Inspection Details

Facility ID: 11967417 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
12/11/2024 12:00:00 AMComplaint6RG5NoneNoneNoneNoneNone
1/18/2024 12:00:00 AMComplaintJI4CNoneNoneNoneNoneNone
8/29/2023 12:00:00 AM-RSJCNoneNoneNoneNoneNone
3/21/2023 12:00:00 AMComplaintQOZGA00252RESIDENT CARE - SUPERVISION06/09/2023
429.26 (7) The facility shall 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 must notify the resident's representative or ...
3/21/2023 12:00:00 AMComplaintQOZGA0081Class 3TRAINING - STAFF IN-SERVICE06/09/2023
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 ...
11/10/2022 12:00:00 AMStandardI02FA0081Class 3TRAINING - STAFF IN-SERVICE02/03/2023
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 ...
11/10/2022 12:00:00 AMStandardI02FA0082Class 3TRAINING - HIV/AIDS02/03/2023
(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 (...
11/10/2022 12:00:00 AMStandardI02FA0086Class 3TRAINING - ADRD02/03/2023
(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...
11/10/2022 12:00:00 AMStandardI02FA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS02/03/2023
(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...
7/26/2022 12:00:00 AMComplaintGMS0A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN08/22/2022
429.256 (3) Assistance with self-administration of medication includes: (a) Taking the medication, in its previously dispensed, properly labeled container, from where it is stored, and bringing it to the resident. For purposes of this paragraph, an insulin syringe that is prefilled with the proper dosage by a pharmacist and an insulin pen that is prefilled by the manufacturer are considered medications in previously dispensed, properly labeled containers. (b) In the presence of the resident, co...
7/26/2022 12:00:00 AMComplaintGMS0A0165Class 3RISK MGMT & QA08/15/2022
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 ...
2/16/2022 12:00:00 AMComplaint8EGQNoneNoneNoneNoneNone
11/2/2021 12:00:00 AMComplaint2PGKNoneNoneNoneNoneNone
8/12/2020 12:00:00 AMComplaintE68WNoneNoneNoneNoneNone
6/30/2020 12:00:00 AMMonitorBE2CNoneNoneNoneNoneNone
3/16/2020 12:00:00 AMComplaintXPNRNoneNoneNoneNoneNone
9/11/2019 12:00:00 AMStandard4KRRA0181Class 3EMERGENCY PLAN APPROVAL09/25/2019
(2) EMERGENCY PLAN APPROVAL. The plan must be submitted for review and approval to the local emergency management agency. (a) If the local emergency management agency requires revisions to the emergency management plan, such revisions must be made and the plan resubmitted to the local office within 30 days of receiving notification that the plan must be revised. (b) A new facility as described in Rule 58A-5.023, F.A.C., and facilities whose ownership has been transferred, must submit an emergenc...
11/21/2018 12:00:00 AMExpansionRNZ8NoneNoneNoneNoneNone
4/11/2018 12:00:00 AMStandardXNZNNoneNoneNoneNoneNone
3/7/2018 12:00:00 AMComplaintCDODA0028Class 3RESIDENT CARE - ACTIVITIES OF DAILY LIVING04/11/2018
(4) ACTIVITIES OF DAILY LIVING. Facilities must offer supervision of or assistance with activities of daily living as needed by each resident. Residents should be encouraged to be as independent as possible in performing activities of daily living.
3/7/2018 12:00:00 AMComplaintCDODA00322RESIDENT CARE - ELOPEMENT STANDARDS04/11/2018
(8) ELOPEMENT STANDARDS. (a) Residents Assessed at Risk for Elopement. All residents assessed at risk for elopement or with any history of elopement must be identified so staff can be alerted to their needs for support and supervision. 1. As part of its resident elopement response policies and procedures, the facility must make, at a minimum, a daily effort to determine that at risk residents have identification on their persons that includes their name and the facility ' s name, address, an...
3/7/2018 12:00:00 AMComplaintCDODA0055Class 3MEDICATION - STORAGE AND DISPOSAL04/11/2018
(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 ...
3/7/2018 12:00:00 AMComplaintCDODA0079Class 3STAFFING STANDARDS - LEVELS04/11/2018
(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...
3/7/2018 12:00:00 AMComplaintCDODA01652RISK MGMT & QA; ADVERSE INCIDENT REPORT04/11/2018
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 ...
9/15/2017 12:00:00 AMComplaintCBMHA0025Class 3RESIDENT CARE - SUPERVISION10/06/2017
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...
9/15/2017 12:00:00 AMComplaintCBMHA0028Class 3RESIDENT CARE - ACTIVITIES OF DAILY LIVING10/06/2017
(4) ACTIVITIES OF DAILY LIVING. Facilities must offer supervision of or assistance with activities of daily living as needed by each resident. Residents should be encouraged to be as independent as possible in performing activities of daily living.
9/15/2017 12:00:00 AMComplaintCBMHA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES10/06/2017
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...
9/15/2017 12:00:00 AMComplaintCBMHA0055Class 3MEDICATION - STORAGE AND DISPOSAL10/06/2017
(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 ...
7/18/2017 12:00:00 AMStandardWHG7NoneNoneNoneNoneNone
3/23/2017 12:00:00 AMComplaint24XPNoneNoneNoneNoneNone
1/31/2017 12:00:00 AMComplaintFQ76NoneNoneNoneNoneNone
1/31/2017 12:00:00 AMMonitorV6MONoneNoneNoneNoneNone
10/3/2016 12:00:00 AMComplaintOCC2NoneNoneNoneNoneNone
2/10/2016 12:00:00 AMMonitorY478NoneNoneNoneNoneNone
8/27/2015 12:00:00 AMStandard63JMA0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT10/15/2015
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 ...
8/27/2015 12:00:00 AMComplaintP7FTNoneNoneNoneNoneNone
5/18/2015 12:00:00 AMMonitorVPQPNoneNoneNoneNoneNone
1/15/2015 12:00:00 AMMonitor64V0NoneNoneNoneNoneNone
12/3/2014 12:00:00 AMComplaintX49FNoneNoneNoneNoneNone
8/18/2014 12:00:00 AMComplaint1FM3NoneNoneNoneNoneNone
8/18/2014 12:00:00 AMMonitorPSSQNoneNoneNoneNoneNone
4/3/2014 12:00:00 AMComplaintFP9DNoneNoneNoneNoneNone
4/3/2014 12:00:00 AMMonitorMN8HNoneNoneNoneNoneNone
2/12/2014 12:00:00 AMMonitorH02FNoneNoneNoneNoneNone
2/12/2014 12:00:00 AMComplaintQ3T0NoneNoneNoneNoneNone
10/11/2013 12:00:00 AMStandardHN46NoneNoneNoneNoneNone
7/9/2013 12:00:00 AMMonitor2XIONoneNoneNoneNoneNone
7/9/2013 12:00:00 AMComplaintWCHVNoneNoneNoneNoneNone
4/18/2013 12:00:00 AMMonitorP6HBNoneNoneNoneNoneNone
1/22/2013 12:00:00 AMMonitorJ995NoneNoneNoneNoneNone
11/5/2012 12:00:00 AMMonitorGGD0NoneNoneNoneNoneNone
9/18/2012 12:00:00 AMComplaintXCF3NoneNoneNoneNoneNone
7/18/2012 12:00:00 AMComplaintVMOWNoneNoneNoneNoneNone
7/6/2012 12:00:00 AMStandardWFQFA0056Class 3MEDICATION - LABELING AND ORDERS09/17/2012
(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...
7/6/2012 12:00:00 AMStandardWFQFA0093Class 3FOOD SERVICE - DIETARY STANDARDS09/17/2012
(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...