Inspection Reports for Best Care Senior Living at Heritage Manor

1908 E 131ST AVE, FL, 33612-4690

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Inspection Report Summary

The most recent inspection on October 3, 2024, found no deficiencies. Earlier inspections showed a pattern of Class 3 deficiencies primarily related to medication management, staffing, training, records, and risk management. Complaint investigations did not result in any substantiated findings or enforcement actions, and no fines or license actions were listed in the available reports. Prior reports noted issues with assistive devices, emergency planning, and visitation policies as well. The facility’s inspection history suggests some improvement over time, with the latest two inspections showing no deficiencies after a period of recurring citations.

Deficiencies (last 7 years)

Deficiencies (over 7 years) 3.7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

20% better than Florida average
Florida average: 4.6 deficiencies/year

Deficiencies per year

8 6 4 2 0
2017
2019
2020
2021
2022
2023
2024

Inspection Report

Complaint
Deficiencies: 0 Date: Oct 3, 2024

Visit Reason
No deficiencies noted on this complaint inspection.

Findings
No deficiencies noted on this complaint inspection.

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Apr 24, 2024

Visit Reason
No deficiencies noted on this standard inspection.

Findings
No deficiencies noted on this standard inspection.

Inspection Report

Complaint
Deficiencies: 1 Date: Mar 19, 2024

Visit Reason
One Class 3 deficiency related to risk management and quality assurance.

Findings
One Class 3 deficiency related to risk management and quality assurance.

Deficiencies (1)
Tag A0165 — RISK MGMT & QA

Inspection Report

Complaint
Deficiencies: 2 Date: Jul 11, 2023

Visit Reason
Two Class 3 deficiencies related to medication labeling/orders and pharmacy/dietary uncorrected deficiencies.

Findings
Two Class 3 deficiencies related to medication labeling/orders and pharmacy/dietary uncorrected deficiencies.

Deficiencies (2)
Tag A0056 — MEDICATION - LABELING AND ORDERS
Tag A0058 — PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES

Inspection Report

Complaint
Deficiencies: 7 Date: May 15, 2023

Visit Reason
Multiple Class 3 deficiencies related to assistive devices, medication assistance, medication records, staffing, training, and records.

Findings
Multiple Class 3 deficiencies related to assistive devices, medication assistance, medication records, staffing, training, and records.

Deficiencies (7)
Tag A0034 — ASSISTIVE DEVICES
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag A0054 — MEDICATION - RECORDS
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0083 — TRAINING - FIRST AID AND CPR
Tag A0160 — RECORDS - FACILITY
Tag A0162 — RECORDS - RESIDENT

Inspection Report

Complaint
Deficiencies: 1 Date: Oct 13, 2022

Visit Reason
One Class 3 deficiency related to in-person visitation.

Findings
One Class 3 deficiency related to in-person visitation.

Deficiencies (1)
Tag CZ841 — IN-PERSON VISITATION

Inspection Report

Complaint
Deficiencies: 1 Date: Nov 22, 2021

Visit Reason
One Class 3 deficiency related to limited mental health training.

Findings
One Class 3 deficiency related to limited mental health training.

Deficiencies (1)
Tag AL243 — LMH - TRAINING

Inspection Report

Complaint
Deficiencies: 4 Date: Mar 17, 2021

Visit Reason
Multiple Class 3 deficiencies related to resident care rights, records, and emergency management planning.

Findings
Multiple Class 3 deficiencies related to resident care rights, records, and emergency management planning.

Deficiencies (4)
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0160 — RECORDS - FACILITY
Tag A0162 — RECORDS - RESIDENT
Tag CZ830 — EMERGENCY MANAGEMENT PLANNING

Inspection Report

Complaint
Deficiencies: 1 Date: Feb 1, 2021

Visit Reason
One Class 3 deficiency related to medication records.

Findings
One Class 3 deficiency related to medication records.

Deficiencies (1)
Tag A0054 — MEDICATION - RECORDS

Inspection Report

Complaint
Deficiencies: 6 Date: May 28, 2020

Visit Reason
Multiple Class 3 deficiencies related to resident care rights, staffing, training, records, risk management, and emergency environmental control.

Findings
Multiple Class 3 deficiencies related to resident care rights, staffing, training, records, risk management, and emergency environmental control.

Deficiencies (6)
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0162 — RECORDS - RESIDENT
Tag A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT
Tag A0200 — EMERGENCY ENVIRONMENTAL CONTROL

Inspection Report

Annual Inspection
Deficiencies: 1 Date: Jan 3, 2020

Visit Reason
One Class 3 deficiency related to emergency plan approval.

Findings
One Class 3 deficiency related to emergency plan approval.

Deficiencies (1)
Tag A0181 — EMERGENCY PLAN APPROVAL

Inspection Report

Complaint
Deficiencies: 1 Date: Aug 6, 2019

Visit Reason
One Class 3 deficiency related to medication labeling and orders.

Findings
One Class 3 deficiency related to medication labeling and orders.

Deficiencies (1)
Tag A0056 — MEDICATION - LABELING AND ORDERS

Inspection Report

Complaint
Deficiencies: 1 Date: May 3, 2017

Visit Reason
One Class 3 deficiency related to food service dietary standards.

Findings
One Class 3 deficiency related to food service dietary standards.

Deficiencies (1)
Tag A0093 — FOOD SERVICE - DIETARY STANDARDS

Report

Reports Summary

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