Inspection Details

Facility ID: 11965743 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
10/2/2025 12:00:00 AMStandardMK6IA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER--
10/2/2025 12:00:00 AMStandardMK6IZZ821Class 3REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION--
5/14/2025 12:00:00 AMComplaint79JEA0025Class 3RESIDENT CARE - SUPERVISION07/07/2025-
5/14/2025 12:00:00 AMComplaint79JEA0054Class 3MEDICATION - RECORDS07/07/2025-
1/31/2024 12:00:00 AMComplaint0SYBNoneNoneNoneNoneNone
12/20/2023 12:00:00 AMComplaint9NNSNoneNoneNoneNoneNone
10/2/2023 12:00:00 AMStandardR1CLA0010Class 3ADMISSIONS - CONTINUED RESIDENCY11/07/2023-
10/2/2023 12:00:00 AMStandardR1CLA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES11/07/2023-
8/14/2023 12:00:00 AMComplaint4CWUA0025Class 3RESIDENT CARE - SUPERVISION10/02/2023-
8/14/2023 12:00:00 AMComplaint4CWUA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES10/02/2023-
9/14/2022 12:00:00 AMComplaint1FLZNoneNoneNoneNoneNone
8/26/2022 12:00:00 AMComplaint2NFWA0008Class 3ADMISSIONS - HEALTH ASSESSMENT09/22/2022-
8/26/2022 12:00:00 AMComplaint2NFWA0025Class 3RESIDENT CARE - SUPERVISION09/23/2022-
8/26/2022 12:00:00 AMComplaint2NFWA0055Class 3MEDICATION - STORAGE AND DISPOSAL10/21/2022-
2/7/2022 12:00:00 AMComplaint5Y97NoneNoneNoneNoneNone
11/5/2021 12:00:00 AMComplaint9L7EA00252RESIDENT CARE - SUPERVISION02/03/2022-
11/5/2021 12:00:00 AMComplaint9L7EA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES02/03/2022-
11/5/2021 12:00:00 AMComplaint9L7EA0086Class 3TRAINING - ADRD11/15/2021-
11/5/2021 12:00:00 AMComplaint9L7ECZ813Class 3RESULTS OF SCREENING & NOTIFICATION IN FILE02/07/2022-
11/5/2021 12:00:00 AMComplaint9L7ECZ821UnclassifiedREPORTING REQUIREMENTS; ELECTRONIC SUBMISSION02/03/2022-
8/25/2021 12:00:00 AMStandardSLR4A0010Class 3ADMISSIONS - CONTINUED RESIDENCY10/18/2021-
8/25/2021 12:00:00 AMStandardSLR4A0025Class 3RESIDENT CARE - SUPERVISION10/18/2021-
8/25/2021 12:00:00 AMStandardSLR4A0086Class 3TRAINING - ADRD10/18/2021-
8/25/2021 12:00:00 AMStandardSLR4A0161Class 4RECORDS - STAFF--
1/27/2021 12:00:00 AMComplaintG6B4NoneNoneNoneNoneNone
12/1/2020 12:00:00 AMComplaintFKPFNoneNoneNoneNoneNone
10/13/2020 12:00:00 AMComplaintFTE7NoneNoneNoneNoneNone
6/23/2020 12:00:00 AMComplaintCOI0NoneNoneNoneNoneNone
2/13/2020 12:00:00 AMComplaintJHKJNoneNoneNoneNoneNone
10/17/2019 12:00:00 AMComplaintUCSZNoneNoneNoneNoneNone
6/7/2019 12:00:00 AMComplaintUPOZA0008Class 3ADMISSIONS - HEALTH ASSESSMENT08/12/2019-
6/7/2019 12:00:00 AMComplaintUPOZA0078Class 3STAFFING STANDARDS - STAFF08/12/2019-
6/7/2019 12:00:00 AMComplaintUPOZA0081Class 3TRAINING - STAFF IN-SERVICE08/12/2019-
5/2/2019 12:00:00 AMStandard0RWIA0008Class 3ADMISSIONS - HEALTH ASSESSMENT06/18/2019-
5/2/2019 12:00:00 AMStandard0RWIA0025Class 3RESIDENT CARE - SUPERVISION06/18/2019-
5/2/2019 12:00:00 AMStandard0RWIA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN08/12/2019-
5/2/2019 12:00:00 AMStandard0RWIA0055Class 3MEDICATION - STORAGE AND DISPOSAL08/12/2019-
8/29/2018 12:00:00 AMMonitorJMJ3NoneNoneNoneNoneNone
4/4/2018 12:00:00 AMComplaintN8WTNoneNoneNoneNoneNone
11/27/2017 12:00:00 AMComplaintYQP9NoneNoneNoneNoneNone
8/15/2017 12:00:00 AMComplaint4F8TA0054Class 3MEDICATION - RECORDS10/09/2017-
8/15/2017 12:00:00 AMChange of OwnershipG9WWA0008Class 3ADMISSIONS - HEALTH ASSESSMENT10/09/2017-
8/15/2017 12:00:00 AMChange of OwnershipG9WWA0086Class 3TRAINING - ADRD10/09/2017-
8/15/2017 12:00:00 AMChange of OwnershipG9WWA0167Class 4RESIDENT CONTRACTS10/09/2017-
8/15/2017 12:00:00 AMComplaintQKJMA00252RESIDENT CARE - SUPERVISION11/15/2017-
8/15/2017 12:00:00 AMComplaintQKJMA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN11/15/2017-
5/2/2017 12:00:00 AMComplaintZUZ8A0008Class 3ADMISSIONS - HEALTH ASSESSMENT05/23/2017-
2/23/2017 12:00:00 AMComplaint9KFCA0025Class 3RESIDENT CARE - SUPERVISION05/02/2017-
2/23/2017 12:00:00 AMComplaintFMHNNoneNoneNoneNoneNone
2/23/2017 12:00:00 AMComplaintN6K0A0163Class 3RECORDS - RESIDENT, PENALTIES FOR ALTERATION05/02/2017-
12/16/2016 12:00:00 AMComplaint21PQA00102ADMISSIONS - CONTINUED RESIDENCY02/23/2017-
12/16/2016 12:00:00 AMComplaint21PQA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES02/23/2017-
12/16/2016 12:00:00 AMComplaint21PQA0055Class 3MEDICATION - STORAGE AND DISPOSAL02/23/2017-
12/16/2016 12:00:00 AMComplaint21PQA00562MEDICATION - LABELING AND ORDERS02/23/2017-
12/16/2016 12:00:00 AMComplaint21PQA0057Class 3MEDICATION - OVER THE COUNTER (OTC) PRODUCTS02/23/2017-
12/16/2016 12:00:00 AMComplaint21PQA00772STAFFING STANDARDS - ADMINISTRATORS02/23/2017-
12/16/2016 12:00:00 AMComplaint21PQA0160Class 3RECORDS - FACILITY02/23/2017-
12/16/2016 12:00:00 AMComplaintLM7GA0081Class 3TRAINING - STAFF IN-SERVICE02/23/2017-
12/16/2016 12:00:00 AMComplaintLM7GCZ814Class 4BACKGROUND SCREENING CLEARINGHOUSE02/23/2017-
12/16/2016 12:00:00 AMComplaintLM7GCZ815Class 4BACKGROUND SCREENING; PROHIBITED OFFENSES02/23/2017-
10/28/2016 12:00:00 AMComplaint3MS9NoneNoneNoneNoneNone
9/27/2016 12:00:00 AMComplaintNVMPA0025Class 3RESIDENT CARE - SUPERVISION11/08/2016-
7/13/2016 12:00:00 AMComplaintNVMPA0031Class 3RESIDENT CARE - THIRD PARTY SERVICES09/27/2016-
7/13/2016 12:00:00 AMComplaintNVMPA0054Class 3MEDICATION - RECORDS11/08/2016-
7/13/2016 12:00:00 AMComplaintVZ38NoneNoneNoneNoneNone
7/12/2016 12:00:00 AMComplaint03OLNoneNoneNoneNoneNone
4/27/2016 12:00:00 AMComplaint2PGYNoneNoneNoneNoneNone
4/27/2016 12:00:00 AMComplaintX2D6A0160Class 3RECORDS - FACILITY07/13/2016-
4/22/2016 12:00:00 AMComplaint097YNoneNoneNoneNoneNone
4/22/2016 12:00:00 AMComplaintF9FBNoneNoneNoneNoneNone
2/18/2016 12:00:00 AMComplaint6039NoneNoneNoneNoneNone
2/18/2016 12:00:00 AMComplaintX2D6A00522MEDICATION - ASSISTANCE WITH SELF-ADMIN07/13/2016-
2/18/2016 12:00:00 AMComplaintX2D6A0054Class 3MEDICATION - RECORDS04/27/2016-
2/18/2016 12:00:00 AMComplaintX2D6A0055Class 3MEDICATION - STORAGE AND DISPOSAL04/27/2016-
2/18/2016 12:00:00 AMComplaintX2D6A00772STAFFING STANDARDS - ADMINISTRATORS04/27/2016-
2/18/2016 12:00:00 AMComplaintX2D6A0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT07/13/2016-
10/19/2015 12:00:00 AMComplaintPVB6A0025Class 3RESIDENT CARE - SUPERVISION02/04/2016-
10/19/2015 12:00:00 AMComplaintPVB6A0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES02/04/2016-
10/19/2015 12:00:00 AMComplaintPVB6A0056Class 3MEDICATION - LABELING AND ORDERS02/04/2016-
10/19/2015 12:00:00 AMStandardTQY0A0008Class 3ADMISSIONS - HEALTH ASSESSMENT02/04/2016-
10/19/2015 12:00:00 AMStandardTQY0A0081Class 3TRAINING - STAFF IN-SERVICE02/04/2016-
10/19/2015 12:00:00 AMStandardTQY0A0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS02/04/2016-
10/19/2015 12:00:00 AMStandardTQY0A0091Class 4TRAINING - DOCUMENTATION & MONITORING02/04/2016-
10/19/2015 12:00:00 AMStandardTQY0A0093Class 3FOOD SERVICE - DIETARY STANDARDS02/04/2016-
10/19/2015 12:00:00 AMStandardTQY0A0161Class 4RECORDS - STAFF02/04/2016-
5/19/2015 12:00:00 AMComplaintSYPMA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN10/19/2015-
5/19/2015 12:00:00 AMComplaintSYPMA0081Class 3TRAINING - STAFF IN-SERVICE07/22/2015-
5/19/2015 12:00:00 AMComplaintSYPMA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS07/22/2015-
7/7/2014 12:00:00 AMComplaintMBR2A0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES09/12/2014-
7/7/2014 12:00:00 AMComplaintMBR2A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN09/12/2014-
7/7/2014 12:00:00 AMComplaintMBR2A0056Class 3MEDICATION - LABELING AND ORDERS10/28/2014-
5/7/2014 12:00:00 AMComplaintFGHZNoneNoneNoneNoneNone
9/24/2013 12:00:00 AMStandardZNJPNoneNoneNoneNoneNone
1/7/2013 12:00:00 AMComplaintBYK1NoneNoneNoneNoneNone
8/29/2012 12:00:00 AMComplaintQ3MONoneNoneNoneNoneNone
Florida Agency for Health Care Administration (AHCA) Inspection Data