Aviata At Beneva

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.

47.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 69 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 66.1% 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 62 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 0.28 therapist hours per resident per day in 2026Q1 — more than 43% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 41% 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 100.5 residents a day — about 84% occupied, or roughly 20 beds typically open. It usually has some room. 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 3.60 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.56 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.16 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 3.27 hrs/resident/day on weekends vs 3.73 on weekdays — 12% thinner on weekends. RN hours go from 0.65 to 0.34 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 50% is about the same as 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 fewer than at the previous inspection — improving. 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.

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.

30 citations, most serious first. The 16 most serious are shown; the remaining 14 are one tap away and print in full.

• Immediate jeopardy · Lcited before2026-01-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — widespread
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  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 observation, record review, review of facility's policies and procedures, residents and staff interviews, the facility failed to implement processes to prevent avoidable accidents by failing to ensure the appropriate storage of ignition devices for 6 (Residents #71,#106, #9, #26, #43, and #67) of 23 residents who smoke tobacco products and/or use oxygen.The unsafe practice of allowing residents to store ignition sources such as lighters in their rooms where oxygen is in use created a significant fire safety risk to the entire facility. A fire originating in one resident's room can rapidly spread through bedding, furnishing, producing smoke and toxic fumes that travel quickly through hallways and ventilation systems, creating a likelihood of serious injury, impairment or death of all 101 residents from thermal burns and inhalation of toxic fumes and resulted in the determination of Immediate Jeopardy.The findings included:Cross reference F835, F865, F926On 1/6/26, the facility provided a list of current…

  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
• Immediate jeopardy · L2026-01-09 · tag F0835 — failed to run the facility competently — widespread
  Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  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 observation, record review, residents and staff interviews, the facility administration failed to provide effective oversight and enforcement of safe smoking practices. The facility Administration became aware of the concerns of unsafe storage of ignition devices and failed to intervene to protect the health and safety of all residents, as evidenced by interviews with the Director of Nursing and the Administrator who both stated that the issues were brought to their attention in September and October of 2025 when they started working in the facility. This failure created an environment that placed all 101 residents who reside in the single-story facility at a likelihood of serious injury, impairment or death from thermal burns and inhalation of toxic fumes and resulted in the determination of Immediate Jeopardy. The findings included:Refer to F689, F865, F926Review of the Executive Director (Administrator)'s job description revealed, The primary purpose of the Executive Director is to direct 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · L2026-01-09 · tag F0865 — failed to run a quality-improvement (QAPI) program — widespread
  Have a plan that describes the process for conducting QAPI and QAA activities.
  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 have an effective Quality Assurance and Performance Improvement (QAPI) program to address the known unsafe smoking practices since September 2025 for 6 (Residents #71, #106, #9, #26, #43, and #67) of 6 sampled residents who smoke tobacco products. The facility failure to develop corrective actions to ensure the safe storage of ignition devices and continuing to allow residents who use oxygen to retain/store lighters in their rooms created a significant, avoidable fire safety risk that could impact all 101 residents who reside in the single-story facility. A fire originating in one resident's room can rapidly spread, produce smoke and fumes that travel rapidly through hallways and ventilation systems, creating a likelihood of serious harm, injury or death. The failure of the QAPI program to address these concerns resulted in the determination of immediate jeopardy.The findings included:Cross reference F689, F835, F926Review of the facility's policy and procedure titled, Quality Assurance Performance…

  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
• Immediate jeopardy · L2026-01-09 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, review of facility's policies and procedures, residents and staff interviews, the facility failed to implement and enforce the facility's supervised smoking policy to ensure safe smoking practices for 6 (#71, #106, #9, #26, #43, and #67) of 6 sampled smokers and prohibit the storage of ignition devices around oxygen use for 2 (Residents #71 and #106) of 2 sampled residents reviewed for safe smoking.The facility failure to enforce the smoking policy that clearly addressed the safe storage of ignition devices by allowing residents who use oxygen, or share rooms with residents who use oxygen, to keep lighters/ignition devices unsecured in their rooms created an avoidable fire safety risk, placing all 101 residents who reside in the single story facility at a likelihood serious harm, injury or death from thermal burns and inhalation of toxic fumes. These concerns resulted in the determination of immediate jeopardy. A fire originating in one resident's room can rapidly spread,…

  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
• Actual harm · G2025-08-13 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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, review of facility's policies and procedures, staff and resident interviews, the facility failed to protect residents' rights to be free from neglect by failing to follow physician medication orders for 2 (Resident #875 and #775) of 4 residents reviewed. The facility failed to perform and document weekly skin evaluations for 1 (Resident #99) of 3 sampled residents at risk for pressure ulcer to ensure timely identification and treatment of skin alterations. The findings included: Review of the facility policy N-1265 Abuse, Neglect, Exploitation and Misappropriation, documented It is inherent in the nature and dignity of each resident at the center that he or she be afforded basic human rights including the right to be free from abuse, and neglect, mistreatment. Employees of the center are charged with a continuing obligation to treat residents, so they are free from abuse, neglect, and mistreatment.The facility defines neglect as the failure of the center, its employees or service…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-08-13 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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 observation, record review, review of facility's policies and procedures, staff and resident interviews, the facility failed to ensure staff consistently performed weekly skin evaluations for 1 (Resident #99) of 3 residents reviewed for early identification and treatment of pressure ulcers. The findings included:Review of the facility provided weekly wound reports for pressure injury revealed documentation on 2/21/25 Resident #99 had a facility acquired pressure ulcer to the sacrum that measured 3.5 centimeters (cm) in length by 3.5 cm in width.On 8/7/25 the weekly wound report noted Resident #99 had a facility acquired stage 4 pressure ulcer (full thickness tissue loss with exposed bone, tendon or muscle) on the sacrum measuring 2 cm x's 1.8 cm with 0.8 cm depth. A left hip facility acquired stage 4 pressure ulcer identified on 5/22/25 measured 2.5 cm x's 2.5 cm with 1.5 cm depth.Review of the facility provided incident investigation for Resident #99's facility acquired pressure ulcer revealed on…

  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 · E2026-01-09 · tag F0693 — failed to provide proper feeding-tube care — pattern
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  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 follow physician orders for enteral feeding supplies for 1 of 3 residents sampled, (Resident #41).The findings included: On 1/5/26 at 10:26 a.m., during a tour of the facility observed a peg tube syringe and 2 water pitchers with dark liquid, a carton of Nutren (brand name liquid nutritional formula), 1 carton of whole milk and 1 carton of 1% low fat milk on Resident #41's overbed table. Observed on bedside table was a basin containing pudding, sardines, 2 large cartons of chicken broth and canned sausages. (photographic evidence obtained).On 1/5/26 at 1:47 p.m., during a tour of the facility observed a feeding tube syringe, 1 water with straw containing clear liquid; 1 water pitcher with dark liquid, and 3 plastic cups with light brown liquid on Resident #41's overbed table. Observed on bedside table was a basin containing pudding, sardines, 2 large cartons of chicken broth and canned sausages. (photographic evidence obtained)Review of the clinical record documented Resident #41 was originally admitted 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 · E2026-01-09 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, review of facility policy and staff interviews, the facility failed to provide a clean and sanitary environment for 3 residents, (Resident #82, #41 and #59) of 7 residents sampled.The findings included: Review of Facility Policy 5-Step Room Cleaning revised date 10/25/16 documented Purpose: To teach Environmental Services employees the proper cleaning method to sanitize a patient room or any area in a healthcare facility. 4) Dust Mop: the entire floor must be dust mopped - especially behind dressers and beds. 5) The most important area of a patient's room to disinfect is the floor. This is where most air-borne bacteria will settle and so it needs to be sanitized daily.On 1/5/26 at 10:05 a.m., during a tour of the facility, 2 floor mats observed for Resident #82 covered with an unclean black substance. (photographic evidence obtained).On 1/5/26 at 10:26 a.m., during a tour of the facility, 2 floor mats for Resident #41were observed covered with an unclean black substance and a soiled water pitcher on overbed table. (photographic evidence obtained).On 1/5/26 at…

  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 · Dcited before2026-01-09 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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 observation, review of facility policy, record review and resident and staff interview, the facility failed to ensure 1, (Resident #89), of 1 resident with a pressure ulcer received treatments, including turning and repositioning using a wedge pillow, as part of pressure ulcer prevention and management.The findings included:Review of the facility policy and procedures Clinical Guideline Skin and Wound effective 4/1/2017 documented To provide a system for identifying skin at risk, implementing individual interventions including evaluation and monitoring as indicated to promote skin health, healing and decrease worsening of/prevention of pressure injury. Develop individualized goals and interventions and document on the care plan and the CNA Kardex.(Certified Nursing Assistant (CNA) Kardex is clinical documentation to show CNAs resident specific treatment plan.)Review of the clinical record revealed Resident #89 originally admitted on [DATE] with diagnoses including type 2 diabetes mellitus, ASHD…

  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 · D2026-01-09 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  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 observation, record review and staff and resident interview, the facility failed to administer intravenous (IV) medication as ordered for 1, (Resident #90), of 1 resident sampled with a urinary tract infection (UTI). The failure to administer antibiotics as ordered can lead to treatment failure, prolonged illness and the development of dangerous antibiotic-resistant bacteria.The findings included: Review of the clinical record revealed Resident #90 was [AGE] years old and had an admission date of 5/2/25. Diagnoses included recurrent UTI, urinary incontinence, incomplete bladder emptying, chronic renal impairment and chronic kidney disease. admission MDS (Minimum Data Set) dated 5/8/25 documented a BIMS (Brief Interview for Mental Status) score of 15 indicating resident is cognitively intact. The Quarterly MDS dated [DATE] BIMS 15,Review of the physician orders revealed an order dated 12/27/25 for Daptomycin Intravenous Solution Reconstituted 500 milligrams. (Antibiotic to treat urinary tract…

  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 · D2026-01-09 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  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 residents who were offered an opportunity to consent or decline vaccines, received the vaccines consented for, unless medically contraindicated for 1 (Resident # 5) of 5 residents reviewed for vaccines. The findings included: On 1/7/25, a record review of Resident #5's chart revealed an informed consent for pneumococcal vaccine dated 11/30/25 on which Resident #5 indicated he consented to receiving the pneumococcal vaccine. Further review of Resident #5's chart failed to reveal documentation that he had received the vaccine.On 1/8/26 at 10:22 a.m., in a meeting with the Director of Nursing (DON) and the Infection Control Preventionist (ICP), Resident #5's pneumococcal vaccine was discussed. The DON reviewed the electronic chart and said she was unable to find documentation in computerized file that it had been given. The ICP checked Resident #5's hard paper chart and was unable to find documentation the vaccine had been given. Neither the DON nor ICP could offer an explanation why the consented for vaccine hadn't…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-11-19 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, residents and staff interviews, the facility failed to ensure 2 (Residents #900 and #800) of 3 dependent residents reviewed were treated with dignity by failing to respond timely to residents' call lights and failing to provide incontinent care to meet the residents' needs. The findings included:On 10/13/25, review of the facility's grievance log revealed residents' grievances for delays in responding to the call lights on 9/1/25, 9/4/25, 9/5/25, 9/16/25 and 9/24/25.On 9/24/25 a complaint/grievance form report documented, Delayed call light on overnight 11-7.On 10/13/25 at 10:42 a.m., in an interview Resident #900 said staff often do not answer the call light after 5:30 p.m. to 6:00 p.m. When they do, they turn it off, say they'll be back, but they don't. There has been time he had to sit in a soiled incontinent brief for 1 to 2 hours. Staff come in with an attitude when they have to provide care and say they were busy. The resident said staff get mad at him when he keeps pressing the call light to request assistance. They tell him, You are not the only one.…

  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 · Ecited before2025-11-19 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, resident and staff interviews, the facility failed to provide assistance with showers as outlined in the resident's care plan and according to residents' preferences for 2 (Residents #900 and #800) of 3 dependent residents reviewed.The findings included:Review of the clinical record revealed Resident #900 had an admission date of 9/9/25. Diagnoses included weakness, hemiparesis (weakness on one side of the body) and hemiplegia (paralysis of one side of the body) affecting the right side.Review of the admission Minimum Data Set (MDS) with an assessment reference date of 9/15/25 revealed Resident #900 was dependent for toileting, dressing and bathing and was always incontinent of bowel and bladder. The MDS noted the resident scored 13 on the Brief Interview for Mental Status, indicating of intact cognitive skills for daily decision.On 10/13/25 at 10:42 a.m., in an interview Resident #900 said he doesn't get his scheduled showers on Wednesdays and Sundays. He has gone days, even weeks without a shower. When he asks for a shower, staff tell him they'll be back 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 · E2025-11-19 · tag F0867 — failed to act on quality-improvement findings — pattern
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, staff interview and review of facility policy and procedure the facility failed to implement corrective actions to achieve and maintain compliance in previously cited deficiencies.The findings included: Review of the facility's policy titled, Quality Assurance Performance Improvement (QAPI) dated 11/30/14 (revised 10/24/22) documented The Center and organization has a comprehensive, data-driven Quality Assurance Performance Improvement that focuses on indicators of the outcomes of care and quality of life.The center's QAPI program is on-going comprehensive review of care and services provided to residents.The program is a coordinated effort among departments and services within the organization that involves Leadership working with input from Center staff, families and residents.The Center will collect and monitor data from different departments reflecting its performance.The Center will utilize performance indicator to how much does it cost you monthly and when you're making monthly and compare the two that's how realistic budget established…

  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 · D2025-11-19 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, review of facility's policy and procedure, resident and staff interviews, the facility failed to report an allegation of physical abuse to the Agency for Health Care Administration within the specified timeframe for 1 (Resident #1) of 3 residents reviewed.The findings included:Review of the facility provided Abuse, Neglect, Exploitation & Misappropriation Policies and Procedures with an effective date of 11/30/2014 and a revision date of 11/16/2022 revealed, Any employee or contracted service provider who witnesses or has knowledge of an act of abuse or an allegation of abuse . to a resident, is obligated to report such information immediately but no later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse . to the Administrator and to other officials in accordance with State law . Once an allegation of abuse is reported, the Executive Director, as the abuse coordinator, is responsible for ensuring that reporting is completed timely and appropriately to appropriate officials in accordance with Federal and State…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-19 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation, review of facility's policy and procedure and staff interview, the facility failed to ensure medications were kept locked in 1 (300 hall) of 4 medications carts observed when not in use and under direct supervision. The findings included: Review of the facility policy 1.0 Medication Dispensing System (no effective date) documented Medication carts are always to be locked when out of sight or unattended.On 10/13/25 at 10:23 a.m., during a tour of the facility the 300-hall medication cart was observed unlocked, and unattended and unsecured for approximately 4 minutes. Residents and staff were observed passing by the unlocked medication cart.On 10/13/25 at 10:27 a.m., Licensed Practical Nurse Staff A was observed coming around the corner. She said she went to gather supplies for a resident and verified she left the medication cart unlocked and unattended for several minutes.

  Pharmacy Service 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

$110,129 in federal fines across 2 penalties.

• $74,665 — penalty dated 2025-11-19
• $35,464 — penalty dated 2025-08-13

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

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.

About 86% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $228K 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