Inspection Details

Facility ID: 11969827 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
9/24/2025 12:00:00 AMStandardPCX4A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN--
1/25/2024 12:00:00 AMStandardK64TA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN02/25/2024-
1/25/2024 12:00:00 AMStandardK64TAE203Class 3ECC - STAFFING REQUIREMENTS02/25/2024-
1/25/2024 12:00:00 AMStandardK64TAE207Class 3ECC - SERVICES02/25/2024-
3/14/2022 12:00:00 AMInitial LicensureZV9PA00252RESIDENT CARE - SUPERVISION04/28/2022
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 ...
3/14/2022 12:00:00 AMInitial LicensureZV9PA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES04/28/2022
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...
3/14/2022 12:00:00 AMInitial LicensureZV9PAE208Class 3ECC - RECORDS04/28/2022
59A-36.021(8) RECORDS. (8) RECORDS. In addition to the records required in rule 59A-36.015, F.A.C., a facility providing extended congregate care services must maintain the following: (a) The service plans for each resident receiving extended congregate care services; (b) The nursing progress notes for each resident receiving nursing services from the facility's staff; (c) Nursing assessments; and, (d) The facility's extended congregate care policies and procedures. 429.07 (3)(b), FS ...
3/14/2022 12:00:00 AMInitial LicensureZV9PAE210Class 3ECC - TRAINING04/28/2022
(8) EXTENDED CONGREGATE CARE (ECC) TRAINING. (a) The administrator and ECC supervisor, if different from the administrator, must complete core training and 4 hours of initial training in extended congregate care prior to the facility receiving its ECC license or within 3 months of beginning employment in a currently licensed ECC facility as an administrator or ECC supervisor. Successful completion of the assisted living facility core training shall be a prerequisite for this training. ECC superv...
3/10/2021 12:00:00 AMInitial LicensureY9XDNoneNoneNoneNoneNone