Inspection Details

Facility ID: 11967550 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
9/3/2025 12:00:00 AMStandardTO6HA0010Class 3ADMISSIONS - CONTINUED RESIDENCY11/05/2025-
9/3/2025 12:00:00 AMStandardTO6HA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT11/05/2025-
2/22/2024 12:00:00 AMStandardGCVHA0054Class 3MEDICATION - RECORDS06/04/2024-
2/22/2024 12:00:00 AMStandardGCVHA0078Class 3STAFFING STANDARDS - STAFF06/04/2024-
2/22/2024 12:00:00 AMStandardGCVHA0081Class 3TRAINING - STAFF IN-SERVICE06/04/2024-
2/22/2024 12:00:00 AMStandardGCVHA0162Class 3RECORDS - RESIDENT06/04/2024-
2/22/2024 12:00:00 AMStandardGCVHAE210Class 3ECC - TRAINING06/04/2024-
2/22/2024 12:00:00 AMStandardGCVHCZ830Class 3EMERGENCY MANAGEMENT PLANNING06/04/2024-
2/22/2024 12:00:00 AMStandardGCVHCZ841Class 4IN-PERSON VISITATION06/04/2024-
6/30/2021 12:00:00 AMStandardHH5WA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT09/10/2021
59A-36.011 (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 59A-36.008, 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...
2/13/2019 12:00:00 AMStandardLMXJA0054Class 3MEDICATION - RECORDS05/22/2019
(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 for each resident w...
2/13/2019 12:00:00 AMStandardLMXJA0181Class 3EMERGENCY PLAN APPROVAL05/22/2019
(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...
2/13/2019 12:00:00 AMStandardLMXJCZ816Class 4BACKGROUND SCREENING-COMPLIANCE ATTESTATION05/22/2019
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...
5/18/2017 12:00:00 AMStandard8HR6NoneNoneNoneNoneNone
3/24/2015 12:00:00 AMStandard7XXBNoneNoneNoneNoneNone
6/17/2013 12:00:00 AMStandardDVIBA0010Class 3ADMISSIONS - CONTINUED RESIDENCY10/14/2013
(4) CONTINUED RESIDENCY. Except as follows in paragraphs (a) through (e) of this subsection, criteria for continued residency in any licensed facility shall be the same as the criteria for admission. As part of the continued residency criteria, a resident must have a face-to-face medical examination by a licensed health care provider at least every 3 years after the initial assessment, or after a significant change, whichever comes first. A significant change is defined in Rule 58A-5.0131, F.A.C...
6/17/2013 12:00:00 AMStandardDVIBA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES10/14/2013
(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 Council shall 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 shall have a written grievance procedure for receiving and responding to resident complaints, and for res...
6/17/2013 12:00:00 AMStandardDVIBA0081Class 3TRAINING - STAFF IN-SERVICE10/14/2013
(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...
6/17/2013 12:00:00 AMStandardDVIBA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS10/14/2013
(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...
6/17/2013 12:00:00 AMStandardDVIBA0092Class 3FOOD SERVICE - GENERAL RESPONSIBILITIES10/14/2013
Food Service Standards. (1) GENERAL RESPONSIBILITIES. When food service is provided by the facility, the administrator or a person designated in writing by the administrator shall: (a) Be responsible for total food services and the day to day supervision of food services staff. (b) Perform his/her duties in a safe and sanitary manner. (c) Provide regular meals which meet the nutritional needs of residents, and therapeutic diets as ordered by the resident ' s health care provider for resident...
6/17/2013 12:00:00 AMStandardDVIBA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER10/14/2013
(3) OTHER REQUIREMENTS. (a) All facilities must: 1. Provide a safe living environment pursuant to Section 429.28(1)(a), F.S.; and 2. Must be maintained free of hazards; and 3. Must ensure that all existing architectural, mechanical, electrical and structural systems and appurtenances are maintained in good working order. (b) Pursuant to Section 429.27, F.S., residents shall be given the option of using their own belongings as space permits. When the facility supplies the furnishings, each reside...
12/19/2012 12:00:00 AMComplaintRJO2A0162Class 3RECORDS - RESIDENT06/17/2013
(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...