Deficiencies per Year
12
9
6
3
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Routine
Deficiencies: 11
Jan 16, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and compliance status.
Findings
Across all inspections, the facility had mostly no deficiencies cited, with a few Class 3 and Class 4 deficiencies noted in earlier years related to resident care standards, medication management, staffing, and background screening. Recent inspections in 2023 and 2025 showed no deficiencies.
Complaint Details
Multiple complaint investigations are present on the page from 2013 through 2023, all with no deficiencies cited except for some earlier years with Class 3 deficiencies related to resident rights and medication records.
Severity Breakdown
Class 3: 9
Class 4: 1
2: 2
Deficiencies (11)
| Description | Severity |
|---|---|
| AN277 — LNS - RESIDENT CARE STANDARDS: (2) RESIDENT CARE STANDARDS. (a) A resident receiving limited nursing services in a facility holding only a standard and limited nursing services license must meet the admission and continued residency criteria specified in rule 59A-36.006, F.A.C. (b) In accordance with rule 59A-36.010, F.A.C., the facility must employ sufficient and qualified staff to meet the needs of residents requiring limited nursing services based on the number of such residents and the type of nursing service to be provid... | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES: 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... | Class 3 |
| CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES: 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... | Class 4 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT: 429.26 (4) If possible, each resident shall have been examined by a licensed physician, a licensed physician assistant, or a licensed nurse practitioner within 60 days before admission to the facility. The signed and completed medical examination report shall be submitted to the owner or administrator of the facility who shall use the information contained therein to assist in the determination of the appropriateness of the resident ' s admission and continued stay in the facility. The medic... | Class 3 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY: 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 shall be based upon an assessment of the strengths, needs, and preferences of the resident, the care and services offered or arranged for by the facility in accordance with facility policy, and any limitations in law or rule related to ad... | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF: (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... | Class 3 |
| A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT: 429.23 Internal risk management and quality assurance program; adverse incidents and reporting requirements.- (1) Every facility licensed under this part may, as part of its administrative functions, voluntarily establish a risk management and quality assurance program, the purpose of which is to assess resident care practices, facility incident reports, deficiencies cited by the agency, adverse incident reports, and resident grievances and develop plans of action to correct and respond quickly ... | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN: (3) ASSISTANCE WITH SELF-ADMINISTRATION. (a) Any unlicensed person providing assistance with self administration of medication must be 18 years of age or older, trained to assist with self administered medication pursuant to the training requirements of Rule 58A-5.0191, F.A.C., and must be available to assist residents with self-administered medications in accordance with procedures described in Section 429.256, F.S., and this rule. (b) In addition to the specifications of Section 429.256(3), F.... | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES: (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 Council shall 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 shall have a written grievance procedure for receiving and responding to resident complaints, and for res... | 2 |
| A0054 — MEDICATION - RECORDS: (5) MEDICATION RECORDS. (a) For residents who use a pill organizer managed under subsection (2), the facility shall 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 shall maintain a daily medication observation record (MOR) for ... | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS: (7) MEDICATION LABELING AND ORDERS. (a) No prescription drug shall be kept or administered by the facility, including assistance with self-administration of medication, unless it is 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... | 2 |
Report Facts
Inspections on page: 21
Inspection Report
Deficiencies: 0
Jan 16, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history.
Findings
The inspections over the years show a mix of deficiencies cited, corrected, and many inspections with no deficiencies noted, indicating variable compliance across different inspection types and dates.
Report Facts
Inspections on page: 35
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