| Survey Date | Inspection Type | Track ID | Deficiency | Class | Requirement Description | Correction Date | Requirement Long Description |
|---|---|---|---|---|---|---|---|
| 8/25/2025 12:00:00 AM | Standard | 4WBB | A0078 | Class 3 | STAFFING STANDARDS - STAFF | - | - |
| 8/25/2025 12:00:00 AM | Standard | 4WBB | A0081 | Class 4 | TRAINING - STAFF IN-SERVICE | - | - |
| 8/25/2025 12:00:00 AM | Standard | 4WBB | A0083 | Class 3 | TRAINING - FIRST AID AND CPR | - | - |
| 8/25/2025 12:00:00 AM | Standard | 4WBB | ZZ875 | Class 4 | ALZHEIMER DISEASE/DEMENTIA; TRAINING | - | (4) Employees of covered providers must complete the following training for Alzheimer's disease and related forms of dementia:
(a) Upon beginning employment, each employee must receive basic written information about interacting with persons who have Alzheimer's disease or related forms of dementia.
(b) Within 30 days after beginning employment, each employee who provides personal care to or has regular contact with participants, patients, or residents must complete a 1-hour training pro... |
| 6/1/2023 12:00:00 AM | Standard | X8LK | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 08/11/2023 | (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... |
| 6/1/2023 12:00:00 AM | Standard | X8LK | A0090 | Class 3 | TRAINING - DO NOT RESUSCITATE ORDERS | 08/11/2023 | (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... |
| 6/1/2023 12:00:00 AM | Standard | X8LK | A0162 | Class 3 | RECORDS - RESIDENT | 08/11/2023 | (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 telep... |
| 6/1/2023 12:00:00 AM | Standard | X8LK | CZ816 | Unclassified | BACKGROUND SCREENING-COMPLIANCE ATTESTATION | 08/11/2023 | 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... |
| 6/1/2023 12:00:00 AM | Standard | X8LK | CZ830 | Class 3 | EMERGENCY MANAGEMENT PLANNING | 08/11/2023 | 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 ... |
| 3/22/2021 12:00:00 AM | Standard | WRJ5 | A0010 | Class 3 | ADMISSIONS - CONTINUED RESIDENCY | 06/16/2021 | 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 must be based upon an evaluation of the strengths, needs, and preferences of the resident, a medical examination, the care and services offered or arranged for by the facility in accordance with facility policy, and any limitations in law... |
| 3/22/2021 12:00:00 AM | Standard | WRJ5 | A0052 | Class 3 | MEDICATION - ASSISTANCE WITH SELF-ADMIN | 06/16/2021 | 429.256
(3) Assistance with self-administration of medication includes:
(a) Taking the medication, in its previously dispensed, properly labeled container, including an insulin syringe that is prefilled with the proper dosage by a pharmacist and an insulin pen that is prefilled by the manufacturer, from where it is stored, and bringing it to the resident.
(b) In the presence of the resident, confirming that the medication is intended for that resident, orally advising the resident of the medicat... |
| 3/22/2021 12:00:00 AM | Standard | WRJ5 | A0054 | Class 3 | MEDICATION - RECORDS | 06/16/2021 | (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... |
| 3/22/2021 12:00:00 AM | Standard | WRJ5 | A0162 | Class 4 | RECORDS - RESIDENT | - | (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 telep... |
| 3/22/2021 12:00:00 AM | Standard | WRJ5 | CZ830 | Unclassified | EMERGENCY MANAGEMENT PLANNING | 06/16/2021 | 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 ... |
| 3/20/2020 12:00:00 AM | - | C23I | None | None | None | None | None |
| 3/18/2020 12:00:00 AM | Complaint | ZXU5 | None | None | None | None | None |
| 12/6/2019 12:00:00 AM | Complaint | MM70 | A0025 | Class 3 | RESIDENT CARE - SUPERVISION | 03/06/2020 | 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... |
| 12/6/2019 12:00:00 AM | Complaint | MM70 | A0079 | Class 3 | STAFFING STANDARDS - LEVELS | 03/06/2020 | (3) STAFFING STANDARDS.
(a) Minimum staffing:
1. Facilities must maintain the following minimum staff hours per week:
Number of Residents, Day Care Participants, and Respite Care Residents Staff Hours/Week
0-5 168
6-15 212
16-25 253
26-35 294
36-45 335
46-55 375
56-65 416
66-75 457
76-85 498
86-95 539
For every 20 total combined residents, day care participants, and respite care residents over 95 add 42 staff hours per week.
2. Independent living residents, as referenced in s... |
| 10/26/2018 12:00:00 AM | Standard | 0VSQ | A0010 | Class 3 | ADMISSIONS - CONTINUED RESIDENCY | 01/10/2019 | 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... |
| 10/26/2018 12:00:00 AM | Standard | 0VSQ | A0052 | Class 3 | MEDICATION - ASSISTANCE WITH SELF-ADMIN | 01/10/2019 | 429.256
(3) Assistance with self-administration of medication includes:
(a) Taking the medication, in its previously dispensed, properly labeled container, including an insulin syringe that is prefilled with the proper dosage by a pharmacist and an insulin pen that is prefilled by the manufacturer, from where it is stored, and bringing it to the resident.
(b) In the presence of the resident, reading the label, opening the container, removing a prescribed amount of medication from the container,... |
| 10/26/2018 12:00:00 AM | Standard | 0VSQ | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 01/10/2019 | (2) STAFF PRESERVICE ORIENTATION.
(a) Facilities must provide a preservice orientation of at least 2 hours to all new assisted living facility employees who have not previously completed core training as detailed in subsection (1).
(b) New staff must complete the preservice orientation prior to interacting with residents.
(c) Once complete, the employee and the facility administrator must sign a statement that the employee completed the preservice orientation which must be kept in the employee... |
| 10/26/2018 12:00:00 AM | Standard | 0VSQ | A0181 | Class 3 | EMERGENCY PLAN APPROVAL | 02/08/2019 | (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... |
| 10/26/2018 12:00:00 AM | Standard | 0VSQ | A0200 | Class 3 | EMERGENCY ENVIRONMENTAL CONTROL | 01/07/2019 | (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,... |
| 10/26/2018 12:00:00 AM | Complaint | 6JFC | None | None | None | None | None |
| 11/30/2016 12:00:00 AM | Standard | 2OYD | None | None | None | None | None |
| 8/12/2014 12:00:00 AM | Standard | L2EK | A0008 | Class 3 | ADMISSIONS - HEALTH ASSESSMENT | 10/03/2014 | (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... |
| 10/29/2012 12:00:00 AM | Standard | 6MOB | A0007 | Class 3 | ADMISSIONS - CRITERIA | 04/29/2013 | Admission Procedures, Appropriateness of Placement and Continued Residency Criteria.
(1) ADMISSION CRITERIA. An individual must meet the following minimum criteria in order to be admitted to a facility holding a standard, limited nursing or limited mental health license:
(a) Be at least 18 years of age.
(b) Be free from signs and symptoms of any communicable disease which is likely to be transmitted to other residents or staff; however, a person who has human immunodeficiency virus (HIV) infecti... |
| 10/29/2012 12:00:00 AM | Standard | 6MOB | A0079 | Class 3 | STAFFING STANDARDS - LEVELS | 04/29/2013 | (4) STAFFING STANDARDS.
(a) Minimum staffing:
1. Facilities shall maintain the following minimum staff hours per week:
Number of Residents Staff Hours/Week
0-5 168
6-15 212
16-25 253
26-35 294
36-45 335
46-55 ... |
| 10/29/2012 12:00:00 AM | Standard | 6MOB | AZ815 | Class 4 | BACKGROUND SCREENING; PROHIBITED OFFENSES | 04/29/2013 | 408.809, F.S.
(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 the financial operation of... |