Inspection Details

Facility ID: 11967209 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
9/25/2025 12:00:00 AMComplaintQS3LNoneNoneNoneNoneNone
6/6/2025 12:00:00 AMStandardNZ0INoneNoneNoneNoneNone
10/30/2023 12:00:00 AMComplaintLRTQCZ821Class 3REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION12/14/2023-
8/28/2023 12:00:00 AMStandardJDCGA0160Class 3RECORDS - FACILITY10/12/2023
59A-36.015 Records. The facility must maintain required records in a manner that makes such records readily available at the licensee's physical address for review by a legally authorized entity. If records are maintained in an electronic format, facility staff must be readily available to access the data and produce the requested information. For purposes of this section, "readily available" means the ability to immediately produce documents, records, or other such data, either in...
8/28/2023 12:00:00 AMStandardJDCGA0162Class 3RECORDS - RESIDENT10/12/2023
(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...
6/7/2023 12:00:00 AMComplaintM167NoneNoneNoneNoneNone
10/20/2022 12:00:00 AMComplaint1X88NoneNoneNoneNoneNone
3/8/2022 12:00:00 AMComplaintW8V1NoneNoneNoneNoneNone
1/24/2022 12:00:00 AMStandardMGC6A0078Class 3STAFFING STANDARDS - STAFF03/08/2022
(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...
1/24/2022 12:00:00 AMStandardMGC6A0082Class 3TRAINING - HIV/AIDS03/08/2022
(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 (...
1/24/2022 12:00:00 AMStandardMGC6A0086Class 3TRAINING - ADRD04/18/2022
(10) 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 464.4.6 of the Florida Building Code, as adopted in rule 61G20-1.001, F.A.C., Florida Building Code Adopted, must ensure that facility staff receive the following training. (a) Facility staff who interact on a daily basis with residents with ADRD but do not pro...
1/24/2022 12:00:00 AMStandardMGC6A0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS03/08/2022
(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...
1/24/2022 12:00:00 AMStandardMGC6A0160Class 3RECORDS - FACILITY04/18/2022
The facility must maintain required records in a manner that makes such records readily available at the licensee's physical address for review by a legally authorized entity. If records are maintained in an electronic format, facility staff must be readily available to access the data and produce the requested information. For purposes of this section, "readily available" means the ability to immediately produce documents, records, or other such data, either in electronic or paper...
9/27/2021 12:00:00 AMComplaintY8VGA0081Class 3TRAINING - STAFF IN-SERVICE11/09/2021
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 AMComplaintY8VGA0086Class 3TRAINING - ADRD11/09/2021
(10) 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 464.4.6 of the Florida Building Code, as adopted in rule 61G20-1.001, F.A.C., Florida Building Code Adopted, must ensure that facility staff receive the following training. (a) Facility staff who interact on a daily basis with residents with ADRD but do not pro...
9/27/2021 12:00:00 AMComplaintY8VGA0160Class 3RECORDS - FACILITY11/09/2021
The facility must maintain required records in a manner that makes such records readily available at the licensee's physical address for review by a legally authorized entity. If records are maintained in an electronic format, facility staff must be readily available to access the data and produce the requested information. For purposes of this section, "readily available" means the ability to immediately produce documents, records, or other such data, either in electronic or paper...
1/8/2021 12:00:00 AMComplaintSSVSNoneNoneNoneNoneNone
6/18/2020 12:00:00 AMComplaint8739NoneNoneNoneNoneNone
9/30/2019 12:00:00 AMComplaintDOLPA0082Class 3TRAINING - HIV/AIDS11/15/2019
(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 (...
9/30/2019 12:00:00 AMComplaintDOLPA0086Class 3TRAINING - ADRD11/15/2019
(10) 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 64.4.6 of the Florida Building Code, as adopted in rule 61G20-1.001, F.A.C., Florida Building Code Adopted, must ensure that facility staff receive the following training. (a) Facility staff who interact on a daily basis with residents with ADRD but do not prov...
9/30/2019 12:00:00 AMComplaintDOLPA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS11/15/2019
(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...
9/30/2019 12:00:00 AMStandardILQEA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN11/15/2019
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, ...
7/8/2019 12:00:00 AMComplaintDOLPA0081Class 3TRAINING - STAFF IN-SERVICE11/15/2019
(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&#...
7/8/2019 12:00:00 AMComplaintDOLPA0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT09/30/2019
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 ...
12/4/2018 12:00:00 AMComplaintBQOPNoneNoneNoneNoneNone
4/4/2018 12:00:00 AMStandardJCDQNoneNoneNoneNoneNone
11/5/2017 12:00:00 AMComplaintWC0LNoneNoneNoneNoneNone
7/20/2017 12:00:00 AMComplaintZUDPNoneNoneNoneNoneNone
5/31/2017 12:00:00 AMStandardP557A0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES07/18/2017
58A-5.0182(6) RESIDENT RIGHTS AND FACILITY PROCEDURES. (a) A copy of the Resident Bill of Rights as described in Section 429.28, F.S., or a summary provided by the Long-Term Care Ombudsman Program must be posted in full view in a freely accessible resident area, and included in the admission package provided pursuant to Rule 58A-5.0181, F.A.C. (b) In accordance with Section 429.28, F.S., the facility must have a written grievance procedure for receiving and responding to resident complaints, and...
5/31/2017 12:00:00 AMStandardP557A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN07/18/2017
(3) ASSISTANCE WITH SELF-ADMINISTRATION. (a) Any unlicensed person providing assistance with self administration of medication must be 18 years of age or older, trained to assist with self administered medication pursuant to the training requirements of Rule 58A-5.0191, F.A.C., and must be available to assist residents with self-administered medications in accordance with procedures described in Section 429.256, F.S. and this rule. (b) In addition to the specifications of Section 429.256(3), F.S...
5/31/2017 12:00:00 AMStandardP557AN277Class 3LNS - RESIDENT CARE STANDARDS07/18/2017
(2) RESIDENT CARE STANDARDS. (a) A resident receiving limited nursing services in a facility holding only a standard and limited nursing services license must meet the admission and continued residency criteria specified in Rule 58A-5.0181, F.A.C. (b) In accordance with Rule 58A-5.019, F.A.C., the facility must employ sufficient and qualified staff to meet the needs of residents requiring limited nursing services based on the number of such residents and the type of nursing service to be provide...
6/24/2016 12:00:00 AMComplaint3QXUA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN10/19/2016
(3) ASSISTANCE WITH SELF-ADMINISTRATION. (a) Any unlicensed person providing assistance with self administration of medication must be 18 years of age or older, trained to assist with self administered medication pursuant to the training requirements of Rule 58A-5.0191, F.A.C., and must be available to assist residents with self-administered medications in accordance with procedures described in Section 429.256, F.S. and this rule. (b) In addition to the specifications of Section 429.256(3), F.S...
6/24/2016 12:00:00 AMComplaint3QXUA0056Class 3MEDICATION - LABELING AND ORDERS10/19/2016
(7) MEDICATION LABELING AND ORDERS. (a) The facility may not store prescription drugs for self-administration, assistance with self-administration, or administration unless it is properly labeled and dispensed in accordance with Chapters 465 and 499, F.S., and Rule 64B16-28.108, F.A.C. If a customized patient medication package is prepared for a resident, and separated into individual medicinal drug containers, then the following information must be recorded on each individual container: 1. The ...
6/24/2016 12:00:00 AMComplaint3QXUA0077Class 3STAFFING STANDARDS - ADMINISTRATORS10/19/2016
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...
9/24/2015 12:00:00 AMComplaintR27PNoneNoneNoneNoneNone
7/9/2015 12:00:00 AMStandardERNVA0082Class 3TRAINING - HIV/AIDS09/24/2015
(3) 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 (...
7/9/2015 12:00:00 AMStandardERNVA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS09/24/2015
(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...
7/9/2015 12:00:00 AMComplaintY4CIA0081Class 3TRAINING - STAFF IN-SERVICE09/24/2015
(2) STAFF IN-SERVICE TRAINING. Facility administrators or managers shall provide or arrange for the following in-service training to facility staff: (a) Staff who provide direct care to residents, other than nurses, certified nursing assistants, or home health aides trained in accordance with Rule 59A-8.0095, F.A.C., must receive a minimum of 1 hour in-service training in infection control, including universal precautions, and facility sanitation procedures before providing personal care to resi...
3/12/2015 12:00:00 AMComplaintOZLCA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN05/11/2015
(3) ASSISTANCE WITH SELF-ADMINISTRATION. (a) Any unlicensed person providing assistance with self administration of medication must be 18 years of age or older, trained to assist with self administered medication pursuant to the training requirements of Rule 58A-5.0191, F.A.C., and must be available to assist residents with self-administered medications in accordance with procedures described in Section 429.256, F.S., and this rule. (b) In addition to the specifications of Section 429.256(3), F....
3/12/2015 12:00:00 AMComplaintOZLCA0054Class 3MEDICATION - RECORDS05/11/2015
(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 ...
3/12/2015 12:00:00 AMComplaintOZLCA0055Class 3MEDICATION - STORAGE AND DISPOSAL05/11/2015
(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; or in their rooms or apartments, which must be kept locked when residents are absent, unless the medication is in a secure place within the rooms or apartments or in some other secure place that ...
3/12/2015 12:00:00 AMComplaintOZLCA0056Class 3MEDICATION - LABELING AND ORDERS05/11/2015
(7) MEDICATION LABELING AND ORDERS. (a) The facility may not store prescription drugs for self-administration, assistance with self-administration, or administration unless it is properly labeled and dispensed in accordance with Chapters 465 and 499, F.S., and Rule 64B16-28.108, F.A.C. If a customized patient medication package is prepared for a resident, and separated into individual medicinal drug containers, then the following information must be recorded on each individual container: 1. The ...
3/12/2015 12:00:00 AMComplaintOZLCA0079Class 3STAFFING STANDARDS - LEVELS05/11/2015
(3) STAFFING STANDARDS. (a) Minimum staffing: 1. Facilities must maintain the following minimum staff hours per week: Number of Residents Staff Hours/Week 0-5 168 6-15 212 16- 25 253 26-35 294 36-45 335 46-55 375 56- 65 416 66-75 457 76...
3/12/2015 12:00:00 AMComplaintOZLCA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT05/11/2015
(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...
9/29/2014 12:00:00 AMComplaintYGU6NoneNoneNoneNoneNone
1/13/2014 12:00:00 AMExpansion1LPGNoneNoneNoneNoneNone
12/18/2013 12:00:00 AMMonitorUX3ENoneNoneNoneNoneNone
8/26/2013 12:00:00 AMComplaintKC7HNoneNoneNoneNoneNone
4/16/2013 12:00:00 AMStandard8PTBNoneNoneNoneNoneNone
4/16/2013 12:00:00 AMComplaintPF56NoneNoneNoneNoneNone
3/4/2013 12:00:00 AMComplaint794INoneNoneNoneNoneNone
2/4/2013 12:00:00 AMComplaintH94FA0162Class 3RECORDS - RESIDENT03/20/2013
(3) RESIDENT RECORDS. Resident records shall 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, responsible party, or other person the resident would like to have notified in case of an emergency, and relationship to resident; and 9...
1/23/2013 12:00:00 AMMonitor0KMWNoneNoneNoneNoneNone
12/6/2012 12:00:00 AMComplaintS88GA0027Class 3RESIDENT CARE - ARRANGEMENT FOR HEALTH CARE02/04/2013
(3) ARRANGEMENT FOR HEALTH CARE. In order to facilitate resident access to needed health care, the facility shall, as needed by each resident: (a) Assist residents in making appointments and remind residents about scheduled appointments for medical, dental, nursing, or mental health services. (b) Provide transportation to needed medical, dental, nursing or mental health services, or arrange for transportation through family and friends, volunteers, taxi cabs, public buses, and agencies providing...
11/5/2012 12:00:00 AMComplaintX8J4NoneNoneNoneNoneNone
7/13/2012 12:00:00 AMMonitor9NO0A0055Class 3MEDICATION - STORAGE AND DISPOSAL11/05/2012
(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; or in their rooms or apartments, which must be kept locked when residents are absent, unless the medication is in a secure place within the rooms or apartments or in some other secure place which...
7/13/2012 12:00:00 AMMonitor9NO0A0056Class 3MEDICATION - LABELING AND ORDERS11/05/2012
(7) MEDICATION LABELING AND ORDERS. (a) No prescription drug shall be kept or administered by the facility, including assistance with self-administration of medication, unless it is properly labeled and dispensed in accordance with Chapters 465 and 499, F.S., and Rule 64B16-28.108, F.A.C. If a customized patient medication package is prepared for a resident, and separated into individual medicinal drug containers, then the following information must be recorded on each individual container: 1. T...
7/13/2012 12:00:00 AMMonitor9NO0AN277Class 3LNS - RESIDENT CARE STANDARDS11/05/2012
(2) RESIDENT CARE STANDARDS. (a) A resident receiving limited nursing services in a facility holding only a standard and limited nursing license must meet the admission and continued residency criteria specified in Rule 58A-5.0181, F.A.C. (b) In accordance with Rule 58A-5.019, F.A.C., the facility must employ sufficient and qualified staff to meet the needs of residents requiring limited nursing services based on the number of such residents and the type of nursing service to be provided. (c) Li...
7/13/2012 12:00:00 AMMonitor9NO0AZ815Class 4BACKGROUND SCREENING; PROHIBITED OFFENSES-
408.809, F.S. (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 the financial operation of...