Aviata At The Sea - Pasadena

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.

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

CMS has not published payroll-based (PBJ) staffing hours for this facility yet — this can happen for newer, hospital-based, or recently-certified homes. It can also mean the home simply did not file, which CMS does not distinguish in this data, so treat the gap as unexplained rather than benign. Staffing is one of the three parts of the CMS star rating; where it’s missing, weigh the independent health-inspection score most, and ask the facility directly about its nurse-to-resident ratios and weekend RN coverage.

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 3 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.

23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.

• Potential for harm · Ecited before2023-02-02 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  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 observations, staff and resident interviews, and medical record review, the facility failed to 1. ensure safety and supervision for smoking for five (Residents (#42, #98, #44, #99, and #38) of twenty-one sampled residents and 2. failed to ensure fifteen minute checks were performed and a toileting program was implemented to prevent falls for one (Resident #6) of one sampled resident. Findings included: 1. On 1/30/2023 at 8:55 a.m. prior to entering the building for first day of survey, Resident #99 was observed on the fence line of the side parking lot and seated in a chair, along with three other residents next to her. She was observed smoking and had her own cigarettes and lighter on her person. She, along with the other residents, revealed the facility did not follow the smoking schedule and did not let them out on the back porch area where the designated smoking area was located. She said the back porch entrance/exit doors were locked and staff were never available to let them out in that area. 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2023-02-02 · tag F0761 — failed to label and store drugs safely — pattern
  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 — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and policy reviews the facility failed to properly secure medication in one of two medication carts, in one of two treatment carts, in one of one medication refrigerator and for three (Residents #1, #10, and #21) of 31 sampled residents. Findings included: An observation was made upon entering the facility on 1/30/23 at 9:10 a.m. of a treatment cart in the south hallway. The cart was unlocked, and no nurses were in site of the cart. The cart contained prescription topical medications. (Photographic evidence obtained.) An observation was made in the room of Resident #1 on 1/30/23 at 10:34 a.m. of a bottle of Tums antacid sitting on the bedside table. The resident was out of the facility at the time and the door was open. The medication remained sitting on Resident #1's bedside table all four days of the survey, even after the resident returned to the facility. (Photographic evidence obtained.) A review of the medical records indicated Resident #1 was admitted on [DATE] with…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-02-02 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  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, interviews, and record review, the facility failed to ensure resident spaces were clean, sanitary, and in good repair for two (Rooms #29 and #31) of two resident rooms. Findings included: On 01/30/23 at 11:14 a.m., an observation was made in the bathroom between rooms [ROOM NUMBERS]. The bathroom had an offensive odor, the floor had dirty/mud present, there was something black splattered on the wall under the sink, and the toilet had a brown substance on the lid, seat, and rim of the toilet. On 01/31/23 at 11:38 a.m. the bathroom remained in the same condition. (Photographic evidence obtained.) On 1/30/23 at 11:16 a.m. an observation was made in room [ROOM NUMBER]. The closet door was off the track. The doors were observed to still be off track on 2/2/23 at 1:13 p.m. An interview was conducted with the Director of Nursing (DON) and the Regional Nurse on 2/2/23 at 12:20 p.m. They stated staff should be reporting maintenance concerns in resident rooms. They stated they needed to work on 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-02-02 · tag F0585 — failed to handle grievances — isolated
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  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 interviews, the facility failed to file and resolve a grievance for one (Resident #32) of thirty-one sampled residents. Findings included: A review of the Transfer/Discharge Report indicated Resident #32 was admitted into the facility on [DATE]. Section C Cognitive Patterns of the quarterly Minimum Data Set (MDS) dated [DATE] indicated the resident had a Brief Interview for Mental Status (BIMS) score of 15 out of 15 indicating intact cognition. On 01/30/23 at 9:55 a.m., Resident #32 reported Staff K, Certified Nursing Assistant (CNA), yelled at him and told him to mind his own [expletive] business because he told her his roommate had been sitting in a dirty brief for hours. He reported his roommate was eighty something years old and could not change himself and he was looking out for him. Resident #32 reported an agency nurse came in because they were screaming at each other so loud. The resident reported Staff K, CNA, would see his call light on and ignore it. According to 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-02-02 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  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, interviews, facility documentation review and photographic evidence the facility failed to thoroughly and accurately investigate an allegation of sexual abuse for one (Resident #33) of one sampled resident. Findings included: During an interview on 01/20/23 at 12:15 p.m., Resident #33 stated on 12/08/22 a physical therapist made her feel uncomfortable. Resident #33 stated that a grievance and witness statement was completed and turned into the Administrator. Resident #33 stated the Administrator gave back Resident #33's grievance and witness statement and stated the sexual abuse incident would be an internal matter only. The grievance dated 12/08/22 provided by Resident #33 showed no investigation or resolution was completed. Photographic evidence of the grievance and witness statement were obtained. A record review of Resident #33's medical record showed an admission date of 11/05/22. Resident #33 had a primary diagnosis of multiple sclerosis. A care plan revealed a focus of Resident…

  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 · D2023-02-02 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  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 complete a baseline care plan upon admission for one (Resident #46) of three sampled closed records. Findings included: A record review of Resident #46's medical record showed an admission date of 11/18/22. Resident #46 had diagnoses of Asthma, Hyperthyroid and Hypertension. A progress note dated 11/23/22 stated, Received new orders from physician to discharge back to [name of the facility]. PICC (Peripherally Inserted Central Catheter) removed per orders. Paperwork sent with resident. Daughter and receiving facility aware resident is on her way back to room [ROOM NUMBER]. Resident #46 had a discharge date of 11/23/22. No care plan was available in the medical record. During an interview on 02/01/23 at 9:45 a.m., Staff C, Regional Nurse stated there was no baseline care plan available for Resident #46.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2023-02-02 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  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, staff and resident interviews, and medical record review, the facility failed to implement care plan interventions for safe smoking for three (Residents #99, #44, #42) of twenty-one sampled residents. Findings included: On 1/30/2023 at 8:55 a.m., prior to entering the building for the first day of survey, Resident #99 was observed at the fence line at the side of facility's parking lot and seated in a chair, along with three other residents next to her. She was observed smoking and had her own cigarettes and lighter on her person. She, along with the other residents revealed that the facility did not follow the smoking schedule and did not let them out on the back porch area where the designated smoking area was located. She said, the back porch entrance/exit doors were locked and staff had to let them in and out. Staff were not available to let them out in that area, especially during posted smoking times. Resident #99 revealed the back porch area was beautiful and they could sit and…

  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 · D2023-02-02 · tag F0660 — isolated
  Plan the resident's discharge to meet the resident's goals and needs.
  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 initiate the discharge planning process for one (Resident #32) of two sampled residents. Findings included: On 01/30/23 at 9:55 a.m., Resident #32 reported he wanted to discharge to an assisted living facility. He stated he mentioned this to administration but there had been a delay because the facility did not have a Social Services Director. A review of the Transfer/Discharge Report indicated Resident #32 was admitted into the facility on [DATE]. Section C Cognitive Patterns of the quarterly Minimum Data Set (MDS) dated [DATE] indicated the resident had a Brief Interview for Mental Status (BIMS) score of 15 out of 15 indicating intact cognition. A discharge care plan initiated on 12/20/21 indicated Resident #32 wished to discharge to an assisted living facility when able. On 02/01/23 at 1:35 p.m., the Administrator reported she did not have a full time Social Services Director, but she had a Social Services Director that worked in a sister facility…

  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 · Dcited before2023-02-02 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews, the facility failed to ensure splints were applied per therapy discharge recommendations for one (Resident #32) of one sampled resident. Findings included: A review of the Transfer/Discharge Report indicated Resident #32 was admitted into the facility on [DATE] with a diagnosis that included but was not limited to hemiplegia and hemiparesis following non-traumatic intracerebral hemorrhage affecting the left non-dominant side. Section C Cognitive Patterns of the quarterly Minimum Data Set (MDS) dated [DATE] indicated the resident had a Brief Interview for Mental Status (BIMS) score of 15 out of 15 which indicated intact cognition. Section O Special Treatments, Procedures, and Programs of the MDS indicated Resident #32 did not have a splint or brace. The Order Summary Report with active orders as of 02/02/23 reflected the following order: May have restorative/maintenance programs as indicated, order date 10/15/21. The Occupational Therapy Discharge Summary…

  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 before2023-02-02 · tag F0698 — failed to provide proper dialysis care — isolated
  Provide safe, appropriate dialysis care/services for a resident who requires such services.
  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, interviews, and record review, the facility failed to ensure Dialysis Communication Sheets were completed for one (Resident #22) of two sampled residents. Findings included: On 01/30/23 at 09:44 a.m., Resident #22 was observed with her call light on asking for pain medication, Staff G, Licensed Practical Nurse (LPN) told Resident #22 she just given her a pain pill and it was not time for at least another 3 hours. Resident#22 stated she was forgetful at times and just returned from dialysis. Resident#22 stated she went to dialysis early because last time she went at 10:00 a.m. she did not return until 8:00 p.m. that night. On 02/02/23 at 09:26 a.m., in an interview with Staff L, Registered Nurse (RN), she stated Resident #22's dialysis process was to fill out the communication book, give snacks before Resident #22 left, document medications given, report the resident's condition on the dialysis communication sheet, ask the Dialysis Center for communication, and document vital signs/weights…

  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

“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

$69,309 in federal fines across 12 penalties.

• $13,635 — penalty dated 2023-12-11
• $4,587 — penalty dated 2023-11-20
• $4,587 — penalty dated 2023-11-13
• $4,545 — penalty dated 2023-11-06
• $4,545 — penalty dated 2023-10-30
• $4,545 — penalty dated 2023-10-23
• $4,545 — penalty dated 2023-10-17
• $4,545 — penalty dated 2023-10-10
• $4,545 — penalty dated 2023-10-02
• $12,587 — penalty dated 2023-09-11
• $3,496 — penalty dated 2023-08-28
• $3,147 — penalty dated 2023-08-21

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 14 rows in the source record cover these 13 parties — each is shown once here with every role it holds. Nothing is omitted.

10 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 71% 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 $33K 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