| Survey Date | Inspection Type | Track ID | Deficiency | Class | Requirement Description | Correction Date | Requirement Long Description |
|---|---|---|---|---|---|---|---|
| 12/16/2024 12:00:00 AM | Standard | 1EYP | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 03/06/2025 | - |
| 12/16/2024 12:00:00 AM | Standard | 1EYP | A0080 | Class 3 | TRAINING - CORE & COMPETENCY TEST | 03/06/2025 | - |
| 12/16/2024 12:00:00 AM | Standard | 1EYP | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 03/06/2025 | - |
| 12/16/2024 12:00:00 AM | Standard | 1EYP | A0084 | Class 3 | TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | 03/06/2025 | - |
| 12/16/2024 12:00:00 AM | Standard | 1EYP | A0160 | Class 3 | RECORDS - FACILITY | 03/06/2025 | - |
| 1/18/2024 12:00:00 AM | Complaint | V8TV | None | None | None | None | None |
| 1/5/2024 12:00:00 AM | Complaint | EJKR | A0011 | Class 3 | ADMISSIONS - DISCHARGE | 03/28/2023 | - |
| 1/5/2024 12:00:00 AM | Complaint | EJKR | A0030 | Class 3 | RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 03/28/2023 | - |
| 1/5/2024 12:00:00 AM | Complaint | EJKR | A0032 | Class 3 | RESIDENT CARE - ELOPEMENT STANDARDS | 03/28/2023 | - |
| 1/5/2024 12:00:00 AM | Complaint | EJKR | A0160 | Class 4 | RECORDS - FACILITY | 03/28/2023 | - |
| 9/15/2022 12:00:00 AM | Standard | NPQ8 | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 11/01/2022 | (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... |
| 9/15/2022 12:00:00 AM | Standard | NPQ8 | CZ814 | Unclassified | BACKGROUND SCREENING CLEARINGHOUSE | 11/01/2022 | 435.12 Care Provider Background Screening Clearinghouse.-
(2)(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... |
| 9/16/2021 12:00:00 AM | Complaint | 9RO7 | A0152 | Class 3 | PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | 12/07/2021 | (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... |
| 10/15/2020 12:00:00 AM | Complaint | E1GE | None | None | None | None | None |
| 4/28/2020 12:00:00 AM | - | 715P | None | None | None | None | None |
| 10/22/2019 12:00:00 AM | Expansion | C0H3 | A0008 | Class 3 | ADMISSIONS - HEALTH ASSESSMENT | 12/16/2019 | 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... |
| 10/22/2019 12:00:00 AM | Expansion | C0H3 | A0032 | Class 3 | RESIDENT CARE - ELOPEMENT STANDARDS | 12/16/2019 | 59A-36.007
(8) ELOPEMENT STANDARDS.
(a) Residents Assessed at Risk for Elopement. All residents assessed at risk for elopement or with any history of elopement must be identified so staff can be alerted to their needs for support and supervision. All residents must be assessed for risk of elopement by a health care provider or a mental health care provider within 30 calendar days of being admitted to a facility. If the resident has had a health assessment performed prior to admission pursuant to... |
| 10/22/2019 12:00:00 AM | Expansion | C0H3 | A0052 | Class 3 | MEDICATION - ASSISTANCE WITH SELF-ADMIN | 12/16/2019 | 429.256
(3) Assistance with self-administration of medication includes:
(a) Taking the medication, in its previously dispensed, properly labeled container, including an insulin syringe that is prefilled with the proper dosage by a pharmacist and an insulin pen that is prefilled by the manufacturer, from where it is stored, and bringing it to the resident.
(b) In the presence of the resident, reading the label, opening the container, removing a prescribed amount of medication from the container, ... |
| 10/22/2019 12:00:00 AM | Expansion | C0H3 | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 12/16/2019 | (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 | Expansion | C0H3 | A0084 | Class 3 | TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | 12/16/2019 | 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... |
| 10/22/2019 12:00:00 AM | Expansion | C0H3 | A0086 | Class 3 | TRAINING - ADRD | 12/16/2019 | (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... |
| 10/22/2019 12:00:00 AM | Expansion | C0H3 | A0090 | Class 3 | TRAINING - DO NOT RESUSCITATE ORDERS | 12/16/2019 | (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... |
| 10/22/2019 12:00:00 AM | Expansion | C0H3 | A0152 | Class 3 | PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | 12/16/2019 | (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 | Expansion | C0H3 | A0161 | Class 4 | RECORDS - STAFF | 12/16/2019 | 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.
59A-36.015
(2) STAFF RECORDS.
(a) Personnel records for e... |
| 10/22/2019 12:00:00 AM | Expansion | C0H3 | A0181 | Class 3 | EMERGENCY PLAN APPROVAL | 12/16/2019 | (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 59A-36.014, F.A.C., and facilities whose ownership has been transferred, must submit an emergen... |
| 10/22/2019 12:00:00 AM | Expansion | C0H3 | CZ814 | Class 4 | BACKGROUND SCREENING CLEARINGHOUSE | 12/16/2019 | 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 | Expansion | C0H3 | CZ816 | Class 4 | BACKGROUND SCREENING-COMPLIANCE ATTESTATION | 12/16/2019 | 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... |
| 8/14/2019 12:00:00 AM | Monitor | KPZM | None | None | None | None | None |
| 8/12/2019 12:00:00 AM | Complaint | P1RV | A0200 | Class 3 | EMERGENCY ENVIRONMENTAL CONTROL | 10/22/2019 | (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 source such as a generator(s), maintained at the assisted living facility,... |
| 2/26/2019 12:00:00 AM | Complaint | VRYS | None | None | None | None | None |
| 3/29/2018 12:00:00 AM | Initial Licensure | 9VF4 | None | None | None | None | None |