Inspection Details

Facility ID: 11965733 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
9/25/2025 12:00:00 AMComplaintSDOZNoneNoneNoneNoneNone
6/26/2025 12:00:00 AMComplaint1W8TA0031Class 3RESIDENT CARE - THIRD PARTY SERVICES09/25/2025-
6/26/2025 12:00:00 AMComplaint1W8TA0054Class 3MEDICATION - RECORDS09/25/2025-
6/26/2025 12:00:00 AMComplaintECZEA00562MEDICATION - LABELING AND ORDERS10/27/2025-
6/26/2025 12:00:00 AMComplaintECZEA0058Class 3PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES10/27/2025-
6/26/2025 12:00:00 AMComplaintECZEA0165Class 3RISK MGMT & QA10/27/2025-
6/26/2025 12:00:00 AMComplaintECZEA0182Class 3EMERGENCY MGMT - PLAN IMPLEMENTATION10/03/2025-
5/12/2025 12:00:00 AMComplaintECZEA0007Class 3ADMISSIONS - CRITERIA06/23/2025-
5/12/2025 12:00:00 AMComplaintECZEA0010Class 3ADMISSIONS - CONTINUED RESIDENCY10/03/2025-
5/12/2025 12:00:00 AMComplaintECZEA00272RESIDENT CARE - ARRANGEMENT FOR HEALTH CARE10/03/2025-
5/12/2025 12:00:00 AMComplaintECZEA00321RESIDENT CARE - ELOPEMENT STANDARDS10/27/2025-
5/12/2025 12:00:00 AMComplaintECZEA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN06/23/2025-
5/12/2025 12:00:00 AMComplaintECZEA0055Class 3MEDICATION - STORAGE AND DISPOSAL10/03/2025-
5/12/2025 12:00:00 AMComplaintECZEA0077Class 3STAFFING STANDARDS - ADMINISTRATORS10/27/2025-
5/12/2025 12:00:00 AMComplaintECZEA0078Class 3STAFFING STANDARDS - STAFF10/03/2025-
5/12/2025 12:00:00 AMComplaintECZEA00791STAFFING STANDARDS - LEVELS10/27/2025-
5/12/2025 12:00:00 AMComplaintECZEA0093Class 3FOOD SERVICE - DIETARY STANDARDS10/03/2025-
5/12/2025 12:00:00 AMComplaintECZEA0160Class 3RECORDS - FACILITY10/03/2025-
5/12/2025 12:00:00 AMComplaintECZEA0161Class 3RECORDS - STAFF10/03/2025-
5/12/2025 12:00:00 AMComplaintECZEA0162Class 3RECORDS - RESIDENT10/03/2025-
5/12/2025 12:00:00 AMComplaintECZEA0190Class 3ADMINISTRATIVE ENFORCEMENT06/23/2025-
1/9/2025 12:00:00 AMComplaint1W8TA0025Class 3RESIDENT CARE - SUPERVISION09/25/2025-
1/9/2025 12:00:00 AMComplaint1W8TA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES09/25/2025-
1/9/2025 12:00:00 AMComplaint1W8TA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER09/25/2025-
1/9/2025 12:00:00 AMComplaintIZTWA0011Class 3ADMISSIONS - DISCHARGE10/27/2025-
1/9/2025 12:00:00 AMComplaintIZTWA0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS10/27/2025-
1/9/2025 12:00:00 AMComplaintIZTWA0079Class 3STAFFING STANDARDS - LEVELS10/27/2025-
1/9/2025 12:00:00 AMComplaintIZTWCZ814UnclassifiedBACKGROUND SCREENING CLEARINGHOUSE10/27/2025-
8/13/2024 12:00:00 AMMonitor7D5ENoneNoneNoneNoneNone
8/6/2024 12:00:00 AMComplaintSNVKNoneNoneNoneNoneNone
6/26/2024 12:00:00 AMComplaintIZTWA00102ADMISSIONS - CONTINUED RESIDENCY07/25/2024-
6/26/2024 12:00:00 AMComplaintIZTWA0025Class 3RESIDENT CARE - SUPERVISION07/25/2024-
6/26/2024 12:00:00 AMComplaintIZTWA00272RESIDENT CARE - ARRANGEMENT FOR HEALTH CARE01/09/2025-
6/26/2024 12:00:00 AMComplaintIZTWA00301RESIDENT CARE - RIGHTS & FACILITY PROCEDURES10/27/2025-
6/26/2024 12:00:00 AMComplaintIZTWA0053Class 3MEDICATION - ADMINISTRATION01/09/2025-
6/26/2024 12:00:00 AMComplaintIZTWA0055Class 3MEDICATION - STORAGE AND DISPOSAL07/25/2024-
6/26/2024 12:00:00 AMComplaintIZTWA0077Class 3STAFFING STANDARDS - ADMINISTRATORS07/25/2024-
6/26/2024 12:00:00 AMComplaintIZTWA0078Class 3STAFFING STANDARDS - STAFF07/25/2024-
6/26/2024 12:00:00 AMComplaintIZTWA00921FOOD SERVICE - GENERAL RESPONSIBILITIES07/25/2024-
6/26/2024 12:00:00 AMComplaintIZTWA01521PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER08/06/2024-
6/26/2024 12:00:00 AMComplaintIZTWA0160Class 3RECORDS - FACILITY07/25/2024-
6/26/2024 12:00:00 AMComplaintIZTWA0162Class 3RECORDS - RESIDENT01/09/2025-
6/26/2024 12:00:00 AMComplaintIZTWCZ8302EMERGENCY MANAGEMENT PLANNING07/25/2024-
3/21/2024 12:00:00 AMComplaintYDFOA0056Class 3MEDICATION - LABELING AND ORDERS06/19/2024-
3/21/2024 12:00:00 AMComplaintYDFOA0182Class 3EMERGENCY MGMT - PLAN IMPLEMENTATION07/25/2024-
11/21/2023 12:00:00 AMComplaint909XA00252RESIDENT CARE - SUPERVISION03/21/2024
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 or ...
11/21/2023 12:00:00 AMComplaint909XA00272RESIDENT CARE - ARRANGEMENT FOR HEALTH CARE03/21/2024
(3) ARRANGEMENT FOR HEALTH CARE. In order to facilitate resident access to health care as needed, the facility must: (a) Assist residents in making appointments and remind residents about scheduled appointments for medical, dental, nursing, or mental health services. (b) Provide transportation to needed medical, dental, nursing or mental health services, or arrange for transportation through family and friends, volunteers, taxi cabs, public buses, and agencies providing transportation. (c) The f...
11/21/2023 12:00:00 AMComplaint909XA00792STAFFING STANDARDS - LEVELS06/19/2024
(3) STAFFING STANDARDS. (a) Minimum staffing: 1. Facilities must maintain the following minimum staff hours per week: Number of Residents, Day Care Participants, and Respite Care Residents Staff Hours/Week 0-5 168 6-15 212 16-25 253 26-35 294 36-45 335 46-55 375 56-65 416 66-75 457 76-85 498 86-95 539 For every 20 total combined residents, day care participants, and respite care residents over 95 add 42 staff hours per week. 2. Independent living residents, as referenced in s...
11/21/2023 12:00:00 AMComplaint909XA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER03/21/2024
(3) OTHER REQUIREMENTS. (a) All facilities must: 1. Provide a safe living environment pursuant to section 429.28(1)(a), F.S.; 2. Be maintained free of hazards; and, 3. Ensure that all existing architectural, mechanical, electrical and structural systems, and appurtenances are maintained in good working order. (b) Pursuant to section 429.27, F.S., residents must be given the option of using their own belongings as space permits. When the facility supplies the furnishings, each resident bedroom or...
11/21/2023 12:00:00 AMComplaint909XA0162Class 3RECORDS - RESIDENT03/21/2024
(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...
11/21/2023 12:00:00 AMComplaint909XA0165Class 3RISK MGMT & QA-
429.23 Internal risk management and quality assurance program; adverse incidents and reporting requirements.- (1) Every facility licensed under this part may, as part of its administrative functions, voluntarily establish a risk management and quality assurance program, the purpose of which is to assess resident care practices, facility incident reports, deficiencies cited by the agency, adverse incident reports, and resident grievances and develop plans of action to correct and respond quickly ...
11/21/2023 12:00:00 AMComplaint909XCZ814UnclassifiedBACKGROUND SCREENING CLEARINGHOUSE03/21/2024-
11/21/2023 12:00:00 AMComplaint909XCZ815UnclassifiedBACKGROUND SCREENING; PROHIBITED OFFENSES03/21/2024-
9/7/2023 12:00:00 AMComplaintGSMFNoneNoneNoneNoneNone
5/24/2023 12:00:00 AMComplaintY1HPA00102ADMISSIONS - CONTINUED RESIDENCY09/07/2023
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 ...
5/24/2023 12:00:00 AMComplaintY1HPA00302RESIDENT CARE - RIGHTS & FACILITY PROCEDURES09/07/2023
59A-36.007 (5) RESIDENT RIGHTS AND FACILITY PROCEDURES. (a) A copy of the Resident Bill of Rights as described in Section 429.28, F.S., or a summary provided by the Long-Term Care Ombudsman Program must be posted in full view in a freely accessible resident area, and included in the admission package provided pursuant to Rule 59A-36.006, F.A.C. (b) In accordance with Section 429.28, F.S., the facility must have a written grievance procedure for receiving and responding to resident complaints and...
5/24/2023 12:00:00 AMComplaintY1HPA0031Class 3RESIDENT CARE - THIRD PARTY SERVICES09/07/2023
(6) THIRD PARTY SERVICES. (a) Nothing in this rule chapter is intended to prohibit a resident or the resident's representative from independently arranging, contracting, and paying for services provided by a third party of the resident's choice, including a licensed home health agency or private nurse, or receiving services through an out-patient clinic, provided the resident meets the criteria for admission and continued residency and the resident complies with the facility's policy...
5/24/2023 12:00:00 AMComplaintY1HPA0077Class 3STAFFING STANDARDS - ADMINISTRATORS09/07/2023
429.176 Notice of change of administrator.-If, during the period for which a license is issued, the owner changes administrators, the owner must notify the agency of the change within 10 days and provide documentation within 90 days that the new administrator meets educational requirements and has completed the applicable core educational requirements under s. 429.52. A facility may not be operated for more than 120 consecutive days without an administrator who has completed the core educational...
5/24/2023 12:00:00 AMComplaintY1HPA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER09/07/2023
(3) OTHER REQUIREMENTS. (a) All facilities must: 1. Provide a safe living environment pursuant to section 429.28(1)(a), F.S.; 2. Be maintained free of hazards; and, 3. Ensure that all existing architectural, mechanical, electrical and structural systems, and appurtenances are maintained in good working order. (b) Pursuant to section 429.27, F.S., residents must be given the option of using their own belongings as space permits. When the facility supplies the furnishings, each resident bedroom or...
5/24/2023 12:00:00 AMComplaintY1HPA0162Class 3RECORDS - RESIDENT09/07/2023
(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...
5/24/2023 12:00:00 AMComplaintY1HPA0165Class 3RISK MGMT & QA09/07/2023
429.23 Internal risk management and quality assurance program; adverse incidents and reporting requirements.- (1) Every facility licensed under this part may, as part of its administrative functions, voluntarily establish a risk management and quality assurance program, the purpose of which is to assess resident care practices, facility incident reports, deficiencies cited by the agency, adverse incident reports, and resident grievances and develop plans of action to correct and respond quickly ...
2/1/2023 12:00:00 AMComplaintY1HPA0025Class 3RESIDENT CARE - SUPERVISION09/07/2023
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 or ...
9/8/2022 12:00:00 AMComplaintH5P6NoneNoneNoneNoneNone
5/3/2022 12:00:00 AMStandard1QQPA0078Class 3STAFFING STANDARDS - STAFF09/08/2022
(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...
5/3/2022 12:00:00 AMStandard1QQPA0081Class 3TRAINING - STAFF IN-SERVICE09/08/2022
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 ...
5/3/2022 12:00:00 AMStandard1QQPA0082Class 3TRAINING - HIV/AIDS09/08/2022
(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 (...
5/3/2022 12:00:00 AMStandard1QQPA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS09/08/2022
(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...
5/3/2022 12:00:00 AMStandard1QQPA0160Class 3RECORDS - FACILITY09/08/2022
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...
5/3/2022 12:00:00 AMStandard1QQPA0161Class 3RECORDS - STAFF09/08/2022
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...
9/3/2021 12:00:00 AMComplaint4W2KCZ815UnclassifiedBACKGROUND SCREENING; PROHIBITED OFFENSES10/01/2021
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...
8/26/2021 12:00:00 AMComplaintF4YVNoneNoneNoneNoneNone
7/20/2021 12:00:00 AMComplaintJJ50A00272RESIDENT CARE - ARRANGEMENT FOR HEALTH CARE10/12/2021
(3) ARRANGEMENT FOR HEALTH CARE. In order to facilitate resident access to health care as needed, the facility must: (a) Assist residents in making appointments and remind residents about scheduled appointments for medical, dental, nursing, or mental health services. (b) Provide transportation to needed medical, dental, nursing or mental health services, or arrange for transportation through family and friends, volunteers, taxi cabs, public buses, and agencies providing transportation. (c) The f...
6/17/2021 12:00:00 AMComplaint3JQ2NoneNoneNoneNoneNone
6/17/2021 12:00:00 AMComplaint4W2KA0031Class 3RESIDENT CARE - THIRD PARTY SERVICES08/19/2021
59A-36.007 (7) THIRD PARTY SERVICES. (a) Nothing in this rule chapter is intended to prohibit a resident or the resident's representative from independently arranging, contracting, and paying for services provided by a third party of the resident's choice, including a licensed home health agency or private nurse, or receiving services through an out-patient clinic, provided the resident meets the criteria for admission and continued residency and the resident complies with the facility&#...
6/17/2021 12:00:00 AMComplaint4W2KA0055Class 3MEDICATION - STORAGE AND DISPOSAL08/19/2021
(6) MEDICATION STORAGE AND DISPOSAL. (a) In order to accommodate the needs and preferences of residents and to encourage residents to remain as independent as possible, residents may keep their medications, both prescription and over-the-counter, in their possession both on or off the facility premises. Residents may also store their medication in their rooms or apartments if either the room is kept locked when residents are absent or the medication is stored in a secure place that is out of sig...
4/30/2021 12:00:00 AMComplaint4W2KA0010Class 3ADMISSIONS - CONTINUED RESIDENCY06/17/2021
429.26 (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 accordance with facility policy, and any limitations in law...
4/30/2021 12:00:00 AMComplaint4W2KA00301RESIDENT CARE - RIGHTS & FACILITY PROCEDURES06/17/2021
59A-36.007 (6) RESIDENT RIGHTS AND FACILITY PROCEDURES. (a) A copy of the Resident Bill of Rights as described in section 429.28, F.S., or a summary provided by the Long-Term Care Ombudsman Program must be posted in full view in a freely accessible resident area, and included in the admission package provided pursuant to rule 59A-36.006, F.A.C. (b) In accordance with section 429.28, F.S., the facility must have a written grievance procedure for receiving and responding to resident complaints and...
4/30/2021 12:00:00 AMComplaint4W2KA0054Class 3MEDICATION - RECORDS06/17/2021
(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...
4/30/2021 12:00:00 AMComplaint4W2KA00562MEDICATION - LABELING AND ORDERS08/19/2021
(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...
4/30/2021 12:00:00 AMComplaint4W2KA0058Class 3PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES10/01/2021
429.42 Pharmacy and dietary services.- (1) Any assisted living facility in which the agency has documented a class I or class II deficiency or uncorrected class III deficiencies regarding medicinal drugs or over-the-counter preparations, including their storage, use, delivery, or administration, or dietary services, or both, during a biennial survey or a monitoring visit or an investigation in response to a complaint, shall, in addition to or as an alternative to any penalties imposed under s. ...
4/30/2021 12:00:00 AMComplaint4W2KA00752USE OF PERSONNEL; EMERGENCY CARE (AED)06/17/2021
(3)(a) An assisted living facility licensed under this part with 17 or more beds shall have on the premises at all times a functioning automated external defibrillator as defined in s. 768.1325(2)(b). (b) The facility is encouraged to register the location of each automated external defibrillator with a local emergency medical services medical director. (c) The provisions of ss. 768.13 and 768.1325 apply to automated external defibrillators within the facility. (4) Facility staff may withhold or...
4/30/2021 12:00:00 AMComplaint4W2KA0160Class 3RECORDS - FACILITY08/26/2021
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...
4/30/2021 12:00:00 AMComplaint4W2KA0162Class 3RECORDS - RESIDENT10/01/2021
(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...
4/20/2021 12:00:00 AMComplaint34NYA0182Class 3EMERGENCY MGMT - PLAN IMPLEMENTATION07/01/2021
(3) PLAN IMPLEMENTATION. (a) All staff must be trained in their duties and are responsible for implementing the emergency management plan. (b) If telephone service is not available during an emergency, the facility must request assistance from local law enforcement or emergency management personnel in maintaining communication.
2/25/2021 12:00:00 AMMonitor11OCNoneNoneNoneNoneNone
2/12/2021 12:00:00 AMComplaint4W2KA00251RESIDENT CARE - SUPERVISION10/01/2021
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...
2/12/2021 12:00:00 AMComplaint4W2KA00272RESIDENT CARE - ARRANGEMENT FOR HEALTH CARE04/23/2021
(3) ARRANGEMENT FOR HEALTH CARE. In order to facilitate resident access to health care as needed, the facility must: (a) Assist residents in making appointments and remind residents about scheduled appointments for medical, dental, nursing, or mental health services. (b) Provide transportation to needed medical, dental, nursing or mental health services, or arrange for transportation through family and friends, volunteers, taxi cabs, public buses, and agencies providing transportation. (c) The f...
2/12/2021 12:00:00 AMComplaint4W2KA00322RESIDENT CARE - ELOPEMENT STANDARDS04/23/2021
59A-36.007 (8) 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...
2/12/2021 12:00:00 AMComplaint4W2KA00522MEDICATION - ASSISTANCE WITH SELF-ADMIN10/01/2021
429.256 (3) Assistance with self-administration of medication includes: (a) Taking the medication, in its previously dispensed, properly labeled container, including an insulin syringe that is prefilled with the proper dosage by a pharmacist and an insulin pen that is prefilled by the manufacturer, from where it is stored, and bringing it to the resident. (b) In the presence of the resident, confirming that the medication is intended for that resident, orally advising the resident of the medicat...
2/12/2021 12:00:00 AMComplaint4W2KA00791STAFFING STANDARDS - LEVELS08/19/2021
(3) STAFFING STANDARDS. (a) Minimum staffing: 1. Facilities must maintain the following minimum staff hours per week: Number of Residents, Day Care Participants, and Respite Care Residents Staff Hours/Week 0-5 168 6-15 212 16-25 253 26-35 294 36-45 335 46-55 375 56-65 416 66-75 457 76-85 498 86-95 539 For every 20 total combined residents, day care participants, and respite care residents over 95 add 42 staff hours per week. 2. Independent living residents, as referenced in s...
2/12/2021 12:00:00 AMComplaint4W2KA0081Class 3TRAINING - STAFF IN-SERVICE04/23/2021
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...
2/12/2021 12:00:00 AMComplaint4W2KA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER10/01/2021
(3) OTHER REQUIREMENTS. (a) All facilities must: 1. Provide a safe living environment pursuant to section 429.28(1)(a), F.S.; 2. Be maintained free of hazards; and, 3. Ensure that all existing architectural, mechanical, electrical and structural systems, and appurtenances are maintained in good working order. (b) Pursuant to section 429.27, F.S., residents must be given the option of using their own belongings as space permits. When the facility supplies the furnishings, each resident bedroom or...
2/12/2021 12:00:00 AMComplaint4W2KA0163Class 3RECORDS - RESIDENT, PENALTIES FOR ALTERATION06/17/2021
(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.
2/12/2021 12:00:00 AMComplaint4W2KCZ814UnclassifiedBACKGROUND SCREENING CLEARINGHOUSE04/23/2021
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...
2/12/2021 12:00:00 AMComplaint4W2KCZ830UnclassifiedEMERGENCY MANAGEMENT PLANNING04/23/2021
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 ...
10/2/2020 12:00:00 AMMonitor88CLNoneNoneNoneNoneNone
8/21/2020 12:00:00 AMComplaintH88GA00301RESIDENT CARE - RIGHTS & FACILITY PROCEDURES10/02/2020
59A-36.007 (6) RESIDENT RIGHTS AND FACILITY PROCEDURES. (a) A copy of the Resident Bill of Rights as described in section 429.28, F.S., or a summary provided by the Long-Term Care Ombudsman Program must be posted in full view in a freely accessible resident area, and included in the admission package provided pursuant to rule 59A-36.006, F.A.C. (b) In accordance with section 429.28, F.S., the facility must have a written grievance procedure for receiving and responding to resident complaints and...
8/21/2020 12:00:00 AMComplaintH88GA01521PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER10/02/2020
(3) OTHER REQUIREMENTS. (a) All facilities must: 1. Provide a safe living environment pursuant to section 429.28(1)(a), F.S.; 2. Be maintained free of hazards; and, 3. Ensure that all existing architectural, mechanical, electrical and structural systems, and appurtenances are maintained in good working order. (b) Pursuant to section 429.27, F.S., residents must be given the option of using their own belongings as space permits. When the facility supplies the furnishings, each resident bedroom or...
8/21/2020 12:00:00 AMComplaintH88GA0168Class 3RESIDENT REFUND POLICY09/17/2020
429.24 (3)(a) . . . The refund policy shall provide that the resident or responsible party is entitled to a prorated refund based on the daily rate for any unused portion of payment beyond the termination date after all charges, including the cost of damages to the residential unit resulting from circumstances other than normal use, have been paid to the licensee. For the purpose of this paragraph, the termination date shall be the date the unit is vacated by the resident and cleared of all per...
8/21/2020 12:00:00 AMComplaintH88GCZ815UnclassifiedBACKGROUND SCREENING; PROHIBITED OFFENSES09/17/2020
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...
6/3/2020 12:00:00 AMMonitorKVQHNoneNoneNoneNoneNone
5/5/2020 12:00:00 AMMonitor0HF7NoneNoneNoneNoneNone
4/1/2020 12:00:00 AMMonitorY37FNoneNoneNoneNoneNone
3/12/2020 12:00:00 AMComplaint5K64NoneNoneNoneNoneNone
6/5/2019 12:00:00 AMComplaintN4QNA0025Class 3RESIDENT CARE - SUPERVISION09/23/2019
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...
6/5/2019 12:00:00 AMComplaintN4QNA0078Class 3STAFFING STANDARDS - STAFF09/23/2019
(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...
6/5/2019 12:00:00 AMComplaintN4QNA0081Class 3TRAINING - STAFF IN-SERVICE09/23/2019
(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&#...
6/5/2019 12:00:00 AMComplaintN4QNA0082Class 3TRAINING - HIV/AIDS09/23/2019
(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 (...
6/5/2019 12:00:00 AMComplaintN4QNA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS09/23/2019
(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...
6/5/2019 12:00:00 AMComplaintN4QNA0161Class 3RECORDS - STAFF09/23/2019
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...
6/5/2019 12:00:00 AMComplaintN4QNCZ816Class 3BACKGROUND SCREENING-COMPLIANCE ATTESTATION11/15/2019
408.809 (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 person's fingerprints to the Federal B...
3/13/2019 12:00:00 AMComplaint9LJVA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES06/05/2019
58A-5.0182 (6) RESIDENT RIGHTS AND FACILITY PROCEDURES. (a) A copy of the Resident Bill of Rights as described in section 429.28, F.S., or a summary provided by the Long-Term Care Ombudsman Program must be posted in full view in a freely accessible resident area, and included in the admission package provided pursuant to rule 58A-5.0181, F.A.C. (b) In accordance with section 429.28, F.S., the facility must have a written grievance procedure for receiving and responding to resident complaints and...
3/13/2019 12:00:00 AMComplaint9LJVA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER09/23/2019
(3) OTHER REQUIREMENTS. (a) All facilities must: 1. Provide a safe living environment pursuant to Section 429.28(1)(a), F.S.; 2. Be maintained free of hazards; and 3. Ensure that all existing architectural, mechanical, electrical and structural systems, and appurtenances are maintained in good working order. (b) Pursuant to Section 429.27, F.S., residents must be given the option of using their own belongings as space permits. When the facility supplies the furnishings, each resident bedroom or ...
3/13/2019 12:00:00 AMComplaint9LJVA0200Class 3EMERGENCY ENVIRONMENTAL CONTROL06/05/2019
(1) DETAILED EMERGENCY ENVIRONMENTAL CONTROL PLAN. Each assisted living facility shall prepare a detailed plan ("plan") to serve as a supplement to its Comprehensive Emergency Management Plan, to address emergency environmental control in the event of the loss of primary electrical power in that assisted living facility which includes the following information: (a) The acquisition of a sufficient alternate power source such as a generator(s), maintained at the assisted living facility,...
4/18/2018 12:00:00 AMStandardR2ZYA0025Class 3RESIDENT CARE - SUPERVISION06/28/2018
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...
4/18/2018 12:00:00 AMStandardR2ZYA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES06/26/2018
58A-5.0182(6) RESIDENT RIGHTS AND FACILITY PROCEDURES. (a) A copy of the Resident Bill of Rights as described in Section 429.28, F.S., or a summary provided by the Long-Term Care Ombudsman Program must be posted in full view in a freely accessible resident area, and included in the admission package provided pursuant to Rule 58A-5.0181, F.A.C. (b) In accordance with Section 429.28, F.S., the facility must have a written grievance procedure for receiving and responding to resident complaints, and...
4/18/2018 12:00:00 AMStandardR2ZYA0053Class 3MEDICATION - ADMINISTRATION06/26/2018
(4) MEDICATION ADMINISTRATION. (a) For facilities that provide medication administration, a staff member licensed to administer medications must be available to administer medications in accordance with a health care provider's order or prescription label. (b) Unusual reactions or a significant change in the resident's health or behavior must be documented in the resident's record and reported immediately to the resident's health care provider. The contact with the health care pr...
4/18/2018 12:00:00 AMStandardR2ZYA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT06/26/2018
(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...
4/18/2018 12:00:00 AMStandardR2ZYA0086Class 3TRAINING - ADRD06/26/2018
(9) 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 434.4.6 of the Florida Building Code, as adopted in Rule 9N-1.001, F.A.C., Florida Building Code Adopted, must ensure that facility staff receive the following training. (a) Facility staff who have regular contact with or provide direct care to residents with AD...
4/18/2018 12:00:00 AMStandardR2ZYA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS06/26/2018
(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 policy...
4/18/2018 12:00:00 AMStandardR2ZYA0091Class 3TRAINING - DOCUMENTATION & MONITORING06/26/2018
(12) TRAINING DOCUMENTATION AND MONITORING. (a) Except as otherwise noted, certificates, or copies of certificates, of any training required by this rule must be documented in the facility's personnel files. The documentation must include the following: 1. The title of the training program; 2. The subject matter of the training program; 3. The training program agenda; 4. The number of hours of the training program; 5. The trainee's name, dates of participation, and location of the trai...
4/18/2018 12:00:00 AMStandardR2ZYA0160Class 3RECORDS - FACILITY06/26/2018
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...
4/18/2018 12:00:00 AMStandardR2ZYA0162Class 3RECORDS - RESIDENT08/15/2018
(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 teleph...
4/18/2018 12:00:00 AMStandardR2ZYA0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT08/15/2018
429.23 Internal risk management and quality assurance program; adverse incidents and reporting requirements.- (1) Every facility licensed under this part may, as part of its administrative functions, voluntarily establish a risk management and quality assurance program, the purpose of which is to assess resident care practices, facility incident reports, deficiencies cited by the agency, adverse incident reports, and resident grievances and develop plans of action to correct and respond quickly ...
4/12/2018 12:00:00 AMComplaint0SGJNoneNoneNoneNoneNone
11/9/2017 12:00:00 AMComplaintZ9Q8A0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES01/30/2018
58A-5.0182(6) RESIDENT RIGHTS AND FACILITY PROCEDURES. (a) A copy of the Resident Bill of Rights as described in Section 429.28, F.S., or a summary provided by the Long-Term Care Ombudsman Program must be posted in full view in a freely accessible resident area, and included in the admission package provided pursuant to Rule 58A-5.0181, F.A.C. (b) In accordance with Section 429.28, F.S., the facility must have a written grievance procedure for receiving and responding to resident complaints, and...
8/28/2017 12:00:00 AMComplaint426VA0078Class 3STAFFING STANDARDS - STAFF01/08/2018
(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...
4/7/2017 12:00:00 AMComplaint5R4CA0010Class 3ADMISSIONS - CONTINUED RESIDENCY05/22/2017
429.26 (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 shall be based upon an assessment of the strengths, needs, and preferences of the resident, the care and services offered or arranged for by the facility in accordance with facility policy, and any limitations in law or rule related to ad...
4/7/2017 12:00:00 AMComplaint5R4CA0025Class 3RESIDENT CARE - SUPERVISION05/22/2017
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...
7/28/2016 12:00:00 AMStandard2FYUNoneNoneNoneNoneNone
8/13/2015 12:00:00 AMComplaint64O4NoneNoneNoneNoneNone
4/13/2015 12:00:00 AMComplaintUOKZNoneNoneNoneNoneNone
3/3/2015 12:00:00 AMComplaintDFQVNoneNoneNoneNoneNone
11/13/2014 12:00:00 AMStandardKRWFNoneNoneNoneNoneNone
6/10/2014 12:00:00 AMComplaint6XO1NoneNoneNoneNoneNone
11/27/2012 12:00:00 AMChange of Ownership21QBNoneNoneNoneNoneNone
11/26/2012 12:00:00 AMComplaint8BY8NoneNoneNoneNoneNone