| Survey Date | Inspection Type | Track ID | Deficiency | Class | Requirement Description | Correction Date | Requirement Long Description |
|---|---|---|---|---|---|---|---|
| 10/1/2025 12:00:00 AM | Standard | C4WF | ZZ814 | Unclassified | BACKGROUND SCREENING CLEARINGHOUSE | - | - |
| 6/26/2023 12:00:00 AM | Standard | Z43M | A0033 | Class 3 | PHYSICAL RESTRAINTS | 08/16/2023 | (8) PHYSICAL RESTRAINTS. Residents for whom a physician has prescribed a physical restraint must have a written care plan for the use of the physical restraint. The care plan must be developed within 14 days of the device being prescribed, and prior to use on the resident.
(a) The care plan must specify:
1. The device prescribed for use;
2. The maximum amount of time the resident is to have the restraint applied each day; and,
3. In what manner and frequency staff will monitor, observe, and re... |
| 6/26/2023 12:00:00 AM | Standard | Z43M | A0162 | Class 3 | RECORDS - RESIDENT | 08/14/2023 | (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... |
| 6/26/2023 12:00:00 AM | Standard | Z43M | A0165 | Class 3 | RISK MGMT & QA | 08/16/2023 | 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 ... |
| 11/4/2021 12:00:00 AM | Standard | LF90 | None | None | None | None | None |
| 10/21/2020 12:00:00 AM | Complaint | 1LF9 | A0030 | 1 | RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 12/21/2020 | 59A-36.007
(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 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... |
| 10/21/2020 12:00:00 AM | Complaint | 1LF9 | A0055 | Class 3 | MEDICATION - STORAGE AND DISPOSAL | 12/21/2020 | (6) MEDICATION STORAGE AND DISPOSAL.
(a) In order to accommodate the needs and preferences of residents and to encourage residents to remain as independent as possible, residents may keep their medications, both prescription and over-the-counter, in their possession both on or off the facility premises. Residents may also store their medication in their rooms or apartments if either the room is kept locked when residents are absent or the medication is stored in a secure place that is out of sig... |
| 10/21/2020 12:00:00 AM | Complaint | 1LF9 | A0078 | 1 | STAFFING STANDARDS - STAFF | 12/21/2020 | (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... |
| 11/13/2018 12:00:00 AM | Monitor | CGGX | A0200 | Class 3 | EMERGENCY ENVIRONMENTAL CONTROL | 01/23/2019 | (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,... |
| 11/13/2018 12:00:00 AM | Standard | ZGKQ | A0053 | Class 3 | MEDICATION - ADMINISTRATION | 01/23/2019 | (4) MEDICATION ADMINISTRATION.
(a) For facilities that provide medication administration, a staff member 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 to the medication or a significant change in the resident's health or behavior that may be caused by the medication must be documented in the resident's record and reported immediately to the resident's he... |
| 11/13/2018 12:00:00 AM | Standard | ZGKQ | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 01/23/2019 | (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... |
| 11/13/2018 12:00:00 AM | Standard | ZGKQ | A0125 | Class 3 | FISCAL - SURETY BONDS | 01/23/2019 | 429.27
(2) A facility, or an owner, administrator, employee, or representative thereof, may not act as the guardian, trustee, or conservator for any resident of the assisted living facility or any of such resident's property. An owner, administrator, or staff member, or representative thereof, may not act as a competent resident's payee for social security, veteran's, or railroad benefits without the consent of the resident. Any facility whose owner, administrator, or staff, or repre... |
| 11/13/2018 12:00:00 AM | Standard | ZGKQ | A0162 | Class 3 | RECORDS - RESIDENT | 04/10/2019 | (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... |
| 11/13/2018 12:00:00 AM | Standard | ZGKQ | A0200 | Class 3 | EMERGENCY ENVIRONMENTAL CONTROL | 04/10/2019 | (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,... |
| 11/13/2018 12:00:00 AM | Standard | ZGKQ | AL241 | Class 3 | LMH - RECORDS | 01/23/2019 | 429.075
(3) A facility that has a limited mental health license must:
(a) Have a copy of each mental health resident's community living support plan and the cooperative agreement with the mental health care services provider or provide written evidence that a request for the community living support plan and the cooperative agreement was sent to the Medicaid managed care plan or managing entity under contract with the Department of Children and Families within 72 hours after admission. The ... |
| 11/13/2018 12:00:00 AM | Standard | ZGKQ | AL243 | Class 3 | LMH - TRAINING | 04/10/2019 | 429.075
(1) To obtain a limited mental health license, a facility must hold a standard license as an assisted living facility, must not have any current uncorrected deficiencies or violations, and must ensure that, within 6 months after receiving a limited mental health license, the facility administrator and the staff of the facility who are in direct contact with mental health residents must complete training of no less than 6 hours related to their duties. Such designation may be made at the ... |
| 2/5/2018 12:00:00 AM | Monitor | LFLP | None | None | None | None | None |
| 1/31/2017 12:00:00 AM | Standard | 8UCE | A0008 | Class 3 | ADMISSIONS - HEALTH ASSESSMENT | 03/29/2017 | 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... |
| 1/31/2017 12:00:00 AM | Standard | 8UCE | A0010 | Class 3 | ADMISSIONS - CONTINUED RESIDENCY | 03/29/2017 | 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... |
| 1/31/2017 12:00:00 AM | Standard | 8UCE | A0181 | Class 3 | EMERGENCY PLAN APPROVAL | 03/29/2017 | (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... |
| 1/31/2017 12:00:00 AM | Monitor | NFSY | None | None | None | None | None |
| 6/2/2015 12:00:00 AM | Monitor | 4IC7 | None | None | None | None | None |
| 10/29/2014 12:00:00 AM | Standard | B11F | A0030 | Class 3 | RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 01/22/2015 | 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... |
| 10/29/2014 12:00:00 AM | Standard | B11F | A0079 | Class 3 | STAFFING STANDARDS - LEVELS | 01/22/2015 | (3) STAFFING STANDARDS.
(a) Minimum staffing:
1. Facilities must 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 ... |
| 10/29/2014 12:00:00 AM | Standard | B11F | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 01/22/2015 | (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... |
| 10/29/2014 12:00:00 AM | Standard | B11F | AL243 | Class 3 | LMH - TRAINING | 01/22/2015 | (8) LIMITED MENTAL HEALTH TRAINING.
(a) Pursuant to Section 429.075, F.S., the administrator, managers and staff, who have direct contact with mental health residents in a licensed limited mental health facility, must receive the following training:
1. A minimum of 6 hours of specialized training in working with individuals with mental health diagnoses.
a. The training must be provided or approved by the Department of Children and Families and must be taken within 6 months of the facility's... |
| 10/29/2014 12:00:00 AM | Standard | B11F | AZ827 | Class 4 | UNLICENSED ACTIVITY | 01/22/2015 | (1) A person or entity may not offer or advertise services that require licensure as defined by this part, authorizing statutes, or applicable rules to the public without obtaining a valid license from the agency. A licenseholder may not advertise or hold out to the public that he or she holds a license for other than that for which he or she actually holds the license.
(2) The operation or maintenance of an unlicensed provider or the performance of any services that require licensure without pr... |
| 10/29/2014 12:00:00 AM | Monitor | TBF2 | None | None | None | None | None |
| 5/20/2014 12:00:00 AM | Monitor | ELJF | None | None | None | None | None |
| 2/5/2013 12:00:00 AM | Standard | KG0G | A0030 | Class 3 | RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 04/16/2013 | (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... |
| 2/5/2013 12:00:00 AM | Standard | KG0G | A0152 | Class 3 | PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | 04/16/2013 | (3) OTHER REQUIREMENTS.
(a) All facilities must:
1. Provide a safe living environment pursuant to Section 429.28(1)(a), F.S.; and
2. Must be maintained free of hazards; and
3. Must ensure that all existing architectural, mechanical, electrical and structural systems and appurtenances are maintained in good working order.
(b) Pursuant to Section 429.27, F.S., residents shall be given the option of using their own belongings as space permits. When the facility supplies the furnishings, each reside... |
| 2/5/2013 12:00:00 AM | Monitor | X4LL | None | None | None | None | None |