Inspection Details

Facility ID: 11953321 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
9/26/2025 12:00:00 AMComplaint61YRNoneNoneNoneNoneNone
2/14/2024 12:00:00 AMStandard5J36CZ841Class 4IN-PERSON VISITATION03/18/2024-
8/10/2022 12:00:00 AMComplaintD4NENoneNoneNoneNoneNone
11/16/2021 12:00:00 AMStandardP2WZA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES01/18/2022
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...
11/16/2021 12:00:00 AMStandardP2WZA0056Class 3MEDICATION - LABELING AND ORDERS01/18/2022
(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...
11/16/2021 12:00:00 AMStandardP2WZA0081Class 3TRAINING - STAFF IN-SERVICE01/18/2022
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 ...
11/16/2021 12:00:00 AMStandardP2WZA0161Class 4RECORDS - STAFF01/18/2022
429.275 (2) The administrator or owner of a facility shall maintain personnel records for each staff member which contain, at a minimum, documentation of background screening, if applicable, documentation of compliance with all training requirements of this part or applicable rule, and a copy of all licenses or certification held by each staff who performs services for which licensure or certification is required under this part or rule. 59A-36.015 (2) STAFF RECORDS. (a) Personnel records for e...
2/3/2021 12:00:00 AMComplaint4FF0A0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS04/22/2021
59A-36.007 (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. 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...
2/3/2021 12:00:00 AMComplaint4FF0A0086Class 3TRAINING - ADRD04/22/2021
(10) 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 464.4.6 of the Florida Building Code, as adopted in rule 61G20-1.001, F.A.C., Florida Building Code Adopted, must ensure that facility staff receive the following training. (a) Facility staff who interact on a daily basis with residents with ADRD but do not pro...
12/16/2019 12:00:00 AMComplaintWZQJNoneNoneNoneNoneNone
7/16/2019 12:00:00 AMStandardLYXZA0010Class 3ADMISSIONS - CONTINUED RESIDENCY10/03/2019
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...
7/16/2019 12:00:00 AMStandardLYXZA0029Class 3RESIDENT CARE - NURSING SERVICES10/03/2019
58A-5.0182 (5) NURSING SERVICES. (a) Pursuant to section 429.255, F.S., the facility may employ or contract with a nurse to: 1. Take or supervise the taking of vital signs, 2. Manage pill-organizers and administer medications as described in rule 58A-5.0185, F.A.C., 3. Give prepackaged enemas pursuant to a physician's order; and, 4. Maintain nursing progress notes. (b) Pursuant to section 429.255(2), F.S., the nursing services listed in paragraph (a), may also be delivered in the facility by...
7/16/2019 12:00:00 AMStandardLYXZA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES10/03/2019
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...
7/16/2019 12:00:00 AMStandardLYXZA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN10/03/2019
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, ...
7/16/2019 12:00:00 AMStandardLYXZA0056Class 3MEDICATION - LABELING AND ORDERS10/03/2019
(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...
7/16/2019 12:00:00 AMStandardLYXZA0160Class 4RECORDS - FACILITY10/03/2019
The facility must maintain required records in a manner that makes such records readily available at the licensee's physical address for review by a legally authorized entity. If records are maintained in an electronic format, facility staff must be readily available to access the data and produce the requested information. For purposes of this section, "readily available" means the ability to immediately produce documents, records, or other such data, either in electronic or paper...
10/13/2017 12:00:00 AMStandardWD58NoneNoneNoneNoneNone
8/9/2017 12:00:00 AMComplaintCEGINoneNoneNoneNoneNone
7/21/2015 12:00:00 AMStandardQDD8A0054Class 3MEDICATION - RECORDS09/08/2015
(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 (MOR) for each ...
7/21/2015 12:00:00 AMStandardQDD8A0162Class 3RECORDS - RESIDENT09/08/2015
(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...
4/22/2015 12:00:00 AMComplaintIL3RA0025Class 3RESIDENT CARE - SUPERVISION07/16/2015
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...
11/27/2013 12:00:00 AMComplaintO236NoneNoneNoneNoneNone
9/25/2013 12:00:00 AMStandardT3T7A0008Class 3ADMISSIONS - HEALTH ASSESSMENT11/27/2013
(2) HEALTH ASSESSMENT. As part of the admission criteria, an individual must undergo a face-to-face medical examination completed by a licensed health care provider, as specified in either paragraph (a) or (b) of this subsection. (a) A medical examination completed within 60 calendar days prior 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 identific...
9/25/2013 12:00:00 AMStandardT3T7A0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES11/27/2013
(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...
9/25/2013 12:00:00 AMStandardT3T7A0056Class 3MEDICATION - LABELING AND ORDERS11/27/2013
(7) MEDICATION LABELING AND ORDERS. (a) No prescription drug shall be kept or administered by the facility, including assistance with self-administration of medication, 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. T...
9/25/2013 12:00:00 AMStandardT3T7A0160Class 3RECORDS - FACILITY11/27/2013
Records. The facility shall maintain the following written records in a form, place and system ordinarily employed in good business practice and accessible to Department of Elder Affairs and Agency staff. (1) FACILITY RECORDS. Facility records shall include: (a) The facility ' s license which shall be displayed in a conspicuous and public place within the facility. (b) An up-to-date admission and discharge log listing the names of all residents and each resident ' s: 1. Date of admission...
5/16/2013 12:00:00 AMComplaintFEDMNoneNoneNoneNoneNone
11/19/2012 12:00:00 AMComplaintTSFDA00082ADMISSIONS - HEALTH ASSESSMENT05/16/2013
(2) HEALTH ASSESSMENT. As part of the admission criteria, an individual must undergo a face-to-face medical examination completed by a licensed health care provider, as specified in either paragraph (a) or (b) of this subsection. (a) A medical examination completed within 60 calendar days prior 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 identific...
11/19/2012 12:00:00 AMComplaintTSFDA00282RESIDENT CARE - ACTIVITIES OF DAILY LIVING05/16/2013
(4) ACTIVITIES OF DAILY LIVING. Facilities shall offer supervision of or assistance with activities of daily living as needed by each resident. Residents shall be encouraged to be as independent as possible in performing ADLs.
11/19/2012 12:00:00 AMComplaintTSFDA0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT05/16/2013
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 to ide...