| Survey Date | Inspection Type | Track ID | Deficiency | Severity and Scope | Class | Requirement Description | Correction Date |
| 08/28/2024 | Fire/Life/Safety | WVRZ | None | None | None | NoneNone | None |
| 03/27/2024 | Complaint | CZ68 | None | None | None | NoneNone | None |
| 11/30/2023 | Complaint | E5JO | None | None | None | NoneNone | None |
| 10/25/2023 | Complaint | DJT9 | None | None | None | NoneNone | None |
| 10/05/2023 | Fire/Life/Safety | ME59 | None | None | None | NoneNone | None |
| 10/04/2023 | Standard | ME59 | F0584 | D | | SAFE/CLEAN/COMFORTABLE/HOMELIKE ENVIRONMENT | 11/15/2023 |
| 10/04/2023 | Standard | ME59 | N0110 | D | 3 | PHYSICAL ENVIRONMENT - SAFE, CLEAN, HOMELIKE400.141(1)(h) FS
Maintain the facility premises and equipment and conduct its operations in a safe and sanitary manner.
59A-4.122(1) FAC
The licensee must provide a safe, clean, comfortable, and homelike environment, which allows the resident to use his or her personal belongings to the extent possible
| 11/15/2023 |
| 08/28/2023 | Fire/Life/Safety | XNWS | E0015 | F | | SUBSISTENCE NEEDS FOR STAFF AND PATIENTS§403.748(b)(1), §418.113(b)(6)(iii), §441.184(b)(1), §460.84(b)(1), §482.15(b)(1), §483.73(b)(1), §483.475(b)(1), §485.542(b)(1), §485.625(b)(1)
[(b) Policies and procedures. [Facilities] must develop and implement emergency preparedness policies and procedures, based on the emergency plan set forth in paragraph (a) of this section, risk assessment at paragraph (a)(1) of this section, and the communication plan at paragraph (c) of this section. The policies and procedures must be reviewed and updated every 2 years [annually for LTC facilities]. At a minimum, the policies and procedures must address the following:
(1) The provision of subsistence needs for staff and patients whether they evacuate or shelter in place, include, but are not limited to the following:
(i) Food, water, medical and pharmaceutical supplies
(ii) Alternate sources of energy to maintain the following:
(A) Temperatures to protect patient health and safety and for the safe and sanitary storage of provisions.
(B) Emergency lighting.
(C) Fire detection, extinguishing, and alarm systems.
(D) Sewage and waste disposal.
*[For Inpatient Hospice at §418.113(b)(6)(iii):] Policies and procedures.
(6) The following are additional requirements for hospice-operated inpatient care facilities only. The policies and procedures must address the following:
(iii) The provision of subsistence needs for hospice employees and patients, whether they evacuate or shelter in place, include, but are not limited to the following:
(A) Food, water, medical, and pharmaceutical supplies.
(B) Alternate sources of energy to maintain the following:
(1) Temperatures to protect patient health and safety and for the safe and sanitary storage of provisions.
(2) Emergency lighting.
(3) Fire detection, extinguishing, and alarm systems.
(C) Sewage and waste disposal. | 09/01/2023 |
| 08/28/2023 | Fire/Life/Safety | XNWS | K1012 | D | 3 | FLAMMABLE STORAGE - GENERALThe storage and handling of flammable liquids or gases shall be in accordance with the following applicable standards: (1) NFPA 30, Flammable and Combustible Liquids Code (2) NFPA 54, National Fuel Gas Code (3) NFPA 58, Liquefied Petroleum Gas Code
No storage or handling of flammable liquids or gases shall be permitted in any location where such storage would jeopardize egress from the structure, unless otherwise permitted by 8.7.3.1.
NFPA 101 (2015) 18.3.2.1 & 19.3.2.1, 8.7.3.1, 8.7.3.2, NFPA 30 (2015), NFPA 54 (2015), NFPA 58 (2014).
| 09/01/2023 |
| 07/06/2023 | Complaint | TVY6 | None | None | None | NoneNone | None |
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