Inspection Details

Facility ID: 11968916 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
9/2/2025 12:00:00 AMComplaint4MEOA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN10/15/2025-
7/10/2024 12:00:00 AMComplaint80IYNoneNoneNoneNoneNone
12/13/2023 12:00:00 AMStandardRTP1A0025Class 3RESIDENT CARE - SUPERVISION01/17/2024-
12/13/2023 12:00:00 AMStandardRTP1A0078Class 3STAFFING STANDARDS - STAFF01/17/2024-
12/13/2023 12:00:00 AMStandardRTP1A0081Class 3TRAINING - STAFF IN-SERVICE01/17/2024-
12/13/2023 12:00:00 AMStandardRTP1A0086Class 3TRAINING - ADRD01/17/2024-
12/13/2023 12:00:00 AMStandardRTP1AE210Class 3ECC - TRAINING01/17/2024-
12/13/2023 12:00:00 AMStandardRTP1CZ814UnclassifiedBACKGROUND SCREENING CLEARINGHOUSE01/17/2024-
2/2/2022 12:00:00 AMComplaint9855NoneNoneNoneNoneNone
1/12/2021 12:00:00 AMMonitor5QJNNoneNoneNoneNoneNone
9/24/2020 12:00:00 AMMonitorY4K9NoneNoneNoneNoneNone
8/6/2020 12:00:00 AMMonitorH358NoneNoneNoneNoneNone
8/22/2019 12:00:00 AMStandardZYA7NoneNoneNoneNoneNone
9/27/2018 12:00:00 AMMonitorPGWRNoneNoneNoneNoneNone
2/28/2018 12:00:00 AMMonitorP21TNoneNoneNoneNoneNone
9/6/2017 12:00:00 AMStandard6JR5A0093Class 3FOOD SERVICE - DIETARY STANDARDS11/14/2017
(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...
3/29/2017 12:00:00 AMMonitor3WBGNoneNoneNoneNoneNone
11/9/2016 12:00:00 AMMonitorF96YNoneNoneNoneNoneNone
10/4/2016 12:00:00 AMComplaintK7PENoneNoneNoneNoneNone
8/3/2016 12:00:00 AMComplaintKRX5NoneNoneNoneNoneNone
4/28/2016 12:00:00 AMMonitor7I5FAE206Class 3ECC - SERVICE PLANS08/03/2016
(7) SERVICE PLANS. (a) Before receiving services, the extended congregate care administrator or manager must develop a preliminary service plan that includes an assessment of whether the resident meets the facility ' s residency criteria, an appraisal of the resident ' s unique physical, psychological and social needs and preferences, and an evaluation of the facility ' s ability to meet the resident ' s needs. (b) Within 14 days of receiving services, the extended congregate car...
4/28/2016 12:00:00 AMMonitor7I5FAE207Class 3ECC - SERVICES08/03/2016
(8) EXTENDED CONGREGATE CARE SERVICES. All services must be provided in the least restrictive environment, and in a manner that respects the resident ' s independence, privacy, and dignity. (a) A facility providing extended congregate care services may provide supportive services including social service needs, counseling, emotional support, networking, assistance with securing social and leisure services, shopping service, escort service, companionship, family support, information and refer...
4/28/2016 12:00:00 AMMonitor7I5FAZ814Class 4BACKGROUND SCREENING CLEARINGHOUSE08/03/2016
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...
4/28/2016 12:00:00 AMMonitor7I5FAZ815Class 4BACKGROUND SCREENING; PROHIBITED OFFENSES08/03/2016
408.809 Background screening; prohibited offenses.- (1) Level 2 background screening pursuant to chapter 435 must be conducted through the agency on each of the following persons, who are considered employees for the purposes of conducting screening under chapter 435: (a) The licensee, if an individual. (b) The administrator or a similarly titled person who is responsible for the day-to-day operation of the provider. (c) The financial officer or similarly titled individual who is responsible for...
4/28/2016 12:00:00 AMMonitor7I5FAZ816Class 4BACKGROUND SCREENING-COMPLIANCE ATTESTATION08/03/2016
(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 ...
4/28/2016 12:00:00 AMComplaintQT9GA0007Class 3ADMISSIONS - CRITERIA08/03/2016
429.26 (11) No resident who requires 24-hour nursing supervision, except for a resident who is an enrolled hospice patient pursuant to part IV of chapter 400, shall be retained in a facility licensed under this part. 58A-5.0181 (1) ADMISSION CRITERIA. (a) An individual must meet the following minimum criteria in order to be admitted to a facility holding a standard, limited nursing or limited mental health license: 1. Be at least 18 years of age. 2. Be free from signs and symptoms of any comm...
4/28/2016 12:00:00 AMComplaintQT9GA0025Class 3RESIDENT CARE - SUPERVISION08/03/2016
429.26 (7) The facility must notify a licensed physician when a resident exhibits signs of dementia or cognitive impairment or has a change of condition in order to rule out the presence of an underlying physiological condition that may be contributing to such dementia or impairment. The notification must occur within 30 days after the acknowledgment of such signs by facility staff. If an underlying condition is determined to exist, the facility shall arrange, with the appropriate health care pr...
4/28/2016 12:00:00 AMComplaintQT9GA0028Class 3RESIDENT CARE - ACTIVITIES OF DAILY LIVING08/03/2016
(4) ACTIVITIES OF DAILY LIVING. Facilities must offer supervision of or assistance with activities of daily living as needed by each resident. Residents should be encouraged to be as independent as possible in performing activities of daily living.
4/28/2016 12:00:00 AMComplaintQT9GA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES08/03/2016
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...
4/28/2016 12:00:00 AMComplaintQT9GA0093Class 3FOOD SERVICE - DIETARY STANDARDS08/03/2016
(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...
4/28/2016 12:00:00 AMComplaintQT9GA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER08/03/2016
(3) OTHER REQUIREMENTS. (a) All facilities must: 1. Provide a safe living environment pursuant to Section 429.28(1)(a), F.S.; 2. Be maintained free of hazards; and 3. 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 must be given the option of using their own belongings as space permits. When the facility supplies the furnishings, each resident bedroom or ...
12/14/2015 12:00:00 AMMonitorRC05NoneNoneNoneNoneNone
11/9/2015 12:00:00 AMInitial Licensure0MRGNoneNoneNoneNoneNone