Inspection Details

Facility ID: 11966042 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
9/19/2025 12:00:00 AMStandardYBM5A00251RESIDENT CARE - SUPERVISION10/03/2025-
9/19/2025 12:00:00 AMStandardYBM5A0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS10/03/2025-
9/19/2025 12:00:00 AMStandardYBM5A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN10/03/2025-
9/19/2025 12:00:00 AMStandardYBM5A0055Class 3MEDICATION - STORAGE AND DISPOSAL10/03/2025-
9/19/2025 12:00:00 AMStandardYBM5A0078Class 3STAFFING STANDARDS - STAFF10/03/2025-
9/19/2025 12:00:00 AMStandardYBM5A0081Class 3TRAINING - STAFF IN-SERVICE10/03/2025-
9/19/2025 12:00:00 AMStandardYBM5A0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER10/03/2025-
9/19/2025 12:00:00 AMStandardYBM5A0165Class 3RISK MGMT & QA10/03/2025-
9/19/2025 12:00:00 AMStandardYBM5ZZ814UnclassifiedBACKGROUND SCREENING CLEARINGHOUSE10/03/2025-
9/19/2025 12:00:00 AMStandardYBM5ZZ816UnclassifiedBACKGROUND SCREENING-COMPLIANCE ATTESTATION10/03/2025-
9/19/2025 12:00:00 AMStandardYBM5ZZ830UnclassifiedEMERGENCY MANAGEMENT PLANNING10/03/2025-
5/12/2025 12:00:00 AMComplaintIGOJNoneNoneNoneNoneNone
4/11/2024 12:00:00 AMComplaintHO5VA0081Class 3TRAINING - STAFF IN-SERVICE05/30/2024-
4/11/2024 12:00:00 AMComplaintHO5VA0082Class 3TRAINING - HIV/AIDS05/30/2024-
4/11/2024 12:00:00 AMComplaintHO5VCZ875Class 3ALZHEIMER DISEASE/DEMENTIA; TRAINING05/30/2024-
8/2/2023 12:00:00 AMStandard90GZNoneNoneNoneNoneNone
3/10/2023 12:00:00 AMComplaintVRHHA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER04/28/2023
(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...
6/30/2022 12:00:00 AMComplaintJDF2A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN08/18/2022
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...
6/30/2022 12:00:00 AMComplaintJDF2A0055Class 3MEDICATION - STORAGE AND DISPOSAL08/18/2022
(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...
6/30/2022 12:00:00 AMComplaintJDF2A0162Class 3RECORDS - RESIDENT08/18/2022
(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...
11/12/2021 12:00:00 AMComplaintC934A0054Class 3MEDICATION - RECORDS01/07/2022
(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...
9/27/2021 12:00:00 AMStandardDBRVA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN01/07/2022
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...
9/27/2021 12:00:00 AMStandardDBRVA0078Class 3STAFFING STANDARDS - STAFF11/12/2021
(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...
9/27/2021 12:00:00 AMStandardDBRVA0081Class 3TRAINING - STAFF IN-SERVICE01/07/2022
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 ...
9/27/2021 12:00:00 AMStandardDBRVA0082Class 3TRAINING - HIV/AIDS11/12/2021
(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 (...
9/27/2021 12:00:00 AMStandardDBRVA0083Class 3TRAINING - FIRST AID AND CPR11/12/2021
(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...
9/27/2021 12:00:00 AMStandardDBRVA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS11/12/2021
(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...
9/27/2021 12:00:00 AMStandardDBRVCZ816UnclassifiedBACKGROUND SCREENING-COMPLIANCE ATTESTATION11/12/2021
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...
6/15/2021 12:00:00 AMComplaint0J0JNoneNoneNoneNoneNone
4/2/2021 12:00:00 AM-PMH5NoneNoneNoneNoneNone
9/25/2019 12:00:00 AMComplaintZB1XNoneNoneNoneNoneNone
7/9/2019 12:00:00 AMStandard0NWOA0093Class 3FOOD SERVICE - DIETARY STANDARDS09/25/2019
(2) DIETARY STANDARDS. (a) The meals provided by the assisted living facility must be planned based on the current USDA Dietary Guidelines for Americans, 2010, which are incorporated by reference and available for review at: http://www.flrules.org/Gateway/reference.asp?No=Ref-04003, and the current summary of Dietary Reference Intakes established by the Food and Nutrition Board of the Institute of Medicine of the National Academies, 2010, which are incorporated by reference and available for rev...
7/27/2018 12:00:00 AMComplaintM81SNoneNoneNoneNoneNone
3/15/2018 12:00:00 AMComplaint5KN8NoneNoneNoneNoneNone
2/15/2018 12:00:00 AMComplaint5NESNoneNoneNoneNoneNone
5/10/2017 12:00:00 AMStandard0R6VNoneNoneNoneNoneNone
9/22/2016 12:00:00 AMComplaint62V3NoneNoneNoneNoneNone
2/2/2016 12:00:00 AMComplaintOUDWNoneNoneNoneNoneNone
6/16/2015 12:00:00 AMStandardGIT1NoneNoneNoneNoneNone
4/3/2015 12:00:00 AMComplaint8FJKNoneNoneNoneNoneNone
3/27/2015 12:00:00 AMMonitor43LENoneNoneNoneNoneNone
12/11/2014 12:00:00 AMComplaintWR3TNoneNoneNoneNoneNone
12/1/2014 12:00:00 AMMonitor7KL0NoneNoneNoneNoneNone
6/27/2014 12:00:00 AMMonitor9N10NoneNoneNoneNoneNone
6/6/2014 12:00:00 AMComplaintFDH9NoneNoneNoneNoneNone
3/7/2014 12:00:00 AMMonitorZMV1NoneNoneNoneNoneNone
12/6/2013 12:00:00 AMMonitorRC2KNoneNoneNoneNoneNone
9/9/2013 12:00:00 AMMonitor2KK7NoneNoneNoneNoneNone
4/2/2013 12:00:00 AMComplaintWYWYNoneNoneNoneNoneNone
4/2/2013 12:00:00 AMStandardYH7FA0093Class 3FOOD SERVICE - DIETARY STANDARDS05/24/2013
(2) DIETARY STANDARDS. (a) The Tenth Edition Recommended Dietary Allowances established by the Food and Nutrition Board - National Research Council, adjusted for age, sex and activity, shall be the nutritional standard used to evaluate meals. Therapeutic diets shall meet these nutritional standards to the extent possible. A summary of the Tenth Edition Recommended Dietary Allowances, interpreted by a daily food guide, is available from the DOEA Assisted Living Program. (b) The recommended dietar...
1/9/2013 12:00:00 AMMonitorSHCHNoneNoneNoneNoneNone
10/23/2012 12:00:00 AMMonitor11G5NoneNoneNoneNoneNone
7/25/2012 12:00:00 AMMonitor634BNoneNoneNoneNoneNone