Inspection Details

Facility ID: 11969590 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
2/4/2025 12:00:00 AMComplaintNGF7A0010Class 3ADMISSIONS - CONTINUED RESIDENCY04/14/2025-
2/4/2025 12:00:00 AMComplaintNGF7A00252RESIDENT CARE - SUPERVISION04/14/2025-
11/4/2024 12:00:00 AMComplaint8C66A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN12/16/2024-
9/20/2024 12:00:00 AMComplaintD2XIA00251RESIDENT CARE - SUPERVISION11/04/2024-
9/20/2024 12:00:00 AMComplaintD2XIA00301RESIDENT CARE - RIGHTS & FACILITY PROCEDURES11/04/2024-
9/20/2024 12:00:00 AMComplaintD2XIA0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS11/04/2024-
9/20/2024 12:00:00 AMComplaintD2XIA00771STAFFING STANDARDS - ADMINISTRATORS11/04/2024-
9/20/2024 12:00:00 AMComplaintD2XIA0078Class 3STAFFING STANDARDS - STAFF11/04/2024-
9/20/2024 12:00:00 AMComplaintD2XIA0081Class 3TRAINING - STAFF IN-SERVICE11/04/2024-
9/20/2024 12:00:00 AMComplaintD2XIA0083Class 3TRAINING - FIRST AID AND CPR11/04/2024-
9/20/2024 12:00:00 AMComplaintD2XIAN277Class 3LNS - RESIDENT CARE STANDARDS11/04/2024-
9/20/2024 12:00:00 AMComplaintD2XICZ816Class 3BACKGROUND SCREENING-COMPLIANCE ATTESTATION11/04/2024-
9/20/2024 12:00:00 AMComplaintD2XICZ830Class 3EMERGENCY MANAGEMENT PLANNING11/04/2024-
9/20/2024 12:00:00 AMComplaintD2XICZ875Class 3ALZHEIMER DISEASE/DEMENTIA; TRAINING11/04/2024-
12/11/2023 12:00:00 AMStandardMT0AA00252RESIDENT CARE - SUPERVISION03/05/2024-
12/11/2023 12:00:00 AMStandardMT0AA0078Class 3STAFFING STANDARDS - STAFF03/05/2024-
12/11/2023 12:00:00 AMStandardMT0AA0081Class 3TRAINING - STAFF IN-SERVICE03/05/2024-
12/11/2023 12:00:00 AMStandardMT0AA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS03/05/2024-
12/11/2023 12:00:00 AMStandardMT0AA0160Class 3RECORDS - FACILITY03/05/2024-
12/11/2023 12:00:00 AMStandardMT0AAN277Class 3LNS - RESIDENT CARE STANDARDS03/05/2024-
12/11/2023 12:00:00 AMStandardMT0ACZ813UnclassifiedRESULTS OF SCREENING & NOTIFICATION IN FILE03/05/2024-
12/11/2023 12:00:00 AMStandardMT0ACZ814UnclassifiedBACKGROUND SCREENING CLEARINGHOUSE03/05/2024-
12/11/2023 12:00:00 AMStandardMT0ACZ816UnclassifiedBACKGROUND SCREENING-COMPLIANCE ATTESTATION03/05/2024-
12/11/2023 12:00:00 AMStandardMT0ACZ821UnclassifiedREPORTING REQUIREMENTS; ELECTRONIC SUBMISSION03/05/2024-
12/15/2021 12:00:00 AMStandardCQ89A0008Class 3ADMISSIONS - HEALTH ASSESSMENT01/13/2022-
12/15/2021 12:00:00 AMStandardCQ89A0081Class 3TRAINING - STAFF IN-SERVICE01/13/2022-
12/15/2021 12:00:00 AMStandardCQ89A0082Class 3TRAINING - HIV/AIDS01/13/2022-
12/15/2021 12:00:00 AMStandardCQ89A0086Class 3TRAINING - ADRD01/13/2022-
12/15/2021 12:00:00 AMStandardCQ89A0091Class 4TRAINING - DOCUMENTATION & MONITORING01/13/2022-
12/15/2021 12:00:00 AMStandardCQ89A0093Class 3FOOD SERVICE - DIETARY STANDARDS01/13/2022-
12/15/2021 12:00:00 AMStandardCQ89A0160Class 3RECORDS - FACILITY01/13/2022-
12/15/2021 12:00:00 AMStandardCQ89CZ830Class 3EMERGENCY MANAGEMENT PLANNING01/13/2022-
5/12/2021 12:00:00 AMComplaintZ99CA0078Class 3STAFFING STANDARDS - STAFF11/29/2021-
3/17/2020 12:00:00 AM-EO49NoneNoneNoneNoneNone
2/25/2020 12:00:00 AMStandardJK7YA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN10/05/2020-
2/25/2020 12:00:00 AMStandardJK7YA0054Class 3MEDICATION - RECORDS10/05/2020-
2/25/2020 12:00:00 AMStandardJK7YA0056Class 3MEDICATION - LABELING AND ORDERS10/05/2020-
2/25/2020 12:00:00 AMStandardJK7YA0078Class 3STAFFING STANDARDS - STAFF10/05/2020-
2/25/2020 12:00:00 AMStandardJK7YA0081Class 3TRAINING - STAFF IN-SERVICE01/21/2021-
2/25/2020 12:00:00 AMStandardJK7YA0082Class 3TRAINING - HIV/AIDS04/09/2020-
2/25/2020 12:00:00 AMStandardJK7YA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT10/05/2020-
2/25/2020 12:00:00 AMStandardJK7YA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS10/05/2020-
10/15/2019 12:00:00 AMInitial Licensure9OFCNoneNoneNoneNoneNone
Florida Agency for Health Care Administration (AHCA) Inspection Data