| Survey Date | Inspection Type | Track ID | Deficiency | Class | Requirement Description | Correction Date | Requirement Long Description |
|---|---|---|---|---|---|---|---|
| 12/5/2024 12:00:00 AM | Standard | ULB6 | A0052 | Class 3 | MEDICATION - ASSISTANCE WITH SELF-ADMIN | 01/28/2025 | - |
| 12/5/2024 12:00:00 AM | Standard | ULB6 | A0056 | Class 3 | MEDICATION - LABELING AND ORDERS | 01/28/2025 | - |
| 12/5/2024 12:00:00 AM | Standard | ULB6 | A0082 | Class 3 | TRAINING - HIV/AIDS | 01/28/2025 | - |
| 12/5/2024 12:00:00 AM | Standard | ULB6 | A0090 | Class 3 | TRAINING - DO NOT RESUSCITATE ORDERS | 01/28/2025 | - |
| 12/5/2024 12:00:00 AM | Standard | ULB6 | CZ875 | Class 3 | ALZHEIMER DISEASE/DEMENTIA; TRAINING | 01/28/2025 | (4) Employees of covered providers must complete the following training for Alzheimer's disease and related forms of dementia:
(a) Upon beginning employment, each employee must receive basic written information about interacting with persons who have Alzheimer's disease or related forms of dementia.
(b) Within 30 days after beginning employment, each employee who provides personal care to or has regular contact with participants, patients, or residents must complete a 1-hour training pro... |
| 5/14/2024 12:00:00 AM | Complaint | GVER | A0025 | 1 | RESIDENT CARE - SUPERVISION | 06/26/2024 | - |
| 5/14/2024 12:00:00 AM | Complaint | GVER | A0032 | 2 | RESIDENT CARE - ELOPEMENT STANDARDS | 06/26/2024 | - |
| 5/14/2024 12:00:00 AM | Complaint | GVER | A0077 | 2 | STAFFING STANDARDS - ADMINISTRATORS | 06/26/2024 | - |
| 5/14/2024 12:00:00 AM | Complaint | GVER | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 06/26/2024 | - |
| 5/14/2024 12:00:00 AM | Complaint | GVER | CZ814 | Unclassified | BACKGROUND SCREENING CLEARINGHOUSE | 06/26/2024 | - |
| 5/14/2024 12:00:00 AM | Complaint | GVER | CZ821 | Unclassified | REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION | 06/26/2024 | - |
| 3/2/2023 12:00:00 AM | Standard | 22PI | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 03/30/2023 | (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... |
| 3/2/2023 12:00:00 AM | Standard | 22PI | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 03/29/2023 | 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 ... |
| 3/2/2023 12:00:00 AM | Standard | 22PI | A0082 | Class 3 | TRAINING - HIV/AIDS | 03/29/2023 | (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 (... |
| 3/2/2023 12:00:00 AM | Standard | 22PI | A0084 | Class 3 | TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | 03/30/2023 | 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... |
| 3/2/2023 12:00:00 AM | Standard | 22PI | A0085 | Class 3 | TRAINING - NUTRITION & FOOD SERVICE | 03/30/2023 | (7) NUTRITION AND FOOD SERVICE. The administrator or person designated by the administrator as responsible for the facility's food service and the day-to-day supervision of food service staff must obtain, annually, a minimum of 2 hours continuing education in topics pertinent to nutrition and food service in an assisted living facility. This requirement does not apply to administrators and designees who are exempt from training requirements under paragraph 59A-36.012(1)(b). A certified food ... |
| 3/2/2023 12:00:00 AM | Standard | 22PI | A0090 | Class 3 | TRAINING - DO NOT RESUSCITATE ORDERS | 03/29/2023 | (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... |
| 3/2/2023 12:00:00 AM | Standard | 22PI | A0160 | Class 3 | RECORDS - FACILITY | 07/11/2023 | 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... |
| 3/2/2023 12:00:00 AM | Standard | 22PI | A0161 | Class 3 | RECORDS - STAFF | 03/29/2023 | 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... |
| 3/2/2023 12:00:00 AM | Standard | 22PI | CZ813 | Unclassified | RESULTS OF SCREENING & NOTIFICATION IN FILE | 03/29/2023 | 59A-35.090 Background Screening.
(3) Results of Screening and Notification.
(c) The eligibility results of employee screening and the signed Attestation referenced in subsection 59A-35.090(2), F.A.C., must be in the employee's personnel file, maintained by the provider. |
| 3/2/2023 12:00:00 AM | Standard | 22PI | CZ814 | Unclassified | BACKGROUND SCREENING CLEARINGHOUSE | 03/30/2023 | 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... |
| 3/2/2023 12:00:00 AM | Standard | 22PI | CZ815 | Unclassified | BACKGROUND SCREENING; PROHIBITED OFFENSES | 03/30/2023 | 408.809 Background screening; prohibited offenses.-
(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... |
| 3/2/2023 12:00:00 AM | Standard | 22PI | CZ816 | Unclassified | BACKGROUND SCREENING-COMPLIANCE ATTESTATION | 03/28/2023 | 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... |
| 1/19/2021 12:00:00 AM | Standard | 8BXC | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 03/01/2021 | (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... |
| 1/19/2021 12:00:00 AM | Standard | 8BXC | A0084 | Class 3 | TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | 03/01/2021 | 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... |
| 1/19/2021 12:00:00 AM | Standard | 8BXC | A0085 | Class 3 | TRAINING - NUTRITION & FOOD SERVICE | 03/01/2021 | (7) NUTRITION AND FOOD SERVICE. The administrator or person designated by the administrator as responsible for the facility's food service and the day-to-day supervision of food service staff must obtain, annually, a minimum of 2 hours continuing education in topics pertinent to nutrition and food service in an assisted living facility. This requirement does not apply to administrators and designees who are exempt from training requirements under paragraph 59A-36.012(1)(b). A certified food ... |
| 1/19/2021 12:00:00 AM | Standard | 8BXC | A1300 | Class 3 | VISITATION | 03/01/2021 | 1. Every facility must continue to prohibit the entry of any individual to the facility, except in the following circumstances:
A. Family members, friends, and individuals visiting residents in end of-life situations including any resident enrolled in hospice;
B. Hospice or palliative care workers caring for residents in end-of-life situations including any resident enrolled in hospice;
C. Any individuals or providers giving necessary health care to a resident, provided that ... |
| 12/16/2020 12:00:00 AM | Complaint | Q4XB | None | None | None | None | None |
| 2/14/2019 12:00:00 AM | Complaint | PV8U | A0025 | Class 3 | RESIDENT CARE - SUPERVISION | 04/16/2019 | 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... |
| 11/6/2018 12:00:00 AM | Standard | 0L9W | None | None | None | None | None |
| 11/30/2016 12:00:00 AM | Standard | 36YR | A0025 | Class 3 | RESIDENT CARE - SUPERVISION | 02/01/2017 | 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... |
| 12/1/2014 12:00:00 AM | Standard | 9FG4 | None | None | None | None | None |
| 2/20/2014 12:00:00 AM | Monitor | FKRF | AL243 | Class 3 | LMH - TRAINING | 04/11/2014 | (8) LIMITED MENTAL HEALTH TRAINING.
(a) Pursuant to Section 429.075, F.S., the administrator, managers and staff, who have direct contact with mental health residents in a licensed limited mental health facility, must receive the following training:
1. A minimum of 6 hours of specialized training in working with individuals with mental health diagnoses.
a. The training must be provided or approved by the Department of Children and Families and must be taken within 6 months of the facility '... |
| 4/22/2013 12:00:00 AM | Monitor | LE5D | None | None | None | None | None |
| 11/9/2012 12:00:00 AM | Standard | 90Z8 | A0162 | Class 3 | RECORDS - RESIDENT | 11/28/2012 | (3) RESIDENT RECORDS. Resident records shall 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, responsible party, or other person the resident would like to have notified in case of an emergency, and relationship to resident; and
9... |
| 11/9/2012 12:00:00 AM | Complaint | KF71 | None | None | None | None | None |