| Survey Date | Inspection Type | Track ID | Deficiency | Class | Requirement Description | Correction Date | Requirement Long Description |
|---|---|---|---|---|---|---|---|
| 2/4/2025 12:00:00 AM | Standard | D73R | A0010 | Class 3 | ADMISSIONS - CONTINUED RESIDENCY | 05/17/2025 | - |
| 2/4/2025 12:00:00 AM | Standard | D73R | A0026 | Class 3 | RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES | 05/17/2025 | - |
| 2/4/2025 12:00:00 AM | Standard | D73R | A0052 | Class 3 | MEDICATION - ASSISTANCE WITH SELF-ADMIN | 05/17/2025 | - |
| 2/4/2025 12:00:00 AM | Standard | D73R | A0054 | Class 3 | MEDICATION - RECORDS | 05/17/2025 | - |
| 2/4/2025 12:00:00 AM | Standard | D73R | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 05/17/2025 | - |
| 2/4/2025 12:00:00 AM | Standard | D73R | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 05/17/2025 | - |
| 2/4/2025 12:00:00 AM | Standard | D73R | A0084 | Class 3 | TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | 05/17/2025 | - |
| 2/4/2025 12:00:00 AM | Standard | D73R | A0090 | Class 3 | TRAINING - DO NOT RESUSCITATE ORDERS | 05/17/2025 | - |
| 6/15/2023 12:00:00 AM | Complaint | YU4W | None | None | None | None | None |
| 8/29/2022 12:00:00 AM | Standard | F7PD | CZ841 | Class 4 | IN-PERSON VISITATION | 10/06/2022 | (1) This section applies to developmental disabilities centers as defined in s. 393.063, hospitals licensed under chapter 395, nursing home facilities licensed under part II of chapter 400, hospice facilities licensed under part IV of chapter 400, intermediate care facilities for the developmentally disabled licensed and certified under part VIII of chapter 400, and assisted living facilities licensed under part I of chapter 429.
(2)(a) No later than 30 days after the effective date of this act... |
| 11/6/2020 12:00:00 AM | Standard | X99F | None | None | None | None | None |
| 7/20/2018 12:00:00 AM | Monitor | M4DG | A0200 | Class 3 | EMERGENCY ENVIRONMENTAL CONTROL | 10/16/2018 | (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,... |
| 5/16/2018 12:00:00 AM | Standard | 9LHA | A0010 | Class 3 | ADMISSIONS - CONTINUED RESIDENCY | 07/20/2018 | 429.26
(1) The owner or administrator of a facility is responsible for determining the appropriateness of admission of an individual to the facility and for determining the continued appropriateness of residence of an individual in the facility. A determination shall be based upon an assessment of the strengths, needs, and preferences of the resident, the care and services offered or arranged for by the facility in accordance with facility policy, and any limitations in law or rule related to ad... |
| 5/16/2018 12:00:00 AM | Standard | 9LHA | A0030 | Class 3 | RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 07/20/2018 | 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... |
| 5/16/2018 12:00:00 AM | Standard | 9LHA | A0052 | Class 3 | MEDICATION - ASSISTANCE WITH SELF-ADMIN | 07/20/2018 | (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... |
| 5/16/2018 12:00:00 AM | Standard | 9LHA | A0056 | Class 3 | MEDICATION - LABELING AND ORDERS | 07/20/2018 | (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 ... |
| 5/16/2018 12:00:00 AM | Standard | 9LHA | A0084 | Class 3 | TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | 07/20/2018 | (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... |
| 5/16/2018 12:00:00 AM | Standard | 9LHA | A0181 | Class 3 | EMERGENCY PLAN APPROVAL | 12/26/2018 | (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... |
| 5/16/2018 12:00:00 AM | Standard | 9LHA | CZ813 | Class 4 | RESULTS OF SCREENING & NOTIFICATION IN FILE | 07/20/2018 | 59A-35.090(3) Results of Screening and Notification.
(c) The eligibility results of employee screening and the signed Attestation referenced in subsection 59A-35.090(2), F.A.C., must be in the employee's personnel file, maintained by the provider. |
| 11/9/2017 12:00:00 AM | Complaint | 6M8E | A0010 | Class 3 | ADMISSIONS - CONTINUED RESIDENCY | 01/18/2018 | 429.26
(1) The owner or administrator of a facility is responsible for determining the appropriateness of admission of an individual to the facility and for determining the continued appropriateness of residence of an individual in the facility. A determination shall be based upon an assessment of the strengths, needs, and preferences of the resident, the care and services offered or arranged for by the facility in accordance with facility policy, and any limitations in law or rule related to ad... |
| 11/9/2017 12:00:00 AM | Complaint | 6M8E | A0032 | Class 3 | RESIDENT CARE - ELOPEMENT STANDARDS | 01/18/2018 | (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.
1. As part of its resident elopement response policies and procedures, the facility must make, at a minimum, a daily effort to determine that at risk residents have identification on their persons that includes their name and the facility ' s name, address, an... |
| 11/9/2017 12:00:00 AM | Complaint | 6M8E | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 01/18/2018 | (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... |
| 4/24/2014 12:00:00 AM | Standard | XBO0 | A0030 | Class 3 | RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 06/19/2014 | 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, an... |
| 4/24/2014 12:00:00 AM | Standard | XBO0 | A0052 | Class 3 | MEDICATION - ASSISTANCE WITH SELF-ADMIN | 06/19/2014 | (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.... |
| 4/24/2014 12:00:00 AM | Standard | XBO0 | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 06/19/2014 | 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... |
| 8/15/2013 12:00:00 AM | Monitor | GEYM | AE210 | Class 3 | ECC - TRAINING | 12/02/2013 | Staff Training Requirements and Competency Test.
(7) EXTENDED CONGREGATE CARE TRAINING.
(a) The administrator and extended congregate care supervisor, if different from the administrator, must complete core training and 4 hours of initial training in extended congregate care prior to the facility ' s receiving its extended congregate care license or within 3 months of beginning employment in the facility as an administrator or ECC supervisor. Successful completion of the assisted living faci... |
| 7/12/2012 12:00:00 AM | Standard | NRO4 | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 08/24/2012 | (2) STAFF.
(a) Newly hired staff shall have 30 days to submit a statement from a health care provider, based on a examination conducted within the last six months, that the person does not have any signs or symptoms of a communicable disease including tuberculosis. Freedom from tuberculosis must be documented on an annual basis. A person with a positive tuberculosis test must submit a health care provider ' s statement that the person does not constitute a risk of communicating tuberculosis.... |
| 7/12/2012 12:00:00 AM | Standard | NRO4 | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 08/24/2012 | (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... |
| 7/12/2012 12:00:00 AM | Standard | NRO4 | A0090 | Class 3 | TRAINING - DO NOT RESUSCITATE ORDERS | 08/24/2012 | (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... |
| 7/12/2012 12:00:00 AM | Standard | NRO4 | AE210 | Class 3 | ECC - TRAINING | 08/24/2012 | Staff Training Requirements and Competency Test.
(7) EXTENDED CONGREGATE CARE TRAINING.
(a) The administrator and extended congregate care supervisor, if different from the administrator, must complete core training and 4 hours of initial training in extended congregate care prior to the facility ' s receiving its extended congregate care license or within 3 months of beginning employment in the facility as an administrator or ECC supervisor. Successful completion of the assisted living faci... |