Inspection Details

Facility ID: 11969794 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
7/9/2025 12:00:00 AMStandardHXUVA0033Class 3PHYSICAL RESTRAINTS--
7/9/2025 12:00:00 AMStandardHXUVA0055Class 3MEDICATION - STORAGE AND DISPOSAL--
7/9/2025 12:00:00 AMStandardHXUVA0078Class 3STAFFING STANDARDS - STAFF--
7/9/2025 12:00:00 AMStandardHXUVA0081Class 3TRAINING - STAFF IN-SERVICE--
7/9/2025 12:00:00 AMStandardHXUVA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER--
7/9/2025 12:00:00 AMStandardHXUVA0162Class 3RECORDS - RESIDENT--
7/9/2025 12:00:00 AMStandardHXUVA0165Class 3RISK MGMT & QA--
7/9/2025 12:00:00 AMStandardHXUVA0182Class 3EMERGENCY MGMT - PLAN IMPLEMENTATION--
12/26/2024 12:00:00 AMComplaintHNCWNoneNoneNoneNoneNone
10/15/2024 12:00:00 AMMonitorR7SINoneNoneNoneNoneNone
7/29/2024 12:00:00 AM-JP1TA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER10/15/2024-
5/7/2024 12:00:00 AMComplaintOPWSA0055Class 3MEDICATION - STORAGE AND DISPOSAL07/29/2024-
5/7/2024 12:00:00 AMComplaintOPWSA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER07/29/2024-
5/7/2024 12:00:00 AMComplaintOPWSA0162Class 3RECORDS - RESIDENT07/29/2024-
7/18/2023 12:00:00 AMComplaintLRLVA0167Class 3RESIDENT CONTRACTS10/19/2023
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...
4/21/2023 12:00:00 AMStandard6GSHA0081Class 3TRAINING - STAFF IN-SERVICE07/18/2023
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 ...
4/21/2023 12:00:00 AMStandard6GSHA0083Class 3TRAINING - FIRST AID AND CPR07/18/2023
(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...
4/21/2023 12:00:00 AMStandard6GSHA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS07/18/2023
(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...
4/21/2023 12:00:00 AMStandard6GSHA0162Class 3RECORDS - RESIDENT07/18/2023
(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 telep...
9/6/2022 12:00:00 AMComplaint3NKPNoneNoneNoneNoneNone
7/26/2022 12:00:00 AMComplaintKJV8NoneNoneNoneNoneNone
3/21/2022 12:00:00 AMComplaint0XO8NoneNoneNoneNoneNone
10/27/2021 12:00:00 AM-41JTNoneNoneNoneNoneNone
1/4/2021 12:00:00 AMInitial Licensure7DY9A0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER02/24/2021
(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...