| Survey Date | Inspection Type | Track ID | Deficiency | Class | Requirement Description | Correction Date | Requirement Long Description |
|---|---|---|---|---|---|---|---|
| 4/25/2025 12:00:00 AM | Standard | NM6B | A0152 | Class 3 | PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | 10/14/2025 | - |
| 4/25/2025 12:00:00 AM | Standard | NM6B | CZ830 | Class 3 | EMERGENCY MANAGEMENT PLANNING | 07/02/2025 | 408.821 Emergency management planning; emergency operations; inactive license.-
(1) A licensee required by authorizing statutes and agency rule to have a comprehensive emergency management plan must designate a safety liaison to serve as the primary contact for emergency operations. Such licensee shall submit its comprehensive emergency management plan to the local emergency management agency, county health department, or Department of Health as follows:
(a) Submit the plan within 30 days after ... |
| 8/2/2024 12:00:00 AM | Complaint | 5J32 | None | None | None | None | None |
| 6/13/2024 12:00:00 AM | Complaint | 2TWU | None | None | None | None | None |
| 4/16/2024 12:00:00 AM | Monitor | 0CUH | None | None | None | None | None |
| 9/1/2023 12:00:00 AM | Complaint | B1DL | None | None | None | None | None |
| 5/2/2023 12:00:00 AM | Standard | TRKH | A0010 | Class 3 | ADMISSIONS - CONTINUED RESIDENCY | 06/20/2023 | 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 ... |
| 5/2/2023 12:00:00 AM | Standard | TRKH | A0032 | Class 3 | RESIDENT CARE - ELOPEMENT STANDARDS | 06/20/2023 | 59A-36.007
(7) ELOPEMENT STANDARDS.
(a) Residents Assessed at Risk for Elopement. All residents assessed at risk for elopement or with any history of elopement must be identified so staff can be alerted to their needs for support and supervision. All residents must be assessed for risk of elopement by a health care provider or a mental health care provider within 30 calendar days of being admitted to a facility. If the resident has had a health assessment performed prior to admission pursuant to... |
| 5/2/2023 12:00:00 AM | Standard | TRKH | A0056 | Class 3 | MEDICATION - LABELING AND ORDERS | 06/20/2023 | (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... |
| 5/2/2023 12:00:00 AM | Standard | TRKH | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 06/20/2023 | (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... |
| 5/2/2023 12:00:00 AM | Standard | TRKH | A0086 | Class 3 | TRAINING - ADRD | 06/20/2023 | (10) 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 464.4.6 of the Florida Building Code, as adopted in rule 61G20-1.001, F.A.C., Florida Building Code Adopted, must ensure that facility staff receive the following training.
(a) Facility staff who interact on a daily basis with residents with ADRD but do not pro... |
| 6/28/2022 12:00:00 AM | Complaint | EYGZ | CZ830 | Class 3 | EMERGENCY MANAGEMENT PLANNING | 09/14/2022 | 408.821 Emergency management planning; emergency operations; inactive license.-
(1) A licensee required by authorizing statutes and agency rule to have a comprehensive emergency management plan must designate a safety liaison to serve as the primary contact for emergency operations. Such licensee shall submit its comprehensive emergency management plan to the local emergency management agency, county health department, or Department of Health as follows:
(a) Submit the plan within 30 days after ... |
| 3/16/2022 12:00:00 AM | Monitor | G0MB | AE210 | Class 3 | ECC - TRAINING | 05/11/2022 | (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... |
| 3/16/2022 12:00:00 AM | Complaint | TQ0Z | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 05/11/2022 | (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... |
| 3/16/2022 12:00:00 AM | Complaint | TQ0Z | A0080 | Class 3 | TRAINING - CORE & COMPETENCY TEST | 05/11/2022 | 429.52
(2) Administrators and other assisted living facility staff must meet minimum training and education requirements established by the agency by rule. This training and education is intended to assist facilities to appropriately respond to the needs of residents, to maintain resident care and facility standards, and to meet licensure requirements.
(3) The agency, in conjunction with providers, shall develop core training requirements for administrators consisting of core training learning o... |
| 3/16/2022 12:00:00 AM | Complaint | TQ0Z | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 05/11/2022 | 429.52(1)
(1) Each new assisted living facility employee who has not previously completed core training must attend a preservice orientation provided by the facility before interacting with residents. The preservice orientation must be at least 2 hours in duration and cover topics that help the employee provide responsible care and respond to the needs of facility residents. Upon completion, the employee and the administrator of the facility must sign a statement that the employee completed the ... |
| 3/16/2022 12:00:00 AM | Complaint | TQ0Z | A0082 | Class 3 | TRAINING - HIV/AIDS | 05/11/2022 | (4) 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 (... |
| 3/16/2022 12:00:00 AM | Complaint | TQ0Z | A0086 | Class 3 | TRAINING - ADRD | 05/11/2022 | (10) 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 464.4.6 of the Florida Building Code, as adopted in rule 61G20-1.001, F.A.C., Florida Building Code Adopted, must ensure that facility staff receive the following training.
(a) Facility staff who interact on a daily basis with residents with ADRD but do not pro... |
| 3/16/2022 12:00:00 AM | Complaint | TQ0Z | A0090 | Class 3 | TRAINING - DO NOT RESUSCITATE ORDERS | 05/11/2022 | (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 Do Not Resuscitate Orders.
(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 policy and procedures regarding DNROs w... |
| 3/16/2022 12:00:00 AM | Complaint | TQ0Z | A0161 | Class 3 | RECORDS - STAFF | 05/11/2022 | 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... |
| 9/27/2021 12:00:00 AM | Complaint | MWI9 | None | None | None | None | None |
| 8/19/2021 12:00:00 AM | Standard | P7FX | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 09/27/2021 | 429.52(1)
(1)Each new assisted living facility employee who has not previously completed core training must attend a preservice orientation provided by the facility before interacting with residents. The preservice orientation must be at least 2 hours in duration and cover topics that help the employee provide responsible care and respond to the needs of facility residents. Upon completion, the employee and the administrator of the facility must sign a statement that the employee completed the r... |
| 8/19/2021 12:00:00 AM | Standard | P7FX | A0162 | Class 3 | RECORDS - RESIDENT | 09/27/2021 | (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 telep... |
| 8/19/2021 12:00:00 AM | Standard | P7FX | AE206 | Class 3 | ECC - SERVICE PLANS | 09/27/2021 | (6) SERVICE PLANS.
(a) Before receiving services, the extended congregate care administrator or manager must develop a preliminary service plan that includes an assessment of whether the resident meets the facility's residency criteria, an appraisal of the resident's unique physical, psychological and social needs and preferences, and an evaluation of the facility's ability to meet the resident's needs.
(b) Within 14 days of receiving services, the extended congregate care admini... |
| 8/19/2021 12:00:00 AM | Standard | P7FX | CZ830 | Class 3 | EMERGENCY MANAGEMENT PLANNING | 09/27/2021 | 408.821 Emergency management planning; emergency operations; inactive license.-
(1) A licensee required by authorizing statutes and agency rule to have a comprehensive emergency management plan must designate a safety liaison to serve as the primary contact for emergency operations. Such licensee shall submit its comprehensive emergency management plan to the local emergency management agency, county health department, or Department of Health as follows:
(a) Submit the plan within 30 days after ... |
| 5/24/2021 12:00:00 AM | Standard | 6EI8 | None | None | None | None | None |
| 12/18/2020 12:00:00 AM | Expansion | PER5 | None | None | None | None | None |
| 6/9/2020 12:00:00 AM | - | Y5CK | None | None | None | None | None |
| 9/11/2019 12:00:00 AM | Complaint | LKVS | None | None | None | None | None |
| 9/11/2019 12:00:00 AM | Expansion | VX7P | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 11/01/2019 | (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... |
| 9/11/2019 12:00:00 AM | Expansion | VX7P | A0086 | Class 3 | TRAINING - ADRD | 11/01/2019 | (10) 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 64.4.6 of the Florida Building Code, as adopted in rule 61G20-1.001, F.A.C., Florida Building Code Adopted, must ensure that facility staff receive the following training.
(a) Facility staff who interact on a daily basis with residents with ADRD but do not prov... |
| 9/11/2019 12:00:00 AM | Expansion | VX7P | A0090 | Class 3 | TRAINING - DO NOT RESUSCITATE ORDERS | 11/01/2019 | (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 Do Not Resuscitate Orders.
(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 policy and procedures regarding DNROs w... |
| 9/11/2019 12:00:00 AM | Expansion | VX7P | AE210 | Class 3 | ECC - TRAINING | 11/01/2019 | (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... |
| 5/22/2019 12:00:00 AM | Complaint | FRHM | None | None | None | None | None |
| 2/7/2019 12:00:00 AM | Complaint | IKY7 | None | None | None | None | None |
| 10/12/2018 12:00:00 AM | Complaint | STFW | None | None | None | None | None |
| 9/25/2017 12:00:00 AM | Standard | SFXH | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 11/06/2017 | (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... |
| 9/25/2017 12:00:00 AM | Standard | SFXH | A0082 | Class 3 | TRAINING - HIV/AIDS | 11/06/2017 | (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 (... |
| 9/25/2017 12:00:00 AM | Standard | SFXH | A0090 | Class 3 | TRAINING - DO NOT RESUSCITATE ORDERS | 11/06/2017 | (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... |
| 9/25/2017 12:00:00 AM | Standard | SFXH | A0161 | Class 3 | RECORDS - STAFF | 11/06/2017 | 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.
58A-5.024
(2) STAFF RECORDS.
(a) Personnel records for e... |
| 6/1/2017 12:00:00 AM | Monitor | G2U6 | None | None | None | None | None |
| 9/24/2015 12:00:00 AM | Standard | 4JDF | None | None | None | None | None |
| 6/8/2015 12:00:00 AM | Monitor | GUXS | None | None | None | None | None |
| 3/24/2015 12:00:00 AM | Monitor | RWN6 | None | None | None | None | None |
| 10/24/2014 12:00:00 AM | Complaint | 8SFR | None | None | None | None | None |
| 6/25/2014 12:00:00 AM | Monitor | SKBW | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 07/21/2014 | 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 facilit... |
| 6/25/2014 12:00:00 AM | Monitor | SKBW | AE210 | Class 3 | ECC - TRAINING | 07/21/2014 | Staff Training Requirements and Competency Test.
(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 facili... |
| 11/27/2013 12:00:00 AM | Monitor | EMVV | None | None | None | None | None |
| 8/22/2013 12:00:00 AM | Standard | BVUB | None | None | None | None | None |
| 6/12/2013 12:00:00 AM | Monitor | YBHK | None | None | None | None | None |
| 2/14/2013 12:00:00 AM | Monitor | FT1U | None | None | None | None | None |
| 11/27/2012 12:00:00 AM | Monitor | 8009 | None | None | None | None | None |
| 8/21/2012 12:00:00 AM | Monitor | Q0CN | None | None | None | None | None |