Inspection Details

Facility ID: 11968012 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
11/6/2024 12:00:00 AMStandardTXFLA0078Class 3STAFFING STANDARDS - STAFF11/13/2024-
11/6/2024 12:00:00 AMStandardTXFLA0081Class 3TRAINING - STAFF IN-SERVICE11/14/2024-
5/22/2024 12:00:00 AMComplaint0U99NoneNoneNoneNoneNone
11/9/2023 12:00:00 AMStandard0ML6A0078Class 3STAFFING STANDARDS - STAFF03/11/2024
(2) STAFF. (a) Within 30 days after beginning employment, newly hired staff must submit a written statement from a health care provider documenting that the individual does not have any signs or symptoms of communicable disease. The examination performed by the health care provider must have been conducted no earlier than 6 months before submission of the statement. Newly hired staff does not include an employee transferring without a break in service from one facility to another when the facili...
11/9/2023 12:00:00 AMStandard0ML6CZ830Class 3EMERGENCY MANAGEMENT PLANNING05/15/2024-
5/25/2021 12:00:00 AMStandard7P0TA0008Class 3ADMISSIONS - HEALTH ASSESSMENT06/22/2021
429.26 (5) Each resident must have been examined by a licensed physician, a licensed physician assistant, or a licensed advanced practice registered nurse within 60 days before admission to the facility or within 30 days after admission to the facility, except as provided in s. 429.07. The information from the medical examination must be recorded on the practitioner ' s form or on a form adopted by agency rule. The medical examination form, signed only by the practitioner, must be submitted ...
12/16/2019 12:00:00 AMComplaintUY5ENoneNoneNoneNoneNone
7/26/2019 12:00:00 AMComplaintF3LKNoneNoneNoneNoneNone
4/17/2019 12:00:00 AMStandardC15PA0008Class 3ADMISSIONS - HEALTH ASSESSMENT07/22/2019
429.26 (4) If possible, each resident shall have been examined by a licensed physician, a licensed physician assistant, or a licensed nurse practitioner within 60 days before admission to the facility. The signed and completed medical examination report shall be submitted to the owner or administrator of the facility who shall use the information contained therein to assist in the determination of the appropriateness of the resident's admission and continued stay in the facility. The medical...
4/17/2019 12:00:00 AMStandardC15PA0161Class 3RECORDS - STAFF06/05/2019
429.275 (2) The administrator or owner of a facility shall maintain personnel records for each staff member which contain, at a minimum, documentation of background screening, if applicable, documentation of compliance with all training requirements of this part or applicable rule, and a copy of all licenses or certification held by each staff who performs services for which licensure or certification is required under this part or rule. 58A-5.024 (2) STAFF RECORDS. (a) Personnel records for e...
4/17/2019 12:00:00 AMStandardC15PA0181Class 3EMERGENCY PLAN APPROVAL08/20/2019
(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...
4/17/2019 12:00:00 AMStandardC15PCZ813Class 4RESULTS OF SCREENING & NOTIFICATION IN FILE06/05/2019
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.
11/29/2018 12:00:00 AMComplaintRE49NoneNoneNoneNoneNone
9/4/2018 12:00:00 AMComplaint09ZPA0008Class 3ADMISSIONS - HEALTH ASSESSMENT02/26/2019
429.26 (4) If possible, each resident shall have been examined by a licensed physician, a licensed physician assistant, or a licensed nurse practitioner within 60 days before admission to the facility. The signed and completed medical examination report shall be submitted to the owner or administrator of the facility who shall use the information contained therein to assist in the determination of the appropriateness of the resident's admission and continued stay in the facility. The medical...
9/4/2018 12:00:00 AMComplaint09ZPA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN07/22/2019
429.256 (3) Assistance with self-administration of medication includes: (a) Taking the medication, in its previously dispensed, properly labeled container, including an insulin syringe that is prefilled with the proper dosage by a pharmacist and an insulin pen that is prefilled by the manufacturer, from where it is stored, and bringing it to the resident. (b) In the presence of the resident, reading the label, opening the container, removing a prescribed amount of medication from the container,...
9/4/2018 12:00:00 AMComplaint09ZPA0078Class 3STAFFING STANDARDS - STAFF07/18/2019
(2) STAFF. (a) Within 30 days after beginning employment, newly hired staff must submit a written statement from a health care provider documenting that the individual does not have any signs or symptoms of communicable disease. The examination performed by the health care provider must have been conducted no earlier than 6 months before submission of the statement. Newly hired staff does not include an employee transferring without a break in service from one facility to another when the facili...
9/4/2018 12:00:00 AMComplaint09ZPA0082Class 3TRAINING - HIV/AIDS02/26/2019
(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 (...
9/4/2018 12:00:00 AMComplaint09ZPA0085Class 3TRAINING - NUTRITION & FOOD SERVICE05/21/2019
(7) NUTRITION AND FOOD SERVICE. The administrator or person designated by the administrator as responsible for the facility's food service and the day-to-day supervision of food service staff must obtain, annually, a minimum of 2 hours continuing education in topics pertinent to nutrition and food service in an assisted living facility. This requirement does not apply to administrators and designees who are exempt from training requirements under paragraph 58A-5.020(1)(b). A certified food m...
9/4/2018 12:00:00 AMComplaint09ZPA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS07/19/2019
(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...
9/4/2018 12:00:00 AMComplaint09ZPA0091Class 3TRAINING - DOCUMENTATION & MONITORING07/09/2019
(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 traini...
2/28/2017 12:00:00 AMStandard71EIA0008Class 3ADMISSIONS - HEALTH ASSESSMENT04/25/2017
429.26 (4) If possible, each resident shall have been examined by a licensed physician, a licensed physician assistant, or a licensed nurse practitioner within 60 days before admission to the facility. The signed and completed medical examination report shall be submitted to the owner or administrator of the facility who shall use the information contained therein to assist in the determination of the appropriateness of the resident ' s admission and continued stay in the facility. The medic...
2/28/2017 12:00:00 AMStandard71EIA0054Class 3MEDICATION - RECORDS04/25/2017
(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 (MOR) for each ...
2/28/2017 12:00:00 AMStandard71EIA0077Class 3STAFFING STANDARDS - ADMINISTRATORS04/25/2017
429.176 Notice of change of administrator.-If, during the period for which a license is issued, the owner changes administrators, the owner must notify the agency of the change within 10 days and provide documentation within 90 days that the new administrator has completed the applicable core educational requirements under s. 429.52. 58A-5.019 Staffing Standards. (1) ADMINISTRATORS. Every facility must be under the supervision of an administrator who is responsible for the operation and maint...
2/28/2017 12:00:00 AMStandard71EIA0078Class 3STAFFING STANDARDS - STAFF04/25/2017
(2) STAFF. (a) Within 30 days after beginning employment, newly hired staff must submit a written statement from a health care provider documenting that the individual does not have any signs or symptoms of communicable disease. The examination performed by the health care provider must have been conducted no earlier than 6 months before submission of the statement. Newly hired staff does not include an employee transferring without a break in service from one facility to another when the facili...
2/28/2017 12:00:00 AMStandard71EIA0081Class 3TRAINING - STAFF IN-SERVICE04/25/2017
(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...
2/28/2017 12:00:00 AMStandard71EIA0082Class 3TRAINING - HIV/AIDS04/25/2017
(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 (...
2/28/2017 12:00:00 AMStandard71EIA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT04/25/2017
(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...
2/28/2017 12:00:00 AMStandard71EIA0085Class 3TRAINING - NUTRITION & FOOD SERVICE04/25/2017
(6) NUTRITION AND FOOD SERVICE. The administrator or person designated by the administrator as responsible for the facility ' s food service and the day-to-day supervision of food service staff must obtain, annually, a minimum of 2 hours continuing education in topics pertinent to nutrition and food service in an assisted living facility. A certified food manager, licensed dietician, registered dietary technician or health department sanitarians are qualified to train assisted living facilit...
2/28/2017 12:00:00 AMStandard71EIA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS04/25/2017
(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...
2/28/2017 12:00:00 AMStandard71EIA0093Class 3FOOD SERVICE - DIETARY STANDARDS04/25/2017
(2) DIETARY STANDARDS. (a) The meals provided by the assisted living facility must be planned based on the current USDA Dietary Guidelines for Americans, 2010, which are incorporated by reference and available for review at: http://www.flrules.org/Gateway/reference.asp?No=Ref-04003, and the current summary of Dietary Reference Intakes established by the Food and Nutrition Board of the Institute of Medicine of the National Academies, 2010, which are incorporated by reference and available for rev...
2/28/2017 12:00:00 AMStandard71EIA0161Class 3RECORDS - STAFF04/25/2017
429.275 (2) The administrator or owner of a facility shall maintain personnel records for each staff member which contain, at a minimum, documentation of background screening, if applicable, documentation of compliance with all training requirements of this part or applicable rule, and a copy of all licenses or certification held by each staff who performs services for which licensure or certification is required under this part or rule. 58A-5.024 (2) STAFF RECORDS. (a) Personnel records for e...
11/20/2015 12:00:00 AMComplaintJFC5NoneNoneNoneNoneNone
8/18/2015 12:00:00 AMChange of OwnershipOJ8QA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES10/12/2015
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...
8/18/2015 12:00:00 AMChange of OwnershipOJ8QA0078Class 3STAFFING STANDARDS - STAFF10/12/2015
(2) STAFF. (a) Within 30 days after beginning employment, newly hired staff must submit a written statement from a health care provider documenting that the individual does not have any signs or symptoms of communicable disease. The examination performed by the health care provider must have been conducted no earlier than 6 months before submission of the statement. Newly hired staff does not include an employee transferring without a break in service from one facility to another when the facili...
5/26/2015 12:00:00 AMComplaint30GGNoneNoneNoneNoneNone
3/9/2015 12:00:00 AMStandardV3NUA0010Class 3ADMISSIONS - CONTINUED RESIDENCY04/08/2015
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...
3/9/2015 12:00:00 AMStandardV3NUA0054Class 4MEDICATION - RECORDS04/08/2015
(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 (MOR) for each ...
3/9/2015 12:00:00 AMStandardV3NUA0078Class 3STAFFING STANDARDS - STAFF04/08/2015
(2) STAFF. (a) Within 30 days after beginning employment, newly hired staff must submit a written statement from a health care provider documenting that the individual does not have any signs or symptoms of communicable disease. The examination performed by the health care provider must have been conducted no earlier than 6 months before submission of the statement. Newly hired staff does not include an employee transferring without a break in service from one facility to another when the facili...
3/9/2015 12:00:00 AMStandardV3NUA0161Class 3RECORDS - STAFF04/08/2015
429.275 (2) The administrator or owner of a facility shall maintain personnel records for each staff member which contain, at a minimum, documentation of background screening, if applicable, documentation of compliance with all training requirements of this part or applicable rule, and a copy of all licenses or certification held by each staff who performs services for which licensure or certification is required under this part or rule. 58A-5.024 (2) STAFF RECORDS. (a) Personnel records for e...
5/1/2013 12:00:00 AMStandardRXEPNoneNoneNoneNoneNone
2/18/2013 12:00:00 AMStandardI6OLNoneNoneNoneNoneNone