| Survey Date | Inspection Type | Track ID | Deficiency | Class | Requirement Description | Correction Date | Requirement Long Description |
|---|---|---|---|---|---|---|---|
| 5/21/2025 12:00:00 AM | Complaint | 483N | None | None | None | None | None |
| 9/19/2022 12:00:00 AM | Standard | YQD0 | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 10/26/2022 | (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... |
| 9/19/2022 12:00:00 AM | Standard | YQD0 | A0083 | Class 3 | TRAINING - FIRST AID AND CPR | 10/26/2022 | (5) FIRST AID AND CARDIOPULMONARY RESUSCITATION (CPR). A staff member who has completed courses in First Aid and CPR and holds a currently valid card documenting completion of such courses must be in the facility at all times.
(a) Documentation that the staff member possess current CPR certification that requires the student to demonstrate, in person, that he or she is able to perform CPR and which is issued by an instructor or training provider that is approved to provide CPR training by the Am... |
| 1/27/2021 12:00:00 AM | Monitor | 6TCZ | None | None | None | None | None |
| 5/18/2020 12:00:00 AM | Monitor | EQYR | None | None | None | None | None |
| 4/27/2020 12:00:00 AM | - | 33VS | None | None | None | None | None |
| 2/6/2020 12:00:00 AM | Monitor | HEB7 | A0181 | Class 3 | EMERGENCY PLAN APPROVAL | 04/20/2020 | (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 59A-36.014, F.A.C., and facilities whose ownership has been transferred, must submit an emergen... |
| 9/7/2019 12:00:00 AM | Complaint | QKMY | None | None | None | None | None |
| 2/13/2019 12:00:00 AM | Complaint | 88EC | A0030 | Class 3 | RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 04/16/2019 | 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... |
| 10/17/2018 12:00:00 AM | Monitor | T81Z | None | None | None | None | None |
| 2/19/2018 12:00:00 AM | Complaint | SIVT | A0025 | Class 3 | RESIDENT CARE - SUPERVISION | 04/13/2018 | 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... |
| 12/19/2017 12:00:00 AM | Standard | 0GW6 | A0025 | Class 3 | RESIDENT CARE - SUPERVISION | 02/18/2018 | 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... |
| 12/19/2017 12:00:00 AM | Standard | 0GW6 | A0055 | Class 3 | MEDICATION - STORAGE AND DISPOSAL | 02/18/2018 | (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; or in their rooms or apartments, which must be kept locked when residents are absent, unless the medication is in a secure place within the rooms or apartments or in some other secure place that ... |
| 12/19/2017 12:00:00 AM | Standard | 0GW6 | A0056 | Class 3 | MEDICATION - LABELING AND ORDERS | 02/18/2018 | (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 ... |
| 12/19/2017 12:00:00 AM | Standard | 0GW6 | A0077 | Class 4 | STAFFING STANDARDS - ADMINISTRATORS | 02/18/2018 | 429.176
Notice of change of administrator.-If, during the period for which a license is issued, the owner changes administrators, the owner must notify the agency of the change within 10 days and provide documentation within 90 days that the new administrator has completed the applicable core educational requirements under s. 429.52.
58A-5.019
Staffing Standards.
(1) ADMINISTRATORS. Every facility must be under the supervision of an administrator who is responsible for the operation and maint... |
| 12/19/2017 12:00:00 AM | Standard | 0GW6 | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 02/18/2018 | (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... |
| 12/19/2017 12:00:00 AM | Standard | 0GW6 | A0082 | Class 3 | TRAINING - HIV/AIDS | 02/18/2018 | (3) HUMAN IMMUNODEFICIENCY VIRUS/ACQUIRED IMMUNE DEFICIENCY SYNDROME (HIV/AIDS). Pursuant to Section 381.0035, F.S., all facility employees, with the exception of employees subject to the requirements of Section 456.033, F.S., must complete a one-time education course on HIV and AIDS, including the topics prescribed in the Section 381.0035, F.S. New facility staff must obtain the training within 30 days of employment. Documentation of compliance must be maintained in accordance with subsection (... |
| 12/19/2017 12:00:00 AM | Standard | 0GW6 | A0091 | Class 4 | TRAINING - DOCUMENTATION & MONITORING | 02/18/2018 | (12) TRAINING DOCUMENTATION AND MONITORING.
(a) Except as otherwise noted, certificates, or copies of certificates, of any training required by this rule must be documented in the facility ' s personnel files. The documentation must include the following:
1. The title of the training program;
2. The subject matter of the training program;
3. The training program agenda;
4. The number of hours of the training program;
5. The trainee ' s name, dates of participation, and location of the ... |
| 12/19/2017 12:00:00 AM | Standard | 0GW6 | A0152 | Class 3 | PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | 02/18/2018 | (3) OTHER REQUIREMENTS.
(a) All facilities must:
1. Provide a safe living environment pursuant to Section 429.28(1)(a), F.S.;
2. Be maintained free of hazards; and
3. 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 must be given the option of using their own belongings as space permits. When the facility supplies the furnishings, each resident bedroom or ... |
| 12/19/2017 12:00:00 AM | Standard | 0GW6 | CZ814 | Class 4 | BACKGROUND SCREENING CLEARINGHOUSE | 02/18/2018 | 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... |
| 10/10/2017 12:00:00 AM | Complaint | XO3Q | None | None | None | None | None |
| 2/25/2016 12:00:00 AM | Standard | UQ0O | A0030 | Class 3 | RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 04/14/2016 | 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... |
| 2/25/2016 12:00:00 AM | Standard | UQ0O | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 04/14/2016 | (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... |
| 2/25/2016 12:00:00 AM | Standard | UQ0O | A0090 | Class 4 | TRAINING - DO NOT RESUSCITATE ORDERS | 04/14/2016 | (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... |
| 2/25/2016 12:00:00 AM | Standard | UQ0O | A0091 | Class 4 | TRAINING - DOCUMENTATION & MONITORING | 04/14/2016 | (12) TRAINING DOCUMENTATION AND MONITORING.
(a) Except as otherwise noted, certificates, or copies of certificates, of any training required by this rule must be documented in the facility ' s personnel files. The documentation must include the following:
1. The title of the training program;
2. The subject matter of the training program;
3. The training program agenda;
4. The number of hours of the training program;
5. The trainee ' s name, dates of participation, and location of the ... |
| 11/17/2015 12:00:00 AM | Complaint | ID8W | A0054 | Class 3 | MEDICATION - RECORDS | 02/25/2016 | (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 ... |
| 11/17/2015 12:00:00 AM | Complaint | ID8W | A0056 | Class 3 | MEDICATION - LABELING AND ORDERS | 02/25/2016 | (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 ... |
| 10/9/2015 12:00:00 AM | Complaint | CN0K | A0025 | 2 | RESIDENT CARE - SUPERVISION | 11/17/2015 | 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... |
| 10/9/2015 12:00:00 AM | Complaint | CN0K | A0165 | Class 3 | RISK MGMT & QA; ADVERSE INCIDENT REPORT | 11/17/2015 | 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 ... |
| 9/24/2015 12:00:00 AM | Complaint | T9IU | A0028 | Class 3 | RESIDENT CARE - ACTIVITIES OF DAILY LIVING | 02/25/2016 | (4) ACTIVITIES OF DAILY LIVING. Facilities must offer supervision of or assistance with activities of daily living as needed by each resident. Residents should be encouraged to be as independent as possible in performing activities of daily living. |
| 9/24/2015 12:00:00 AM | Complaint | T9IU | A0030 | Class 3 | RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 02/25/2016 | 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... |
| 1/14/2015 12:00:00 AM | Monitor | 725L | None | None | None | None | None |
| 7/16/2014 12:00:00 AM | Monitor | 7EFJ | None | None | None | None | None |
| 3/11/2014 12:00:00 AM | Standard | 0ZWV | A0030 | Class 3 | RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 04/12/2014 | (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... |
| 10/15/2013 12:00:00 AM | Monitor | 1WJ1 | A0162 | Class 3 | RECORDS - RESIDENT | 12/03/2013 | (3) RESIDENT RECORDS. Resident records shall 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, responsible party, or other person the resident would like to have notified in case of an emergency, and relationship to resident; and
9... |
| 10/15/2013 12:00:00 AM | Monitor | 1WJ1 | AN277 | Class 3 | LNS - RESIDENT CARE STANDARDS | 12/03/2013 | (2) RESIDENT CARE STANDARDS.
(a) A resident receiving limited nursing services in a facility holding only a standard and limited nursing license must meet the admission and continued residency criteria specified in Rule 58A-5.0181, F.A.C.
(b) In accordance with Rule 58A-5.019, F.A.C., the facility must employ sufficient and qualified staff to meet the needs of residents requiring limited nursing services based on the number of such residents and the type of nursing service to be provided.
(c) Li... |
| 10/15/2013 12:00:00 AM | Monitor | 1WJ1 | AN278 | Class 3 | LNS - RECORDS | 12/03/2013 | (3) RECORDS.
(a) A record of all residents receiving limited nursing services under this license and the type of service provided, shall be maintained.
(b) Nursing progress notes shall be maintained for each resident who receives limited nursing services.
(c) A nursing assessment conducted at least monthly shall be maintained on each resident who receives a limited nursing service. |
| 10/11/2012 12:00:00 AM | Monitor | HB7I | A0055 | Class 3 | MEDICATION - STORAGE AND DISPOSAL | 11/18/2012 | (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; or in their rooms or apartments, which must be kept locked when residents are absent, unless the medication is in a secure place within the rooms or apartments or in some other secure place which... |