| Survey Date | Inspection Type | Track ID | Deficiency | Class | Requirement Description | Correction Date | Requirement Long Description |
|---|---|---|---|---|---|---|---|
| 9/11/2025 12:00:00 AM | Complaint | I2VL | None | None | None | None | None |
| 5/13/2025 12:00:00 AM | Monitor | KDEO | None | None | None | None | None |
| 1/3/2025 12:00:00 AM | Standard | K2VO | A0052 | Class 3 | MEDICATION - ASSISTANCE WITH SELF-ADMIN | 05/13/2025 | - |
| 1/3/2025 12:00:00 AM | Standard | K2VO | A0054 | Class 3 | MEDICATION - RECORDS | 05/13/2025 | - |
| 1/3/2025 12:00:00 AM | Standard | K2VO | A0056 | Class 3 | MEDICATION - LABELING AND ORDERS | 07/11/2025 | - |
| 8/1/2022 12:00:00 AM | Standard | 4IRK | A0083 | Class 3 | TRAINING - FIRST AID AND CPR | 10/06/2022 | (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... |
| 5/4/2021 12:00:00 AM | Standard | ECO1 | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 06/15/2021 | (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... |
| 3/13/2020 12:00:00 AM | Complaint | T7I7 | None | None | None | None | None |
| 6/25/2019 12:00:00 AM | Expansion | 1R9M | None | None | None | None | None |
| 3/21/2019 12:00:00 AM | Standard | IENF | A0008 | Class 3 | ADMISSIONS - HEALTH ASSESSMENT | 05/24/2019 | 429.26
(4) If possible, each resident shall have been examined by a licensed physician, a licensed physician assistant, or a licensed nurse practitioner within 60 days before admission to the facility. The signed and completed medical examination report shall be submitted to the owner or administrator of the facility who shall use the information contained therein to assist in the determination of the appropriateness of the resident's admission and continued stay in the facility. The medical... |
| 3/21/2019 12:00:00 AM | Standard | IENF | CZ828 | Class 4 | ADMINISTRATIVE FINES; VIOLATIONS | 05/24/2019 | (3) The agency may impose an administrative fine for a violation that is not designated as a class I, class II, class III, or class IV violation. Unless otherwise specified by law, the amount of the fine may not exceed $500 for each violation. Unclassified violations include:
(a) Violating any term or condition of a license.
(b) Violating any provision of this part, authorizing statutes, or applicable rules.
(c) Exceeding licensed capacity.
(d) Providing services beyond the scope of the license.... |
| 1/28/2019 12:00:00 AM | Standard | IENF | A0051 | Class 3 | MEDICATION - PILL ORGANIZERS | 03/21/2019 | (2) PILL ORGANIZERS.
(a) Only a resident who self-administers medications may maintain a pill organizer.
(b) Unlicensed staff may not provide assistance with the contents of pill organizers.
(c) A nurse may manage a pill organizer to be used only by residents who self-administer medications. The nurse is responsible for instructing the resident in the proper use of the pill organizer. The nurse must manage the pill organizer in the following manner:
1. Obtain the labeled medication container fro... |
| 1/28/2019 12:00:00 AM | Standard | IENF | A0052 | Class 3 | MEDICATION - ASSISTANCE WITH SELF-ADMIN | 03/21/2019 | 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, reading the label, opening the container, removing a prescribed amount of medication from the container,... |
| 1/28/2019 12:00:00 AM | Standard | IENF | A0055 | Class 3 | MEDICATION - STORAGE AND DISPOSAL | 03/21/2019 | (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... |
| 1/28/2019 12:00:00 AM | Standard | IENF | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 03/21/2019 | (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... |
| 1/28/2019 12:00:00 AM | Standard | IENF | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 05/24/2019 | (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... |
| 1/28/2019 12:00:00 AM | Standard | IENF | A0082 | Class 3 | TRAINING - HIV/AIDS | 03/21/2019 | (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 (... |
| 1/28/2019 12:00:00 AM | Standard | IENF | A0083 | Class 3 | TRAINING - FIRST AID AND CPR | 03/21/2019 | (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... |
| 1/28/2019 12:00:00 AM | Standard | IENF | A0084 | Class 3 | TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | 03/21/2019 | 58A-5.0191
(6) ASSISTANCE WITH THE SELF-ADMINISTRATION OF MEDICATION AND MEDICATION MANAGEMENT. Unlicensed persons who will be providing assistance with the self-administration of medications as described in rule 58A-5.0185, F.A.C., must meet the training requirements pursuant to section 429.52(6), 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 t... |
| 1/28/2019 12:00:00 AM | Standard | IENF | A0090 | Class 3 | TRAINING - DO NOT RESUSCITATE ORDERS | 03/21/2019 | (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... |
| 1/28/2019 12:00:00 AM | Standard | IENF | A0200 | Class 3 | EMERGENCY ENVIRONMENTAL CONTROL | 03/21/2019 | (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,... |
| 1/28/2019 12:00:00 AM | Standard | IENF | AL243 | Class 3 | LMH - TRAINING | 03/21/2019 | 429.075
(1) To obtain a limited mental health license, a facility must hold a standard license as an assisted living facility, must not have any current uncorrected deficiencies or violations, and must ensure that, within 6 months after receiving a limited mental health license, the facility administrator and the staff of the facility who are in direct contact with mental health residents must complete training of no less than 6 hours related to their duties. Such designation may be made at the ... |
| 1/28/2019 12:00:00 AM | Standard | IENF | CZ814 | Class 4 | BACKGROUND SCREENING CLEARINGHOUSE | 05/24/2019 | 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 ... |
| 1/28/2019 12:00:00 AM | Standard | IENF | CZ815 | Class 4 | BACKGROUND SCREENING; PROHIBITED OFFENSES | 05/24/2019 | 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... |
| 1/28/2019 12:00:00 AM | Standard | IENF | CZ816 | Class 4 | BACKGROUND SCREENING-COMPLIANCE ATTESTATION | 05/24/2019 | 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... |
| 1/25/2017 12:00:00 AM | Standard | I7ZQ | A0004 | Class 3 | LICENSURE - REQUIREMENTS | 02/28/2017 | (1) SERVICE PROHIBITION. An assisted living facility may not represent that it provides any service other than a service for which it is licensed to provide.
(2) CHANGE IN USE OF SPACE REQUIRING AGENCY CENTRAL OFFICE APPROVAL. A change in the use of space that increases or decreases a facility ' s capacity must not be made without prior approval from the Agency Central Office. Approval must be based on the compliance with the physical plant standards provided in Rule 58A-5.023, F.A.C., as we... |
| 1/25/2017 12:00:00 AM | Standard | I7ZQ | A0077 | Class 3 | STAFFING STANDARDS - ADMINISTRATORS | 02/28/2017 | 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 has completed the applicable core educational requirements under s. 429.52.
58A-5.019
Staffing Standards.
(1) ADMINISTRATORS. Every facility must be under the supervision of an administrator who is responsible for the operation and maint... |
| 1/25/2017 12:00:00 AM | Standard | I7ZQ | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 02/28/2017 | (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... |
| 1/25/2017 12:00:00 AM | Standard | I7ZQ | AL243 | Class 3 | LMH - TRAINING | 02/28/2017 | 429.075
(1) To obtain a limited mental health license, a facility must hold a standard license as an assisted living facility, must not have any current uncorrected deficiencies or violations, and must ensure that, within 6 months after receiving a limited mental health license, the facility administrator and the staff of the facility who are in direct contact with mental health residents must complete training of no less than 6 hours related to their duties. Such designation may be made at the ... |
| 1/25/2017 12:00:00 AM | Standard | I7ZQ | CZ813 | Class 4 | RESULTS OF SCREENING & NOTIFICATION IN FILE | 02/28/2017 | 59A-35.090(3) Results of Screening and Notification.
(c) The eligibility results of employee screening and the signed Attestation referenced in subsection 59A-35.090(2), F.A.C., must be in the employee's personnel file, maintained by the provider. |
| 1/25/2017 12:00:00 AM | Standard | I7ZQ | CZ814 | Class 4 | BACKGROUND SCREENING CLEARINGHOUSE | 02/28/2017 | 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... |
| 1/20/2015 12:00:00 AM | Standard | 6BE5 | None | None | None | None | None |
| 11/19/2014 12:00:00 AM | Expansion | TZ3X | None | None | None | None | None |
| 2/11/2013 12:00:00 AM | Standard | ZPXM | A0007 | Class 3 | ADMISSIONS - CRITERIA | 07/11/2013 | Admission Procedures, Appropriateness of Placement and Continued Residency Criteria.
(1) ADMISSION CRITERIA. An individual must meet the following minimum criteria in order to be admitted to a facility holding a standard, limited nursing or limited mental health license:
(a) Be at least 18 years of age.
(b) Be free from signs and symptoms of any communicable disease which is likely to be transmitted to other residents or staff; however, a person who has human immunodeficiency virus (HIV) infecti... |
| 2/11/2013 12:00:00 AM | Standard | ZPXM | A0008 | Class 3 | ADMISSIONS - HEALTH ASSESSMENT | 07/11/2013 | (2) HEALTH ASSESSMENT. As part of the admission criteria, an individual must undergo a face-to-face medical examination completed by a licensed health care provider, as specified in either paragraph (a) or (b) of this subsection.
(a) A medical examination completed within 60 calendar days prior to the individual ' s admission to a facility pursuant to Section 429.26(4), F.S. The examination must address the following:
1. The physical and mental status of the resident, including the identific... |
| 2/11/2013 12:00:00 AM | Standard | ZPXM | A0083 | Class 3 | TRAINING - FIRST AID AND CPR | 07/11/2013 | (4) 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 of attendance at First Aid or CPR course offered by an accredited college, university or vocational school; a licensed hospital; the American Red Cross, American Heart Association, or National Safety Council; or a provider approved by the Department of He... |
| 2/11/2013 12:00:00 AM | Standard | ZPXM | A0084 | Class 3 | TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | 07/11/2013 | (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... |
| 2/11/2013 12:00:00 AM | Standard | ZPXM | A0090 | Class 3 | TRAINING - DO NOT RESUSCITATE ORDERS | 07/11/2013 | (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 po... |
| 2/11/2013 12:00:00 AM | Standard | ZPXM | A0167 | Class 3 | RESIDENT CONTRACTS | 07/11/2013 | Resident Contracts.
(1) Pursuant to Section 429.24, F.S., prior to or at the time of admission, each resident or legal representative shall execute a contract with the facility which contains the following provisions:
(a) A list of the specific services, supplies and accommodations to be provided by the facility to the resident, including limited nursing and extended congregate care services if the facility is licensed to provide such services.
(b) The daily, weekly, or monthly rate.
(c) A list ... |
| 2/11/2013 12:00:00 AM | Standard | ZPXM | AL241 | Class 3 | LMH - RECORDS | 07/11/2013 | (2) RECORDS.
(a) A facility with a limited mental health license shall maintain an up-to-date admission and discharge log containing the names and dates of admission and discharge for all mental health residents. The admission and discharge log required under Rule 58A-5.024, F.A.C., shall be sufficient provided that all mental health residents are clearly identified.
(b) Staff records shall contain documentation that designated staff have completed limited mental health training as required by R... |