Inspection Details

Facility ID: 11968235 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
7/28/2025 12:00:00 AMStandardOPM4A0078Class 3STAFFING STANDARDS - STAFF09/25/2025-
7/28/2025 12:00:00 AMStandardOPM4A0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT09/25/2025-
11/20/2024 12:00:00 AMComplaint505SA0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS01/29/2025-
11/20/2024 12:00:00 AMComplaint505SCZ814UnclassifiedBACKGROUND SCREENING CLEARINGHOUSE11/21/2024-
11/20/2024 12:00:00 AMComplaint505SCZ875UnclassifiedALZHEIMER DISEASE/DEMENTIA; TRAINING11/22/2024-
4/16/2024 12:00:00 AMComplaint0UPQA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN06/24/2024-
4/16/2024 12:00:00 AMComplaint0UPQA0054Class 3MEDICATION - RECORDS06/24/2024-
4/16/2024 12:00:00 AMComplaint0UPQA0055Class 3MEDICATION - STORAGE AND DISPOSAL06/24/2024-
4/16/2024 12:00:00 AMComplaint0UPQA0092Class 3FOOD SERVICE - GENERAL RESPONSIBILITIES06/24/2024-
7/18/2023 12:00:00 AMStandardDKUTA0025Class 3RESIDENT CARE - SUPERVISION09/06/2023-
7/18/2023 12:00:00 AMStandardDKUTCZ830Class 3EMERGENCY MANAGEMENT PLANNING09/06/2023-
6/26/2023 12:00:00 AMComplaint0W55A0081Class 3TRAINING - STAFF IN-SERVICE09/06/2023-
5/24/2022 12:00:00 AMComplaintVTP7NoneNoneNoneNoneNone
2/2/2022 12:00:00 AMComplaint14YHA0200Class 3EMERGENCY ENVIRONMENTAL CONTROL03/21/2022-
8/23/2021 12:00:00 AMStandardEVOFA0025Class 3RESIDENT CARE - SUPERVISION10/19/2021-
8/23/2021 12:00:00 AMStandardEVOFA0054Class 3MEDICATION - RECORDS10/19/2021-
8/23/2021 12:00:00 AMStandardEVOFA0078Class 3STAFFING STANDARDS - STAFF10/19/2021-
8/23/2021 12:00:00 AMStandardEVOFA0081Class 3TRAINING - STAFF IN-SERVICE10/19/2021-
8/23/2021 12:00:00 AMStandardEVOFA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT10/19/2021-
8/23/2021 12:00:00 AMStandardEVOFA0086Class 3TRAINING - ADRD10/19/2021-
8/23/2021 12:00:00 AMStandardEVOFA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS10/19/2021-
8/23/2021 12:00:00 AMStandardEVOFA0168Class 4RESIDENT REFUND POLICY12/13/2021-
8/23/2021 12:00:00 AMStandardEVOFA0181Class 3EMERGENCY PLAN APPROVAL10/19/2021-
8/23/2021 12:00:00 AMStandardEVOFAN278Class 3LNS - RECORDS10/19/2021-
8/23/2021 12:00:00 AMStandardEVOFCZ813UnclassifiedRESULTS OF SCREENING & NOTIFICATION IN FILE12/13/2021-
8/23/2021 12:00:00 AMStandardEVOFCZ814UnclassifiedBACKGROUND SCREENING CLEARINGHOUSE10/19/2021-
8/23/2021 12:00:00 AMStandardEVOFCZ816UnclassifiedBACKGROUND SCREENING-COMPLIANCE ATTESTATION10/19/2021-
2/8/2021 12:00:00 AMComplaintG0U8A0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT03/31/2021-
2/8/2021 12:00:00 AMComplaintG0U8CZ821UnclassifiedREPORTING REQUIREMENTS; ELECTRONIC SUBMISSION03/31/2021-
2/1/2021 12:00:00 AMMonitorK7IONoneNoneNoneNoneNone
12/16/2020 12:00:00 AMComplaintS7J3NoneNoneNoneNoneNone
9/23/2019 12:00:00 AMComplaintECCUA0008Class 4ADMISSIONS - HEALTH ASSESSMENT12/17/2019-
9/23/2019 12:00:00 AMComplaintECCUA00252RESIDENT CARE - SUPERVISION12/17/2019-
9/23/2019 12:00:00 AMComplaintECCUA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES12/17/2019-
9/23/2019 12:00:00 AMComplaintECCUA0078Class 3STAFFING STANDARDS - STAFF12/17/2019-
9/23/2019 12:00:00 AMComplaintECCUA0081Class 3TRAINING - STAFF IN-SERVICE12/17/2019-
9/23/2019 12:00:00 AMComplaintECCUA0085Class 3TRAINING - NUTRITION & FOOD SERVICE12/17/2019-
9/23/2019 12:00:00 AMComplaintECCUA0162Class 3RECORDS - RESIDENT12/17/2019-
9/23/2019 12:00:00 AMComplaintECCUA0167Class 4RESIDENT CONTRACTS12/17/2019-
9/23/2019 12:00:00 AMComplaintECCUAN278Class 3LNS - RECORDS12/17/2019-
8/27/2019 12:00:00 AMComplaintWHU6NoneNoneNoneNoneNone
8/15/2019 12:00:00 AMComplaintB6F2A0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS09/23/2019-
11/28/2018 12:00:00 AMMonitorXF6PNoneNoneNoneNoneNone
10/31/2018 12:00:00 AMComplaintS17ONoneNoneNoneNoneNone
10/30/2018 12:00:00 AMComplaintDQ30NoneNoneNoneNoneNone
10/29/2018 12:00:00 AMComplaintH5MDNoneNoneNoneNoneNone
10/29/2018 12:00:00 AMComplaintQHJ2NoneNoneNoneNoneNone
10/2/2018 12:00:00 AMMonitorCVI4NoneNoneNoneNoneNone
8/1/2018 12:00:00 AMComplaintDIHTA0078Class 3STAFFING STANDARDS - STAFF10/02/2018-
8/1/2018 12:00:00 AMComplaintDIHTA0081Class 3TRAINING - STAFF IN-SERVICE10/02/2018-
8/1/2018 12:00:00 AMComplaintDIHTA0082Class 3TRAINING - HIV/AIDS10/02/2018-
8/1/2018 12:00:00 AMComplaintDIHTA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT10/02/2018-
8/1/2018 12:00:00 AMComplaintDIHTA0086Class 3TRAINING - ADRD10/02/2018-
8/1/2018 12:00:00 AMComplaintDIHTA0161Class 4RECORDS - STAFF10/02/2018-
4/17/2018 12:00:00 AMComplaint5YY6A0167Class 3RESIDENT CONTRACTS06/20/2018-
4/17/2018 12:00:00 AMStandardC1OOA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES06/25/2018-
4/17/2018 12:00:00 AMStandardC1OOA0054Class 3MEDICATION - RECORDS06/25/2018-
4/17/2018 12:00:00 AMStandardC1OOA0078Class 3STAFFING STANDARDS - STAFF06/25/2018-
4/17/2018 12:00:00 AMStandardC1OOA0081Class 3TRAINING - STAFF IN-SERVICE06/25/2018-
4/17/2018 12:00:00 AMStandardC1OOA0082Class 3TRAINING - HIV/AIDS06/25/2018-
4/17/2018 12:00:00 AMStandardC1OOA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT06/25/2018-
4/17/2018 12:00:00 AMStandardC1OOA0086Class 3TRAINING - ADRD06/25/2018-
4/17/2018 12:00:00 AMStandardC1OOA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS06/25/2018-
4/17/2018 12:00:00 AMStandardC1OOA0091Class 3TRAINING - DOCUMENTATION & MONITORING06/25/2018-
4/17/2018 12:00:00 AMStandardC1OOA0093Class 3FOOD SERVICE - DIETARY STANDARDS06/25/2018-
4/17/2018 12:00:00 AMStandardC1OOA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER06/25/2018-
4/17/2018 12:00:00 AMStandardC1OOA0161Class 3RECORDS - STAFF06/25/2018-
4/17/2018 12:00:00 AMStandardC1OOA0162Class 3RECORDS - RESIDENT06/25/2018-
4/17/2018 12:00:00 AMStandardC1OOA0181Class 3EMERGENCY PLAN APPROVAL06/25/2018-
4/17/2018 12:00:00 AMStandardC1OOAN278Class 3LNS - RECORDS06/25/2018-
4/17/2018 12:00:00 AMStandardC1OOCZ813Class 4RESULTS OF SCREENING & NOTIFICATION IN FILE06/25/2018-
4/17/2018 12:00:00 AMStandardC1OOCZ815Class 4BACKGROUND SCREENING; PROHIBITED OFFENSES06/25/2018-
11/2/2017 12:00:00 AMMonitor03NXA0078Class 3STAFFING STANDARDS - STAFF12/12/2017-
11/2/2017 12:00:00 AMMonitor03NXA0081Class 3TRAINING - STAFF IN-SERVICE12/12/2017-
11/2/2017 12:00:00 AMMonitor03NXA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS12/12/2017-
11/2/2017 12:00:00 AMMonitor03NXA0091Class 4TRAINING - DOCUMENTATION & MONITORING12/12/2017-
11/2/2017 12:00:00 AMMonitor03NXAN277Class 3LNS - RESIDENT CARE STANDARDS12/12/2017-
11/2/2017 12:00:00 AMMonitor03NXAN278Class 3LNS - RECORDS12/12/2017-
10/26/2017 12:00:00 AMComplaint95FVA00252RESIDENT CARE - SUPERVISION06/20/2018-
10/26/2017 12:00:00 AMComplaint95FVA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN04/04/2018-
10/26/2017 12:00:00 AMComplaint95FVA0079Class 4STAFFING STANDARDS - LEVELS02/22/2018-
10/19/2017 12:00:00 AMComplaintLCU2NoneNoneNoneNoneNone
9/26/2017 12:00:00 AMComplaint6LOVNoneNoneNoneNoneNone
7/6/2017 12:00:00 AMComplaint0FV2A0010Class 3ADMISSIONS - CONTINUED RESIDENCY09/26/2017-
7/6/2017 12:00:00 AMComplaint0FV2A0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES11/15/2017-
7/6/2017 12:00:00 AMComplaint0FV2A0054Class 3MEDICATION - RECORDS11/15/2017-
7/6/2017 12:00:00 AMComplaintYPBENoneNoneNoneNoneNone
6/27/2017 12:00:00 AMMonitorKSZHNoneNoneNoneNoneNone
7/19/2016 12:00:00 AMExpansion736WNoneNoneNoneNoneNone
11/13/2014 12:00:00 AMComplaintQ7Z1A0010Class 3ADMISSIONS - CONTINUED RESIDENCY01/21/2015-
11/13/2014 12:00:00 AMComplaintQ7Z1A0025Class 3RESIDENT CARE - SUPERVISION01/21/2015-
11/13/2014 12:00:00 AMComplaintQ7Z1A0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS01/21/2015-
10/6/2014 12:00:00 AMMonitorWFMDNoneNoneNoneNoneNone
7/10/2014 12:00:00 AMComplaint2UX4NoneNoneNoneNoneNone
2/20/2014 12:00:00 AMMonitorCQ2WNoneNoneNoneNoneNone
10/21/2013 12:00:00 AMStandardWLQXA0093Class 3FOOD SERVICE - DIETARY STANDARDS12/23/2013-
10/21/2013 12:00:00 AMStandardWLQXAN278Class 4LNS - RECORDS12/23/2013-
5/21/2013 12:00:00 AMMonitorBYHBA0081Class 3TRAINING - STAFF IN-SERVICE07/22/2013-
5/21/2013 12:00:00 AMMonitorBYHBA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS07/22/2013-
11/9/2012 12:00:00 AMComplaintW0XPA0008Class 4ADMISSIONS - HEALTH ASSESSMENT03/20/2013-
11/9/2012 12:00:00 AMComplaintW0XPA00302RESIDENT CARE - RIGHTS & FACILITY PROCEDURES03/20/2013-
11/9/2012 12:00:00 AMComplaintW0XPA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN03/20/2013-
11/9/2012 12:00:00 AMComplaintW0XPA0078Class 3STAFFING STANDARDS - STAFF03/20/2013-
11/9/2012 12:00:00 AMComplaintW0XPA0163Class 3RECORDS - RESIDENT, PENALTIES FOR ALTERATION03/20/2013-
Florida Agency for Health Care Administration (AHCA) Inspection Data