Inspection Details

Facility ID: 11911636 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
11/21/2024 12:00:00 AMStandardZCL1NoneNoneNoneNoneNone
11/17/2023 12:00:00 AMComplaint5GBLNoneNoneNoneNoneNone
3/22/2023 12:00:00 AMStandardCP4GA0008Class 3ADMISSIONS - HEALTH ASSESSMENT11/21/2024
429.26 (5) Each resident must have been examined by a licensed physician, a licensed physician assistant, or a licensed advanced practice registered nurse within 60 days before admission to the facility or within 30 days after admission to the facility, except as provided in s. 429.07. The information from the medical examination must be recorded on the practitioner's form or on a form adopted by agency rule. The medical examination form, signed only by the practitioner, must be submitted to...
3/22/2023 12:00:00 AMStandardCP4GA0025Class 3RESIDENT CARE - SUPERVISION11/21/2024
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 ...
3/22/2023 12:00:00 AMStandardCP4GA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES11/21/2024
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...
3/22/2023 12:00:00 AMStandardCP4GA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN11/21/2024
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...
3/22/2023 12:00:00 AMStandardCP4GA0056Class 3MEDICATION - LABELING AND ORDERS11/21/2024
(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...
3/22/2023 12:00:00 AMStandardCP4GA0078Class 3STAFFING STANDARDS - STAFF11/21/2024
(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...
3/22/2023 12:00:00 AMStandardCP4GA0081Class 3TRAINING - STAFF IN-SERVICE11/21/2024
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 ...
3/22/2023 12:00:00 AMStandardCP4GA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS11/21/2024
(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 Do Not Resuscitate Orders. (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 and procedures regarding DNROs w...
3/22/2023 12:00:00 AMStandardCP4GA0165Class 3RISK MGMT & QA11/21/2024
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 ...
3/22/2023 12:00:00 AMStandardCP4GCZ830Class 3EMERGENCY MANAGEMENT PLANNING11/21/2024
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 ...
8/4/2022 12:00:00 AMComplaintK0NINoneNoneNoneNoneNone
2/16/2022 12:00:00 AMComplaint50EXNoneNoneNoneNoneNone
10/20/2020 12:00:00 AMStandard1Y2VA0054Class 3MEDICATION - RECORDS11/25/2020
(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...
10/20/2020 12:00:00 AMStandard1Y2VA0078Class 3STAFFING STANDARDS - STAFF11/25/2020
(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...
10/7/2019 12:00:00 AMComplaint5S5RNoneNoneNoneNoneNone
8/7/2018 12:00:00 AMStandardFQIRNoneNoneNoneNoneNone
10/26/2017 12:00:00 AMComplaintFUK5NoneNoneNoneNoneNone
2/2/2017 12:00:00 AMComplaint0OXWA0025Class 3RESIDENT CARE - SUPERVISION02/10/2017
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...
2/2/2017 12:00:00 AMComplaint0OXWA0162Class 3RECORDS - RESIDENT04/27/2017
(3) RESIDENT RECORDS. Resident records must be maintained on the premises and include: (a) Resident demographic data as follows: 1. Name; 2. Sex; 3. Race; 4. Date of birth; 5. Place of birth, if known; 6. Social security number; 7. Medicaid and/or Medicare number, or name of other health insurance carrier; 8. Name, address, and telephone number of next of kin, legal representative, or individual designated by the resident for notification in case of an emergency; and 9. Name, address, and teleph...
8/15/2016 12:00:00 AMStandardGH53NoneNoneNoneNoneNone
5/29/2015 12:00:00 AMComplaintGTI7NoneNoneNoneNoneNone
3/5/2015 12:00:00 AMComplaintFSOHA0025Class 3RESIDENT CARE - SUPERVISION06/03/2015
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...
1/5/2015 12:00:00 AMComplaintU6ZONoneNoneNoneNoneNone
10/9/2014 12:00:00 AMExpansionCZK6A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN10/21/2014
(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....
10/9/2014 12:00:00 AMExpansionCZK6A0056Class 3MEDICATION - LABELING AND ORDERS10/21/2014
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 r...
8/16/2013 12:00:00 AMExpansionGJUENoneNoneNoneNoneNone
12/17/2012 12:00:00 AMStandardYNPMNoneNoneNoneNoneNone