Inspection Details

Facility ID: 11964946 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
6/26/2025 12:00:00 AMComplaintBUHDA0025Class 3RESIDENT CARE - SUPERVISION04/29/2025-
4/3/2025 12:00:00 AMComplaintQYUKA00252RESIDENT CARE - SUPERVISION06/26/2025-
8/29/2023 12:00:00 AMComplaintGOWCA00252RESIDENT CARE - SUPERVISION09/01/2023-
11/29/2022 12:00:00 AMStandardVZ3MA0010Class 3ADMISSIONS - CONTINUED RESIDENCY01/13/2023-
11/29/2022 12:00:00 AMStandardVZ3MA00252RESIDENT CARE - SUPERVISION01/13/2023-
11/29/2022 12:00:00 AMStandardVZ3MA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN01/13/2023-
11/29/2022 12:00:00 AMStandardVZ3MA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER01/13/2023-
12/1/2021 12:00:00 AMComplaintH395NoneNoneNoneNoneNone
8/12/2021 12:00:00 AMComplaintHILNA00252RESIDENT CARE - SUPERVISION10/20/2021-
8/12/2021 12:00:00 AMComplaintHILNA0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS10/20/2021-
2/1/2021 12:00:00 AMStandard7P2MA0008Class 3ADMISSIONS - HEALTH ASSESSMENT02/03/2021-
2/1/2021 12:00:00 AMStandard7P2MA0025Class 3RESIDENT CARE - SUPERVISION02/04/2021-
2/1/2021 12:00:00 AMStandard7P2MA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT02/04/2021-
2/1/2021 12:00:00 AMStandard7P2MA0086Class 3TRAINING - ADRD02/05/2021-
2/1/2021 12:00:00 AMStandard7P2MA0161Class 3RECORDS - STAFF02/05/2021-
2/1/2021 12:00:00 AMStandard7P2MAN277Class 3LNS - RESIDENT CARE STANDARDS02/20/2021-
2/1/2021 12:00:00 AMStandard7P2MCZ813UnclassifiedRESULTS OF SCREENING & NOTIFICATION IN FILE03/09/2021-
2/1/2021 12:00:00 AMStandard7P2MCZ815UnclassifiedBACKGROUND SCREENING; PROHIBITED OFFENSES02/16/2021-
2/1/2021 12:00:00 AMStandard7P2MCZ816UnclassifiedBACKGROUND SCREENING-COMPLIANCE ATTESTATION02/05/2021-
8/6/2019 12:00:00 AMComplaintK5J5A0081Class 3TRAINING - STAFF IN-SERVICE11/20/2019-
8/6/2019 12:00:00 AMComplaintK5J5A0082Class 3TRAINING - HIV/AIDS09/24/2019-
7/24/2018 12:00:00 AMStandardXUFUA0007Class 3ADMISSIONS - CRITERIA10/03/2018-
7/24/2018 12:00:00 AMStandardXUFUA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN10/03/2018-
7/24/2018 12:00:00 AMStandardXUFUA0056Class 3MEDICATION - LABELING AND ORDERS10/03/2018-
7/24/2018 12:00:00 AMStandardXUFUA0078Class 3STAFFING STANDARDS - STAFF10/03/2018-
7/24/2018 12:00:00 AMStandardXUFUA0081Class 3TRAINING - STAFF IN-SERVICE10/03/2018-
7/24/2018 12:00:00 AMStandardXUFUA0082Class 3TRAINING - HIV/AIDS10/03/2018-
7/24/2018 12:00:00 AMStandardXUFUA0086Class 3TRAINING - ADRD10/03/2018-
7/24/2018 12:00:00 AMStandardXUFUA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS10/03/2018-
7/24/2018 12:00:00 AMStandardXUFUA0091Class 4TRAINING - DOCUMENTATION & MONITORING10/03/2018-
7/24/2018 12:00:00 AMStandardXUFUA0161Class 4RECORDS - STAFF10/03/2018-
7/24/2018 12:00:00 AMStandardXUFUA0162Class 3RECORDS - RESIDENT10/03/2018-
7/24/2018 12:00:00 AMStandardXUFUA0167Class 3RESIDENT CONTRACTS10/03/2018-
7/24/2018 12:00:00 AMStandardXUFUAN278Class 3LNS - RECORDS10/03/2018-
7/24/2018 12:00:00 AMStandardXUFUCZ813Class 4RESULTS OF SCREENING & NOTIFICATION IN FILE10/03/2018-
7/24/2018 12:00:00 AMStandardXUFUCZ814Class 4BACKGROUND SCREENING CLEARINGHOUSE10/03/2018-
7/24/2018 12:00:00 AMStandardXUFUCZ815Class 4BACKGROUND SCREENING; PROHIBITED OFFENSES10/03/2018-
6/5/2018 12:00:00 AMComplaintHZT0A0010Class 3ADMISSIONS - CONTINUED RESIDENCY10/03/2018-
6/5/2018 12:00:00 AMComplaintPKQANoneNoneNoneNoneNone
5/2/2018 12:00:00 AMMonitorEOMONoneNoneNoneNoneNone
4/25/2018 12:00:00 AMComplaintX34ZA0025Class 3RESIDENT CARE - SUPERVISION06/05/2018-
3/15/2018 12:00:00 AMComplaint49JZNoneNoneNoneNoneNone
2/20/2018 12:00:00 AMComplaint2472NoneNoneNoneNoneNone
2/14/2018 12:00:00 AMComplaintYX1QA0007Class 3ADMISSIONS - CRITERIA04/04/2018-
2/14/2018 12:00:00 AMComplaintYX1QA0008Class 3ADMISSIONS - HEALTH ASSESSMENT04/04/2018-
2/14/2018 12:00:00 AMComplaintYX1QA0054Class 3MEDICATION - RECORDS04/04/2018-
2/14/2018 12:00:00 AMComplaintYX1QA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER04/04/2018-
2/14/2018 12:00:00 AMComplaintYX1QA0181Class 3EMERGENCY PLAN APPROVAL04/04/2018-
10/30/2017 12:00:00 AMComplaint5WG0A0056Class 3MEDICATION - LABELING AND ORDERS12/12/2017-
8/19/2016 12:00:00 AMStandard4CRCA0008Class 3ADMISSIONS - HEALTH ASSESSMENT11/08/2016-
8/19/2016 12:00:00 AMStandard4CRCA0167Class 4RESIDENT CONTRACTS11/08/2016-
8/19/2016 12:00:00 AMStandard4CRCAZ814Class 4BACKGROUND SCREENING CLEARINGHOUSE11/08/2016-
4/28/2016 12:00:00 AMComplaint9SJ3A0008Class 3ADMISSIONS - HEALTH ASSESSMENT06/09/2016-
4/28/2016 12:00:00 AMComplaint9SJ3A0078Class 3STAFFING STANDARDS - STAFF06/09/2016-
4/28/2016 12:00:00 AMComplaint9SJ3A0160Class 3RECORDS - FACILITY06/09/2016-
10/7/2014 12:00:00 AMComplaintQ0TGNoneNoneNoneNoneNone
9/4/2014 12:00:00 AMStandardQS9SA0008Class 3ADMISSIONS - HEALTH ASSESSMENT10/29/2014-
9/4/2014 12:00:00 AMStandardQS9SA0078Class 3STAFFING STANDARDS - STAFF10/29/2014-
9/4/2014 12:00:00 AMStandardQS9SA0081Class 3TRAINING - STAFF IN-SERVICE10/29/2014-
9/4/2014 12:00:00 AMStandardQS9SA0082Class 3TRAINING - HIV/AIDS10/29/2014-
9/4/2014 12:00:00 AMStandardQS9SA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS10/29/2014-
9/4/2014 12:00:00 AMStandardQS9SA0091Class 4TRAINING - DOCUMENTATION & MONITORING10/29/2014-
9/4/2014 12:00:00 AMStandardQS9SA0162Class 3RECORDS - RESIDENT10/29/2014-
5/6/2014 12:00:00 AMComplaintRQM5NoneNoneNoneNoneNone
1/27/2014 12:00:00 AMMonitorU8Z2A0091Class 3TRAINING - DOCUMENTATION & MONITORING03/13/2014-
1/27/2014 12:00:00 AMMonitorU8Z2A0161Class 3RECORDS - STAFF03/13/2014-
11/18/2013 12:00:00 AMComplaint97PINoneNoneNoneNoneNone
9/23/2013 12:00:00 AMComplaintZUW7A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN12/23/2013-
7/22/2013 12:00:00 AMComplaint8J12A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN08/19/2013-
5/9/2013 12:00:00 AMComplaint8J12A00252RESIDENT CARE - SUPERVISION07/22/2013-
4/24/2013 12:00:00 AMMonitorL3CWA0078Class 3STAFFING STANDARDS - STAFF07/22/2013-
4/24/2013 12:00:00 AMMonitorL3CWA0081Class 3TRAINING - STAFF IN-SERVICE07/22/2013-
4/24/2013 12:00:00 AMMonitorL3CWA0161Class 4RECORDS - STAFF07/22/2013-
11/14/2012 12:00:00 AMComplaintCGVJNoneNoneNoneNoneNone
11/14/2012 12:00:00 AMComplaintI22BNoneNoneNoneNoneNone
6/18/2012 12:00:00 AMStandardRVVPA0078Class 3STAFFING STANDARDS - STAFF09/25/2012-
6/18/2012 12:00:00 AMStandardRVVPA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER09/25/2012-
6/18/2012 12:00:00 AMStandardRVVPAN278Class 3LNS - RECORDS09/25/2012-
Florida Agency for Health Care Administration (AHCA) Inspection Data