| Survey Date | Inspection Type | Track ID | Deficiency | Class | Requirement Description | Correction Date | Requirement Long Description |
|---|---|---|---|---|---|---|---|
| 5/21/2025 12:00:00 AM | Standard | 7NMO | A0080 | Class 3 | TRAINING - CORE & COMPETENCY TEST | 06/21/2025 | - |
| 5/21/2025 12:00:00 AM | Standard | 7NMO | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 06/21/2025 | - |
| 5/21/2025 12:00:00 AM | Standard | 7NMO | A0090 | Class 3 | TRAINING - DO NOT RESUSCITATE ORDERS | 06/21/2025 | - |
| 5/21/2025 12:00:00 AM | Standard | 7NMO | A0091 | Class 3 | TRAINING - DOCUMENTATION & MONITORING | 06/21/2025 | - |
| 5/21/2025 12:00:00 AM | Standard | 7NMO | CZ875 | Class 3 | ALZHEIMER DISEASE/DEMENTIA; TRAINING | 06/21/2025 | (4) Employees of covered providers must complete the following training for Alzheimer's disease and related forms of dementia:
(a) Upon beginning employment, each employee must receive basic written information about interacting with persons who have Alzheimer's disease or related forms of dementia.
(b) Within 30 days after beginning employment, each employee who provides personal care to or has regular contact with participants, patients, or residents must complete a 1-hour training pro... |
| 10/23/2024 12:00:00 AM | Complaint | HHQH | None | None | None | None | None |
| 8/9/2023 12:00:00 AM | Complaint | 1KVS | None | None | None | None | None |
| 10/18/2022 12:00:00 AM | Complaint | VGBG | None | None | None | None | None |
| 9/16/2021 12:00:00 AM | Standard | B2WO | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 10/21/2021 | (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... |
| 9/16/2021 12:00:00 AM | Standard | B2WO | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 10/21/2021 | 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 ... |
| 9/16/2021 12:00:00 AM | Standard | B2WO | A0082 | Class 3 | TRAINING - HIV/AIDS | 10/21/2021 | (4) 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 (... |
| 9/16/2021 12:00:00 AM | Standard | B2WO | A0090 | Class 3 | TRAINING - DO NOT RESUSCITATE ORDERS | 10/21/2021 | (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 Do Not Resuscitate Orders.
(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 policy and procedures regarding DNROs w... |
| 9/16/2021 12:00:00 AM | Standard | B2WO | A0091 | Class 3 | TRAINING - DOCUMENTATION & MONITORING | 10/01/2021 | (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 traini... |
| 9/16/2021 12:00:00 AM | Standard | B2WO | A0093 | Class 3 | FOOD SERVICE - DIETARY STANDARDS | 10/21/2021 | (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... |
| 9/16/2021 12:00:00 AM | Standard | B2WO | A0161 | Class 3 | RECORDS - STAFF | 10/21/2021 | 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... |
| 9/24/2020 12:00:00 AM | Complaint | 3TYQ | None | None | None | None | None |
| 9/24/2020 12:00:00 AM | Monitor | KEB4 | None | None | None | None | None |
| 6/15/2020 12:00:00 AM | - | 6E58 | None | None | None | None | None |
| 4/1/2020 12:00:00 AM | - | V3ZP | None | None | None | None | None |
| 1/28/2020 12:00:00 AM | Complaint | P04E | A0152 | Class 3 | PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | 10/09/2020 | (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... |
| 10/11/2019 12:00:00 AM | Complaint | 0VNG | None | None | None | None | None |
| 2/27/2019 12:00:00 AM | Standard | WRZL | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 04/01/2019 | (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... |
| 2/27/2019 12:00:00 AM | Standard | WRZL | A0090 | Class 3 | TRAINING - DO NOT RESUSCITATE ORDERS | 04/01/2019 | (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 Do Not Resuscitate Orders.
(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 policy and procedures regarding DNROs w... |
| 2/27/2019 12:00:00 AM | Standard | WRZL | CZ816 | Class 4 | BACKGROUND SCREENING-COMPLIANCE ATTESTATION | 04/01/2019 | 408.809
(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 B... |
| 11/29/2018 12:00:00 AM | Monitor | M3LV | AN278 | Class 3 | LNS - RECORDS | 01/22/2019 | 58A-5.031
(3) RECORDS.
(a) A record of all residents receiving limited nursing services and the type of services provided must be maintained at the facility.
(b) Nursing progress notes must be maintained for each resident who receives limited nursing services.
(c) A nursing assessment conducted at least monthly must be maintained on each resident who receives a limited nursing service.
429.07 (3)(c)2, FS
2. A facility that is licensed to provide limited nursing services shall maintain a written... |
| 8/29/2018 12:00:00 AM | Complaint | TCFN | None | None | None | None | None |
| 6/6/2018 12:00:00 AM | Monitor | 002L | None | None | None | None | None |
| 6/6/2018 12:00:00 AM | Complaint | 3ZF5 | None | None | None | None | None |
| 4/9/2018 12:00:00 AM | Complaint | 9WGW | A0010 | Class 3 | ADMISSIONS - CONTINUED RESIDENCY | 08/29/2018 | 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... |
| 4/9/2018 12:00:00 AM | Complaint | 9WGW | A0025 | Class 3 | RESIDENT CARE - SUPERVISION | 08/29/2018 | 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... |
| 4/9/2018 12:00:00 AM | Complaint | 9WGW | A0030 | Class 3 | RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 08/29/2018 | 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... |
| 4/9/2018 12:00:00 AM | Complaint | 9WGW | A0152 | Class 3 | PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | 08/29/2018 | (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 ... |
| 10/26/2017 12:00:00 AM | Complaint | CH6V | None | None | None | None | None |
| 4/24/2017 12:00:00 AM | Complaint | VTQP | A0025 | Class 3 | RESIDENT CARE - SUPERVISION | 06/14/2017 | 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... |
| 12/19/2016 12:00:00 AM | Complaint | NQSO | A0152 | Class 3 | PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | 02/09/2017 | (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 ... |
| 12/19/2016 12:00:00 AM | Standard | XTUX | None | None | None | None | None |
| 11/22/2016 12:00:00 AM | Complaint | H201 | None | None | None | None | None |
| 3/10/2016 12:00:00 AM | Complaint | MVT8 | A0025 | Class 3 | RESIDENT CARE - SUPERVISION | 05/23/2016 | 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... |
| 3/10/2016 12:00:00 AM | Monitor | SYQB | None | None | None | None | None |
| 2/12/2015 12:00:00 AM | Standard | YVMU | A0010 | Class 3 | ADMISSIONS - CONTINUED RESIDENCY | 05/27/2015 | 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... |
| 2/12/2015 12:00:00 AM | Standard | YVMU | A0152 | Class 3 | PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | 05/27/2015 | (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 ... |
| 9/16/2014 12:00:00 AM | Monitor | 9L6D | None | None | None | None | None |
| 5/14/2014 12:00:00 AM | Monitor | T4TK | None | None | None | None | None |
| 12/23/2013 12:00:00 AM | Monitor | 6V7I | None | None | None | None | None |
| 12/23/2013 12:00:00 AM | Complaint | HH0P | None | None | None | None | None |
| 9/24/2013 12:00:00 AM | Complaint | HBM3 | A0056 | Class 3 | MEDICATION - LABELING AND ORDERS | 11/05/2013 | (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... |
| 3/19/2013 12:00:00 AM | Standard | FW8Y | A0052 | Class 3 | MEDICATION - ASSISTANCE WITH SELF-ADMIN | 06/20/2013 | (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... |
| 3/19/2013 12:00:00 AM | Standard | FW8Y | A0055 | Class 3 | MEDICATION - STORAGE AND DISPOSAL | 06/20/2013 | (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... |
| 3/19/2013 12:00:00 AM | Standard | FW8Y | A0056 | Class 3 | MEDICATION - LABELING AND ORDERS | 06/20/2013 | (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... |
| 3/19/2013 12:00:00 AM | Standard | FW8Y | AN277 | Class 3 | LNS - RESIDENT CARE STANDARDS | 06/20/2013 | (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... |
| 3/19/2013 12:00:00 AM | Standard | FW8Y | AN278 | Class 3 | LNS - RECORDS | 06/20/2013 | (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. |
| 3/19/2013 12:00:00 AM | Complaint | I0SL | None | None | None | None | None |
| 9/4/2012 12:00:00 AM | Monitor | 3NGR | None | None | None | None | None |