Department of Corrections
Office of Health Services
Contract Monitoring Report
Date of Report:

October 13, 2023

Period Reviewed:

January 1 – March 31, 2023

Institution:

Avon Park CI

Contractor:

Centurion of Florida, LLC

Report Number

Avon Park A2-10/23

Contract Number: C2995

Monitoring Type:
Annual Performance Outcomes, Measures, and Standards
Monitoring
Semi-Annual Performance Outcomes, Measures, and Standards
Monitoring
Ad Hoc Monitoring
Monitoring Dates: April and May 2023
Monitoring Team Members
Skip Tompkins

Team Leader

Sabrina Matos, RN

Clinical Nursing Monitor

Elizabeth English-Lindsey, RN

Clinical Nursing Monitor

Michelle Kimutis, PharmD

Clinical Pharmacy Monitor

Michael Collins, PhD

Clinical Mental Health Monitor

John Joffre, DDS

Dental Clinical Monitor

Contract Monitoring Report
Avon Park CI
October 13, 2023
Page 2
Background:
The Department conducted contract monitoring in accordance with criteria outlined in the Office
of Health Services Monitoring Plan. This monitoring included the following components:
X
X
X
X
X

desk review of records related to service delivery (including documents and databases)
on-site review of records maintained by the Contractor
interviews with Contractor and/or Department staff
review of grievances filed by inmates regarding Contractor’s service delivery
review of monitoring, audits, investigations, reviews, evaluations, or other actions by
external agencies (e.g., Correctional Medical Authority, American Correctional
Association and/or National Commission on Correctional Health Care, Department of
Health, etc.).
____ Other (explain: ___________________________________________________
________________________________________________________________
________________________________________________________________
The monitoring was conducted utilizing random sampling methodology and a standard
instrument that was adopted specifically for this contract.
Summary of Findings:
During the monitoring review, the team identified the following findings.
Performance Measures
A total of 35 performance measures were applicable for this monitoring review. We found that 6
performance measures reviewed did not meet the required standard in the contract. See
attachment A for a detailed list of these 6 measures. A list of all 35 measures reviewed is
provided in attachment B.
Required Contractor Corrective Action:
In accordance with the Contract Monitoring Plan, the Corrective Action Plan (CAP) should be
submitted 10 days following the receipt of the final monitoring report.
The CAP closure is expected within 90 calendar days from the date-of-receipt of a written
monitoring report. For all other Corrective Action Plan requirements, see Section II., W. of the
contract.
A CAP folder should be maintained at the institution to track progress and keep closure records.
Supporting documentation of training should include, training attendance sign-in sheets, name
of the trainer, documents used for the training, and any documentation from medical records to
document that the training corrected the issue or finding.

Grady Enlow
Deputy Director of Health Services Administration