High Tower Alf sits in Homestead, FL, as a licensed assisted living facility with six beds inside a three-bedroom, two-bath home, and it's known for specialized adult foster care and care for adults who need regular supervision or help. Residents get support with bathing, dressing, moving around, and taking their medicines, and there are options for both semi-private and private rooms, all fully furnished. If someone needs help because they're diabetic, on hospice, bedridden, or have trouble with falls, the staff can provide tailored care, and the place offers non-ambulatory care and keeps healthcare staff and visiting nurses on-site for skilled nursing, though some reports have pointed to issues with unqualified and untrained staff. The facility has services like housekeeping, laundry, meal preparation for special diets, emergency alert systems, Wi-Fi, cable, telephones, and helps with getting to doctor appointments or going out for errands. Pets are allowed, and residents can join community activities-there's a garden area, walking paths, planned events, movie nights, and daily activities to help people feel a sense of community and keep bonds strong, and the team helps with move-in coordination and transportation, too.
Though the place tries to be supportive and safe, High Tower Alf has a history of serious problems like medical neglect, improper medication handling, unauthorized medical procedures, delays in calling for emergency help, and staff who haven't passed required background checks or had the right training-some even lacked basic skills such as CPR or first aid. There have been state investigations, and at times during 2021, 2023, and both July and October 2024, inspectors found unsafe conditions and severe care deficiencies, which led to a moratorium on new residents and moves to shut down the home, even putting up a sign that says "This Facility Is Closed" following emergency orders. Despite aiming to help people stay independent and involved, these ongoing violations, staff issues, fines, and orders to relocate residents mark a troubling pattern that hasn't been resolved, and those who consider High Tower Alf will see both the daily support and the record of care and safety concerns that are part of this facility's story.