/16/2014
(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...
4/23/2014 12:00:00 AMStandardTXXTA0078Class 3STAFFING STANDARDS - STAFF09/03/2014
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 facilit...
4/23/2014 12:00:00 AMStandardTXXTA0081Class 3TRAINING - STAFF IN-SERVICE07/08/2014
(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...
4/23/2014 12:00:00 AMStandardTXXTA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS07/08/2014
(11) DO NOT RESUSCITATE ORDERS TRAINING. (a) Currently employed facility administrators, managers, direct care staff and staff involved in resident admissions must receive at least one hour of training in the facility's policies and procedures regarding DNROs within 60 days after the effective date of this rule. (b) Newly hired facility administrators, managers, direct care staff and staff involved in resident admissions must receive at least one hour of training in the facility's policy...
4/23/2014 12:00:00 AMStandardTXXTAZ815Class 4BACKGROUND SCREENING; PROHIBITED OFFENSES07/08/2014
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...
2/21/2014 12:00:00 AMMonitor4YJ5NoneNoneNoneNoneNone
9/11/2013 12:00:00 AMMonitorE8PGA0053Class 3MEDICATION - ADMINISTRATION01/17/2014
(4) MEDICATION ADMINISTRATION. (a) For facilities which provide medication administration a staff member, who is 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 shall be documented in the resident ' s record and reported immediately to the resident ' s health care provider. The contact with...
9/11/2013 12:00:00 AMMonitorE8PGA0054Class 3MEDICATION - RECORDS01/17/2014
(5) MEDICATION RECORDS. (a) For residents who use a pill organizer managed under subsection (2), the facility shall 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 shall maintain a daily medication observation record (MOR) for ...
1/17/2013 12:00:00 AMExpansion9Y4DNoneNoneNoneNoneNone
12/26/2012 12:00:00 AMComplaintFFWBNoneNoneNoneNoneNone