Inspection Details

Facility ID: 11911906 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
4/10/2025 12:00:00 AMComplaint4HCZNoneNoneNoneNoneNone
2/13/2025 12:00:00 AMStandardNKWBA0010Class 3ADMISSIONS - CONTINUED RESIDENCY04/10/2025-
2/13/2025 12:00:00 AMStandardNKWBA0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS04/10/2025-
2/13/2025 12:00:00 AMStandardNKWBA0078Class 3STAFFING STANDARDS - STAFF04/10/2025-
2/13/2025 12:00:00 AMStandardNKWBA0081Class 3TRAINING - STAFF IN-SERVICE04/10/2025-
2/13/2025 12:00:00 AMStandardNKWBA0082Class 3TRAINING - HIV/AIDS04/10/2025-
2/13/2025 12:00:00 AMStandardNKWBA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS04/10/2025-
2/13/2025 12:00:00 AMStandardNKWBA0093Class 3FOOD SERVICE - DIETARY STANDARDS04/10/2025-
2/13/2025 12:00:00 AMStandardNKWBCZ816UnclassifiedBACKGROUND SCREENING-COMPLIANCE ATTESTATION04/10/2025
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...
2/13/2025 12:00:00 AMStandardNKWBCZ830Class 3EMERGENCY MANAGEMENT PLANNING04/10/2025
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 ...
6/13/2024 12:00:00 AMComplaintYK4LNoneNoneNoneNoneNone
4/29/2024 12:00:00 AMComplaintTLEFA01522PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER06/13/2024-
3/26/2024 12:00:00 AMComplaintXXZRA0025Class 3RESIDENT CARE - SUPERVISION06/13/2024-
3/26/2024 12:00:00 AMComplaintXXZRA00302RESIDENT CARE - RIGHTS & FACILITY PROCEDURES06/13/2024-
3/26/2024 12:00:00 AMComplaintXXZRA00832TRAINING - FIRST AID AND CPR06/13/2024-
5/26/2022 12:00:00 AMStandardYJ7QA0081Class 3TRAINING - STAFF IN-SERVICE06/26/2022
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 ...
5/26/2022 12:00:00 AMStandardYJ7QA0082Class 3TRAINING - HIV/AIDS06/26/2022
(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 (...
5/26/2022 12:00:00 AMStandardYJ7QA0089Class 3ALZHEIMER'S/OTHER DISORDERS - SPECIAL CARE06/26/2022
429.178 Special care for persons with Alzheimer's disease or other related disorders.- (1) A facility which advertises that it provides special care for persons with Alzheimer's disease or other related disorders must meet the following standards of operation: (a)1. If the facility has 17 or more residents, have an awake staff member on duty at all hours of the day and night; or 2. If the facility has fewer than 17 residents, have an awake staff member on duty at all hours of the day and...
5/26/2022 12:00:00 AMStandardYJ7QA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS06/26/2022
(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...
5/26/2022 12:00:00 AMStandardYJ7QA0091Class 3TRAINING - DOCUMENTATION & MONITORING06/26/2022
(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...
5/26/2022 12:00:00 AMStandardYJ7QCZ814UnclassifiedBACKGROUND SCREENING CLEARINGHOUSE06/26/2022
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...
5/26/2022 12:00:00 AMStandardYJ7QCZ830Class 3EMERGENCY MANAGEMENT PLANNING06/26/2022
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 ...
11/30/2021 12:00:00 AMComplaintZ7HWA0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS05/26/2022
59A-36.007 (7) 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...
6/3/2021 12:00:00 AMComplaintMQSNA0008Class 3ADMISSIONS - HEALTH ASSESSMENT07/02/2021
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 ...
6/3/2021 12:00:00 AMComplaintMQSNA0025Class 3RESIDENT CARE - SUPERVISION07/02/2021
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 o...
8/6/2020 12:00:00 AMMonitorYIX8NoneNoneNoneNoneNone
3/29/2020 12:00:00 AM-LDLKNoneNoneNoneNoneNone
6/17/2019 12:00:00 AMStandardJ9O1NoneNoneNoneNoneNone
4/25/2018 12:00:00 AMMonitorRK1VA0083Class 3TRAINING - FIRST AID AND CPR06/14/2018
(4) 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 of attendance at First Aid or CPR course offered by an accredited college, university or vocational school; a licensed hospital; the American Red Cross, American Heart Association, or National Safety Council; or a provider approved by the Department of He...
5/16/2017 12:00:00 AMStandardY5X8A0078Class 3STAFFING STANDARDS - STAFF07/07/2017
(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...
5/16/2017 12:00:00 AMStandardY5X8A0081Class 3TRAINING - STAFF IN-SERVICE07/07/2017
(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...
5/16/2017 12:00:00 AMStandardY5X8A0082Class 3TRAINING - HIV/AIDS07/07/2017
(3) 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 (...
5/16/2017 12:00:00 AMStandardY5X8A0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT07/07/2017
(5) ASSISTANCE WITH SELF-ADMINISTERED MEDICATION AND MEDICATION MANAGEMENT. Unlicensed persons who will be providing assistance with self-administered medications as described in Rule 58A-5.0185, F.A.C., must meet the training requirements pursuant to Section 429.52(5), F.S., prior to assuming this responsibility. Courses provided in fulfilment of this requirement must meet the following criteria: (a) Training must cover state law and rule requirements with respect to the supervision, assistance...
5/16/2017 12:00:00 AMStandardY5X8A0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS07/07/2017
(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 po...
8/1/2016 12:00:00 AMComplaintT3UYNoneNoneNoneNoneNone
6/29/2016 12:00:00 AMMonitorE0LHNoneNoneNoneNoneNone
7/30/2015 12:00:00 AMStandard8PMYA0081Class 3TRAINING - STAFF IN-SERVICE08/30/2015
(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...
7/30/2015 12:00:00 AMStandard8PMYA0086Class 3TRAINING - ADRD08/30/2015
(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...
7/30/2015 12:00:00 AMStandard8PMYA0092Class 3FOOD SERVICE - GENERAL RESPONSIBILITIES08/30/2015
(1) GENERAL RESPONSIBILITIES. When food service is provided by the facility, the administrator, or an individual designated in writing by the administrator, must be responsible for total food services and the day-to-day supervision of food services staff. In addition, the following requirements apply: (a) If the designee is an individual who has not completed an approved assisted living facility core training course, such individual must complete the food and nutrition services module of the cor...
3/24/2015 12:00:00 AMMonitorH43MA0089Class 3ALZHEIMER'S/OTHER DISORDERS - SPECIAL CARE04/21/2015
Special care for persons with Alzheimer ' s disease or other related disorders.- (1) A facility which advertises that it provides special care for persons with Alzheimer ' s disease or other related disorders must meet the following standards of operation: (a)1. If the facility has 17 or more residents, have an awake staff member on duty at all hours of the day and night; or 2. If the facility has fewer than 17 residents, have an awake staff member on duty at all hours of the day and n...
9/10/2014 12:00:00 AMMonitor4W5NNoneNoneNoneNoneNone
9/10/2014 12:00:00 AMComplaintYTXTNoneNoneNoneNoneNone
5/14/2014 12:00:00 AMMonitorDJ2LNoneNoneNoneNoneNone
7/2/2013 12:00:00 AMStandard7DGGA0010Class 3ADMISSIONS - CONTINUED RESIDENCY08/28/2013
(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...
7/2/2013 12:00:00 AMStandard7DGGA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES08/28/2013
(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 Council shall 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 shall have a written grievance procedure for receiving and responding to resident complaints, and for res...
7/2/2013 12:00:00 AMStandard7DGGA0054Class 3MEDICATION - RECORDS08/28/2013
(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 ...
7/2/2013 12:00:00 AMStandard7DGGAN278Class 3LNS - RECORDS08/28/2013
(3) RECORDS. (a) A record of all residents receiving limited nursing services under this license and the type of service provided, shall be maintained. (b) Nursing progress notes shall be maintained for each resident who receives limited nursing services. (c) A nursing assessment conducted at least monthly shall be maintained on each resident who receives a limited nursing service.
1/29/2013 12:00:00 AMMonitorDY1VNoneNoneNoneNoneNone
10/1/2012 12:00:00 AMMonitorJFH6NoneNoneNoneNoneNone