| Survey Date | Inspection Type | Track ID | Deficiency | Class | Requirement Description | Correction Date | Requirement Long Description |
|---|---|---|---|---|---|---|---|
| 1/14/2025 12:00:00 AM | Standard | I8Z4 | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 02/11/2025 | - |
| 1/14/2025 12:00:00 AM | Standard | I8Z4 | CZ814 | Unclassified | BACKGROUND SCREENING CLEARINGHOUSE | 02/11/2025 | 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:
1. A person 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.
2. Effective January 1, 2026, or a later date as ... |
| 10/24/2024 12:00:00 AM | Complaint | VZNZ | None | None | None | None | None |
| 5/13/2024 12:00:00 AM | Complaint | UMQX | A0025 | 1 | RESIDENT CARE - SUPERVISION | 06/05/2024 | - |
| 5/13/2024 12:00:00 AM | Complaint | UMQX | A0032 | 1 | RESIDENT CARE - ELOPEMENT STANDARDS | 06/05/2024 | - |
| 5/13/2024 12:00:00 AM | Complaint | UMQX | A0077 | 2 | STAFFING STANDARDS - ADMINISTRATORS | 06/05/2024 | - |
| 4/13/2023 12:00:00 AM | Standard | YN4R | AE210 | Class 3 | ECC - TRAINING | 05/13/2023 | (8) EXTENDED CONGREGATE CARE (ECC) TRAINING.
(a) The administrator and ECC supervisor, if different from the administrator, must complete core training and 4 hours of initial training in extended congregate care prior to the facility receiving its ECC license or within 3 months of beginning employment in a currently licensed ECC facility as an administrator or ECC supervisor. Successful completion of the assisted living facility core training shall be a prerequisite for this training. ECC superv... |
| 11/18/2021 12:00:00 AM | Complaint | 0HEN | A0010 | Class 3 | ADMISSIONS - CONTINUED RESIDENCY | 12/10/2021 | 429.26 Appropriateness of placements; examinations of residents.-
(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 must be based upon an evaluation of the strengths, needs, and preferences of the resident, a medical examination, the care and services offered or arranged for by the facility in ... |
| 9/7/2021 12:00:00 AM | Monitor | MPK0 | None | None | None | None | None |
| 6/2/2021 12:00:00 AM | Complaint | 8F3P | None | None | None | None | None |
| 2/15/2021 12:00:00 AM | Monitor | NTV4 | None | None | None | None | None |
| 2/19/2020 12:00:00 AM | Standard | YX8B | A0052 | Class 3 | MEDICATION - ASSISTANCE WITH SELF-ADMIN | 03/02/2020 | 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, ... |
| 2/19/2020 12:00:00 AM | Standard | YX8B | A0056 | Class 3 | MEDICATION - LABELING AND ORDERS | 03/02/2020 | (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... |
| 2/19/2020 12:00:00 AM | Standard | YX8B | CZ814 | Class 4 | BACKGROUND SCREENING CLEARINGHOUSE | 03/02/2020 | 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... |
| 6/17/2019 12:00:00 AM | Monitor | KLUC | None | None | None | None | None |
| 6/17/2019 12:00:00 AM | Complaint | PDK5 | None | None | None | None | None |
| 12/5/2018 12:00:00 AM | Monitor | N6KP | None | None | None | None | None |
| 5/21/2018 12:00:00 AM | Monitor | PCES | None | None | None | None | None |
| 5/21/2018 12:00:00 AM | Complaint | WPTW | None | None | None | None | None |
| 11/28/2017 12:00:00 AM | Standard | 6UTS | None | None | None | None | None |
| 11/28/2017 12:00:00 AM | Complaint | F6J1 | None | None | None | None | None |
| 11/2/2017 12:00:00 AM | Complaint | FVNU | A0010 | Class 3 | ADMISSIONS - CONTINUED RESIDENCY | 01/17/2018 | 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... |
| 11/2/2017 12:00:00 AM | Complaint | FVNU | A0030 | Class 3 | RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 01/17/2018 | 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... |
| 6/7/2017 12:00:00 AM | Monitor | YPSO | None | None | None | None | None |
| 11/1/2016 12:00:00 AM | Monitor | OCM0 | None | None | None | None | None |
| 10/3/2016 12:00:00 AM | Complaint | DZ1H | None | None | None | None | None |
| 9/14/2016 12:00:00 AM | Complaint | W7ZL | A0030 | Class 3 | RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 11/01/2016 | 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... |
| 9/14/2016 12:00:00 AM | Complaint | W7ZL | A0079 | Class 3 | STAFFING STANDARDS - LEVELS | 01/03/2017 | (3) STAFFING STANDARDS.
(a) Minimum staffing:
1. Facilities must maintain the following minimum staff hours per week:
Number of Residents Staff Hours/Week
0-5 168
6-15 212
16- 25 253
26-35 294
36-45 335
46-55 375
56- 65 416
66-75 457
76... |
| 9/14/2016 12:00:00 AM | Complaint | W7ZL | A0152 | Class 3 | PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | 06/07/2017 | (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 ... |
| 5/11/2016 12:00:00 AM | Monitor | TESB | None | None | None | None | None |
| 2/16/2016 12:00:00 AM | Complaint | VD0J | None | None | None | None | None |
| 1/7/2016 12:00:00 AM | Standard | MELG | A0010 | Class 3 | ADMISSIONS - CONTINUED RESIDENCY | 02/16/2016 | 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... |
| 1/7/2016 12:00:00 AM | Standard | MELG | A0025 | Class 3 | RESIDENT CARE - SUPERVISION | 02/16/2016 | 429.26
(7) The facility must notify a licensed physician when a resident exhibits signs of dementia or cognitive impairment or has a change of condition in order to rule out the presence of an underlying physiological condition that may be contributing to such dementia or impairment. The notification must occur within 30 days after the acknowledgment of such signs by facility staff. If an underlying condition is determined to exist, the facility shall arrange, with the appropriate health care pr... |
| 1/7/2016 12:00:00 AM | Standard | MELG | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 02/16/2016 | (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... |
| 1/7/2016 12:00:00 AM | Standard | MELG | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 02/16/2016 | (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... |
| 1/7/2016 12:00:00 AM | Standard | MELG | A0086 | Class 3 | TRAINING - ADRD | 02/16/2016 | (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... |
| 1/7/2016 12:00:00 AM | Standard | MELG | A0090 | Class 3 | TRAINING - DO NOT RESUSCITATE ORDERS | 02/16/2016 | (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... |
| 1/7/2016 12:00:00 AM | Standard | MELG | A0091 | Class 3 | TRAINING - DOCUMENTATION & MONITORING | 02/16/2016 | (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 ... |
| 1/7/2016 12:00:00 AM | Standard | MELG | A0093 | Class 3 | FOOD SERVICE - DIETARY STANDARDS | 02/16/2016 | (2) DIETARY STANDARDS.
(a) The meals provided by the assisted living facility must be planned based on the current USDA Dietary Guidelines for Americans, 2010, which are incorporated by reference and available for review at: http://www.flrules.org/Gateway/reference.asp?No=Ref-04003, and the current summary of Dietary Reference Intakes established by the Food and Nutrition Board of the Institute of Medicine of the National Academies, 2010, which are incorporated by reference and available for rev... |
| 1/7/2016 12:00:00 AM | Standard | MELG | A0181 | Class 3 | EMERGENCY PLAN APPROVAL | 02/16/2016 | (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... |
| 1/7/2016 12:00:00 AM | Standard | MELG | AE210 | Class 3 | ECC - TRAINING | 02/16/2016 | (7) EXTENDED CONGREGATE CARE TRAINING.
(a) The administrator and extended congregate care supervisor, if different from the administrator, must complete core training and 4 hours of initial training in extended congregate care prior to the facility ' s receiving its extended congregate care license or within 3 months of beginning employment in the facility as an administrator or ECC supervisor. Successful completion of the assisted living facility core training shall be a prerequisite for th... |
| 12/1/2015 12:00:00 AM | Complaint | DP9I | A0052 | Class 3 | MEDICATION - ASSISTANCE WITH SELF-ADMIN | 02/16/2016 | (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... |
| 12/1/2015 12:00:00 AM | Complaint | DP9I | A0056 | Class 3 | MEDICATION - LABELING AND ORDERS | 02/16/2016 | (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 ... |
| 12/1/2015 12:00:00 AM | Complaint | DP9I | A0152 | Class 3 | PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | 02/16/2016 | (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 ... |
| 10/12/2015 12:00:00 AM | Monitor | D0U6 | None | None | None | None | None |
| 10/12/2015 12:00:00 AM | Complaint | DLNV | A0162 | Class 3 | RECORDS - RESIDENT | 11/06/2015 | (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... |
| 4/28/2015 12:00:00 AM | Monitor | JI6N | None | None | None | None | None |
| 2/4/2015 12:00:00 AM | Monitor | 8LF1 | AE205 | Class 3 | ECC - HEALTH ASSESSMENT | 04/28/2015 | (6) HEALTH ASSESSMENT. Before receiving extended congregate care services, all persons. including residents transferring within the same facility to that portion of the facility licensed to provide extended congregate care services, must be examined by a health care provider pursuant to Rule 58A-5.0181, F.A.C. A health assessment conducted no more than 60 days before receiving extended congregate care services meets this requirement. Once receiving services, a new health assessment must be obtai... |
| 6/19/2014 12:00:00 AM | Complaint | WYL1 | A0056 | Class 3 | MEDICATION - LABELING AND ORDERS | 08/04/2014 | 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... |
| 6/18/2014 12:00:00 AM | Monitor | EOYF | None | None | None | None | None |
| 12/16/2013 12:00:00 AM | Standard | 8RFC | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 01/23/2014 | (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.... |
| 10/15/2013 12:00:00 AM | Monitor | 7TM0 | None | None | None | None | None |
| 9/5/2013 12:00:00 AM | Monitor | PH09 | AZ815 | Class 4 | BACKGROUND SCREENING; PROHIBITED OFFENSES | 10/15/2013 | 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... |
| 4/23/2013 12:00:00 AM | Monitor | JGIS | None | None | None | None | None |
| 4/23/2013 12:00:00 AM | Complaint | YMUI | None | None | None | None | None |
| 2/28/2013 12:00:00 AM | Monitor | 5F80 | None | None | None | None | None |
| 12/26/2012 12:00:00 AM | Monitor | IRSH | None | None | None | None | None |
| 9/27/2012 12:00:00 AM | Complaint | B48X | None | None | None | None | None |
| 9/13/2012 12:00:00 AM | Monitor | BPTZ | A0090 | Class 3 | TRAINING - DO NOT RESUSCITATE ORDERS | 10/04/2012 | (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... |