Inspection Details

Facility ID: 11964789 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
8/13/2024 12:00:00 AMStandardHGJXA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN11/30/2024-
8/9/2022 12:00:00 AMStandardXPVCNoneNoneNoneNoneNone
1/25/2021 12:00:00 AMComplaintY6DUA0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS02/10/2021-
1/25/2021 12:00:00 AMComplaintY6DUA0054Class 3MEDICATION - RECORDS02/10/2021-
1/25/2021 12:00:00 AMComplaintY6DUA0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT02/10/2021-
1/25/2020 12:00:00 AMComplaint3DIZNoneNoneNoneNoneNone
2/13/2019 12:00:00 AMMonitorTQC8NoneNoneNoneNoneNone
1/15/2019 12:00:00 AMComplaint2HQJA0056Class 3MEDICATION - LABELING AND ORDERS05/08/2019-
1/15/2019 12:00:00 AMComplaint2HQJA0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT05/08/2019-
1/15/2019 12:00:00 AMStandardD617A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN05/08/2019-
1/15/2019 12:00:00 AMStandardD617A0081Class 3TRAINING - STAFF IN-SERVICE05/08/2019-
1/15/2019 12:00:00 AMStandardD617A0082Class 3TRAINING - HIV/AIDS05/08/2019-
1/15/2019 12:00:00 AMStandardD617A0083Class 3TRAINING - FIRST AID AND CPR05/08/2019-
1/15/2019 12:00:00 AMStandardD617A0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS05/08/2019-
1/15/2019 12:00:00 AMStandardD617A0091Class 3TRAINING - DOCUMENTATION & MONITORING05/08/2019-
10/4/2018 12:00:00 AMComplaintY349NoneNoneNoneNoneNone
7/3/2018 12:00:00 AMComplaintEFXONoneNoneNoneNoneNone
1/24/2018 12:00:00 AMComplaintM0O2NoneNoneNoneNoneNone
1/24/2018 12:00:00 AMMonitorNSFOCZ816Class 4BACKGROUND SCREENING-COMPLIANCE ATTESTATION03/30/2018-
10/9/2017 12:00:00 AMMonitor50TZNoneNoneNoneNoneNone
2/28/2017 12:00:00 AMComplaint4J8IA0151Class 3PHYSICAL PLANT - EXISTING FACILITIES03/31/2017-
1/12/2017 12:00:00 AMStandardDWQ5A0008Class 3ADMISSIONS - HEALTH ASSESSMENT02/28/2017-
1/12/2017 12:00:00 AMStandardDWQ5A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN02/28/2017-
1/12/2017 12:00:00 AMStandardDWQ5A0055Class 3MEDICATION - STORAGE AND DISPOSAL02/28/2017-
1/12/2017 12:00:00 AMStandardDWQ5A0081Class 3TRAINING - STAFF IN-SERVICE02/28/2017-
1/12/2017 12:00:00 AMStandardDWQ5A0082Class 3TRAINING - HIV/AIDS02/28/2017-
1/12/2017 12:00:00 AMStandardDWQ5A0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS02/28/2017-
9/8/2016 12:00:00 AMComplaintMDUSA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER11/07/2016-
8/5/2016 12:00:00 AMComplaint1RUOA00252RESIDENT CARE - SUPERVISION09/08/2016-
6/14/2016 12:00:00 AMComplaintEDSSA0162Class 4RECORDS - RESIDENT08/08/2016-
2/9/2016 12:00:00 AMMonitorKWNLA0025Class 3RESIDENT CARE - SUPERVISION03/31/2016-
11/24/2015 12:00:00 AMComplaintRKTYA0167Class 3RESIDENT CONTRACTS01/08/2016-
5/6/2015 12:00:00 AMComplaintUXEPA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES06/25/2015-
5/6/2015 12:00:00 AMComplaintUXEPA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER06/25/2015-
2/10/2015 12:00:00 AMStandard2ELGA0025Class 3RESIDENT CARE - SUPERVISION05/06/2015-
2/10/2015 12:00:00 AMStandard2ELGA0054Class 3MEDICATION - RECORDS06/25/2015-
2/10/2015 12:00:00 AMStandard2ELGA0056Class 3MEDICATION - LABELING AND ORDERS05/06/2015-
2/10/2015 12:00:00 AMStandard2ELGA0092Class 3FOOD SERVICE - GENERAL RESPONSIBILITIES05/06/2015-
9/25/2014 12:00:00 AMComplaintTELFNoneNoneNoneNoneNone
9/24/2014 12:00:00 AMMonitorQDYENoneNoneNoneNoneNone
7/15/2014 12:00:00 AMComplaint5F9CNoneNoneNoneNoneNone
3/26/2014 12:00:00 AMMonitorZZ5SNoneNoneNoneNoneNone
10/8/2013 12:00:00 AMComplaintLPF5NoneNoneNoneNoneNone
6/20/2013 12:00:00 AMComplaintY0VVA0007Class 3ADMISSIONS - CRITERIA10/08/2013-
6/20/2013 12:00:00 AMComplaintY0VVA0025Class 3RESIDENT CARE - SUPERVISION10/08/2013-
5/2/2013 12:00:00 AMStandard7V0JA0077Class 4STAFFING STANDARDS - ADMINISTRATORS06/20/2013-
5/2/2013 12:00:00 AMStandard7V0JA0078Class 3STAFFING STANDARDS - STAFF06/20/2013-
5/2/2013 12:00:00 AMStandard7V0JA0080Class 3TRAINING - CORE & COMPETENCY TEST06/20/2013-
5/2/2013 12:00:00 AMStandard7V0JA0085Class 3TRAINING - NUTRITION & FOOD SERVICE06/20/2013-
5/2/2013 12:00:00 AMStandard7V0JA0093Class 3FOOD SERVICE - DIETARY STANDARDS06/20/2013-
5/2/2013 12:00:00 AMComplaintCVI3A00522MEDICATION - ASSISTANCE WITH SELF-ADMIN06/20/2013-
9/5/2012 12:00:00 AMMonitorT68SNoneNoneNoneNoneNone
7/25/2012 12:00:00 AMComplaintLPRWA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES09/05/2012-
7/25/2012 12:00:00 AMComplaintLPRWA0054Class 3MEDICATION - RECORDS09/05/2012-
Florida Agency for Health Care Administration (AHCA) Inspection Data