| Survey Date | Inspection Type | Track ID | Deficiency | Class | Requirement Description | Correction Date | Requirement Long Description |
|---|---|---|---|---|---|---|---|
| 9/30/2024 12:00:00 AM | Standard | Q776 | None | None | None | None | None |
| 4/21/2022 12:00:00 AM | Standard | JQBI | A0083 | Class 3 | TRAINING - FIRST AID AND CPR | 06/03/2022 | (5) 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 that the staff member possess current CPR certification that requires the student to demonstrate, in person, that he or she is able to perform CPR and which is issued by an instructor or training provider that is approved to provide CPR training by the Am... |
| 4/21/2022 12:00:00 AM | Standard | JQBI | CZ814 | Unclassified | BACKGROUND SCREENING CLEARINGHOUSE | 06/03/2022 | 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... |
| 4/21/2022 12:00:00 AM | Standard | JQBI | CZ815 | Unclassified | BACKGROUND SCREENING; PROHIBITED OFFENSES | 06/03/2022 | 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... |
| 4/21/2022 12:00:00 AM | Standard | JQBI | CZ816 | Unclassified | BACKGROUND SCREENING-COMPLIANCE ATTESTATION | 06/03/2022 | 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... |
| 11/19/2021 12:00:00 AM | Complaint | FQ5V | None | None | None | None | None |
| 2/9/2021 12:00:00 AM | Monitor | G1EO | None | None | None | None | None |
| 5/13/2020 12:00:00 AM | Monitor | DZ4C | None | None | None | None | None |
| 5/13/2020 12:00:00 AM | Monitor | FPR1 | None | None | None | None | None |
| 3/16/2020 12:00:00 AM | Complaint | N9LA | None | None | None | None | None |
| 11/18/2019 12:00:00 AM | Monitor | L5BY | AN276 | Class 3 | LNS - NURSING SERVICES | 01/14/2020 | (1) NURSING SERVICES. In addition to any nursing service permitted under a standard license pursuant to section 429.255, F.S., a facility with a limited nursing services license may provide nursing care to residents who do not require 24-hour nursing supervision and to residents who do require 24-hour nursing care and are enrolled in hospice. |
| 11/18/2019 12:00:00 AM | Monitor | L5BY | AN278 | Class 3 | LNS - RECORDS | 01/14/2020 | 59A-36.022
(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
A facility that is licensed to provide limited nursing services shall maintain a written ... |
| 11/14/2019 12:00:00 AM | Standard | C924 | A0054 | Class 3 | MEDICATION - RECORDS | 01/14/2020 | (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 for each resident w... |
| 11/14/2019 12:00:00 AM | Standard | C924 | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 01/14/2020 | (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... |
| 11/14/2019 12:00:00 AM | Standard | C924 | A0161 | Class 3 | RECORDS - STAFF | 01/14/2020 | 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... |
| 11/14/2019 12:00:00 AM | Standard | C924 | CZ816 | Class 4 | BACKGROUND SCREENING-COMPLIANCE ATTESTATION | 01/14/2020 | 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... |
| 12/21/2017 12:00:00 AM | Standard | SYJB | A0008 | Class 3 | ADMISSIONS - HEALTH ASSESSMENT | 02/19/2018 | 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 medic... |
| 6/5/2017 12:00:00 AM | Monitor | UTJ7 | A0010 | Class 3 | ADMISSIONS - CONTINUED RESIDENCY | 07/11/2017 | 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... |
| 6/5/2017 12:00:00 AM | Monitor | UTJ7 | A0031 | Class 3 | RESIDENT CARE - THIRD PARTY SERVICES | 07/11/2017 | (7) THIRD PARTY SERVICES.
(a) Nothing in this rule chapter is intended to prohibit a resident or the resident ' s representative from independently arranging, contracting, and paying for services provided by a third party of the resident ' s choice, including a licensed home health agency or private nurse, or receiving services through an out-patient clinic, provided the resident meets the criteria for admission and continued residency and the resident complies with the facility ' s... |
| 6/5/2017 12:00:00 AM | Monitor | UTJ7 | A0086 | Class 3 | TRAINING - ADRD | 07/11/2017 | (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... |
| 9/25/2015 12:00:00 AM | Standard | XTBH | A0010 | Class 3 | ADMISSIONS - CONTINUED RESIDENCY | 12/08/2015 | 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... |
| 9/25/2015 12:00:00 AM | Standard | XTBH | A0030 | Class 3 | RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 12/08/2015 | 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, and... |
| 9/25/2015 12:00:00 AM | Standard | XTBH | A0053 | Class 3 | MEDICATION - ADMINISTRATION | 12/08/2015 | (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... |
| 9/25/2015 12:00:00 AM | Standard | XTBH | A0054 | Class 3 | MEDICATION - RECORDS | 12/08/2015 | (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 ... |
| 9/25/2015 12:00:00 AM | Standard | XTBH | A0162 | Class 3 | RECORDS - RESIDENT | 12/08/2015 | (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... |
| 2/2/2015 12:00:00 AM | Complaint | DU5J | A0010 | Class 3 | ADMISSIONS - CONTINUED RESIDENCY | 04/15/2015 | 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... |
| 12/4/2014 12:00:00 AM | Complaint | HKWH | None | None | None | None | None |
| 10/22/2014 12:00:00 AM | Monitor | 2RZ9 | None | None | None | None | None |
| 11/26/2013 12:00:00 AM | Standard | GNQX | A0008 | Class 3 | ADMISSIONS - HEALTH ASSESSMENT | 01/29/2014 | (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... |
| 11/26/2013 12:00:00 AM | Standard | GNQX | A0010 | Class 3 | ADMISSIONS - CONTINUED RESIDENCY | 01/29/2014 | (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... |
| 11/26/2013 12:00:00 AM | Standard | GNQX | A0031 | Class 3 | RESIDENT CARE - THIRD PARTY SERVICES | 01/29/2014 | (7) THIRD PARTY SERVICES. Nothing in this rule chapter is intended to prohibit a resident or the resident ' s representative from independently arranging, contracting, and paying for services provided by a third party of the resident ' s choice, including a licensed home health agency or private nurse, or receiving services through an out-patient clinic, provided the resident meets the criteria for continued residency and the resident complies with the facility ' s policy relating to... |
| 11/26/2013 12:00:00 AM | Standard | GNQX | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 01/29/2014 | (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.... |
| 11/26/2013 12:00:00 AM | Standard | GNQX | A0091 | Class 4 | TRAINING - DOCUMENTATION & MONITORING | - | (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 ... |
| 7/11/2012 12:00:00 AM | Monitor | PMUC | None | None | None | None | None |