Aviata At Brentwood

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

39.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 112 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 51.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 104 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.29 therapist hours per resident per day in 2026Q1 — more than 46% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 20% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 120 beds and averages 114.5 residents a day — about 95% occupied, or roughly 6 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.27 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.40 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.04 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.11 hrs/resident/day on weekends vs 3.33 on weekdays — 6% thinner on weekends. RN hours go from 0.46 to 0.27 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 65% is well above the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

28 citations, most serious first. The 10 most serious are shown; the remaining 18 are one tap away and print in full.

• Potential for harm · D2025-12-12 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure the resident representative was notified of a sustained fall for 1 of 3 residents reviewed, Resident #129.Findings include:Review of Resident #129's SBAR (Situation, Background, Assessment, and Recommendation) Communication form showed the resident had a fall on 1/25/2025. Further review of the form showed it documented, [Resident #129's representative's name] she is emergency contact and there is no number for her and daughter as well but no numbers to call family. The form was signed by Staff E, Licensed Practical Nurse (LPN).During an interview on 12/9/2025 at 9:36 AM, Resident #129's Granddaughter stated, No one notified of the fall when it happened. I came into the facility and saw my grandmother's knees were a bloodbath. I called the unit manager on facetime and showed her what my grandmother looked like. She had me hold and that is when [Staff B, LPN's name] told me of the fall. During an interview on 12/9/2025 at 1:38 PM, Staff B, Licensed Practical Nurse (LPN), stated, [Resident #129' name's] granddaughter…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-12 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure residents received care and services under restorative nursing program as recommended by therapy department for 2 of 6 residents reviewed for restorative services, Residents #62, and #109. Findings include: 1) Review of Resident #62's occupational therapy discharge summary, dates of service 10/23/2025 to 11/8/2025, read, Discharge Recommendations: Restorative nursing plan. Restorative Program Established/Trained= Restorative Bed Mobility Program. Bed Mobility Program Established/Trained: rolling, sitting at EOB [Edge of Bed]. Prognosis: Prognosis to Maintain CLOF [Current Level of Functioning] = Good with consistent staff follow-through. Review of Resident #62's clinical records revealed no documentation indicating the resident received restorative nursing as recommended by the occupational therapist. During an interview on 12/10/2025 at 12:40 PM, the Director of Nursing confirmed Resident #62's clinical record did not include documentation indicating the facility had provided restorative nursing to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-12 · tag F0770 — failed to provide lab services — isolated
  Provide timely, quality laboratory services/tests to meet the needs of residents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to take action on the results of laboratory testing in a timely manner for 1 of 3 residents reviewed for laboratory services, Resident #129.Findings include: Review of Resident #129's admission record documented the resident was admitted on [DATE] with diagnoses that included type 2 diabetes mellitus with hyperglycemia, anemia, long term (current) use of insulin, and chronic kidney disease.Review of physician initial encounter note dated 12/9/2024 read, HPI [History of Present Illness] [Resident #129's name] is an [AGE] year-old female who presented to Aspire Brentwood after evaluation at a local hospital for urinary retention and altered mental status. She was found to have a urinary tract infection and was started on intravenous antibiotics; the infection was likely responsible for her altered mental status. She was dehydrated and received intravenous fluids. Her diabetes was uncontrolled and was managed with insulin. During her hospital stay, she…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-11-05 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — the official record, unedited, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure accuracy of minimum data set assessments for 1 of 3 residents reviewed for dialysis (Resident #6).Findings include:Review of Resident #6's physician order dated 4/29/2025 read, Hemodialysis- Tuesday, Thursday and Saturday- [Address and Phone number of Dialysis Center].Review of Resident #6's quarterly Minimum Data Set assessment dated [DATE] showed dialysis was not checked under Section O- Special Treatments, Procedures and Programs.During an interview on 11/4/2025 at 12:44 PM, the Director of Nursing stated, [Resident #6's name] is a dialysis patient.During an interview on 11/4/2025 at 12:47 PM, the Minimum Data Set Registered Nurse stated, [Resident #6's name] is a dialysis patient. Section O would need to be corrected. We follow the RAI [Resident Assessment Instrument] manual.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-11-05 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure residents received blood pressure medications as ordered for 1 of 3 residents reviewed for medication management (Resident #6).Findings include: Review of Resident #6's physician order dated 10/9/2025 read, Midodrine HCl Oral Tablet 5 MG [milligram] (Midodrine HCl), Give 5 mg by mouth every 12 hours as needed for hypotension. Give for Systolic BP [Blood Pressure] less than 110 and diastolic BP less than 60.Review of Resident #6's Weights and Vitals Summary showed the blood pressure of 105/54 mmHg [millimeters of mercury] on 10/11/2025 at 5:04 PM and 102/50 mmHg on 10/11/2025 at 11:19 PM.Review of Resident #6's Medication Administration Record (MAR) for October 2025 for administration of Midodrine HCl 5 mg showed no documentation on 10/11/2025.During an interview on 11/5/2025 at 9:55 AM, the Advanced Practice Registered Nurse #1 stated, On 10/11/2025, the on call notes did not mention anything about blood pressure, but Midodrine was already at hand. Parameters are ordered for a reason. [Resident #6's…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-11-05 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure medical records were accurate for 3 of 10 sampled residents (Residents #3, #4, and #5).Findings include: 1) Review of Resident #3's clinical record revealed an incident report dated 10/17/2025 that documented, At approximately 1645 [4:45 PM] [Resident #3's Name] was found lying on the floor on the left side of his bed lying on his right side. The right side of his forehead had a large actively bleeding laceration, as well as a skin tear on the right knee and right hand. His right eye was swollen shut and has a hematoma near the eyebrow. Other info: Attempted to climb out of bed on his own and unaware of his limitations. Review of Resident #3's hospital Discharge summary dated [DATE] read, Patient is a [AGE] year old male who presented in a c-collar [cervical collar] and not on a backboard as a level 1 trauma alert by air after a ground level fall. Per EMS [Emergency Medical Services] report, patient came from assisted living facility [Sic.]…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-30 · tag F0627 — isolated
  Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to implement the discharge policy developed to ensure follow up with discharged residents for 1 resident (Resident #2) of 3 residents reviewed for discharge.Findings include: Review of Resident #2's admission record showed the resident was admitted with diagnoses that included sepsis, acute respiratory failure with hypoxia, type 2 diabetes mellitus with ketoacidosis and hyperglycemia without coma, acquired absence of right leg below knee, encounter for orthopedic aftercare, acquired absence of right great toe, morbid severe obesity due to excess calories and encounter for surgical aftercare, and discharged on 6/17/2025. During an interview on 6/30/2025 beginning at 10:44 AM, Staff A, Case Manager, stated, [Resident #2's name] elected to discharge home from the facility on 6/17/2025 after his insurance company discontinued payments for skilled services. I called [Resident #2's name] insurance company and they told me to set up home health care with their parent company. The insurance company would set up day of discharge home…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-02-24 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interviews, the facility failed to ensure care and services were provided for a PICC (Peripherally Inserted Central Catheter) access device in accordance with professional standards of practice for 1 (Resident #1) of 3 Residents reviewed with a PICC access device. Findings include: Review of Resident #1's clinical record documented re-admission to the facility on 2/5/2025 with diagnosis that included intraspinal abscess and granuloma (cluster of white blood cells), osteomyelitis (infection of the bone), and urinary tract infection. During an observation on 2/24/2025 at 09:45 AM Resident #1 was lying in bed with a PICC noted in the upper right arm. There was a transparent dressing cover the top of the PICC. The transparent dressing was dated 2/9/2025. (Photographic evidence obtained) During an interview on 2/24/2025 at 09:45 AM Resident #1 stated, I came into the facility with the catheter from the hospital and the dressing was changed once since then. It has not been changed since then. During an interview on 2/24/2025 at 10:08 AM Staff A,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-08-15 · tag F0926 — failed to keep the home smoke-free / fire-safe — widespread
  Have policies on smoking.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to follow safe smoking practices for 4 of 5 residents reviewed for accidents, Resident #3, #15, #35, and #61. Findings include: 1. During an observation on 8/12/2024 at 8:49 AM, there was a pink device with mouth piece on top of drawer in Resident #3 room. Review of Resident #3's Smoking Evaluation dated 8/12/2024 showed it read, Summary of Evaluation: Resident is determined to be 0. Safe Smoker. Review of Resident #3's care plan initiated on 5/3/2024 showed it read, Focus: The resident smokes a vape . Interventions . Notify charge nurse immediately if it is suspected resident has violated facility smoking policy. During an observation on 8/13/2024 at 2:55 PM, with Staff G, Licensed Practical Nurse (LPN) Unit Manager, the smoking box located in the nursing station did not contain any vaping devices. During an interview on 8/13/2024 at 2:55 PM, Staff G, LPN Unit Manager, stated, It is not smoking time. The vapes should be in the box stored away. I do not see any vapes in the box, not sure where they could be. The…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-08-15 · tag F0644 — pattern
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure 2 of 3 residents reviewed for preadmission screening and resident review (PASRR), Resident #38 and Resident #22, were referred to the appropriate state designated authority for Level II PASRR evaluation and determination. Findings include: Review of Resident #38's admission record revealed the resident was admitted to the facility on [DATE] with diagnoses that included unspecified psychosis not due to a substance or known physiological condition (onset date 1/5/2022). Review of Resident #38's psychiatry progress note, date of service 6/24/2024, revealed the resident had diagnoses that included brief psychotic disorder. Review of Resident #38's Level I PASRR completed by the facility staff on 3/27/2024 failed to reveal documentation in Section 1: PASRR Screen Decision-Making A. MI [Mental Illness] or suspected MI (check all that apply) that Resident #38 had a diagnosis of psychotic disorder. Review of Section IV: PASRR Screen Completion.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to AVIATA HEALTH GROUP — 50 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 15 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

3 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $202K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in FL