Inspection Details

Facility ID: 11965390 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
2/26/2025 12:00:00 AMMonitorMX0GNoneNoneNoneNoneNone
10/28/2024 12:00:00 AMComplaint2X3RA0025Class 3RESIDENT CARE - SUPERVISION12/16/2024-
10/28/2024 12:00:00 AMComplaint2X3RA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER12/16/2024-
8/26/2024 12:00:00 AMComplaintFMYXA0010Class 3ADMISSIONS - CONTINUED RESIDENCY10/14/2024-
8/26/2024 12:00:00 AMComplaintFMYXA00252RESIDENT CARE - SUPERVISION10/14/2024-
8/26/2024 12:00:00 AMComplaintFMYXA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES10/14/2024-
6/18/2024 12:00:00 AMComplaintFMYXA00362INFECTION CONTROL PROCEDURES08/26/2024-
6/18/2024 12:00:00 AMComplaintFMYXCZ821UnclassifiedREPORTING REQUIREMENTS; ELECTRONIC SUBMISSION08/26/2024-
2/8/2024 12:00:00 AMStandard7TDEA0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS03/26/2024-
2/8/2024 12:00:00 AMStandard7TDEA0078Class 3STAFFING STANDARDS - STAFF03/26/2024-
2/8/2024 12:00:00 AMStandard7TDEA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER03/26/2024-
2/8/2024 12:00:00 AMStandard7TDECZ814UnclassifiedBACKGROUND SCREENING CLEARINGHOUSE03/26/2024-
6/28/2023 12:00:00 AMComplaintL0VTA00252RESIDENT CARE - SUPERVISION09/27/2023-
9/26/2022 12:00:00 AMMonitorNPQYNoneNoneNoneNoneNone
6/28/2022 12:00:00 AMComplaint0V3BA00252RESIDENT CARE - SUPERVISION09/14/2022-
1/26/2022 12:00:00 AMComplaintHIWZA0081Class 3TRAINING - STAFF IN-SERVICE03/23/2022-
1/26/2022 12:00:00 AMComplaintHIWZA0082Class 3TRAINING - HIV/AIDS03/23/2022-
1/26/2022 12:00:00 AMComplaintHIWZA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS03/23/2022-
9/2/2021 12:00:00 AMExpansionDI1XA0078Class 3STAFFING STANDARDS - STAFF10/20/2021-
9/2/2021 12:00:00 AMExpansionDI1XA0086Class 3TRAINING - ADRD11/29/2021-
5/26/2021 12:00:00 AMMonitorA96HA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES07/20/2021-
7/29/2020 12:00:00 AMComplaintKR50NoneNoneNoneNoneNone
1/29/2020 12:00:00 AMStandardY3OEA0078Class 3STAFFING STANDARDS - STAFF02/18/2020-
1/29/2020 12:00:00 AMStandardY3OEA0081Class 3TRAINING - STAFF IN-SERVICE03/02/2020-
1/29/2020 12:00:00 AMStandardY3OEA0085Class 3TRAINING - NUTRITION & FOOD SERVICE02/20/2020-
1/29/2020 12:00:00 AMStandardY3OEA0086Class 3TRAINING - ADRD02/20/2020-
1/29/2020 12:00:00 AMStandardY3OEA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS03/02/2020-
1/29/2020 12:00:00 AMStandardY3OEA0160Class 3RECORDS - FACILITY02/10/2020-
1/29/2020 12:00:00 AMStandardY3OEA0181Class 3EMERGENCY PLAN APPROVAL02/27/2020-
1/29/2020 12:00:00 AMStandardY3OEA0200Class 3EMERGENCY ENVIRONMENTAL CONTROL02/28/2020-
1/29/2020 12:00:00 AMStandardY3OECZ813Class 4RESULTS OF SCREENING & NOTIFICATION IN FILE01/30/2020-
1/29/2020 12:00:00 AMStandardY3OECZ816Class 4BACKGROUND SCREENING-COMPLIANCE ATTESTATION01/30/2020-
12/19/2019 12:00:00 AMComplaint3NFBA0077Class 3STAFFING STANDARDS - ADMINISTRATORS02/13/2020-
12/19/2019 12:00:00 AMComplaint3NFBCZ814Class 4BACKGROUND SCREENING CLEARINGHOUSE02/13/2020-
11/6/2019 12:00:00 AMComplaintTNO7CZ814Class 4BACKGROUND SCREENING CLEARINGHOUSE01/08/2020-
11/6/2019 12:00:00 AMComplaintTNO7CZ821Class 4REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION03/06/2020-
8/15/2019 12:00:00 AMComplaintTNO7A0008Class 3ADMISSIONS - HEALTH ASSESSMENT11/06/2019-
8/15/2019 12:00:00 AMComplaintTNO7A00252RESIDENT CARE - SUPERVISION11/06/2019-
8/15/2019 12:00:00 AMComplaintTNO7A0078Class 3STAFFING STANDARDS - STAFF12/19/2019-
8/15/2019 12:00:00 AMComplaintTNO7A0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT11/06/2019-
11/5/2018 12:00:00 AMComplaint8CSFA00252RESIDENT CARE - SUPERVISION01/10/2019-
8/30/2018 12:00:00 AMMonitor96P6NoneNoneNoneNoneNone
1/16/2018 12:00:00 AMComplaintJQFCNoneNoneNoneNoneNone
1/8/2018 12:00:00 AMStandard6W2KA0008Class 3ADMISSIONS - HEALTH ASSESSMENT06/21/2018-
1/8/2018 12:00:00 AMStandard6W2KA0025Class 3RESIDENT CARE - SUPERVISION06/21/2018-
1/8/2018 12:00:00 AMStandard6W2KA0028Class 3RESIDENT CARE - ACTIVITIES OF DAILY LIVING04/02/2018-
1/8/2018 12:00:00 AMStandard6W2KA00302RESIDENT CARE - RIGHTS & FACILITY PROCEDURES04/02/2018-
1/8/2018 12:00:00 AMStandard6W2KA0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS06/21/2018-
1/8/2018 12:00:00 AMStandard6W2KA0054Class 3MEDICATION - RECORDS06/21/2018-
1/8/2018 12:00:00 AMStandard6W2KA0056Class 3MEDICATION - LABELING AND ORDERS06/21/2018-
1/8/2018 12:00:00 AMStandard6W2KA0078Class 3STAFFING STANDARDS - STAFF06/21/2018-
1/8/2018 12:00:00 AMStandard6W2KA0081Class 3TRAINING - STAFF IN-SERVICE04/02/2018-
1/8/2018 12:00:00 AMStandard6W2KA0086Class 3TRAINING - ADRD06/21/2018-
1/8/2018 12:00:00 AMStandard6W2KA0093Class 3FOOD SERVICE - DIETARY STANDARDS06/21/2018-
1/8/2018 12:00:00 AMStandard6W2KA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER06/21/2018-
1/8/2018 12:00:00 AMStandard6W2KA0161Class 4RECORDS - STAFF04/02/2018-
1/8/2018 12:00:00 AMStandard6W2KA0162Class 3RECORDS - RESIDENT04/02/2018-
1/8/2018 12:00:00 AMStandard6W2KA0181Class 3EMERGENCY PLAN APPROVAL07/25/2018-
1/8/2018 12:00:00 AMStandard6W2KAN277Class 3LNS - RESIDENT CARE STANDARDS04/02/2018-
1/8/2018 12:00:00 AMStandard6W2KAN278Class 3LNS - RECORDS04/02/2018-
1/8/2018 12:00:00 AMStandard6W2KCZ814Class 4BACKGROUND SCREENING CLEARINGHOUSE06/21/2018-
1/8/2018 12:00:00 AMStandard6W2KCZ815Class 4BACKGROUND SCREENING; PROHIBITED OFFENSES04/02/2018-
8/23/2017 12:00:00 AMMonitor4PGVA0081Class 3TRAINING - STAFF IN-SERVICE10/17/2017-
8/23/2017 12:00:00 AMMonitor4PGVA0082Class 3TRAINING - HIV/AIDS10/17/2017-
8/23/2017 12:00:00 AMMonitor4PGVA0161Class 3RECORDS - STAFF10/17/2017-
8/1/2017 12:00:00 AMStandardMKPXNoneNoneNoneNoneNone
5/30/2017 12:00:00 AMComplaintV2OPA00302RESIDENT CARE - RIGHTS & FACILITY PROCEDURES08/17/2017-
12/27/2016 12:00:00 AMMonitor14PSA0007Class 3ADMISSIONS - CRITERIA04/24/2017-
12/27/2016 12:00:00 AMMonitor14PSA0008Class 3ADMISSIONS - HEALTH ASSESSMENT04/24/2017-
12/27/2016 12:00:00 AMMonitor14PSA0025Class 3RESIDENT CARE - SUPERVISION04/24/2017-
12/27/2016 12:00:00 AMMonitor14PSA0078Class 3STAFFING STANDARDS - STAFF04/24/2017-
9/24/2015 12:00:00 AMComplaint4GIDA0010Class 3ADMISSIONS - CONTINUED RESIDENCY01/21/2016-
9/24/2015 12:00:00 AMComplaint4GIDA00252RESIDENT CARE - SUPERVISION01/21/2016-
9/24/2015 12:00:00 AMComplaint4GIDA0079Class 3STAFFING STANDARDS - LEVELS01/21/2016-
9/24/2015 12:00:00 AMComplaint4GIDA0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT01/21/2016-
9/21/2015 12:00:00 AMComplaint7ZR8A0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER01/21/2016-
6/3/2015 12:00:00 AMMonitorI8G2A0078Class 3STAFFING STANDARDS - STAFF08/26/2015-
6/3/2015 12:00:00 AMMonitorI8G2A0081Class 3TRAINING - STAFF IN-SERVICE08/26/2015-
6/3/2015 12:00:00 AMMonitorI8G2A0082Class 3TRAINING - HIV/AIDS08/26/2015-
6/3/2015 12:00:00 AMMonitorI8G2A0086Class 3TRAINING - ADRD08/26/2015-
6/3/2015 12:00:00 AMMonitorI8G2A0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS08/26/2015-
6/3/2015 12:00:00 AMMonitorI8G2AZ815Class 4BACKGROUND SCREENING; PROHIBITED OFFENSES08/26/2015-
10/28/2014 12:00:00 AMComplaintZ5ISNoneNoneNoneNoneNone
7/21/2014 12:00:00 AMComplaintMC0LA0081Class 3TRAINING - STAFF IN-SERVICE11/05/2014-
7/21/2014 12:00:00 AMComplaintMC0LA0082Class 3TRAINING - HIV/AIDS11/05/2014-
7/21/2014 12:00:00 AMComplaintMC0LA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS11/05/2014-
7/21/2014 12:00:00 AMComplaintMC0LA0093Class 4FOOD SERVICE - DIETARY STANDARDS11/05/2014-
7/21/2014 12:00:00 AMComplaintQMQGA0010Class 3ADMISSIONS - CONTINUED RESIDENCY11/05/2014-
7/21/2014 12:00:00 AMComplaintQMQGA0025Class 3RESIDENT CARE - SUPERVISION11/05/2014-
7/21/2014 12:00:00 AMComplaintQMQGA0079Class 3STAFFING STANDARDS - LEVELS11/05/2014-
1/8/2014 12:00:00 AMStandardWDULA0078Class 3STAFFING STANDARDS - STAFF02/19/2014-
1/8/2014 12:00:00 AMStandardWDULA0083Class 3TRAINING - FIRST AID AND CPR02/19/2014-
1/8/2014 12:00:00 AMStandardWDULA0093Class 3FOOD SERVICE - DIETARY STANDARDS02/19/2014-
6/21/2012 12:00:00 AMMonitorP5K3NoneNoneNoneNoneNone
Florida Agency for Health Care Administration (AHCA) Inspection Data