Inspection Details

Facility ID: 11964447 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
2/28/2025 12:00:00 AMExpansion8UZ6NoneNoneNoneNoneNone
5/23/2024 12:00:00 AMStandardN3ZLA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN06/12/2024-
2/9/2022 12:00:00 AMExpansionVOVLNoneNoneNoneNoneNone
11/4/2021 12:00:00 AMStandard5W7SA0093Class 3FOOD SERVICE - DIETARY STANDARDS11/28/2021
(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...
11/4/2021 12:00:00 AMStandard5W7SA0161Class 3RECORDS - STAFF11/28/2021
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...
11/4/2021 12:00:00 AMStandard5W7SCZ814Class 4BACKGROUND SCREENING CLEARINGHOUSE11/28/2021
435.12 Care Provider Background Screening Clearinghouse.- (2)(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...
11/4/2021 12:00:00 AMStandard5W7SCZ816Class 4BACKGROUND SCREENING-COMPLIANCE ATTESTATION11/28/2021
408.809 Background screening; prohibited offenses.- (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...
8/17/2021 12:00:00 AMMonitor8W74A0030UnclassifiedRESIDENT CARE - RIGHTS & FACILITY PROCEDURES08/23/2021
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...
2/1/2021 12:00:00 AMComplaintN0F1NoneNoneNoneNoneNone
7/8/2020 12:00:00 AMComplaintJEE6NoneNoneNoneNoneNone
4/9/2020 12:00:00 AM-GGPVNoneNoneNoneNoneNone
5/30/2019 12:00:00 AMStandardSCOINoneNoneNoneNoneNone
1/18/2019 12:00:00 AMMonitor0B1RNoneNoneNoneNoneNone
6/28/2017 12:00:00 AMExpansionXW9QNoneNoneNoneNoneNone
2/7/2017 12:00:00 AMStandardG8S0NoneNoneNoneNoneNone
3/10/2016 12:00:00 AMMonitorOT9MNoneNoneNoneNoneNone
2/12/2015 12:00:00 AMStandardBNH3A0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES05/26/2015
(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 for resid...
2/12/2015 12:00:00 AMStandardBNH3A0081Class 4TRAINING - STAFF IN-SERVICE05/26/2015
(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...
2/12/2015 12:00:00 AMStandardBNH3A0093Class 3FOOD SERVICE - DIETARY STANDARDS05/26/2015
(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...
2/12/2015 12:00:00 AMStandardBNH3A0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER05/26/2015
(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 ...
2/12/2015 12:00:00 AMStandardBNH3A0167Class 4RESIDENT CONTRACTS05/26/2015
(1) Pursuant to Section 429.24, F.S., the facility must offer a contract for execution by the resident or the resident ' s legal representative before or at the time of admission. The contract must contain the following provisions: (a) A list of the specific services, supplies and accommodations to be provided by the facility to the resident, including limited nursing and extended congregate care services that the resident elects to receive; (b) The daily, weekly, or monthly rate; (c) A list...
2/12/2015 12:00:00 AMStandardBNH3AZ815Class 4BACKGROUND SCREENING; PROHIBITED OFFENSES05/26/2015
408.809 Background screening; prohibited offenses.- (1) Level 2 background screening pursuant to chapter 435 must be conducted through the agency on each of the following persons, who are considered employees for the purposes of conducting screening under chapter 435: (a) The licensee, if an individual. (b) The administrator or a similarly titled person who is responsible for the day-to-day operation of the provider. (c) The financial officer or similarly titled individual who is responsible for...
10/15/2014 12:00:00 AMMonitor2JG2NoneNoneNoneNoneNone
5/13/2014 12:00:00 AMMonitorVEUUNoneNoneNoneNoneNone
9/9/2013 12:00:00 AMExpansionOHKTNoneNoneNoneNoneNone
3/11/2013 12:00:00 AMStandardUPY4A0010Class 3ADMISSIONS - CONTINUED RESIDENCY06/11/2013
(4) CONTINUED RESIDENCY. Except as follows in paragraphs (a) through (e) of this subsection, criteria for continued residency in any licensed facility shall be the same as the criteria for admission. As part of the continued residency criteria, a resident must have a face-to-face medical examination by a licensed health care provider at least every 3 years after the initial assessment, or after a significant change, whichever comes first. A significant change is defined in Rule 58A-5.0131, F.A.C...
3/11/2013 12:00:00 AMStandardUPY4A00301RESIDENT CARE - RIGHTS & FACILITY PROCEDURES06/11/2013
(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...
3/11/2013 12:00:00 AMStandardUPY4A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN08/14/2013
(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...
3/11/2013 12:00:00 AMStandardUPY4A00531MEDICATION - ADMINISTRATION06/11/2013
(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...
3/11/2013 12:00:00 AMStandardUPY4A0054Class 3MEDICATION - RECORDS08/14/2013
(5) MEDICATION RECORDS. (a) For residents who use a pill organizer managed under subsection (2), the facility shall 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 shall maintain a daily medication observation record (MOR) for ...
3/11/2013 12:00:00 AMStandardUPY4A0056Class 3MEDICATION - LABELING AND ORDERS08/14/2013
(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...
3/11/2013 12:00:00 AMStandardUPY4A00771STAFFING STANDARDS - ADMINISTRATORS06/11/2013
Staffing Standards. (1) ADMINISTRATORS. Every facility shall be under the supervision of an administrator who is responsible for the operation and maintenance of the facility including the management of all staff and the provision of adequate care to all residents as required by Part I of Chapter 429, F.S., and this rule chapter. (a) The administrators shall: 1. Be at least 21 years of age; 2. If employed on or after August 15, 1990, have a high school diploma or general equivalency diploma (G.E...
3/11/2013 12:00:00 AMStandardUPY4A0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT06/11/2013
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 to ide...
3/11/2013 12:00:00 AMStandardUPY4A0167Class 4RESIDENT CONTRACTS06/11/2013
Resident Contracts. (1) Pursuant to Section 429.24, F.S., prior to or at the time of admission, each resident or legal representative shall execute a contract with the facility which contains the following provisions: (a) A list of the specific services, supplies and accommodations to be provided by the facility to the resident, including limited nursing and extended congregate care services if the facility is licensed to provide such services. (b) The daily, weekly, or monthly rate. (c) A list ...
3/11/2013 12:00:00 AMStandardUPY4AZ827Class 4UNLICENSED ACTIVITY06/11/2013
(1) A person or entity may not offer or advertise services that require licensure as defined by this part, authorizing statutes, or applicable rules to the public without obtaining a valid license from the agency. A licenseholder may not advertise or hold out to the public that he or she holds a license for other than that for which he or she actually holds the license. (2) The operation or maintenance of an unlicensed provider or the performance of any services that require licensure without p...