Inspection Details

Facility ID: 11968333 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
8/19/2025 12:00:00 AMComplaintIU0XA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER--
8/19/2025 12:00:00 AMComplaintIU0XA0182Class 3EMERGENCY MGMT - PLAN IMPLEMENTATION--
7/16/2025 12:00:00 AMStandardL4RINoneNoneNoneNoneNone
10/26/2024 12:00:00 AMComplaintSIRXNoneNoneNoneNoneNone
7/18/2023 12:00:00 AMComplaintL56SNoneNoneNoneNoneNone
5/23/2023 12:00:00 AMStandard3KJVNoneNoneNoneNoneNone
11/30/2021 12:00:00 AMComplaintNJWWNoneNoneNoneNoneNone
7/20/2021 12:00:00 AMStandardOSKIA0081Class 3TRAINING - STAFF IN-SERVICE09/10/2021
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 r...
7/20/2021 12:00:00 AMStandardOSKIA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS09/10/2021
(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...
8/19/2020 12:00:00 AMComplaintLJGVNoneNoneNoneNoneNone
8/19/2020 12:00:00 AMMonitorW3NJNoneNoneNoneNoneNone
3/16/2020 12:00:00 AMComplaintL6FZNoneNoneNoneNoneNone
12/30/2019 12:00:00 AMComplaintV7W0NoneNoneNoneNoneNone
10/3/2019 12:00:00 AMComplaintZRB5NoneNoneNoneNoneNone
5/8/2019 12:00:00 AMComplaintYT4NA0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT07/19/2019
429.23 Internal risk management and quality assurance program; adverse incidents and reporting requirements.- (1) Every facility licensed under this part may, as part of its administrative functions, voluntarily establish a risk management and quality assurance program, the purpose of which is to assess resident care practices, facility incident reports, deficiencies cited by the agency, adverse incident reports, and resident grievances and develop plans of action to correct and respond quickly ...
11/29/2018 12:00:00 AMStandard4UCGA0008Class 3ADMISSIONS - HEALTH ASSESSMENT01/28/2019
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...
11/29/2018 12:00:00 AMStandard4UCGA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES01/28/2019
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...
11/29/2018 12:00:00 AMStandard4UCGA0054Class 3MEDICATION - RECORDS01/28/2019
(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...
11/29/2018 12:00:00 AMStandard4UCGA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT01/28/2019
58A-5.0191 (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 58A-5.0185, 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...
11/29/2018 12:00:00 AMStandard4UCGA0181Class 3EMERGENCY PLAN APPROVAL01/28/2019
(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...
11/29/2018 12:00:00 AMStandard4UCGCZ816Class 4BACKGROUND SCREENING-COMPLIANCE ATTESTATION01/28/2019
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...
11/29/2018 12:00:00 AMComplaintRPISNoneNoneNoneNoneNone
2/24/2017 12:00:00 AMStandardZ2Q8A0030Class 3RESIDENT 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...
2/24/2017 12:00:00 AMStandardZ2Q8A0056Class 3MEDICATION - LABELING AND ORDERS03/29/2017
(7) MEDICATION LABELING AND ORDERS. (a) The facility may not store prescription drugs for self-administration, assistance with self-administration, or administration 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. The ...
2/24/2017 12:00:00 AMStandardZ2Q8A0085Class 3TRAINING - NUTRITION & FOOD SERVICE03/29/2017
(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...
2/24/2017 12:00:00 AMStandardZ2Q8A0086Class 3TRAINING - ADRD03/29/2017
(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...
3/22/2016 12:00:00 AMComplaintBFFWNoneNoneNoneNoneNone
5/27/2015 12:00:00 AMChange of OwnershipR8L8A0081Class 4TRAINING - STAFF IN-SERVICE07/30/2015
(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...
5/27/2015 12:00:00 AMChange of OwnershipR8L8A0086Class 3TRAINING - ADRD07/30/2015
(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 w...
6/19/2014 12:00:00 AMStandardGVPGA0008Class 3ADMISSIONS - HEALTH ASSESSMENT08/13/2014
(2) HEALTH ASSESSMENT. As part of the admission criteria, an individual must undergo a face-to-face medical examination completed by a health care provider as specified in either paragraph (a) or (b) of this subsection. (a) A medical examination completed within 60 calendar days before to the individual's admission to a facility pursuant to Section 429.26(4), F.S. The examination must address the following: 1. The physical and mental status of the resident, including the identification of a...
6/19/2014 12:00:00 AMStandardGVPGA0025Class 3RESIDENT CARE - SUPERVISION08/13/2014
An assisted living facility must provide care and services appropriate to the needs of residents accepted for admission to the facility. (1) SUPERVISION. Facilities must offer personal supervision as appropriate for each resident, including the following: (a) Monitoring of 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, safet...
6/19/2014 12:00:00 AMStandardGVPGA0162Class 3RECORDS - RESIDENT08/13/2014
(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...
11/20/2012 12:00:00 AM-F3EHA0054Class 3MEDICATION - RECORDS08/08/2013
(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 ...
11/20/2012 12:00:00 AM-F3EHA01522PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER08/08/2013
(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...
10/16/2012 12:00:00 AMInitial LicensureWBYNNoneNoneNoneNoneNone