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Deficiency Category | Inspection Date: 1/31/23 Complaint Reporting Period: 3/1/24 - 2/28/25 | Inspection Date: 6/22/21 Complaint Reporting Period: 3/1/23 - 2/29/24 | Inspection Date: 9/24/19 Complaint Reporting Period: 3/1/22 - 2/28/23 |
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Emergency Preparedness Deficiencies | |||
Automatic Sprinkler Systems Deficiencies | |||
Building Construction Deficiencies | |||
Services Deficiencies | |||
Corridor Walls and Doors Deficiencies | |||
Egress Deficiencies | |||
Electrical Deficiencies | |||
Emergency Plans and Fire Drills Deficiencies | |||
Fire Alarm Systems Deficiencies | |||
Smoke Deficiencies | |||
Interior Finish Deficiencies | |||
Gas, Vacuum, and Electrical Systems Deficiencies | |||
Hazardous Area Deficiencies | |||
Illumination and Emergency Power Deficiencies | |||
Laboratories Deficiencies | |||
Medical Gases and Anesthetizing Areas Deficiencies | |||
Smoking Regulations Deficiencies | |||
Miscellaneous Deficiencies |
Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in Florida: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Establish roles under a Waiver declared by secretary. | 1/31/23 | 3/6/23 | 2 - Minimal harm or potential for actual harm | Many |
Address subsistence needs for staff and patients. | 1/31/23 | 3/6/23 | 2 - Minimal harm or potential for actual harm | Many |
No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
No Building Construction Deficiencies were found during this inspection period. |
No Services Deficiencies were found during this inspection period. |
No Corridor Walls and Doors Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Keep aisles, corridors, and exits free of obstruction in case of emergency. | 1/31/23 | 3/6/23 | 2 - Minimal harm or potential for actual harm | Few |
No Electrical Deficiencies were found during this inspection period. |
No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
No Fire Alarm Systems Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Inspect, test, and maintain automatic sprinkler systems. | 1/31/23 | 3/6/23 | 2 - Minimal harm or potential for actual harm | Many |
Provide properly protected cooking facilities. | 1/31/23 | 3/6/23 | 2 - Minimal harm or potential for actual harm | Few |
No Interior Finish Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Have generator or other power source capable of supplying service within 10 seconds. | 1/31/23 | 3/6/23 | 2 - Minimal harm or potential for actual harm | Many |
Ensure proper usage of power strips and extension cords. | 1/31/23 | 3/6/23 | 2 - Minimal harm or potential for actual harm | Few |
No Hazardous Area Deficiencies were found during this inspection period. |
No Illumination and Emergency Power Deficiencies were found during this inspection period. |
No Laboratories Deficiencies were found during this inspection period. |
No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
No Smoking Regulations Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 1/31/23 | 3/6/23 | 2 - Minimal harm or potential for actual harm | Many |
Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in Florida: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Develop and maintain an Emergency Preparedness Program (EP). | 6/22/21 | 7/23/21 | 2 - Minimal harm or potential for actual harm | Few |
No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
No Building Construction Deficiencies were found during this inspection period. |
No Services Deficiencies were found during this inspection period. |
No Corridor Walls and Doors Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Install emergency lighting that can last at least 1 1/2 hours. | 6/22/21 | 7/23/21 | 2 - Minimal harm or potential for actual harm | Few |
No Electrical Deficiencies were found during this inspection period. |
No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
No Fire Alarm Systems Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Provide properly protected cooking facilities. | 6/22/21 | 7/23/21 | 2 - Minimal harm or potential for actual harm | Few |
Inspect, test, and maintain automatic sprinkler systems. | 6/22/21 | 7/23/21 | 2 - Minimal harm or potential for actual harm | Few |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | 6/22/21 | 7/23/21 | 2 - Minimal harm or potential for actual harm | Few |
Properly select, install, inspect, or maintain portable fire extinguishes. | 6/22/21 | 7/23/21 | 2 - Minimal harm or potential for actual harm | Few |
No Interior Finish Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Have generator or other power source capable of supplying service within 10 seconds. | 6/22/21 | 7/23/21 | 2 - Minimal harm or potential for actual harm | Few |
No Hazardous Area Deficiencies were found during this inspection period. |
No Illumination and Emergency Power Deficiencies were found during this inspection period. |
No Laboratories Deficiencies were found during this inspection period. |
No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
No Smoking Regulations Deficiencies were found during this inspection period. |
No Miscellaneous Deficiencies were found during this inspection period. |
Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in Florida: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Develop a communication plan. | 9/24/19 | 10/11/19 | 2 - Minimal harm or potential for actual harm | Few |
Establish emergency prep training and testing. | 9/24/19 | 10/11/19 | 2 - Minimal harm or potential for actual harm | Few |
Develop and maintain an Emergency Preparedness Program (EP). | 9/24/19 | 10/11/19 | 2 - Minimal harm or potential for actual harm | Few |
Develop Emergency Preparedness policies and procedures. | 9/24/19 | 10/11/19 | 2 - Minimal harm or potential for actual harm | Few |
Address subsistence needs for staff and patients. | 9/24/19 | 10/11/19 | 2 - Minimal harm or potential for actual harm | Few |
No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
No Building Construction Deficiencies were found during this inspection period. |
No Services Deficiencies were found during this inspection period. |
No Corridor Walls and Doors Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Install emergency lighting that can last at least 1 1/2 hours. | 9/24/19 | 10/11/19 | 2 - Minimal harm or potential for actual harm | Few |
No Electrical Deficiencies were found during this inspection period. |
No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
No Fire Alarm Systems Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Inspect, test, and maintain automatic sprinkler systems. | 9/24/19 | 10/11/19 | 2 - Minimal harm or potential for actual harm | Few |
Provide properly protected cooking facilities. | 9/24/19 | 10/11/19 | 2 - Minimal harm or potential for actual harm | Few |
No Interior Finish Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Have proper medical gas storage and administration areas. | 9/24/19 | 10/11/19 | 2 - Minimal harm or potential for actual harm | Few |
Meet requirements for the installation and maintenance of electrical systems. | 9/24/19 | 10/11/19 | 2 - Minimal harm or potential for actual harm | Few |
No Hazardous Area Deficiencies were found during this inspection period. |
No Illumination and Emergency Power Deficiencies were found during this inspection period. |
No Laboratories Deficiencies were found during this inspection period. |
No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
No Smoking Regulations Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 9/24/19 | 10/11/19 | 2 - Minimal harm or potential for actual harm | Few |
This nursing home has not been cited for any deficiencies from incidents reported by the nursing home or complaints in the last 3 years. |