Inspection Details

Facility ID: 11964654 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
1/15/2025 12:00:00 AMComplaintF63RNoneNoneNoneNoneNone
8/12/2024 12:00:00 AMComplaint1QFCNoneNoneNoneNoneNone
8/2/2024 12:00:00 AMMonitor51Q5NoneNoneNoneNoneNone
6/13/2024 12:00:00 AMMonitorS9KINoneNoneNoneNoneNone
10/12/2023 12:00:00 AMStandardFPSPA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN11/30/2023
429.256 (3) Assistance with self-administration of medication includes: (a) Taking the medication, in its previously dispensed, properly labeled container, from where it is stored, and bringing it to the resident. For purposes of this paragraph, an insulin syringe that is prefilled with the proper dosage by a pharmacist and an insulin pen that is prefilled by the manufacturer are considered medications in previously dispensed, properly labeled containers. (b) In the presence of the resident, co...
8/29/2023 12:00:00 AM-L654NoneNoneNoneNoneNone
11/2/2022 12:00:00 AMComplaintYVNBNoneNoneNoneNoneNone
8/23/2022 12:00:00 AMComplaintLET7NoneNoneNoneNoneNone
2/10/2022 12:00:00 AMComplaintH6Q4NoneNoneNoneNoneNone
10/12/2021 12:00:00 AMComplaintMF1HA0165Class 3RISK MGMT & QA11/29/2021
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 ...
2/23/2021 12:00:00 AMStandardNPEPA0008Class 3ADMISSIONS - HEALTH ASSESSMENT04/01/2021
429.26 (5) Each resident must have been examined by a licensed physician, a licensed physician assistant, or a licensed advanced practice registered nurse within 60 days before admission to the facility or within 30 days after admission to the facility, except as provided in s. 429.07. The information from the medical examination must be recorded on the practitioner ' s form or on a form adopted by agency rule. The medical examination form, signed only by the practitioner, must be submitted ...
2/23/2021 12:00:00 AMStandardNPEPA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN04/01/2021
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, confirming that the medication is intended for that resident, orally advising the resident of the medicat...
2/23/2021 12:00:00 AMStandardNPEPA0056Class 3MEDICATION - LABELING AND ORDERS04/01/2021
(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...
2/23/2021 12:00:00 AMStandardNPEPAE207Class 3ECC - SERVICES04/01/2021
(7) EXTENDED CONGREGATE CARE SERVICES. All services must be provided in the least restrictive environment, and in a manner that respects the resident's independence, privacy, and dignity. (a) A facility providing extended congregate care services may provide supportive services including social service needs, counseling, emotional support, networking, assistance with securing social and leisure services, shopping service, escort service, companionship, family support, information and referra...
2/23/2021 12:00:00 AMStandardNPEPCZ814UnclassifiedBACKGROUND SCREENING CLEARINGHOUSE04/01/2021
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...
1/26/2021 12:00:00 AMMonitorRKRNNoneNoneNoneNoneNone
12/9/2020 12:00:00 AMComplaintKO2LNoneNoneNoneNoneNone
8/26/2020 12:00:00 AMComplaintINYPNoneNoneNoneNoneNone
8/6/2020 12:00:00 AMMonitorH2XGNoneNoneNoneNoneNone
11/21/2019 12:00:00 AMComplaintVOHXNoneNoneNoneNoneNone
10/29/2019 12:00:00 AMComplaintN2Z6NoneNoneNoneNoneNone
6/26/2019 12:00:00 AMComplaintIYGUNoneNoneNoneNoneNone
10/8/2018 12:00:00 AMComplaintR556NoneNoneNoneNoneNone
8/23/2018 12:00:00 AMComplaintO9Q5NoneNoneNoneNoneNone
8/23/2018 12:00:00 AMStandardOX9NA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN10/08/2018
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,...
8/23/2018 12:00:00 AMStandardOX9NA0055Class 3MEDICATION - STORAGE AND DISPOSAL10/08/2018
(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. Residents may also store their medication in their rooms or apartments if either the room is kept locked when residents are absent or the medication is stored in a secure place that is out of sig...
8/23/2018 12:00:00 AMStandardOX9NA0056Class 3MEDICATION - LABELING AND ORDERS10/08/2018
(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...
8/23/2018 12:00:00 AMStandardOX9NA0075Class 3USE OF PERSONNEL; EMERGENCY CARE (AED)10/08/2018
(3)(a) An assisted living facility licensed under this part with 17 or more beds shall have on the premises at all times a functioning automated external defibrillator as defined in s. 768.1325(2)(b). (b) The facility is encouraged to register the location of each automated external defibrillator with a local emergency medical services medical director. (c) The provisions of ss. 768.13 and 768.1325 apply to automated external defibrillators within the facility. (4) Facility staff may withhold or...
7/5/2018 12:00:00 AMComplaintCVJGNoneNoneNoneNoneNone
7/5/2018 12:00:00 AMMonitorD6K9NoneNoneNoneNoneNone
5/30/2018 12:00:00 AMComplaintJCZWNoneNoneNoneNoneNone
5/9/2018 12:00:00 AMComplaint4QB2NoneNoneNoneNoneNone
2/14/2018 12:00:00 AMMonitorZQHKNoneNoneNoneNoneNone
9/19/2017 12:00:00 AMMonitor77Q1NoneNoneNoneNoneNone
2/10/2017 12:00:00 AMExpansion3282A0056Class 3MEDICATION - LABELING AND ORDERS04/24/2017
(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 ...
12/21/2016 12:00:00 AMComplaintJHCQNoneNoneNoneNoneNone
10/17/2016 12:00:00 AMComplaintWLYHA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN12/20/2016
(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...
8/23/2016 12:00:00 AMStandardBRRHA0053Class 3MEDICATION - ADMINISTRATION12/20/2016
(4) MEDICATION ADMINISTRATION. (a) For facilities that provide medication administration, a staff member 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 must be documented in the resident ' s record and reported immediately to the resident ' s health care provider. The contact with the health...
8/23/2016 12:00:00 AMStandardX23LNoneNoneNoneNoneNone
4/28/2016 12:00:00 AMMonitorIP74NoneNoneNoneNoneNone
2/18/2016 12:00:00 AMComplaintV8CINoneNoneNoneNoneNone
10/14/2015 12:00:00 AMMonitor9DCINoneNoneNoneNoneNone
8/13/2015 12:00:00 AMMonitorJ08YNoneNoneNoneNoneNone
8/13/2015 12:00:00 AMComplaintLPLZNoneNoneNoneNoneNone
4/30/2015 12:00:00 AMMonitorH441NoneNoneNoneNoneNone
4/30/2015 12:00:00 AMComplaintXJETNoneNoneNoneNoneNone
2/16/2015 12:00:00 AMExpansionMMKMNoneNoneNoneNoneNone
1/2/2015 12:00:00 AMMonitorXDOUNoneNoneNoneNoneNone
10/28/2014 12:00:00 AMChange of OwnershipX32WA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES01/02/2015
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, an...
10/28/2014 12:00:00 AMChange of OwnershipX32WA0053Class 3MEDICATION - ADMINISTRATION01/02/2015
(4) MEDICATION ADMINISTRATION. (a) For facilities that provide medication administration, a staff member 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 must be documented in the resident's record and reported immediately to the resident's health care provider. The contact with the health care pr...
10/28/2014 12:00:00 AMChange of OwnershipX32WA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER01/02/2015
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...
9/6/2014 12:00:00 AMComplaint4HBZA0056Class 3MEDICATION - LABELING AND ORDERS01/02/2015
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 r...
7/14/2014 12:00:00 AMMonitorI1BXNoneNoneNoneNoneNone
5/27/2014 12:00:00 AMMonitorJLP5NoneNoneNoneNoneNone
3/28/2014 12:00:00 AMComplaint86G2A0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES05/09/2014
(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...
1/14/2014 12:00:00 AMMonitorCP5LNoneNoneNoneNoneNone
10/10/2013 12:00:00 AMComplaint1L7ONoneNoneNoneNoneNone
9/5/2013 12:00:00 AMStandardL9DRNoneNoneNoneNoneNone
8/23/2013 12:00:00 AMComplaintCKLLNoneNoneNoneNoneNone
7/1/2013 12:00:00 AMMonitor2NNTNoneNoneNoneNoneNone
6/3/2013 12:00:00 AMComplaint97XUNoneNoneNoneNoneNone
5/13/2013 12:00:00 AMComplaintNNZONoneNoneNoneNoneNone
3/15/2013 12:00:00 AMComplaintQQFJNoneNoneNoneNoneNone
3/15/2013 12:00:00 AMMonitorUZZSNoneNoneNoneNoneNone
2/19/2013 12:00:00 AMComplaintDKMPNoneNoneNoneNoneNone
1/7/2013 12:00:00 AMMonitorJFH0NoneNoneNoneNoneNone
12/4/2012 12:00:00 AMMonitorRSLTNoneNoneNoneNoneNone
10/11/2012 12:00:00 AMComplaintMCHUA0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT12/04/2012
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...
10/11/2012 12:00:00 AMComplaintMCHUAZ815Class 4BACKGROUND SCREENING; PROHIBITED OFFENSES12/04/2012
408.809, F.S. (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 the financial operation of...
8/21/2012 12:00:00 AMExpansionG3DFNoneNoneNoneNoneNone
7/6/2012 12:00:00 AMComplaint4M6LNoneNoneNoneNoneNone