Inspection Details

Facility ID: 11967655 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
3/5/2025 12:00:00 AMComplaintFNJCNoneNoneNoneNoneNone
10/31/2024 12:00:00 AMStandard0L4UNoneNoneNoneNoneNone
8/7/2024 12:00:00 AMMonitor1K34NoneNoneNoneNoneNone
8/16/2023 12:00:00 AMComplaintWBY5NoneNoneNoneNoneNone
3/2/2023 12:00:00 AMComplaintU6DNA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES06/01/2023
59A-36.007 (5) 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 59A-36.006, 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...
3/2/2023 12:00:00 AMComplaintU6DNA00562MEDICATION - LABELING AND ORDERS06/01/2023
(7) MEDICATION LABELING AND ORDERS. (a) The facility may not store prescription drugs for self-administration, assistance with self-administration, or administration unless they are 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...
11/8/2022 12:00:00 AMChange of OwnershipIX8FA0056Class 3MEDICATION - LABELING AND ORDERS02/07/2023
(7) MEDICATION LABELING AND ORDERS. (a) The facility may not store prescription drugs for self-administration, assistance with self-administration, or administration unless they are 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...
11/8/2022 12:00:00 AMChange of OwnershipIX8FA0081Class 3TRAINING - STAFF IN-SERVICE02/07/2023
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 ...
11/8/2022 12:00:00 AMChange of OwnershipIX8FA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS02/07/2023
(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...
2/17/2022 12:00:00 AMComplaint00X6NoneNoneNoneNoneNone
8/23/2021 12:00:00 AMComplaintPRUWNoneNoneNoneNoneNone
6/21/2021 12:00:00 AMStandardZND4CZ814UnclassifiedBACKGROUND SCREENING CLEARINGHOUSE07/15/2021
435.12 Care Provider Background Screening Clearinghouse.- (2)(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...
5/22/2019 12:00:00 AMStandardW3G1A0010Class 3ADMISSIONS - CONTINUED RESIDENCY08/12/2019
429.26 (1) The owner or administrator of a facility is responsible for determining the appropriateness of admission of an individual to the facility and for determining the continued appropriateness of residence of an individual in the facility. A determination shall be based upon an assessment of the strengths, needs, and preferences of the resident, the care and services offered or arranged for by the facility in accordance with facility policy, and any limitations in law or rule related to ad...
5/22/2019 12:00:00 AMStandardW3G1A00252RESIDENT CARE - SUPERVISION08/12/2019
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...
5/22/2019 12:00:00 AMStandardW3G1A0054Class 3MEDICATION - RECORDS08/12/2019
(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...
5/22/2019 12:00:00 AMStandardW3G1A0200Class 4EMERGENCY ENVIRONMENTAL CONTROL08/12/2019
(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,...
5/22/2019 12:00:00 AMStandardW3G1CZ813Class 4RESULTS OF SCREENING & NOTIFICATION IN FILE08/12/2019
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.
5/22/2019 12:00:00 AMStandardW3G1CZ816Class 4BACKGROUND SCREENING-COMPLIANCE ATTESTATION08/12/2019
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...
12/5/2018 12:00:00 AMMonitorMWZZA0200Class 3EMERGENCY ENVIRONMENTAL CONTROL06/11/2018
(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,...
3/22/2017 12:00:00 AMStandardTVFKA0010Class 3ADMISSIONS - CONTINUED RESIDENCY06/06/2017
429.26 (1) The owner or administrator of a facility is responsible for determining the appropriateness of admission of an individual to the facility and for determining the continued appropriateness of residence of an individual in the facility. A determination shall be based upon an assessment of the strengths, needs, and preferences of the resident, the care and services offered or arranged for by the facility in accordance with facility policy, and any limitations in law or rule related to ad...
3/22/2017 12:00:00 AMStandardTVFKA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES06/06/2017
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...
3/22/2017 12:00:00 AMStandardTVFKA0081Class 3TRAINING - STAFF IN-SERVICE06/06/2017
(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...
3/22/2017 12:00:00 AMStandardTVFKA0082Class 3TRAINING - HIV/AIDS06/06/2017
(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 (...
3/22/2017 12:00:00 AMStandardTVFKA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS06/06/2017
(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...
3/22/2017 12:00:00 AMStandardTVFKA0091Class 4TRAINING - DOCUMENTATION & MONITORING06/06/2017
(12) TRAINING DOCUMENTATION AND MONITORING. (a) Except as otherwise noted, certificates, or copies of certificates, of any training required by this rule must be documented in the facility ' s personnel files. The documentation must include the following: 1. The title of the training program; 2. The subject matter of the training program; 3. The training program agenda; 4. The number of hours of the training program; 5. The trainee ' s name, dates of participation, and location of the ...
3/22/2017 12:00:00 AMStandardTVFKA0163Class 3RECORDS - RESIDENT, PENALTIES FOR ALTERATION06/06/2017
Resident records; penalties for alteration.- (1) Any person who fraudulently alters, defaces, or falsifies any medical or other record of an assisted living facility, or causes or procures any such offense to be committed, commits a misdemeanor of the second degree, punishable as provided in s. 775.082 or s. 775.083. (2) A conviction under subsection (1) is also grounds for restriction, suspension, or termination of license privileges.
3/22/2017 12:00:00 AMStandardTVFKCZ814Class 4BACKGROUND SCREENING CLEARINGHOUSE06/06/2017
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...
9/26/2016 12:00:00 AMMonitor9T6GNoneNoneNoneNoneNone
6/10/2015 12:00:00 AMStandardRUSCNoneNoneNoneNoneNone
10/22/2013 12:00:00 AMStandardZPGINoneNoneNoneNoneNone
7/24/2013 12:00:00 AMComplaintHSMRNoneNoneNoneNoneNone
2/13/2013 12:00:00 AMComplaintCJKFA0010Class 3ADMISSIONS - CONTINUED RESIDENCY07/24/2012
(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...
2/13/2013 12:00:00 AMComplaintCJKFA00252RESIDENT CARE - SUPERVISION12/23/2013
An assisted living facility shall provide care and services appropriate to the needs of residents accepted for admission to the facility. (1) SUPERVISION. Facilities shall offer personal supervision, as appropriate for each resident, including the following: (a) Monitor the quantity and quality of resident diets in accordance with Rule 58A-5.020, F.A.C. (b) Daily observation by designated staff of the activities of the resident while on the premises, and awareness of the general health, safety, ...
2/13/2013 12:00:00 AMComplaintCJKFA0056Class 3MEDICATION - LABELING AND ORDERS07/24/2012
(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...
2/13/2013 12:00:00 AMComplaintCJKFA0078Class 3STAFFING STANDARDS - STAFF07/24/2012
(2) STAFF. (a) Newly hired staff shall have 30 days to submit a statement from a health care provider, based on a examination conducted within the last six months, that the person does not have any signs or symptoms of a communicable disease including tuberculosis. Freedom from tuberculosis must be documented on an annual basis. A person with a positive tuberculosis test must submit a health care provider ' s statement that the person does not constitute a risk of communicating tuberculosis....
2/13/2013 12:00:00 AMComplaintCJKFAZ821Class 4REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION07/24/2012
(1) During the two year licensure period, any change or expiration of any information that is required to be reported under Chapter 408, Part II or authorizing statutes for the provider type as specified in Section 408.803(3), F.S., during the license application process must be reported to the Agency within 21 days of occurrence of the change, including: (a) Insurance coverage renewal, (b) Bond renewal, (c) Change of administrator or the similarly titled person who is responsible for the day-to...
2/13/2013 12:00:00 AMComplaintCJKFAZ827Class 3UNLICENSED ACTIVITY07/24/2012
(1) A person or entity may not offer or advertise services that require licensure as defined by this part, authorizing statutes, or applicable rules to the public without obtaining a valid license from the agency. A licenseholder may not advertise or hold out to the public that he or she holds a license for other than that for which he or she actually holds the license. (2) The operation or maintenance of an unlicensed provider or the performance of any services that require licensure without p...