| Survey Date | Inspection Type | Track ID | Deficiency | Class | Requirement Description | Correction Date | Requirement Long Description |
|---|---|---|---|---|---|---|---|
| 2/8/2024 12:00:00 AM | Standard | B784 | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 02/13/2024 | - |
| 2/8/2024 12:00:00 AM | Standard | B784 | CZ814 | Unclassified | BACKGROUND SCREENING CLEARINGHOUSE | 02/13/2024 | - |
| 12/16/2020 12:00:00 AM | Standard | SCOF | A0009 | Class 4 | ADMISSIONS - ADMISSION PACKAGE | 04/02/2021 | (3) ADMISSION PACKAGE.
(a) The facility must make available to potential residents a written statement(s) that includes the following information listed below. Providing a copy of the facility resident contract or facility brochure containing all the required information meets this requirement.
1. The facility's admission and continued residency criteria;
2. The daily, weekly or monthly charge to reside in the facility and the services, supplies, and accommodations provided by the facility f... |
| 12/16/2020 12:00:00 AM | Standard | SCOF | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 04/02/2021 | (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... |
| 12/16/2020 12:00:00 AM | Standard | SCOF | A0167 | Class 4 | RESIDENT CONTRACTS | 04/02/2021 | 59A-36.018 Resident Contracts.
(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... |
| 12/16/2020 12:00:00 AM | Standard | SCOF | CZ814 | Unclassified | BACKGROUND SCREENING CLEARINGHOUSE | 04/02/2021 | 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... |
| 4/30/2019 12:00:00 AM | Monitor | JYL6 | None | None | None | None | None |
| 4/30/2019 12:00:00 AM | Monitor | MJ8P | None | None | None | None | None |
| 8/30/2018 12:00:00 AM | Complaint | 2H7L | None | None | None | None | None |
| 2/15/2018 12:00:00 AM | Standard | DJ8V | A0030 | Class 3 | RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 04/03/2018 | 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... |
| 2/15/2018 12:00:00 AM | Standard | DJ8V | A0056 | Class 3 | MEDICATION - LABELING AND ORDERS | 04/03/2018 | (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 ... |
| 2/15/2018 12:00:00 AM | Standard | DJ8V | A0057 | Class 3 | MEDICATION - OVER THE COUNTER (OTC) PRODUCTS | 04/03/2018 | (8) OVER THE COUNTER (OTC) PRODUCTS. For purposes of this subsection, the term over the counter includes, but is not limited to, over the counter medications, vitamins, nutritional supplements and nutraceuticals, hereafter referred to as OTC products, that can be sold without a prescription.
(a) A stock supply of OTC products for multiple resident use is not permitted in any facility.
(b) OTC products, including those prescribed by a health care provider, must be labeled with the resident '... |
| 2/15/2018 12:00:00 AM | Standard | DJ8V | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 08/13/2018 | (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... |
| 2/15/2018 12:00:00 AM | Standard | DJ8V | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 04/03/2018 | (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... |
| 2/15/2018 12:00:00 AM | Standard | DJ8V | A0091 | Class 4 | TRAINING - DOCUMENTATION & MONITORING | 04/03/2018 | (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 ... |
| 2/15/2018 12:00:00 AM | Standard | DJ8V | A0151 | Class 3 | PHYSICAL PLANT - EXISTING FACILITIES | 04/03/2018 | (2) EXISTING FACILITIES.
(a) An assisted living facility must comply with the rule or building code in effect at the time of initial licensure, as well as the rule or building code in effect at the time of any additions, modifications, alterations, refurbishment, renovations or reconstruction. Determination of the installation of a fire sprinkler system in an existing facility must comply with the requirements described in Section 429.41, F.S.
(b) A facility undergoing change of ownership is con... |
| 2/15/2018 12:00:00 AM | Standard | DJ8V | A0181 | Class 3 | EMERGENCY PLAN APPROVAL | 09/11/2018 | (2) EMERGENCY PLAN APPROVAL. The plan must be submitted for review and approval to the local emergency management agency.
(a) If the local emergency management agency requires revisions to the emergency management plan, such revisions must be made and the plan resubmitted to the local office within 30 days of receiving notification that the plan must be revised.
(b) A new facility as described in Rule 58A-5.023, F.A.C., and facilities whose ownership has been transferred, must submit an emergenc... |
| 2/15/2018 12:00:00 AM | Standard | DJ8V | CZ814 | Class 4 | BACKGROUND SCREENING CLEARINGHOUSE | 04/03/2018 | 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... |
| 2/15/2017 12:00:00 AM | Monitor | VJ8Y | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 02/22/2017 | (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... |
| 5/26/2016 12:00:00 AM | Complaint | 3RAF | None | None | None | None | None |
| 4/5/2016 12:00:00 AM | Complaint | M3V1 | A0030 | Class 3 | RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 05/19/2016 | 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... |
| 4/5/2016 12:00:00 AM | Standard | NUJC | A0010 | Class 3 | ADMISSIONS - CONTINUED RESIDENCY | 05/19/2016 | 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... |
| 4/5/2016 12:00:00 AM | Standard | NUJC | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 05/19/2016 | (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... |
| 4/5/2016 12:00:00 AM | Standard | NUJC | A0082 | Class 3 | TRAINING - HIV/AIDS | 05/19/2016 | (3) 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 (... |
| 4/5/2016 12:00:00 AM | Standard | NUJC | A0090 | Class 3 | TRAINING - DO NOT RESUSCITATE ORDERS | 05/19/2016 | (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 DNROs within 60 days after the effective date of this rule.
(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 po... |
| 4/29/2015 12:00:00 AM | Monitor | PXO7 | None | None | None | None | None |
| 2/18/2015 12:00:00 AM | Complaint | EHY0 | None | None | None | None | None |
| 9/3/2014 12:00:00 AM | Monitor | 844L | None | None | None | None | None |
| 5/1/2014 12:00:00 AM | Standard | UM4M | A0025 | Class 3 | RESIDENT CARE - SUPERVISION | 06/16/2014 | An assisted living facility must provide care and services appropriate to the needs of residents accepted for admission to the facility.
(1) SUPERVISION. Facilities must offer personal supervision as appropriate for each resident, including the following:
(a) Monitoring of the quantity and quality of resident diets in accordance with Rule 58A-5.020, F.A.C.
(b) Daily observation by designated staff of the activities of the resident while on the premises, and awareness of the general health, safet... |
| 5/1/2014 12:00:00 AM | Standard | UM4M | A0030 | Class 3 | RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 06/16/2014 | 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... |
| 5/1/2014 12:00:00 AM | Standard | UM4M | A0054 | Class 3 | MEDICATION - RECORDS | 06/16/2014 | (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 resi... |
| 5/1/2014 12:00:00 AM | Standard | UM4M | A0056 | Class 3 | MEDICATION - LABELING AND ORDERS | 06/16/2014 | 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... |
| 5/1/2014 12:00:00 AM | Standard | UM4M | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 06/16/2014 | (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... |
| 5/1/2014 12:00:00 AM | Standard | UM4M | A0092 | Class 3 | FOOD SERVICE - GENERAL RESPONSIBILITIES | 06/16/2014 | Food Service Standards.
(1) GENERAL RESPONSIBILITIES. When food service is provided by the facility, the administrator, or an individual designated in writing by the administrator, must be responsible for total food services and the day-to-day supervision of food services staff. In addition, the following requirements apply:
(a) If the designee is an individual who has not completed an approved assisted living facility core training course, such individual must complete the food and nutrition se... |
| 12/23/2013 12:00:00 AM | Monitor | O5XE | None | None | None | None | None |
| 4/11/2013 12:00:00 AM | Monitor | N9GB | None | None | None | None | None |
| 1/24/2013 12:00:00 AM | Complaint | T1S9 | A0030 | Class 3 | RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 04/11/2013 | (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... |
| 1/24/2013 12:00:00 AM | Complaint | T1S9 | A0032 | Class 3 | RESIDENT CARE - ELOPEMENT STANDARDS | 04/11/2013 | (8) ELOPEMENT STANDARDS.
(a) Residents Assessed at Risk for Elopement. All residents assessed at risk for elopement or with any history of elopement shall be identified so staff can be alerted to their needs for support and supervision.
1. As part of its resident elopement response policies and procedures, the facility shall make, at a minimum, a daily effort to determine that at risk residents have identification on their persons that includes their name and the facility ' s name, address, ... |
| 1/24/2013 12:00:00 AM | Complaint | T1S9 | A0167 | Class 3 | RESIDENT CONTRACTS | 04/11/2013 | 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 ... |
| 7/31/2012 12:00:00 AM | Standard | 18K3 | None | None | None | None | None |