| Survey Date | Inspection Type | Track ID | Deficiency | Severity and Scope | Class | Requirement Description | Correction Date |
| 05/02/2025 | Complaint | VTIW | F0600 | K | | FREE FROM ABUSE AND NEGLECT | 05/02/2025 |
| 05/02/2025 | Complaint | VTIW | F0689 | K | | FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES | 05/02/2025 |
| 05/02/2025 | Complaint | VTIW | N0201 | K | 1 | RIGHT TO ADEQUATE AND APPROPRIATE HEALTH CARE | 05/02/2025 |
| 05/02/2025 | Complaint | VTIW | N0204 | K | 1 | RIGHT TO BE FREE FROM ABUSE, RESTRAINTS, ETC | 05/02/2025 |
| 02/27/2025 | Complaint | 63EG | F0607 | D | | DEVELOP/IMPLEMENT ABUSE/NEGLECT POLICIES | 03/04/2025 |
| 02/27/2025 | Complaint | 63EG | ZZ814 | | U | BACKGROUND SCREENING CLEARINGHOUSE435.12 Care Provider Background Screening Clearinghouse.-
(2)(b) Until such time as the fingerprints are enrolled in the national retained print arrest notification program at the Federal Bureau of Investigation:
1. A person with a break in service of more than 90 days from a position that requires screening by a specified agency must submit to a national screening if the person returns to a position that requires screening by a specified agency.
2. Effective January 1, 2026, or a later date as determined by the Agency for Health Care Administration, for the participation of qualified entities in the clearinghouse under s. 435.12, a person with a break in service of more than 90 days from a position for which screening is conducted by a qualified entity participating in the clearinghouse must submit to a national screening if the person returns to a position for which screening is conducted by a qualified entity.
(c) An employer of persons subject to screening or a qualified entity participating in the clearinghouse must register with the clearinghouse and maintain the employment or affiliation status of all persons included in the clearinghouse.
1. Before January 1, 2024, initial status and any changes in status must be reported within 10 business days after a person receives his or her initial status or after a change in the person ' s status has been made.
2. Effective January 1, 2024, initial status and any changes in status must be reported within 5 business days after a person receives his or her initial status or after a change in the person ' s status has been made.
(d) An employer or a qualified entity participating in the clearinghouse must register with and initiate all criminal history checks through the clearinghouse before referring an employee or potential employee or a person with a current or potential affiliation with a qualified entity for electronic fingerprint submission to the Department of Law Enforcement. The registration must include the person ' s full first name, middle initial, and last name; social security number; date of birth; mailing address; sex; and race. Individuals, persons, applicants, and controlling interests that cannot legally obtain a social security number must provide an individual taxpayer identification number.
| 03/04/2025 |
| 01/14/2025 | Complaint | T0EG | F0552 | D | | RIGHT TO BE INFORMED/MAKE TREATMENT DECISIONS | 02/14/2025 |
| 01/14/2025 | Complaint | T0EG | F0610 | D | | INVESTIGATE/PREVENT/CORRECT ALLEGED VIOLATION | 02/14/2025 |
| 01/14/2025 | Complaint | T0EG | F0745 | D | | PROVISION OF MEDICALLY RELATED SOCIAL SERVICE | 02/14/2025 |
| 06/05/2024 | Fire/Life/Safety | W7C7 | K0324 | E | 3 | COOKING FACILITIESCooking Facilities
Cooking equipment is protected in accordance with NFPA 96, Standard for Ventilation Control and Fire Protection of Commercial Cooking Operations, unless:
* residential cooking equipment (i.e., small appliances such as microwaves, hot plates, toasters) are used for food warming or limited cooking in accordance with 18.3.2.5.2, 19.3.2.5.2
* cooking facilities open to the corridor in smoke compartments with 30 or fewer patients comply with the conditions under 18.3.2.5.3, 19.3.2.5.3, or
* cooking facilities in smoke compartments with 30 or fewer patients comply with conditions under 18.3.2.5.4, 19.3.2.5.4.
Cooking facilities protected according to NFPA 96 per 9.2.3 are not required to be enclosed as hazardous areas, but shall not be open to the corridor.
18.3.2.5.1 through 18.3.2.5.4, 19.3.2.5.1 through 19.3.2.5.5, 9.2.3, TIA 12-2
| 07/05/2024 |
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