| Survey Date | Inspection Type | Track ID | Deficiency | Class | Requirement Description | Correction Date | Requirement Long Description |
|---|---|---|---|---|---|---|---|
| 12/18/2023 12:00:00 AM | Standard | 80W2 | None | None | None | None | None |
| 9/23/2022 12:00:00 AM | Monitor | IUBU | None | None | None | None | None |
| 1/25/2022 12:00:00 AM | Standard | RGKH | None | None | None | None | None |
| 11/30/2020 12:00:00 AM | Complaint | IEP0 | A0152 | Class 3 | PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | 01/05/2021 | (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... |
| 10/7/2020 12:00:00 AM | Complaint | 6RU7 | A0084 | Class 3 | TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | 11/13/2020 | 59A-36.011
(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 59A-36.008, 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... |
| 10/7/2020 12:00:00 AM | Complaint | 6RU7 | A0167 | Class 3 | RESIDENT CONTRACTS | 11/13/2020 | 59A-36.018 Resident Contracts.
(1) Pursuant to section 429.24, F.S., the facility must offer a contract for execution by the resident or the resident's legal representative before or at the time of admission. The contract must contain the following provisions:
(a) A list of the specific services, supplies and accommodations to be provided by the facility to the resident, including limited nursing and extended congregate care services that the resident elects to receive;
(b) The daily, weekly... |
| 2/19/2020 12:00:00 AM | Complaint | PHKD | A0007 | Class 3 | ADMISSIONS - CRITERIA | 10/09/2020 | 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.
59A-36.006
(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 services, or limited mental health license:
1. Be at least 18 years of age.
2. Be free from signs and symptoms of ... |
| 2/19/2020 12:00:00 AM | Complaint | PHKD | A0054 | Class 3 | MEDICATION - RECORDS | 10/09/2020 | (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... |
| 2/19/2020 12:00:00 AM | Complaint | PHKD | A0055 | Class 3 | MEDICATION - STORAGE AND DISPOSAL | 10/09/2020 | (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. Residents may also store their medication in their rooms or apartments if either the room is kept locked when residents are absent or the medication is stored in a secure place that is out of sig... |
| 2/19/2020 12:00:00 AM | Complaint | PHKD | A0152 | Class 3 | PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | 10/09/2020 | (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... |
| 2/19/2020 12:00:00 AM | Complaint | PHKD | A0200 | Class 3 | EMERGENCY ENVIRONMENTAL CONTROL | 10/09/2020 | 59A-36.025 Emergency Environmental Control for Assisted Living Facilities.
(1) DETAILED EMERGENCY ENVIRONMENTAL CONTROL PLAN. Each assisted living facility shall prepare a detailed plan ("plan") to serve as a supplement to its Comprehensive Emergency Management Plan, to address emergency environmental control in the event of the loss of primary electrical power in that assisted living facility which includes the following information:
(a) The acquisition of a sufficient alternate power... |
| 10/22/2019 12:00:00 AM | Expansion | IWPT | AL241 | Class 3 | LMH - RECORDS | 12/06/2019 | 429.075
(3) A facility that has a limited mental health license must:
(a) Have a copy of each mental health resident's community living support plan and the cooperative agreement with the mental health care services provider or provide written evidence that a request for the community living support plan and the cooperative agreement was sent to the Medicaid managed care plan or managing entity under contract with the Department of Children and Families within 72 hours after admission. The s... |
| 10/22/2019 12:00:00 AM | Standard | YXCO | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 12/06/2019 | (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... |
| 10/22/2019 12:00:00 AM | Standard | YXCO | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 12/06/2019 | (2) STAFF PRESERVICE ORIENTATION.
(a) Facilities must provide a preservice orientation of at least 2 hours to all new assisted living facility employees who have not previously completed core training as detailed in subsection (1).
(b) New staff must complete the preservice orientation prior to interacting with residents.
(c) Once complete, the employee and the facility administrator must sign a statement that the employee completed the preservice orientation which must be kept in the employee... |
| 10/22/2019 12:00:00 AM | Standard | YXCO | A0082 | Class 3 | TRAINING - HIV/AIDS | 12/06/2019 | (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 (... |
| 10/22/2019 12:00:00 AM | Standard | YXCO | A0083 | Class 3 | TRAINING - FIRST AID AND CPR | 12/06/2019 | (5) FIRST AID AND CARDIOPULMONARY RESUSCITATION (CPR). A staff member who has completed courses in First Aid and CPR and holds a currently valid card documenting completion of such courses must be in the facility at all times.
(a) Documentation that the staff member possess current CPR certification that requires the student to demonstrate, in person, that he or she is able to perform CPR and which is issued by an instructor or training provider that is approved to provide CPR training by the Am... |
| 10/22/2019 12:00:00 AM | Standard | YXCO | A0093 | Class 3 | FOOD SERVICE - DIETARY STANDARDS | 12/06/2019 | (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... |
| 10/22/2019 12:00:00 AM | Standard | YXCO | A0152 | Class 3 | PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | 12/06/2019 | (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 ... |
| 10/22/2019 12:00:00 AM | Standard | YXCO | A0161 | Class 3 | RECORDS - STAFF | 12/06/2019 | 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... |
| 10/22/2019 12:00:00 AM | Standard | YXCO | A0181 | Class 3 | EMERGENCY PLAN APPROVAL | 12/06/2019 | (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... |
| 10/22/2019 12:00:00 AM | Standard | YXCO | CZ814 | Class 4 | BACKGROUND SCREENING CLEARINGHOUSE | 12/06/2019 | 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 ... |
| 10/22/2019 12:00:00 AM | Standard | YXCO | CZ816 | Class 4 | BACKGROUND SCREENING-COMPLIANCE ATTESTATION | 12/06/2019 | 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... |
| 10/4/2018 12:00:00 AM | Monitor | LFQ5 | A0160 | Class 3 | RECORDS - FACILITY | 11/27/2018 | 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 paper... |
| 6/4/2018 12:00:00 AM | Complaint | FJ21 | A0008 | Class 3 | ADMISSIONS - HEALTH ASSESSMENT | 07/30/2018 | 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... |
| 6/4/2018 12:00:00 AM | Complaint | FJ21 | A0025 | Class 3 | RESIDENT CARE - SUPERVISION | 07/30/2018 | 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... |
| 6/4/2018 12:00:00 AM | Complaint | FJ21 | A0054 | Class 3 | MEDICATION - RECORDS | 07/30/2018 | (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 resi... |
| 6/4/2018 12:00:00 AM | Complaint | FJ21 | A0084 | Class 3 | TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | 07/30/2018 | (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... |
| 6/4/2018 12:00:00 AM | Complaint | FJ21 | A0152 | Class 3 | PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | 07/30/2018 | (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 ... |
| 6/4/2018 12:00:00 AM | Complaint | FJ21 | A0160 | Class 3 | RECORDS - FACILITY | 07/30/2018 | 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 paper... |
| 6/4/2018 12:00:00 AM | Complaint | FJ21 | A0162 | Class 3 | RECORDS - RESIDENT | 07/30/2018 | (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... |
| 6/4/2018 12:00:00 AM | Complaint | FJ21 | CZ814 | Class 4 | BACKGROUND SCREENING CLEARINGHOUSE | 07/30/2018 | 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... |
| 6/4/2018 12:00:00 AM | Complaint | FJ21 | CZ815 | Class 4 | BACKGROUND SCREENING; PROHIBITED OFFENSES | 07/30/2018 | 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... |
| 10/23/2017 12:00:00 AM | Initial Licensure | GUTP | None | None | None | None | None |