Inspection Details

Facility ID: 11964130 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
6/9/2025 12:00:00 AMStandardXWGINoneNoneNoneNoneNone
5/12/2025 12:00:00 AMComplaintNKIHA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES06/09/2025-
7/29/2024 12:00:00 AMComplaintCSCJNoneNoneNoneNoneNone
3/14/2024 12:00:00 AMComplaintC8S9NoneNoneNoneNoneNone
3/14/2024 12:00:00 AMExpansionVS51NoneNoneNoneNoneNone
1/23/2024 12:00:00 AMComplaintUEGOA0086Class 3TRAINING - ADRD03/05/2024-
11/13/2023 12:00:00 AMComplaintIVILNoneNoneNoneNoneNone
7/25/2023 12:00:00 AMComplaintGL75NoneNoneNoneNoneNone
5/22/2023 12:00:00 AMStandardFBA3NoneNoneNoneNoneNone
2/8/2023 12:00:00 AMComplaintG6BLNoneNoneNoneNoneNone
10/20/2022 12:00:00 AMComplaintG5PLNoneNoneNoneNoneNone
6/9/2022 12:00:00 AMComplaintEKN1NoneNoneNoneNoneNone
12/28/2021 12:00:00 AMComplaintF4YQNoneNoneNoneNoneNone
6/22/2021 12:00:00 AMStandard4NNZNoneNoneNoneNoneNone
2/4/2021 12:00:00 AMComplaintO7E4NoneNoneNoneNoneNone
10/14/2020 12:00:00 AMComplaintIYDENoneNoneNoneNoneNone
5/15/2020 12:00:00 AM-0771NoneNoneNoneNoneNone
7/26/2019 12:00:00 AMExpansionYEJ3NoneNoneNoneNoneNone
2/26/2019 12:00:00 AMComplaintY0QLNoneNoneNoneNoneNone
11/27/2018 12:00:00 AMComplaintXM2FA0056Class 3MEDICATION - LABELING AND ORDERS02/04/2019
(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...
9/10/2018 12:00:00 AMMonitorGXECNoneNoneNoneNoneNone
9/10/2018 12:00:00 AMComplaintTTZNNoneNoneNoneNoneNone
4/5/2018 12:00:00 AMComplaintYYCKA0025Class 3RESIDENT CARE - SUPERVISION06/28/2018
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...
4/5/2018 12:00:00 AMComplaintYYCKA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER06/28/2018
(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 ...
8/7/2017 12:00:00 AMComplaint5H1UA0058Class 3PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES10/12/2017
429.42 Pharmacy and dietary services.- (1) Any assisted living facility in which the agency has documented a class I or class II deficiency or uncorrected class III deficiencies regarding medicinal drugs or over-the-counter preparations, including their storage, use, delivery, or administration, or dietary services, or both, during a biennial survey or a monitoring visit or an investigation in response to a complaint, shall, in addition to or as an alternative to any penalties imposed under s. ...
8/7/2017 12:00:00 AMStandardBRYOA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN10/12/2017
(3) ASSISTANCE WITH SELF-ADMINISTRATION. (a) Any unlicensed person providing assistance with self administration of medication must be 18 years of age or older, trained to assist with self administered medication pursuant to the training requirements of Rule 58A-5.0191, F.A.C., and must be available to assist residents with self-administered medications in accordance with procedures described in Section 429.256, F.S. and this rule. (b) In addition to the specifications of Section 429.256(3), F.S...
8/7/2017 12:00:00 AMStandardBRYOA0093Class 3FOOD SERVICE - DIETARY STANDARDS10/12/2017
(2) DIETARY STANDARDS. (a) The meals provided by the assisted living facility must be planned based on the current USDA Dietary Guidelines for Americans, 2010, which are incorporated by reference and available for review at: http://www.flrules.org/Gateway/reference.asp?No=Ref-04003, and the current summary of Dietary Reference Intakes established by the Food and Nutrition Board of the Institute of Medicine of the National Academies, 2010, which are incorporated by reference and available for rev...
6/22/2017 12:00:00 AMComplaint5H1UA0054Class 3MEDICATION - RECORDS10/12/2017
(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 ...
6/22/2017 12:00:00 AMComplaint5H1UA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT08/07/2017
(5) ASSISTANCE WITH SELF-ADMINISTERED MEDICATION AND MEDICATION MANAGEMENT. Unlicensed persons who will be providing assistance with self-administered medications as described in Rule 58A-5.0185, F.A.C., must meet the training requirements pursuant to Section 429.52(5), F.S., prior to assuming this responsibility. Courses provided in fulfilment of this requirement must meet the following criteria: (a) Training must cover state law and rule requirements with respect to the supervision, assistance...
6/22/2017 12:00:00 AMComplaint5H1UA0160Class 3RECORDS - FACILITY08/07/2017
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...
12/13/2016 12:00:00 AMComplaintUZ04NoneNoneNoneNoneNone
9/30/2016 12:00:00 AMComplaintW5L8A0056Class 3MEDICATION - LABELING AND ORDERS11/15/2016
(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 ...
9/7/2016 12:00:00 AMComplaintHNGPA0079Class 3STAFFING STANDARDS - LEVELS10/27/2016
(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 46-55 375 56- 65 416 66-75 457 76...
5/4/2016 12:00:00 AMComplaintD0KKA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER06/09/2016
(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 ...
3/25/2016 12:00:00 AMComplaintBOWMA0160Class 3RECORDS - FACILITY05/04/2016
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...
1/26/2016 12:00:00 AMComplaint98ZWNoneNoneNoneNoneNone
1/4/2016 12:00:00 AMComplaint5ECFNoneNoneNoneNoneNone
10/19/2015 12:00:00 AMComplaintWVUZA0025Class 3RESIDENT CARE - SUPERVISION01/04/2016
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...
7/30/2015 12:00:00 AMStandardOEYVA0010Class 3ADMISSIONS - CONTINUED RESIDENCY09/23/2015
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...
7/30/2015 12:00:00 AMStandardOEYVA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN09/23/2015
(3) ASSISTANCE WITH SELF-ADMINISTRATION. (a) Any unlicensed person providing assistance with self administration of medication must be 18 years of age or older, trained to assist with self administered medication pursuant to the training requirements of Rule 58A-5.0191, F.A.C., and must be available to assist residents with self-administered medications in accordance with procedures described in Section 429.256, F.S., and this rule. (b) In addition to the specifications of Section 429.256(3), F....
10/23/2014 12:00:00 AMComplaint1P6MA0026Class 3RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES01/23/2015
(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...
10/23/2014 12:00:00 AMComplaint1P6MA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN01/23/2015
(3) ASSISTANCE WITH SELF-ADMINISTRATION. (a) Any unlicensed person providing assistance with self administration of medication must be 18 years of age or older, trained to assist with self administered medication pursuant to the training requirements of Rule 58A-5.0191, F.A.C., and must be available to assist residents with self-administered medications in accordance with procedures described in Section 429.256, F.S., and this rule. (b) In addition to the specifications of Section 429.256(3), F....
10/23/2014 12:00:00 AMComplaint1P6MA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER01/23/2015
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 s...
8/25/2014 12:00:00 AMMonitorJTUSNoneNoneNoneNoneNone
6/9/2014 12:00:00 AMComplaintVJ3INoneNoneNoneNoneNone
1/27/2014 12:00:00 AMExpansion7TMVNoneNoneNoneNoneNone
10/17/2013 12:00:00 AMComplaintFMO5NoneNoneNoneNoneNone
6/3/2013 12:00:00 AMStandardC3SFA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN09/09/2013
(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...
6/3/2013 12:00:00 AMStandardC3SFA0078Class 3STAFFING STANDARDS - STAFF09/09/2013
(2) STAFF. (a) Newly hired staff shall have 30 days to submit a statement from a health care provider, based on a examination conducted within the last six months, that the person does not have any signs or symptoms of a communicable disease including tuberculosis. Freedom from tuberculosis must be documented on an annual basis. A person with a positive tuberculosis test must submit a health care provider ' s statement that the person does not constitute a risk of communicating tuberculosis....
6/3/2013 12:00:00 AMStandardC3SFA0086Class 3TRAINING - ADRD09/09/2013
(9) 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 434.4.6 of the Florida Building Code, as adopted in Rule 9N-1.001, F.A.C., Florida Building Code Adopted, must ensure that facility staff receive the following training. (a) Facility staff who have regular contact with or provide direct care to residents w...
6/3/2013 12:00:00 AMComplaintVB5DNoneNoneNoneNoneNone
9/20/2012 12:00:00 AMComplaintC84TA0164Class 3RECORDS - INSPECTION AVAILABILITY11/27/2012
(4) RECORD INSPECTION. (a) All records required by this rule chapter shall be available for inspection at all times by staff of the agency, the department, the district long-term care ombudsman council, and the advocacy center for persons with disabilities. (b) The resident ' s records shall be available to the resident, and the resident ' s legal representative, designee, surrogate, guardian, or attorney in fact, case manager, or the resident ' s estate, and such additional parties ...
7/5/2012 12:00:00 AMComplaintYOE7A0008Class 3ADMISSIONS - HEALTH ASSESSMENT09/20/2012
(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...
7/5/2012 12:00:00 AMComplaintYOE7A0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER09/20/2012
(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...