Inspection Details

Facility ID: 11964204 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
2/4/2025 12:00:00 AMStandardYTDEA00252RESIDENT CARE - SUPERVISION04/09/2025-
8/27/2024 12:00:00 AMComplaintWSURNoneNoneNoneNoneNone
6/12/2024 12:00:00 AMComplaintW2RINoneNoneNoneNoneNone
3/11/2024 12:00:00 AMComplaintHZVSNoneNoneNoneNoneNone
2/16/2024 12:00:00 AMComplaintMTSSNoneNoneNoneNoneNone
10/24/2023 12:00:00 AMComplaint6N77NoneNoneNoneNoneNone
10/12/2023 12:00:00 AMComplaintW8ITNoneNoneNoneNoneNone
6/28/2023 12:00:00 AMStandard2UB1A0025Class 3RESIDENT CARE - SUPERVISION01/09/2024
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 or ...
9/27/2022 12:00:00 AMMonitorQDLVNoneNoneNoneNoneNone
9/2/2022 12:00:00 AMComplaintXD59A0025Class 3RESIDENT CARE - SUPERVISION12/27/2022
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 or ...
9/2/2022 12:00:00 AMComplaintXD59A0165Class 3RISK MGMT & QA12/27/2022
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 ...
5/11/2022 12:00:00 AMComplaint294LNoneNoneNoneNoneNone
12/14/2021 12:00:00 AMComplaintCX0DA00252RESIDENT CARE - SUPERVISION03/17/2022
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 or ...
10/18/2021 12:00:00 AMComplaintGF94A0165Class 3RISK MGMT & QA12/13/2021
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 ...
7/19/2021 12:00:00 AMComplaintI5J9A0025Class 3RESIDENT CARE - SUPERVISION09/02/2021
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...
7/19/2021 12:00:00 AMComplaintI5J9A0168Class 3RESIDENT REFUND POLICY09/02/2021
429.24 (3)(a) . . . The refund policy shall provide that the resident or responsible party is entitled to a prorated refund based on the daily rate for any unused portion of payment beyond the termination date after all charges, including the cost of damages to the residential unit resulting from circumstances other than normal use, have been paid to the licensee. For the purpose of this paragraph, the termination date shall be the date the unit is vacated by the resident and cleared of all per...
5/24/2021 12:00:00 AMComplaintBY5WNoneNoneNoneNoneNone
4/14/2021 12:00:00 AMStandardN271A0025UnclassifiedRESIDENT CARE - SUPERVISION05/24/2021
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...
12/8/2020 12:00:00 AMMonitor2HDDNoneNoneNoneNoneNone
10/28/2020 12:00:00 AMComplaint29L6NoneNoneNoneNoneNone
6/10/2020 12:00:00 AMComplaintGB7TNoneNoneNoneNoneNone
2/24/2020 12:00:00 AMComplaint7SZFNoneNoneNoneNoneNone
12/11/2019 12:00:00 AMComplaintJ3VBA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES12/13/2019
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...
12/11/2019 12:00:00 AMComplaintJ3VBA0200Class 3EMERGENCY ENVIRONMENTAL CONTROL12/13/2019
59A-36.025 Emergency Environmental Control for Assisted Living Facilities. (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...
3/25/2019 12:00:00 AMChange of OwnershipYUG4A0160Class 3RECORDS - FACILITY04/12/2019
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...
3/25/2019 12:00:00 AMChange of OwnershipYUG4A0181Class 3EMERGENCY PLAN APPROVAL04/12/2019
(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...
7/23/2018 12:00:00 AMStandardZ1VTA0008Class 3ADMISSIONS - HEALTH ASSESSMENT10/02/2018
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 medical...
7/23/2018 12:00:00 AMStandardZ1VTA0010Class 3ADMISSIONS - CONTINUED RESIDENCY10/02/2018
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...
7/23/2018 12:00:00 AMStandardZ1VTA0025Class 3RESIDENT CARE - SUPERVISION10/02/2018
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...
7/23/2018 12:00:00 AMStandardZ1VTA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN10/02/2018
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,...
7/23/2018 12:00:00 AMStandardZ1VTA0056Class 3MEDICATION - LABELING AND ORDERS10/02/2018
(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...
7/23/2018 12:00:00 AMStandardZ1VTA0078Class 3STAFFING STANDARDS - STAFF10/02/2018
(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...
7/23/2018 12:00:00 AMStandardZ1VTA0081Class 3TRAINING - STAFF IN-SERVICE10/02/2018
(2) STAFF PRESERVICE ORIENTATION. (a) Facilities must provide a preservice orientation of at least 2 hours to all new assisted living facility employees who have not previously completed core training as detailed in subsection (1). (b) New staff must complete the preservice orientation prior to interacting with residents. (c) Once complete, the employee and the facility administrator must sign a statement that the employee completed the preservice orientation which must be kept in the employee&#...
7/23/2018 12:00:00 AMStandardZ1VTA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER10/02/2018
(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 ...
7/23/2018 12:00:00 AMStandardZ1VTA0162Class 3RECORDS - RESIDENT10/02/2018
(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...
7/23/2018 12:00:00 AMStandardZ1VTCZ814Class 4BACKGROUND SCREENING CLEARINGHOUSE10/02/2018
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...
1/11/2017 12:00:00 AMComplaint6MMQA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER03/02/2017
(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 ...
7/20/2016 12:00:00 AMStandardVVEVA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER09/15/2016
(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 ...
5/21/2015 12:00:00 AMMonitor6DXFNoneNoneNoneNoneNone
9/2/2014 12:00:00 AMStandard1D8ZNoneNoneNoneNoneNone
2/20/2014 12:00:00 AMMonitorT2U8NoneNoneNoneNoneNone
2/14/2013 12:00:00 AMMonitor1306NoneNoneNoneNoneNone
7/23/2012 12:00:00 AMStandard1UDXA0055Class 3MEDICATION - STORAGE AND DISPOSAL09/25/2012
(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...
7/23/2012 12:00:00 AMStandard1UDXA00832TRAINING - FIRST AID AND CPR09/25/2012
(4) 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 of attendance at First Aid or CPR course offered by an accredited college, university or vocational school; a licensed hospital; the American Red Cross, American Heart Association, or National Safety Council; or a provider approved by the Department of He...
7/23/2012 12:00:00 AMStandard1UDXA0093Class 3FOOD SERVICE - DIETARY STANDARDS09/25/2012
(2) DIETARY STANDARDS. (a) The Tenth Edition Recommended Dietary Allowances established by the Food and Nutrition Board - National Research Council, adjusted for age, sex and activity, shall be the nutritional standard used to evaluate meals. Therapeutic diets shall meet these nutritional standards to the extent possible. A summary of the Tenth Edition Recommended Dietary Allowances, interpreted by a daily food guide, is available from the DOEA Assisted Living Program. (b) The recommended dietar...