Inspection Details

Facility ID: 11953460 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
5/20/2025 12:00:00 AMStandardDMUGA0078Class 3STAFFING STANDARDS - STAFF07/18/2025-
5/20/2025 12:00:00 AMStandardDMUGZZ000-INITIAL COMMENTS--
5/20/2025 12:00:00 AMStandardDMUGZZ875Class 3ALZHEIMER DISEASE/DEMENTIA; TRAINING07/18/2025-
6/18/2024 12:00:00 AM-9CENNoneNoneNoneNoneNone
5/2/2024 12:00:00 AMComplaint71T2NoneNoneNoneNoneNone
6/29/2023 12:00:00 AMComplaintUS5UA0166Class 3RISK MGMT & QA; REPORTING REQS.07/29/2023
429.23, FS Internal risk management and quality assurance program; adverse incidents and reporting requirements.- (5) Three business days before the deadline for the submission of the full report required under subsection (4), the agency shall send by electronic mail a reminder to the facility's administrator and other specified facility contacts. Within 3 business days after the agency sends the reminder, a facility is not subject to any administrative or other agency action for failing to...
6/20/2023 12:00:00 AMStandard4UBPNoneNoneNoneNoneNone
12/20/2022 12:00:00 AMComplaintN2Y7NoneNoneNoneNoneNone
10/3/2022 12:00:00 AMComplaintMFNSNoneNoneNoneNoneNone
10/3/2022 12:00:00 AM-ZMBNNoneNoneNoneNoneNone
9/26/2022 12:00:00 AMMonitorRXGENoneNoneNoneNoneNone
5/12/2022 12:00:00 AMComplaintIZU8A0026Class 3RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES07/11/2022
(2) SOCIAL AND LEISURE ACTIVITIES. Residents shall be encouraged to participate in social, recreational, educational and other activities within the facility and the community. (a) The facility must provide an ongoing activities program. The program must provide diversified individual and group activities in keeping with each resident's needs, abilities, and interests. (b) The facility must consult with the residents in selecting, planning, and scheduling activities. The facility must demons...
12/21/2021 12:00:00 AM-CXOKNoneNoneNoneNoneNone
9/2/2021 12:00:00 AMComplaint7YGSNoneNoneNoneNoneNone
3/29/2021 12:00:00 AMStandardHP27CZ830Class 3EMERGENCY MANAGEMENT PLANNING05/14/2021
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 ...
12/29/2020 12:00:00 AMStandardHP27A00251RESIDENT CARE - SUPERVISION03/29/2021
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...
12/29/2020 12:00:00 AMStandardHP27A00781STAFFING STANDARDS - STAFF03/29/2021
(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...
12/29/2020 12:00:00 AMStandardHP27A0081Class 3TRAINING - STAFF IN-SERVICE03/29/2021
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 r...
12/29/2020 12:00:00 AMStandardHP27CZ814UnclassifiedBACKGROUND SCREENING CLEARINGHOUSE03/29/2021
435.12(2) Care Provider Background Screening Clearinghouse.- (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...
7/31/2020 12:00:00 AMMonitor8NMVNoneNoneNoneNoneNone
8/1/2019 12:00:00 AMComplaintMTR4NoneNoneNoneNoneNone
1/2/2019 12:00:00 AMComplaint31S7A00562MEDICATION - LABELING AND ORDERS03/06/2019
(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...
2/27/2018 12:00:00 AMStandardBFWWA0181Class 3EMERGENCY PLAN APPROVAL04/13/2018
(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...
3/13/2017 12:00:00 AMMonitorN5ETCZ816Class 4BACKGROUND SCREENING-COMPLIANCE ATTESTATION05/12/2017
(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 person's fingerprints to the Federal Bureau of ...
12/20/2016 12:00:00 AMMonitorB1G5NoneNoneNoneNoneNone
5/13/2016 12:00:00 AMStandardXB0DA0078Class 3STAFFING STANDARDS - STAFF06/17/2016
(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...
5/13/2016 12:00:00 AMStandardXB0DAE210Class 3ECC - TRAINING06/17/2016
(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 facility core training shall be a prerequisite for th...
8/31/2015 12:00:00 AMMonitor5W0NAE210Class 3ECC - TRAINING09/28/2015
(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 facility core training shall be a prerequisite for th...
4/7/2015 12:00:00 AMMonitor958BNoneNoneNoneNoneNone
4/7/2015 12:00:00 AMComplaintZA3GNoneNoneNoneNoneNone
1/12/2015 12:00:00 AMMonitorDMC2NoneNoneNoneNoneNone
10/23/2014 12:00:00 AMMonitor0XVONoneNoneNoneNoneNone
7/10/2014 12:00:00 AMMonitor929WNoneNoneNoneNoneNone
5/13/2014 12:00:00 AMStandard4I6WA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES07/10/2014
(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...
5/13/2014 12:00:00 AMStandard4I6WA0050Class 3MEDICATION - SELF ADMINISTERED MEDICATIONS07/10/2014
Medication Practices. Pursuant to Sections 429.255 and 429.256, F.S., and this rule, licensed facilities may assist with the self-administration or administration of medications to residents in a facility. A resident may not be compelled to take medications but may be counseled in accordance with this rule. (1) SELF ADMINISTERED MEDICATIONS. (a) Residents who are capable of self-administering their medications without assistance shall be encouraged and allowed to do so. (b) If facility staff no...
5/13/2014 12:00:00 AMStandard4I6WA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN07/10/2014
(3) ASSISTANCE WITH SELF-ADMINISTRATION. (a) For facilities which provide assistance with self-administered medication, either: a nurse; or an unlicensed staff member, who is at least 18 years old, trained to assist with self-administered medication in accordance with Rule 58A-5.0191, F.A.C., and able to demonstrate to the administrator the ability to accurately read and interpret a prescription label, must be available to assist residents with self-administered medications in accordance with pr...
3/25/2014 12:00:00 AMComplaintD6QJA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES05/13/2014
(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...
1/3/2014 12:00:00 AMMonitorS4UYNoneNoneNoneNoneNone
10/7/2013 12:00:00 AMComplaintKS8BNoneNoneNoneNoneNone
10/7/2013 12:00:00 AMMonitorO6G5NoneNoneNoneNoneNone
8/9/2013 12:00:00 AMMonitor56UWNoneNoneNoneNoneNone
4/4/2013 12:00:00 AMMonitorMJ93NoneNoneNoneNoneNone
2/14/2013 12:00:00 AMMonitor55LWNoneNoneNoneNoneNone
10/9/2012 12:00:00 AMMonitorDRX8NoneNoneNoneNoneNone
10/9/2012 12:00:00 AMExpansionSM17NoneNoneNoneNoneNone
7/12/2012 12:00:00 AMStandard5G8GA0053Class 3MEDICATION - ADMINISTRATION10/10/2012
(4) MEDICATION ADMINISTRATION. (a) For facilities which provide medication administration a staff member, who is 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 or a significant change in the resident ' s health or behavior shall be documented in the resident ' s record and reported immediately to the resident ' s health care provider. The contact with...