Inspection Details

Facility ID: 11965458 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
10/6/2025 12:00:00 AMComplaintN3GTZZ000-INITIAL COMMENTS--
8/19/2025 12:00:00 AMComplaintN3GTA00252RESIDENT CARE - SUPERVISION10/06/2025-
8/19/2025 12:00:00 AMComplaintN3GTA0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS10/06/2025-
8/19/2025 12:00:00 AMComplaintN3GTA0083Class 3TRAINING - FIRST AID AND CPR10/06/2025-
8/19/2025 12:00:00 AMComplaintN3GTZZ815UnclassifiedBACKGROUND SCREENING; PROHIBITED OFFENSES10/06/2025-
6/10/2024 12:00:00 AMStandard5XNGA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN10/15/2024-
6/10/2024 12:00:00 AMStandard5XNGA0081Class 3TRAINING - STAFF IN-SERVICE08/13/2024-
6/10/2024 12:00:00 AMStandard5XNGA0083Class 3TRAINING - FIRST AID AND CPR08/13/2024-
6/10/2024 12:00:00 AMStandard5XNGA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT08/13/2024-
6/10/2024 12:00:00 AMStandard5XNGA0093Class 3FOOD SERVICE - DIETARY STANDARDS08/13/2024-
6/10/2024 12:00:00 AMStandard5XNGA0161Class 3RECORDS - STAFF08/13/2024-
6/10/2024 12:00:00 AMStandard5XNGCZ816UnclassifiedBACKGROUND SCREENING-COMPLIANCE ATTESTATION08/13/2024-
6/10/2024 12:00:00 AMStandard5XNGCZ841Class 3IN-PERSON VISITATION08/13/2024-
6/14/2022 12:00:00 AMStandard9F5ONoneNoneNoneNoneNone
3/29/2021 12:00:00 AMMonitorDUGBA0025Class 3RESIDENT CARE - SUPERVISION05/25/2021
429.26 (7) The facility shall 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 must notify the resident ' s representative o...
3/29/2021 12:00:00 AMMonitorDUGBCZ821UnclassifiedREPORTING REQUIREMENTS; ELECTRONIC SUBMISSION05/25/2021
59A-35.110 Reporting Requirements; Electronic Submission. (1) During the two year licensure period, any change or expiration of any information that is required to be reported under chapter 408, part II, F.S., or authorizing statutes for the provider type as specified in section 408.803(3), F.S., during the license application process must be reported to the Agency within 21 days of occurrence of the change, including: (a) Insurance coverage renewal; (b) Bond renewal; (c) Change of administrator...
2/19/2020 12:00:00 AMStandardQ2WHNoneNoneNoneNoneNone
1/10/2019 12:00:00 AMMonitorXD08NoneNoneNoneNoneNone
3/14/2018 12:00:00 AMStandardLFJ4NoneNoneNoneNoneNone
2/14/2018 12:00:00 AMComplaintN8ZLA0181Class 3EMERGENCY PLAN APPROVAL08/16/2018
(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...
3/14/2016 12:00:00 AMStandardIP4XA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT03/23/2016
(5) ASSISTANCE WITH SELF-ADMINISTERED MEDICATION AND MEDICATION MANAGEMENT. Unlicensed persons who will be providing assistance with self-administered medications as described in Rule 58A-5.0185, F.A.C., must meet the training requirements pursuant to Section 429.52(5), F.S., prior to assuming this responsibility. Courses provided in fulfilment of this requirement must meet the following criteria: (a) Training must cover state law and rule requirements with respect to the supervision, assistance...
6/11/2015 12:00:00 AMMonitorV16ENoneNoneNoneNoneNone
12/31/2014 12:00:00 AMMonitor9BGDA0083Class 3TRAINING - FIRST AID AND CPR01/05/2015
(4) FIRST AID AND CARDIOPULMONARY RESUSCITATION (CPR). A staff member who has completed courses in First Aid and CPR and holds a currently valid card documenting completion of such courses must be in the facility at all times. (a) Documentation of attendance at First Aid or CPR course offered by an accredited college, university or vocational school; a licensed hospital; the American Red Cross, American Heart Association, or National Safety Council; or a provider approved by the Department of He...
3/18/2014 12:00:00 AMStandardS5V3A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN05/27/2014
(3) ASSISTANCE WITH SELF-ADMINISTRATION. (a) For facilities which provide assistance with self-administered medication, either: a nurse; or an unlicensed staff member, who is at least 18 years old, trained to assist with self-administered medication in accordance with Rule 58A-5.0191, F.A.C., and able to demonstrate to the administrator the ability to accurately read and interpret a prescription label, must be available to assist residents with self-administered medications in accordance with pr...
3/18/2014 12:00:00 AMStandardS5V3A0167Class 4RESIDENT CONTRACTS05/27/2014
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 ...
4/8/2013 12:00:00 AMMonitorXYQYA0081Class 3TRAINING - STAFF IN-SERVICE07/15/2013
(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...
4/8/2013 12:00:00 AMMonitorXYQYA0082Class 3TRAINING - HIV/AIDS07/15/2013
(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 (...
4/8/2013 12:00:00 AMMonitorXYQYA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT07/15/2013
(5) ASSISTANCE WITH SELF-ADMINISTERED MEDICATION AND MEDICATION MANAGEMENT. Unlicensed persons who will be providing assistance with self-administered medications as described in Rule 58A-5.0185, F.A.C., must meet the training requirements pursuant to Section 429.52(5), F.S., prior to assuming this responsibility. Courses provided in fulfilment of this requirement must meet the following criteria: (a) Training must cover state law and rule requirements with respect to the supervision, assistance...
4/8/2013 12:00:00 AMMonitorXYQYA01632RECORDS - RESIDENT, PENALTIES FOR ALTERATION07/15/2013
Resident records; penalties for alteration.- (1) Any person who fraudulently alters, defaces, or falsifies any medical or other record of an assisted living facility, or causes or procures any such offense to be committed, commits a misdemeanor of the second degree, punishable as provided in s. 775.082 or s. 775.083. (2) A conviction under subsection (1) is also grounds for restriction, suspension, or termination of license privileges.