Inspection Details

Facility ID: 11965614 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
7/28/2025 12:00:00 AMStandardAUSKA0161Class 3RECORDS - STAFF09/11/2025-
8/28/2024 12:00:00 AMComplaintZ7HONoneNoneNoneNoneNone
6/30/2023 12:00:00 AMStandardC8M0CZ816UnclassifiedBACKGROUND SCREENING-COMPLIANCE ATTESTATION08/23/2023
408.809 Background screening; prohibited offenses.- (2) Every 5 years following his or her licensure, employment, or entry into a contract in a capacity that under subsection (1) would require level 2 background screening under chapter 435, each such person must submit to level 2 background rescreening as a condition of retaining such license or continuing in such employment or contractual status. For any such rescreening, the agency shall request the Department of Law Enforcement to forward the...
5/11/2023 12:00:00 AMComplaint897PA0056Class 3MEDICATION - LABELING AND ORDERS08/23/2023
(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...
10/31/2022 12:00:00 AMComplaintQLL6A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN12/20/2022
429.256 (3) Assistance with self-administration of medication includes: (a) Taking the medication, in its previously dispensed, properly labeled container, from where it is stored, and bringing it to the resident. For purposes of this paragraph, an insulin syringe that is prefilled with the proper dosage by a pharmacist and an insulin pen that is prefilled by the manufacturer are considered medications in previously dispensed, properly labeled containers. (b) In the presence of the resident, co...
10/31/2022 12:00:00 AMComplaintQLL6A0081Class 3TRAINING - STAFF IN-SERVICE12/20/2022
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 ...
10/31/2022 12:00:00 AMComplaintQLL6A0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT12/20/2022
59A-36.011 (6) ASSISTANCE WITH THE SELF-ADMINISTRATION OF MEDICATION AND MEDICATION MANAGEMENT. Unlicensed persons who will be providing assistance with the self-administration of medications as described in rule 59A-36.008, F.A.C., must meet the training requirements pursuant to section 429.52(6), 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 t...
10/31/2022 12:00:00 AMComplaintQLL6A0086Class 3TRAINING - ADRD12/20/2022
(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...
10/31/2022 12:00:00 AMComplaintQLL6CZ816UnclassifiedBACKGROUND SCREENING-COMPLIANCE ATTESTATION12/20/2022
408.809 Background screening; prohibited offenses.- (2) Every 5 years following his or her licensure, employment, or entry into a contract in a capacity that under subsection (1) would require level 2 background screening under chapter 435, each such person must submit to level 2 background rescreening as a condition of retaining such license or continuing in such employment or contractual status. For any such rescreening, the agency shall request the Department of Law Enforcement to forward the...
10/31/2022 12:00:00 AMComplaintQLL6CZ830Class 3EMERGENCY MANAGEMENT PLANNING12/20/2022
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 ...
2/8/2022 12:00:00 AMComplaintK8I2A0054Class 3MEDICATION - RECORDS03/16/2022
(5) MEDICATION RECORDS. (a) For residents who use a pill organizer managed in subsection (2), the facility must keep either the original labeled medication container; or a medication listing with the prescription number, the name and address of the issuing pharmacy, the health care provider's name, the resident's name, the date dispensed, the name and strength of the drug, and the directions for use. (b) The facility must maintain a daily medication observation record for each resident w...
2/8/2022 12:00:00 AMComplaintK8I2A0160Class 3RECORDS - FACILITY03/16/2022
The facility must maintain required records in a manner that makes such records readily available at the licensee's physical address for review by a legally authorized entity. If records are maintained in an electronic format, facility staff must be readily available to access the data and produce the requested information. For purposes of this section, "readily available" means the ability to immediately produce documents, records, or other such data, either in electronic or paper...
2/8/2022 12:00:00 AMComplaintK8I2A0162Class 3RECORDS - RESIDENT03/16/2022
(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...
2/8/2022 12:00:00 AMComplaintK8I2CZ814UnclassifiedBACKGROUND SCREENING CLEARINGHOUSE03/16/2022
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, 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...
10/22/2021 12:00:00 AMStandardXRORA0078Class 3STAFFING STANDARDS - STAFF12/07/2021
(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...
10/22/2021 12:00:00 AMStandardXRORA0081Class 3TRAINING - STAFF IN-SERVICE12/07/2021
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 ...
10/22/2021 12:00:00 AMStandardXRORA0082Class 3TRAINING - HIV/AIDS12/07/2021
(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 (...
10/22/2021 12:00:00 AMStandardXRORA0083Class 3TRAINING - FIRST AID AND CPR12/07/2021
(5) 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 that the staff member possess current CPR certification that requires the student to demonstrate, in person, that he or she is able to perform CPR and which is issued by an instructor or training provider that is approved to provide CPR training by the Am...
10/22/2021 12:00:00 AMStandardXRORA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT12/07/2021
59A-36.011 (6) ASSISTANCE WITH THE SELF-ADMINISTRATION OF MEDICATION AND MEDICATION MANAGEMENT. Unlicensed persons who will be providing assistance with the self-administration of medications as described in rule 59A-36.008, F.A.C., must meet the training requirements pursuant to section 429.52(6), 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 t...
10/22/2021 12:00:00 AMStandardXRORA0086Class 3TRAINING - ADRD12/07/2021
(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...
10/22/2021 12:00:00 AMStandardXRORA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS12/07/2021
(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...
6/29/2021 12:00:00 AMExpansionJKT6NoneNoneNoneNoneNone
12/10/2020 12:00:00 AMComplaintP76PNoneNoneNoneNoneNone
12/10/2020 12:00:00 AMMonitorY67ENoneNoneNoneNoneNone
11/20/2019 12:00:00 AMStandardBWPUA0078Class 3STAFFING STANDARDS - STAFF01/15/2020
(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...
11/20/2019 12:00:00 AMStandardBWPUA0081Class 3TRAINING - STAFF IN-SERVICE01/15/2020
(2) STAFF PRESERVICE ORIENTATION. (a) Facilities must provide a preservice orientation of at least 2 hours to all new assisted living facility employees who have not previously completed core training as detailed in subsection (1). (b) New staff must complete the preservice orientation prior to interacting with residents. (c) Once complete, the employee and the facility administrator must sign a statement that the employee completed the preservice orientation which must be kept in the employee&#...
11/20/2019 12:00:00 AMStandardBWPUA0082Class 3TRAINING - HIV/AIDS01/15/2020
(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 (...
11/20/2019 12:00:00 AMStandardBWPUA0086Class 3TRAINING - ADRD01/15/2020
(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...
11/20/2019 12:00:00 AMStandardBWPUA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS01/15/2020
(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...
9/5/2019 12:00:00 AMComplaint6Y87NoneNoneNoneNoneNone
7/16/2019 12:00:00 AMMonitor3EVFNoneNoneNoneNoneNone
11/16/2017 12:00:00 AMComplaint7T76NoneNoneNoneNoneNone
11/16/2017 12:00:00 AMStandardFZXLA0081Class 3TRAINING - STAFF IN-SERVICE01/08/2018
(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...
11/16/2017 12:00:00 AMStandardFZXLA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS01/08/2018
(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...
12/20/2016 12:00:00 AMComplaintPP97CZ814Class 3BACKGROUND SCREENING CLEARINGHOUSE02/09/2017
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...
10/15/2015 12:00:00 AMStandardWVTRNoneNoneNoneNoneNone
6/16/2015 12:00:00 AMMonitor6QXENoneNoneNoneNoneNone
3/30/2015 12:00:00 AMMonitorKBNUNoneNoneNoneNoneNone
9/9/2014 12:00:00 AMMonitorVI5BNoneNoneNoneNoneNone
4/14/2014 12:00:00 AMExpansionL8S8NoneNoneNoneNoneNone
2/28/2014 12:00:00 AMComplaintYYJQNoneNoneNoneNoneNone
11/13/2013 12:00:00 AMStandardMDTFNoneNoneNoneNoneNone