Inspection Details

Facility ID: 11969459 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
9/2/2025 12:00:00 AMComplaintGGD5ZZ821Class 3REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION--
9/2/2025 12:00:00 AMComplaintGGD5ZZ830Class 3EMERGENCY MANAGEMENT PLANNING--
1/14/2025 12:00:00 AMComplaint1KPCA0025Class 3RESIDENT CARE - SUPERVISION04/24/2025-
1/14/2025 12:00:00 AMComplaint1KPCCZ814Class 3BACKGROUND SCREENING CLEARINGHOUSE04/24/2025
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: 1. A person 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. 2. Effective January 1, 2026, or a later date as ...
12/4/2024 12:00:00 AMComplaintWCZ3A0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER01/29/2025-
10/1/2024 12:00:00 AMMonitorJCKNNoneNoneNoneNoneNone
4/2/2024 12:00:00 AMMonitorBUN5A0010Class 3ADMISSIONS - CONTINUED RESIDENCY05/29/2024-
4/2/2024 12:00:00 AMMonitorBUN5A0025Class 3RESIDENT CARE - SUPERVISION05/29/2024-
4/2/2024 12:00:00 AMMonitorBUN5A0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS05/29/2024-
4/2/2024 12:00:00 AMMonitorBUN5A0034Class 3ASSISTIVE DEVICES05/29/2024-
4/2/2024 12:00:00 AMMonitorBUN5A0093Class 3FOOD SERVICE - DIETARY STANDARDS05/29/2024-
4/2/2024 12:00:00 AMMonitorBUN5A0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER05/29/2024-
4/2/2024 12:00:00 AMMonitorBUN5A0200Class 3EMERGENCY ENVIRONMENTAL CONTROL05/29/2024-
4/2/2024 12:00:00 AMMonitorBUN5AN278Class 3LNS - RECORDS05/29/2024-
4/2/2024 12:00:00 AMMonitorBUN5CZ841Class 3IN-PERSON VISITATION05/29/2024-
2/22/2024 12:00:00 AMComplaint0YIONoneNoneNoneNoneNone
1/25/2024 12:00:00 AMComplaintQPJZNoneNoneNoneNoneNone
10/30/2023 12:00:00 AMComplaintCRSIA00252RESIDENT CARE - SUPERVISION01/11/2024
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 or ...
10/6/2023 12:00:00 AMComplaintHRBWNoneNoneNoneNoneNone
8/8/2023 12:00:00 AMComplaintMCKZNoneNoneNoneNoneNone
4/13/2023 12:00:00 AMStandardMMGOA0010Class 3ADMISSIONS - CONTINUED RESIDENCY08/08/2023
429.26 Appropriateness of placements; examinations of residents.- (1) The owner or administrator of a facility is responsible for determining the appropriateness of admission of an individual to the facility and for determining the continued appropriateness of residence of an individual in the facility. A determination must be based upon an evaluation of the strengths, needs, and preferences of the resident, a medical examination, the care and services offered or arranged for by the facility in ...
4/13/2023 12:00:00 AMStandardMMGOA0055Class 3MEDICATION - STORAGE AND DISPOSAL08/08/2023
(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...
4/13/2023 12:00:00 AMStandardMMGOA0093Class 3FOOD SERVICE - DIETARY STANDARDS08/08/2023
(2) DIETARY STANDARDS. (a) The meals provided by the assisted living facility must be planned based on the current USDA Dietary Guidelines for Americans, 2020-2025, which are incorporated by reference and available for review at: http://www.flrules.org/Gateway/reference.asp?No=Ref-04003, and the current table of Dietary Reference Intakes established by the Food and Nutrition Board of the Institute of Medicine of the National Academies, 2019, which are incorporated by reference and available for ...
4/13/2023 12:00:00 AMStandardMMGOA0160Class 3RECORDS - FACILITY08/08/2023
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...
4/13/2023 12:00:00 AMStandardMMGOCZ821UnclassifiedREPORTING REQUIREMENTS; ELECTRONIC SUBMISSION08/08/2023
59A-35.110 Reporting Requirements; Electronic Submission. (1) During the two year licensure period, any change or expiration of any information that is required to be reported under Chapter 408, Part II, F.S., or authorizing statutes for the provider type as specified in Section 408.803(3), F.S., during the license application process must be reported to the Agency within 21 days of occurrence of the change, including: (a) Insurance coverage renewal; (b) Bond renewal; (c) Change of administrator...
11/7/2022 12:00:00 AMComplaintEHZ3NoneNoneNoneNoneNone
1/6/2022 12:00:00 AMComplaintSX2BA00302RESIDENT CARE - RIGHTS & FACILITY PROCEDURES04/14/2022
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...
1/6/2022 12:00:00 AMComplaintSX2BA0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS04/14/2022
59A-36.007 (7) 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...
3/30/2021 12:00:00 AMStandardSO2CA0010Class 3ADMISSIONS - CONTINUED RESIDENCY05/13/2021
429.26 (1) The owner or administrator of a facility is responsible for determining the appropriateness of admission of an individual to the facility and for determining the continued appropriateness of residence of an individual in the facility. A determination must be based upon an evaluation of the strengths, needs, and preferences of the resident, a medical examination, the care and services offered or arranged for by the facility in accordance with facility policy, and any limitations in law...
3/30/2021 12:00:00 AMStandardSO2CA0025Class 3RESIDENT CARE - SUPERVISION05/13/2021
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...
3/30/2021 12:00:00 AMStandardSO2CA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN05/13/2021
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, confirming that the medication is intended for that resident, orally advising the resident of the medicat...
4/7/2020 12:00:00 AM-7RODNoneNoneNoneNoneNone
3/5/2020 12:00:00 AMExpansion7ZC6A0081Class 3TRAINING - STAFF IN-SERVICE10/13/2020
(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&#...
3/5/2020 12:00:00 AMExpansion7ZC6CZ813Class 4RESULTS OF SCREENING & NOTIFICATION IN FILE10/13/2020
59A-35.090 Background Screening. (3) Results of Screening and Notification. (c) The eligibility results of employee screening and the signed Attestation referenced in subsection 59A-35.090(2), F.A.C., must be in the employee's personnel file, maintained by the provider.
7/29/2019 12:00:00 AMMonitorPQQLA0081Class 3TRAINING - STAFF IN-SERVICE09/30/2019
(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&#...
7/29/2019 12:00:00 AMMonitorPQQLA0161Class 3RECORDS - STAFF09/30/2019
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...
11/13/2018 12:00:00 AMInitial LicensureFD8ZNoneNoneNoneNoneNone