Inspection Details

Facility ID: 11969376 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
9/17/2025 12:00:00 AMComplaintZMIWA0165Class 3RISK MGMT & QA10/23/2025-
5/7/2025 12:00:00 AMComplaintMHHKNoneNoneNoneNoneNone
11/6/2024 12:00:00 AMComplaintZ7BLNoneNoneNoneNoneNone
8/26/2024 12:00:00 AMComplaintD6N9NoneNoneNoneNoneNone
7/18/2024 12:00:00 AMComplaint3FJFNoneNoneNoneNoneNone
3/12/2024 12:00:00 AMStandard327FA0025Class 3RESIDENT CARE - SUPERVISION04/29/2024-
3/12/2024 12:00:00 AMStandard327FA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN04/29/2024-
3/12/2024 12:00:00 AMStandard327FA0086Class 3TRAINING - ADRD04/29/2024-
10/23/2023 12:00:00 AMComplaintJG4CNoneNoneNoneNoneNone
8/3/2023 12:00:00 AMComplaintHK4WNoneNoneNoneNoneNone
4/27/2023 12:00:00 AMComplaint0JS2NoneNoneNoneNoneNone
1/26/2023 12:00:00 AMComplaint7RQ3NoneNoneNoneNoneNone
11/4/2022 12:00:00 AMComplaintKVSINoneNoneNoneNoneNone
9/8/2022 12:00:00 AMComplaint35VWA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES11/04/2022
59A-36.007 (5) 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...
3/31/2022 12:00:00 AMStandardCOR7NoneNoneNoneNoneNone
11/17/2021 12:00:00 AMComplaintKM07NoneNoneNoneNoneNone
8/3/2021 12:00:00 AMComplaint64PFA0025Class 3RESIDENT CARE - SUPERVISION09/28/2021
429.26 (7) The facility shall 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 must notify the resident ' s representative o...
8/3/2021 12:00:00 AMComplaint64PFA0028Class 3RESIDENT CARE - ACTIVITIES OF DAILY LIVING09/28/2021
(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.
8/3/2021 12:00:00 AMComplaint64PFA0081Class 3TRAINING - STAFF IN-SERVICE11/17/2021
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...
8/3/2021 12:00:00 AMComplaint64PFA0160Class 3RECORDS - FACILITY09/28/2021
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...
2/3/2021 12:00:00 AMComplaint5944NoneNoneNoneNoneNone
9/8/2020 12:00:00 AMComplaint5WTKA0078Class 3STAFFING STANDARDS - STAFF10/30/2020
(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...
9/8/2020 12:00:00 AMComplaint5WTKA0081Class 3TRAINING - STAFF IN-SERVICE10/30/2020
(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&#...
9/8/2020 12:00:00 AMComplaint5WTKA0082Class 3TRAINING - HIV/AIDS10/30/2020
(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 (...
9/8/2020 12:00:00 AMComplaint5WTKA0086Class 3TRAINING - ADRD10/30/2020
(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...
9/8/2020 12:00:00 AMComplaint5WTKA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS10/30/2020
(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...
9/8/2020 12:00:00 AMComplaint5WTKCZ816UnclassifiedBACKGROUND SCREENING-COMPLIANCE ATTESTATION10/30/2020
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...
2/5/2020 12:00:00 AMComplaintW0E9NoneNoneNoneNoneNone
10/22/2019 12:00:00 AMComplaintXV61A0054Class 3MEDICATION - RECORDS12/27/2019
(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...
10/22/2019 12:00:00 AMComplaintXV61A0056Class 3MEDICATION - LABELING AND ORDERS12/27/2019
(7) MEDICATION LABELING AND ORDERS. (a) The facility may not store prescription drugs for self-administration, assistance with self-administration, or administration unless they are 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. T...
7/24/2019 12:00:00 AMComplaintXV61A0027Class 3RESIDENT CARE - ARRANGEMENT FOR HEALTH CARE10/22/2019
(3) ARRANGEMENT FOR HEALTH CARE. In order to facilitate resident access to health care as needed, the facility must: (a) Assist residents in making appointments and remind residents about scheduled appointments for medical, dental, nursing, or mental health services. (b) Provide transportation to needed medical, dental, nursing or mental health services, or arrange for transportation through family and friends, volunteers, taxi cabs, public buses, and agencies providing transportation. (c) The f...
7/24/2019 12:00:00 AMComplaintXV61A0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES10/22/2019
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...
7/24/2019 12:00:00 AMComplaintXV61A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN10/22/2019
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, ...
7/24/2019 12:00:00 AMComplaintXV61A0081Class 3TRAINING - STAFF IN-SERVICE10/22/2019
(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&#...
7/24/2019 12:00:00 AMComplaintXV61A0123Class 3FISCAL - RESIDENT TRUST FUNDS10/22/2019
429.27 (3) A facility, upon mutual consent with the resident, shall provide for the safekeeping in the facility of personal effects not in excess of $500 and funds of the resident not in excess of $500 cash, and shall keep complete and accurate records of all such funds and personal effects received. If a resident is absent from a facility for 24 hours or more, the facility may provide for the safekeeping of the resident's personal effects in excess of $500. (4) Any funds or other property b...
7/24/2019 12:00:00 AMComplaintXV61CZ814Class 4BACKGROUND SCREENING CLEARINGHOUSE12/27/2019
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 ...
7/24/2019 12:00:00 AMComplaintXV61CZ815Class 4BACKGROUND SCREENING; PROHIBITED OFFENSES12/27/2019
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...
5/7/2018 12:00:00 AMInitial Licensure4WK0NoneNoneNoneNoneNone