Holy Spirit Assisted Living Health Services — Florida Assisted Living Facility Report

Inspections

Surveyor visits

With deficiencies

Visits that cited something

Clean visits

Nothing cited

Deficiencies

Individual findings

Serious deficiencies

Class 1 and 2

Legal actions

Fines and sanctions

Holy Spirit Assisted Living Health Services was inspected 27 times between November 26, 2012 and July 18, 2024 by Florida's Agency for Health Care Administration. 14 of those visits ended with deficiencies cited and 4 with none, and 9 were follow-up visits confirming corrections. Across that history AHCA recorded 61 deficiencies, 1 of them in the two most serious classes. The state has taken 6 legal actions against this license, with fines totalling $9,600.

The most recent visit is recorded as “No Deficiencies”. A deficiency is a rule violation recorded by a state surveyor. Follow-up visits that confirm a correction are counted separately from the visits that cited the problem, so the same issue is never counted twice.

Provider Information

Status

Licensed

Licensee

Holy Spirit Assisted Living Health Services LLC

Administrator

Marie Miradelle Auguste

Ownership

For-Profit

Phone

(321) 848-0255

Licensed since

September 10, 2020

Medicaid services

Assistive Care Services

Nurse availability

3rd Party 24hr

Inspection History

30 documents across 27 visits

Visit date	Type	Outcome	Document
July 18, 2024	Standard	No deficiencies	Statement of Deficiencies
September 26, 2022	Monitor	No deficiencies	Statement of Deficiencies
August 18, 2022	Standard	No deficiencies	Statement of Deficiencies
March 29, 2021	Change of Ownership	Corrected	Statement of Deficiencies
February 15, 2021	Monitor	Deficiencies cited	Statement of Deficiencies
August 19, 2020	Monitor	Corrected	Statement of Deficiencies
August 19, 2020	Standard	Corrected	Statement of Deficiencies
April 28, 2020	Monitor	Deficiencies cited	Statement of Deficiencies
April 28, 2020	Standard	Deficiencies cited	Statement of Deficiencies
March 9, 2020	Standard	Deficiencies cited	Statement of Deficiencies
December 10, 2019	Standard	Deficiencies cited	Statement of Deficiencies
April 11, 2019	Complaint	Corrected	Statement of Deficiencies
April 11, 2019	Standard	Corrected	Statement of Deficiencies
January 30, 2019	Standard	Deficiencies cited	Statement of Deficiencies
January 30, 2019	Complaint	Corrected	Statement of Deficiencies
January 30, 2019	Complaint	Deficiencies cited	Statement of Deficiencies
November 26, 2018	Complaint	Deficiencies cited	Statement of Deficiencies
November 26, 2018	Complaint	Deficiencies cited	Statement of Deficiencies
November 26, 2018	Standard	Deficiencies cited	Statement of Deficiencies
October 15, 2018	Complaint	Deficiencies cited	Statement of Deficiencies
October 15, 2018	Complaint	Deficiencies cited	Statement of Deficiencies
June 5, 2018	Complaint	No deficiencies	Statement of Deficiencies
December 13, 2016	Standard	Corrected	Statement of Deficiencies
December 1, 2016	Standard	Deficiencies cited	Statement of Deficiencies
October 30, 2015	Complaint	Corrected	Statement of Deficiencies
July 21, 2015	Complaint	Deficiencies cited	Statement of Deficiencies
January 22, 2015	Standard	Corrected	Statement of Deficiencies
November 12, 2014	Standard	Deficiencies cited	Statement of Deficiencies
January 9, 2013	Standard	Corrected	Statement of Deficiencies
November 26, 2012	Standard	Deficiencies cited	Statement of Deficiencies

Deficiencies

61 deficiencies - Class 1: 1 / Class 3: 49 / Class 4: 11

Survey date	Severity	Requirement cited	Corrected
February 15, 2021	Class 3	Admissions - Health Assessment	March 29, 2021
February 15, 2021	Class 3	Staffing Standards - Staff	March 29, 2021
February 15, 2021	Class 3	Training - Staff In-service	March 29, 2021
February 15, 2021	Class 3	Training - First Aid and Cpr	March 29, 2021
February 15, 2021	Class 3	Training - Assis Self-admin Meds & Med Mgmt	March 29, 2021
February 15, 2021	Class 3	Emergency Plan Approval	March 29, 2021
April 28, 2020	Class 3	Resident Care - Rights & Facility Procedures	August 19, 2020
April 28, 2020	Class 3	Emergency Environmental Control	July 19, 2020
April 28, 2020	Class 3	Medication - Storage and Disposal	June 24, 2020
April 28, 2020	Class 3	Training - Core & Competency Test	June 18, 2020
April 28, 2020	Class 3	Training - Assis Self-admin Meds & Med Mgmt	August 19, 2020
March 9, 2020	Class 4	Staffing Standards - Levels	April 28, 2020
March 9, 2020	Class 3	Training - Documentation & Monitoring	April 28, 2020
December 10, 2019	Class 3	Resident Care - Supervision	March 10, 2020
December 10, 2019	Class 3	Medication - Records	March 10, 2020
December 10, 2019	Class 3	Staffing Standards - Staff	March 10, 2020
December 10, 2019	Class 3	Training - Staff In-service	February 5, 2020
December 10, 2019	Class 3	Training - Nutrition & Food Service	March 10, 2020
December 10, 2019	Class 3	Training - Do Not Resuscitate Orders	March 10, 2020
December 10, 2019	Class 4	Records - Resident	April 28, 2020
December 10, 2019	Class 4	Resident Contracts	April 28, 2020
December 10, 2019	Class 4	Background Screening Clearinghouse	April 28, 2020
December 10, 2019	Class 4	Background Screening-compliance Attestation	March 10, 2020
November 26, 2018	Class 3	Staffing Standards - Staff	April 11, 2019
November 26, 2018	Class 3	Staffing Standards - Levels	January 30, 2019
November 26, 2018	Class 3	Training - Staff In-service	April 11, 2019
November 26, 2018	Class 3	Training - Hiv/aids	January 30, 2019
November 26, 2018	Class 4	Resident Contracts	January 30, 2019
November 26, 2018	Class 4	Background Screening Clearinghouse	January 30, 2019
November 26, 2018	Class 4	Background Screening-compliance Attestation	January 30, 2019
November 26, 2018	Class 3	Records - Inspection Availability	January 30, 2019
October 15, 2018	Class 3	Admissions - Health Assessment	January 30, 2019
October 15, 2018	Class 3	Admissions - Continued Residency	January 30, 2019
October 15, 2018	Class 3	Resident Care - Supervision	April 11, 2019
October 15, 2018	Class 3	Medication - Assistance With Self-admin	January 30, 2019
October 15, 2018	Class 3	Medication - Records	April 11, 2019
October 15, 2018	Class 3	Medication - Storage and Disposal	November 26, 2018
October 15, 2018	Class 1	Do Not Resuscitate Orders (Dnros)	November 26, 2018
October 15, 2018	Class 3	Training - Do Not Resuscitate Orders	January 30, 2019
October 15, 2018	Class 3	Emergency Environmental Control	April 11, 2019
October 15, 2018	Class 3	Admissions - Criteria	November 26, 2018
October 15, 2018	Class 3	Resident Care - Rights & Facility Procedures	January 30, 2019
October 15, 2018	Class 3	Resident Refund Policy	January 30, 2019
December 1, 2016	Class 4	Training - Nutrition & Food Service	December 13, 2016
July 21, 2015	Class 3	Resident Care - Supervision	October 30, 2015
July 21, 2015	Class 3	Medication - Assistance With Self-admin	October 30, 2015
July 21, 2015	Class 3	Medication - Records	October 30, 2015
July 21, 2015	Class 3	Medication - Storage and Disposal	October 30, 2015
July 21, 2015	Class 3	Medication - Labeling and Orders	October 30, 2015
July 21, 2015	Class 3	Medication - Over the Counter (Otc) Products	October 30, 2015
July 21, 2015	Class 3	Staffing Standards - Staff	October 30, 2015
July 21, 2015	Class 3	Staffing Standards - Levels	October 30, 2015
July 21, 2015	Class 3	Training - Staff In-service	October 30, 2015
July 21, 2015	Class 3	Training - Hiv/aids	October 30, 2015
July 21, 2015	Class 3	Training - Do Not Resuscitate Orders	October 30, 2015
July 21, 2015	Class 3	Records - Resident	October 30, 2015
July 21, 2015	Class 4	Unlicensed Activity	October 30, 2015
November 12, 2014	Class 3	Training - First Aid and Cpr	January 22, 2015
November 26, 2012	Class 3	Medication - Storage and Disposal	January 9, 2013
November 26, 2012	Class 3	Staffing Standards - Staff	January 9, 2013
November 26, 2012	Class 4	Resident Contracts	January 9, 2013

Enforcement Actions

6 actions, $9,600 in fines

March 20, 2019$1,800 fine

Action

Fine

Reason

Survey

Date imposed

January 6, 2020

Final order 2019004185

February 18, 2019$1,800 fine

Action

Fine

Reason

Survey

Date imposed

January 6, 2020

Final order 2019004182

February 15, 2019$1,800 fine

Action

Fine

Reason

Survey

Date imposed

January 6, 2020

Final order 2019002216

Provider Information

Inspection History

Deficiencies

Enforcement Actions

Deficiency classes

What these numbers count