Inspection Details

Facility ID: 11967448 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
5/8/2025 12:00:00 AMStandardCWC6A0162Class 3RECORDS - RESIDENT08/27/2025-
8/7/2024 12:00:00 AMMonitor9789NoneNoneNoneNoneNone
2/24/2023 12:00:00 AMStandardQFJZA0078Class 3STAFFING STANDARDS - STAFF04/11/2023-
2/24/2023 12:00:00 AMStandardQFJZA0162Class 3RECORDS - RESIDENT05/30/2023-
9/20/2021 12:00:00 AMStandardKDLTAL243Class 3LMH - TRAINING12/28/2021-
9/20/2018 12:00:00 AMStandardT9WDA0025Class 3RESIDENT CARE - SUPERVISION11/01/2018-
9/20/2018 12:00:00 AMStandardT9WDA0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT11/01/2018-
8/29/2018 12:00:00 AMMonitorPLY7NoneNoneNoneNoneNone
10/25/2016 12:00:00 AMStandardVWWLA0026Class 3RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES01/11/2017-
10/25/2016 12:00:00 AMStandardVWWLA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN01/11/2017-
10/25/2016 12:00:00 AMStandardVWWLA0054Class 3MEDICATION - RECORDS01/11/2017-
10/25/2016 12:00:00 AMStandardVWWLA0056Class 3MEDICATION - LABELING AND ORDERS01/11/2017-
10/25/2016 12:00:00 AMStandardVWWLA0057Class 3MEDICATION - OVER THE COUNTER (OTC) PRODUCTS01/11/2017-
10/25/2016 12:00:00 AMStandardVWWLA0077Class 3STAFFING STANDARDS - ADMINISTRATORS01/11/2017-
10/25/2016 12:00:00 AMStandardVWWLA0079Class 3STAFFING STANDARDS - LEVELS01/11/2017-
10/25/2016 12:00:00 AMStandardVWWLA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT01/11/2017-
10/25/2016 12:00:00 AMStandardVWWLA0093Class 3FOOD SERVICE - DIETARY STANDARDS01/11/2017-
10/25/2016 12:00:00 AMStandardVWWLAZ813Class 4RESULTS OF SCREENING & NOTIFICATION IN FILE01/11/2017-
10/25/2016 12:00:00 AMStandardVWWLAZ814Class 4BACKGROUND SCREENING CLEARINGHOUSE01/11/2017-
10/25/2016 12:00:00 AMMonitorX2B3NoneNoneNoneNoneNone
10/28/2015 12:00:00 AMMonitorN51IA0078Class 3STAFFING STANDARDS - STAFF02/18/2016-
10/28/2015 12:00:00 AMMonitorN51IAZ815Class 4BACKGROUND SCREENING; PROHIBITED OFFENSES02/18/2016-
7/29/2015 12:00:00 AMComplaintD5FBA0077Class 3STAFFING STANDARDS - ADMINISTRATORS09/30/2015-
6/2/2015 12:00:00 AMComplaintD5FBA0007Class 3ADMISSIONS - CRITERIA07/29/2015-
6/2/2015 12:00:00 AMMonitorUQGDNoneNoneNoneNoneNone
10/6/2014 12:00:00 AMStandard4OHHA0078Class 3STAFFING STANDARDS - STAFF11/24/2014-
10/6/2014 12:00:00 AMStandard4OHHA0162Class 3RECORDS - RESIDENT11/24/2014-
10/6/2014 12:00:00 AMMonitorSTJNNoneNoneNoneNoneNone
9/16/2014 12:00:00 AMComplaintVERFA00251RESIDENT CARE - SUPERVISION10/06/2014-
9/16/2014 12:00:00 AMComplaintVERFA0076Class 3DO NOT RESUSCITATE ORDERS (DNROS)10/06/2014-
5/28/2014 12:00:00 AMMonitorFEWENoneNoneNoneNoneNone
4/9/2013 12:00:00 AMComplaintI0RUA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES06/06/2013-
4/9/2013 12:00:00 AMComplaintI0RUA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN06/06/2013-
4/9/2013 12:00:00 AMComplaintI0RUA0074Class 3STAFFING STANDARDS - PERSONNEL FILE (BGS)06/06/2013-
4/9/2013 12:00:00 AMComplaintI0RUA0079Class 3STAFFING STANDARDS - LEVELS06/06/2013-
4/9/2013 12:00:00 AMComplaintI0RUA0093Class 3FOOD SERVICE - DIETARY STANDARDS06/06/2013-
4/9/2013 12:00:00 AMComplaintI0RUA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER06/06/2013-
4/9/2013 12:00:00 AMComplaintI0RUA0161Class 3RECORDS - STAFF06/06/2013-
10/8/2012 12:00:00 AMStandardY1LCA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN12/12/2012-
10/8/2012 12:00:00 AMStandardY1LCA0086Class 3TRAINING - ADRD12/12/2012-
Florida Agency for Health Care Administration (AHCA) Inspection Data