Inspection Details

Facility ID: 11965789 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
2/19/2024 12:00:00 AMStandardQHJMA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES05/28/2024-
6/13/2022 12:00:00 AMComplaintGBFYNoneNoneNoneNoneNone
5/25/2022 12:00:00 AMStandard55L3CZ814UnclassifiedBACKGROUND SCREENING CLEARINGHOUSE07/07/2022
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...
5/25/2022 12:00:00 AMStandard55L3CZ815UnclassifiedBACKGROUND SCREENING; PROHIBITED OFFENSES07/07/2022
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...
2/27/2020 12:00:00 AMExpansionYTN4NoneNoneNoneNoneNone
12/17/2019 12:00:00 AMStandard07GKA0010Class 3ADMISSIONS - CONTINUED RESIDENCY01/31/2020
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...
12/17/2019 12:00:00 AMStandard07GKA0078Class 3STAFFING STANDARDS - STAFF01/31/2020
(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...
12/17/2019 12:00:00 AMStandard07GKA0085Class 3TRAINING - NUTRITION & FOOD SERVICE01/31/2020
(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 ...
12/17/2019 12:00:00 AMStandard07GKA0091Class 3TRAINING - DOCUMENTATION & MONITORING01/31/2020
(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 traini...
12/17/2019 12:00:00 AMStandard07GKAE210Class 3ECC - TRAINING01/31/2020
(8) EXTENDED CONGREGATE CARE (ECC) TRAINING. (a) The administrator and ECC supervisor, if different from the administrator, must complete core training and 4 hours of initial training in extended congregate care prior to the facility receiving its ECC license or within 3 months of beginning employment in a currently licensed ECC facility as an administrator or ECC supervisor. Successful completion of the assisted living facility core training shall be a prerequisite for this training. ECC superv...
10/3/2019 12:00:00 AMComplaint5CWOA0081Class 3TRAINING - STAFF IN-SERVICE11/08/2019
(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&#...
9/9/2019 12:00:00 AMComplaint6JNUNoneNoneNoneNoneNone
4/22/2019 12:00:00 AMMonitorFCIGNoneNoneNoneNoneNone
4/16/2019 12:00:00 AMComplaint4Y8PNoneNoneNoneNoneNone
11/21/2018 12:00:00 AMComplaintPTHKNoneNoneNoneNoneNone
9/13/2018 12:00:00 AMComplaintQ8RMA0025Class 3RESIDENT CARE - SUPERVISION11/21/2018
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...
9/13/2018 12:00:00 AMComplaintQ8RMA0091Class 4TRAINING - DOCUMENTATION & MONITORING11/21/2018
(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 traini...
9/13/2018 12:00:00 AMComplaintQ8RMA0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT11/21/2018
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 ...
4/18/2018 12:00:00 AMComplaint15OKA0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT06/20/2018
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 ...
1/30/2018 12:00:00 AMStandardGN84A0054Class 3MEDICATION - RECORDS04/27/2018
(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 (MOR) for each ...
1/30/2018 12:00:00 AMStandardGN84A0078Class 3STAFFING STANDARDS - STAFF04/27/2018
(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...
1/30/2018 12:00:00 AMStandardGN84A0085Class 4TRAINING - NUTRITION & FOOD SERVICE04/27/2018
(6) 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. A certified food manager, licensed dietician, registered dietary technician or health department sanitarians are qualified to train assisted living facilit...
1/30/2018 12:00:00 AMStandardGN84CZ814Class 4BACKGROUND SCREENING CLEARINGHOUSE04/27/2018
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...
12/11/2017 12:00:00 AMComplaintG96VA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER01/30/2018
(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 ...
6/28/2017 12:00:00 AMMonitorSMEYNoneNoneNoneNoneNone
4/7/2016 12:00:00 AMMonitorOPRNNoneNoneNoneNoneNone
11/19/2015 12:00:00 AMStandardB5T5A0086Class 4TRAINING - ADRD01/07/2016
(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 w...
9/18/2015 12:00:00 AMExpansionMMACNoneNoneNoneNoneNone
8/27/2015 12:00:00 AMComplaint1KWFNoneNoneNoneNoneNone
3/18/2015 12:00:00 AMExpansionZ827NoneNoneNoneNoneNone
11/7/2014 12:00:00 AMMonitorX7JYNoneNoneNoneNoneNone
7/9/2014 12:00:00 AMMonitorJ1IXNoneNoneNoneNoneNone
12/17/2013 12:00:00 AMStandardQ4KNNoneNoneNoneNoneNone
6/29/2012 12:00:00 AMExpansionV4G7NoneNoneNoneNoneNone