Inspection Details

Facility ID: 11968004 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
5/5/2025 12:00:00 AMStandardS17UA0081Class 4TRAINING - STAFF IN-SERVICE07/01/2025-
5/5/2025 12:00:00 AMStandardS17UCZ816Class 4BACKGROUND SCREENING-COMPLIANCE ATTESTATION07/01/2025
408.809 Background screening; prohibited offenses.- (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...
4/7/2025 12:00:00 AMExpansion2KCJNoneNoneNoneNoneNone
4/25/2023 12:00:00 AMStandardJC48NoneNoneNoneNoneNone
8/31/2022 12:00:00 AMComplaint02S1NoneNoneNoneNoneNone
2/15/2022 12:00:00 AMComplaintCXLHNoneNoneNoneNoneNone
12/2/2021 12:00:00 AMComplaint8TBSNoneNoneNoneNoneNone
5/4/2021 12:00:00 AMStandardZPEPNoneNoneNoneNoneNone
4/14/2020 12:00:00 AMComplaintR3B0NoneNoneNoneNoneNone
10/22/2019 12:00:00 AMMonitorHLXHNoneNoneNoneNoneNone
2/4/2019 12:00:00 AMMonitorZ40YNoneNoneNoneNoneNone
1/23/2019 12:00:00 AMStandardJL5RNoneNoneNoneNoneNone
8/20/2018 12:00:00 AMComplaint5H0SNoneNoneNoneNoneNone
8/20/2018 12:00:00 AMInitial Licensure711HNoneNoneNoneNoneNone
2/22/2017 12:00:00 AMStandard0LJDA0030Class 4RESIDENT CARE - RIGHTS & FACILITY PROCEDURES03/29/2017
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...
2/22/2017 12:00:00 AMStandard0LJDA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT03/29/2017
(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...
2/22/2017 12:00:00 AMStandard0LJDA0092Class 4FOOD SERVICE - GENERAL RESPONSIBILITIES03/29/2017
(1) GENERAL RESPONSIBILITIES. When food service is provided by the facility, the administrator, or an individual designated in writing by the administrator, must be responsible for total food services and the day-to-day supervision of food services staff. In addition, the following requirements apply: (a) If the designee is an individual who has not completed an approved assisted living facility core training course, such individual must complete the food and nutrition services module of the cor...
12/27/2016 12:00:00 AMComplaintOW3INoneNoneNoneNoneNone
5/21/2015 12:00:00 AMChange of OwnershipPGYSNoneNoneNoneNoneNone
1/15/2015 12:00:00 AMStandardJZ71A0086Class 3TRAINING - ADRD03/11/2015
(9) 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 434.4.6 of the Florida Building Code, as adopted in Rule 9N-1.001, F.A.C., Florida Building Code Adopted, must ensure that facility staff receive the following training. (a) Facility staff who have regular contact with or provide direct care to residents with AD...
1/15/2015 12:00:00 AMStandardJZ71A0091Class 3TRAINING - DOCUMENTATION & MONITORING03/11/2015
(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 trai...
1/15/2015 12:00:00 AMStandardJZ71A0162Class 3RECORDS - RESIDENT03/11/2015
(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 teleph...
8/6/2014 12:00:00 AMComplaintVIK0NoneNoneNoneNoneNone
5/30/2014 12:00:00 AMComplaintNDNDNoneNoneNoneNoneNone
11/27/2013 12:00:00 AMComplaint1WFBA0054Class 3MEDICATION - RECORDS02/04/2014
(5) MEDICATION RECORDS. (a) For residents who use a pill organizer managed under subsection (2), the facility shall 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 shall maintain a daily medication observation record (MOR) for ...
8/28/2013 12:00:00 AMComplaintVY5LNoneNoneNoneNoneNone
3/21/2013 12:00:00 AMStandard8NUCA0078Class 3STAFFING STANDARDS - STAFF06/12/2013
(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....
3/21/2013 12:00:00 AMStandard8NUCA0086Class 3TRAINING - ADRD06/12/2013
(9) 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 434.4.6 of the Florida Building Code, as adopted in Rule 9N-1.001, F.A.C., Florida Building Code Adopted, must ensure that facility staff receive the following training. (a) Facility staff who have regular contact with or provide direct care to residents w...
3/21/2013 12:00:00 AMStandard8NUCA0092Class 3FOOD SERVICE - GENERAL RESPONSIBILITIES06/12/2013
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...
3/21/2013 12:00:00 AMStandard8NUCA0093Class 3FOOD SERVICE - DIETARY STANDARDS06/12/2013
(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...
3/21/2013 12:00:00 AMStandard8NUCA0160Class 3RECORDS - FACILITY06/12/2013
Records. The facility shall maintain the following written records in a form, place and system ordinarily employed in good business practice and accessible to Department of Elder Affairs and Agency staff. (1) FACILITY RECORDS. Facility records shall include: (a) The facility ' s license which shall be displayed in a conspicuous and public place within the facility. (b) An up-to-date admission and discharge log listing the names of all residents and each resident ' s: 1. Date of admission...
3/4/2013 12:00:00 AMComplaint0X3KA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN08/28/2013
(3) ASSISTANCE WITH SELF-ADMINISTRATION. (a) For facilities which provide assistance with self-administered medication, either: a nurse; or an unlicensed staff member, who is at least 18 years old, trained to assist with self-administered medication in accordance with Rule 58A-5.0191, F.A.C., and able to demonstrate to the administrator the ability to accurately read and interpret a prescription label, must be available to assist residents with self-administered medications in accordance with pr...
3/4/2013 12:00:00 AMComplaint0X3KA0054Class 3MEDICATION - RECORDS08/28/2013
(5) MEDICATION RECORDS. (a) For residents who use a pill organizer managed under subsection (2), the facility shall 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 shall maintain a daily medication observation record (MOR) for ...
3/4/2013 12:00:00 AMComplaint0X3KA0055Class 3MEDICATION - STORAGE AND DISPOSAL08/28/2013
(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...
3/4/2013 12:00:00 AMComplaint0X3KA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT08/28/2013
(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...
8/9/2012 12:00:00 AMComplaintE0ORA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER10/17/2012
(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...