| Survey Date | Inspection Type | Track ID | Deficiency | Class | Requirement Description | Correction Date | Requirement Long Description |
|---|---|---|---|---|---|---|---|
| 8/21/2025 12:00:00 AM | Standard | S1M1 | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 10/09/2025 | - |
| 6/10/2024 12:00:00 AM | Complaint | BGX4 | None | None | None | None | None |
| 3/7/2024 12:00:00 AM | Complaint | HMZC | A0054 | Class 3 | MEDICATION - RECORDS | 04/16/2024 | - |
| 7/28/2023 12:00:00 AM | Standard | XG8M | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 09/05/2023 | (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... |
| 1/17/2023 12:00:00 AM | Complaint | 80RC | A0165 | Class 3 | RISK MGMT & QA | 03/08/2023 | 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 ... |
| 1/17/2023 12:00:00 AM | Complaint | 80RC | CZ830 | Class 3 | EMERGENCY MANAGEMENT PLANNING | 03/08/2023 | 408.821 Emergency management planning; emergency operations; inactive license.-
(1) A licensee required by authorizing statutes and agency rule to have a comprehensive emergency management plan must designate a safety liaison to serve as the primary contact for emergency operations. Such licensee shall submit its comprehensive emergency management plan to the local emergency management agency, county health department, or Department of Health as follows:
(a) Submit the plan within 30 days after ... |
| 9/15/2022 12:00:00 AM | Complaint | FRKS | None | None | None | None | None |
| 6/22/2022 12:00:00 AM | Complaint | 40NF | None | None | None | None | None |
| 11/18/2021 12:00:00 AM | Standard | MG6E | A0080 | Class 3 | TRAINING - CORE & COMPETENCY TEST | 02/02/2022 | 429.52
(2) Administrators and other assisted living facility staff must meet minimum training and education requirements established by the agency by rule. This training and education is intended to assist facilities to appropriately respond to the needs of residents, to maintain resident care and facility standards, and to meet licensure requirements.
(3) The agency, in conjunction with providers, shall develop core training requirements for administrators consisting of core training learning o... |
| 11/18/2021 12:00:00 AM | Standard | MG6E | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 02/02/2022 | 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 ... |
| 11/18/2021 12:00:00 AM | Standard | MG6E | A0082 | Class 3 | TRAINING - HIV/AIDS | 02/02/2022 | (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 (... |
| 11/18/2021 12:00:00 AM | Standard | MG6E | A0086 | Class 3 | TRAINING - ADRD | 02/02/2022 | (10) 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 464.4.6 of the Florida Building Code, as adopted in rule 61G20-1.001, F.A.C., Florida Building Code Adopted, must ensure that facility staff receive the following training.
(a) Facility staff who interact on a daily basis with residents with ADRD but do not pro... |
| 11/18/2021 12:00:00 AM | Standard | MG6E | A0090 | Class 3 | TRAINING - DO NOT RESUSCITATE ORDERS | 02/02/2022 | (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... |
| 4/28/2021 12:00:00 AM | Complaint | DE0J | None | None | None | None | None |
| 2/26/2021 12:00:00 AM | Complaint | 9Y2T | None | None | None | None | None |
| 1/11/2021 12:00:00 AM | Complaint | ZKBF | A0030 | Class 3 | RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 02/26/2021 | 59A-36.007
(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 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... |
| 3/12/2020 12:00:00 AM | Standard | PNB9 | A0162 | Class 3 | RECORDS - RESIDENT | 05/12/2020 | (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 telep... |
| 3/12/2020 12:00:00 AM | Standard | PNB9 | CZ816 | Class 4 | BACKGROUND SCREENING-COMPLIANCE ATTESTATION | 05/12/2020 | 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... |
| 2/10/2020 12:00:00 AM | Complaint | HEP2 | None | None | None | None | None |
| 9/30/2019 12:00:00 AM | Complaint | U5IT | None | None | None | None | None |
| 3/21/2019 12:00:00 AM | Complaint | 090D | None | None | None | None | None |
| 12/19/2018 12:00:00 AM | Complaint | RX0N | None | None | None | None | None |
| 7/10/2018 12:00:00 AM | Complaint | RDTB | None | None | None | None | None |
| 5/11/2018 12:00:00 AM | Complaint | 2HEX | A0055 | Class 3 | MEDICATION - STORAGE AND DISPOSAL | 07/10/2018 | (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 that ... |
| 5/11/2018 12:00:00 AM | Complaint | 2HEX | A0162 | Class 3 | RECORDS - RESIDENT | 07/10/2018 | (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... |
| 5/11/2018 12:00:00 AM | Standard | I4OG | A0058 | Class 3 | PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES | 07/10/2018 | 429.42 Pharmacy and dietary services.-
(1) Any assisted living facility in which the agency has documented a class I or class II deficiency or uncorrected class III deficiencies regarding medicinal drugs or over-the-counter preparations, including their storage, use, delivery, or administration, or dietary services, or both, during a biennial survey or a monitoring visit or an investigation in response to a complaint, shall, in addition to or as an alternative to any penalties imposed under s. ... |
| 3/13/2018 12:00:00 AM | Standard | I4OG | A0052 | Class 3 | MEDICATION - ASSISTANCE WITH SELF-ADMIN | 07/10/2018 | (3) ASSISTANCE WITH SELF-ADMINISTRATION.
(a) Any unlicensed person providing assistance with self administration of medication must be 18 years of age or older, trained to assist with self administered medication pursuant to the training requirements of Rule 58A-5.0191, F.A.C., and must be available to assist residents with self-administered medications in accordance with procedures described in Section 429.256, F.S. and this rule.
(b) In addition to the specifications of Section 429.256(3), F.S... |
| 3/13/2018 12:00:00 AM | Standard | I4OG | A0056 | Class 3 | MEDICATION - LABELING AND ORDERS | 07/10/2018 | (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 ... |
| 3/13/2018 12:00:00 AM | Standard | I4OG | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 07/10/2018 | (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... |
| 3/13/2018 12:00:00 AM | Standard | I4OG | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 07/10/2018 | (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... |
| 3/13/2018 12:00:00 AM | Standard | I4OG | A0084 | Class 3 | TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | 05/10/2018 | (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... |
| 3/13/2018 12:00:00 AM | Standard | I4OG | A0086 | Class 3 | TRAINING - ADRD | 05/10/2018 | (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... |
| 3/13/2018 12:00:00 AM | Standard | I4OG | A0090 | Class 3 | TRAINING - DO NOT RESUSCITATE ORDERS | 07/10/2018 | (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... |
| 3/13/2018 12:00:00 AM | Standard | I4OG | A0160 | Class 3 | RECORDS - FACILITY | 07/10/2018 | The facility must maintain required records in a manner that makes such records readily available at the licensee ' s physical address for review by a legally authorized entity. If records are maintained in an electronic format, facility staff must be readily available to access the data and produce the requested information. For purposes of this section, " readily available " means the ability to immediately produce documents, records, or other such data, either in electronic or... |
| 3/13/2018 12:00:00 AM | Standard | I4OG | CZ814 | Class 4 | BACKGROUND SCREENING CLEARINGHOUSE | 05/10/2018 | 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... |
| 3/13/2018 12:00:00 AM | Standard | I4OG | CZ816 | Class 4 | BACKGROUND SCREENING-COMPLIANCE ATTESTATION | 07/10/2018 | (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 Bureau of ... |
| 6/6/2016 12:00:00 AM | Change of Ownership | 8XCZ | A0052 | Class 3 | MEDICATION - ASSISTANCE WITH SELF-ADMIN | 07/22/2016 | (3) ASSISTANCE WITH SELF-ADMINISTRATION.
(a) Any unlicensed person providing assistance with self administration of medication must be 18 years of age or older, trained to assist with self administered medication pursuant to the training requirements of Rule 58A-5.0191, F.A.C., and must be available to assist residents with self-administered medications in accordance with procedures described in Section 429.256, F.S. and this rule.
(b) In addition to the specifications of Section 429.256(3), F.S... |
| 8/18/2015 12:00:00 AM | Initial Licensure | RLX9 | None | None | None | None | None |