Aventura At Humility House

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.

32.7% 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 74 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.28 therapist hours per resident per day in 2026Q1 — more than 44% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% 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 70 beds and averages 66.2 residents a day — about 95% occupied, or roughly 4 beds typically open. It runs fairly full. 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 3.39 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.64 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.98 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 3.12 hrs/resident/day on weekends vs 3.49 on weekdays — 11% thinner on weekends. RN hours go from 0.71 to 0.48 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 54% is about the same as the national median of 45%.

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.

37 citations, most serious first. The 14 most serious are shown; the remaining 23 are one tap away and print in full.

• Actual harm · G2025-04-03 · 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 record review, interview, review of hospital paperwork, and review of facility polices, the facility failed to implement an adequate and effective pressure ulcer prevention program for Resident #168. This affected one Resident #168 of two residents reviewed for pressure ulcers. The facility census was 68. Actual Harm occurred on 02/03/25 when Resident #168 developed an in-house acquired Stage IV pressure ulcer (Full thickness tissue loss with exposed bone, tendon or muscle. Slough may be present on some parts of the wound bed. Often include undermining and tunneling.) to the right leg from an Ace wrap and immobilizer brace. Resident #168 was admitted to the facility from the hospital on [DATE] with an Ace wrap and a knee immobilizer brace on his right leg. There were no orders on admission to manage the right knee immobilizer brace and/or the Ace wrap. The admitting nurse documented that the unit manager was to clarify the order with the orthopedic physician on 01/24/25, and no orders were obtained.…

  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
• Actual harm · H2019-12-07 · tag F0676 — failed to keep up residents' daily-living abilities — pattern
  Ensure residents do not lose the ability to perform activities of daily living unless there is 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 observation, interview and record review the facility failed to ensure Resident's #2, #3, #5, #7, #9, #10, #15, #18, #20, #21, #24, #30, #31, #33, #39, #40, and #43 received restorative/maintenance programs to maintain function for activities of daily living (ADLs) and/or prevent decline in ADL's after being discharged from skilled therapy. This affected 17 of 17 sampled residents. Actual Harm occurred when skilled therapy recommendations were not followed/implemented by the quality of life (QOL) program resulting in an avoidable declines in ambulation for Resident's #10, #18, #21, and #33, an avoidable decline in ambulation and transfers for Resident #15, and avoidable declines in the ability to sit to stand for Resident #7 and Resident #20. Findings include: 1. Review of Resident #18's medical record revealed diagnoses including dementia, osteoarthritis of both knees and Parkinson's disease. A plan of care initiated 07/10/19 indicated Resident #18 had an activity of daily living (ADL) deficit related…

  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
• Actual harm · G2019-12-07 · 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 14. Review of Resident #18's medical record revealed an admission date of 06/29/19. Diagnoses included dementia, protein-calorie malnutrition, repeated falls, osteoarthritis of both hands, and Parkinson's disease. An OT evaluation dated 07/01/19 revealed ROM in the upper arms/hands and lower legs/feet were within normal limits. A QOL Program Recommendation Referral dated 08/12/19 indicated Resident #18 had recommendations for an ambulation program and recommendations for upper extremity ROM doing balloon volley and using a two pound dowel for the left upper extremity and ROM to both lower extremities using two pound dowels and three sets of repetitions in all planes. There was no recommendation as to the frequency the ROM exercises should be provided. Review of a task list report indicated LSTNAs who were to provide QOL programs were to incorporate ROM of both lower extremities and the left upper extremity into Resident #18's routine weekly. The list was silent as to the number of times the exercises were to be…

  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
• Actual harm · G2019-12-07 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management 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 observation, interview and record review the facility failed to ensure effective management of chronic pain for one resident ( Resident #32). This resulted in actual harm when Resident #32 was unable to participate in her activities of daily living (ADLs) due to severe pain. This affected one of three residents reviewed for pain. The facility census was 57. Findings include: Resident #32 was admitted to the facility on [DATE] with diagnoses including cerebral vascular accident (CVA/stroke) with left sided hemiplegia (paralysis on one side of the body), kyphosis (curvature of the spine or hunch back), neuropathy (painful numbness and tingling usually at the extremities including the hands, feet and/or lower legs), and osteoporosis (brittle bones). On 07/16/18 Resident #32 developed a contracture (the shortening and hardening of muscles, tendons or other tissue often leading to deformity and rigidity of joints) to her left hand and on 10/04/18 she developed contractures to her left knee and ankle. Review…

  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 before2026-05-29 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on open and closed medical record review and staff interview, the facility failed to ensure physician ordered daily weights for the monitoring of medical conditions were obtained. This affected three (#30, #55, and #85) of three residents reviewed for daily weights. The facility census was 64. Findings include:1. Review of Resident #30's medical record revealed an admission date of 08/01/25. Diagnoses included Alzheimer's disease, dementia, diabetes, edema, and congestive heart failure (CHF).Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #30 was moderately cognitively impaired.Review of a physician order dated 03/02/26 revealed daily weights every night shift.Review of the documented weights in Resident #30's medical record for March 2026 revealed no evidence weights were obtained on 03/05/26, 03/06/26, 03/07/26, 03/09/26, 03/12/26, 03/13/26, 03/14/26, 03/17/26, 03/18/26, 03/23/26, 03/26/26, 03/27/26, and 03/28/26.2. Review of Resident #36's medical record revealed an…

  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 · E2026-01-22 · tag F0565 — failed to support the resident council — pattern
  Honor the resident's right to organize and participate in resident/family groups in the facility.
  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 review of Food Committee minutes and interviews, the facility failed to investigate, address, and implement corrective actions related to repeated food service complaints raised through the Food Committee. This affected 15 residents (#216, #222, #225, #226, #228, #231, #242, #243, #244, #246, #249, #252, #253, #258, and #260) of 15 residents reviewed for resident rights and had the potential to affect all residents receiving food from the kitchen. The facility census was 65. Findings include:Review of Food Committee Minutes meeting minutes dated November 2025 through January 2026 revealed multiple documented complaints related to food quality, temperature, and menu variety. On 10/02/25, residents (no residents identified) had concerns about portion sizes, amount of food provided, and food presentation and food not cooked enough, not enough sauce on product, kitchen was not managed when Dietary Manager #497 was off. The facility used too much Styrofoam, and residents wanted better bread. Residents do not…

  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 · D2026-01-22 · tag F0804 — failed to serve food at safe, palatable temperature — isolated
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  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, staff interview, review of photographs and facility policy review, the facility failed to follow its planned and posted menu and failed to serve meals in a manner consistent to meet the nutritional value for Resident #222. This affected two residents (#222 and Resident #249) of three residents reviewed for palatable and nutritional food. This had the potential to affect all residents receiving meals at the facility . The facility census was #65.Findings include:1. Review of the medical record revealed Resident #222 was admitted to the facility on [DATE] with diagnoses of aftercare following surgery for neoplasm, acquired absence of left breast and nipple, malignant neoplasm of overlapping sites of left female breast, acquired absence of other specified parts of digestive tract, type II diabetes mellitus with diabetic chronic kidney disease, presence of other specified functional implants, essential (primary) hypertension, chronic kidney disease, unspecified, muscle weakness…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-08-15 · tag F0803 — failed to meet residents' dietary needs — widespread
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  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, interview, review of the food committee meeting minutes and review of the facility policy, the facility failed to ensure dietary menus were followed. This affected one (Resident #13) of three reviewed for dietary concerns and had the potential to affect all residents receiving meals from the kitchen. The facility identified one (Resident #45) who did not consume anything by mouth. The facility census was 66. Findings include:Review of the medical record for Resident #13 revealed an admission date of 09/08/23 with diagnoses including diabetes, high cholesterol, arthritis and chronic pain. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #13 was cognitively intact. She was independent in eating, required supervision for oral hygiene and showers, partial assistance for personal hygiene and substantial assistance for toileting. Review of the food committee meeting minutes dated 07/03/25 revealed the residents were concerned the menu did not…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-04-03 · tag F0847 — pattern
  Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of the facility arbitration agreement and interview, the facility failed to clearly state that residents or their representatives could consult with local, state, or federal officials before signing or within thirty days of signing the agreement. This affected Residents #3, #12, #14, #16, #21, #24, #26, #29, #32, #35, #38, #41, #43, #45, #49, #50, #52, #53, #58, #61, #62, and #119 who signed the arbitration agreement. The facility census was 68. Findings include: Review of the arbitration agreement, undated, revealed that disputes not to be arbitrated include any communications with federal, state, or local officials, including but not limited to, federal and state surveyors, other federal or state health department employees, and representatives of the Office of the State Long-Term Care Ombudsman. The agreement also stated that the resident or authorized representative has the right to cancel this agreement by notifying the facility in writing. Such notice must be sent via certified mail to the attention of the administrator of the facility, and the notice must be…

  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 before2025-04-03 · 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 record review, interview and review of the facility policies, the facility failed to maintain an accurate care plan for Residents #35 and #168 related to their care needs. This affected two resident (#35 and #168) reviewed for care planning. The facility census was 68. Findings include: 1. Review of the medical record for Resident #35 revealed an admission date of 01/01/25. Diagnoses included chronic respiratory failure with hypoxia, congestive heart failure, orthostatic hypertension, and chronic kidney disease stage V. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #35 had intact cognition. Resident #35 required moderate assistance for all activities of daily living. Review of the care plan dated 03/17/25 revealed Resident #35 had peritoneal dialysis with a potential for infection. Interventions included educating the resident on diet restrictions and providing the diet as ordered. No interventions were found to assist the resident with the dialysis, how 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-03 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview and facility policy review, the facility failed obtain daily weights as ordered by the physician for Resident #12 who had a diagnosis of congestive heart failure (CHF). This affected one resident (#12) of three residents reviewed for quality of care. The facility census was 68. Findings include: Review of Resident #12's medical record revealed an admission date of 02/21/25 with medical diagnosis including CHF, chronic embolism and thrombosis of the femoral vein, cerebral infarction, occlusion of the left carotid artery, pulmonary hypertension, Bell's Palsy, dysphasia, chronic kidney disease stage four (CKD), Alzheimer's disease, hypertension, and multiple myeloma. Review of Resident #12's plan of care start date 02/21/25 revealed nutritional risk related to CHF. Interventions included labs as ordered, recording and monitoring weights. Review of the Minimum Data Set (MDS) 3.0 admission assessment dated [DATE] revealed Resident #12's cognition was severely impaired. Resident #12…

  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 before2024-08-14 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  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, interview, and review of facility policy, the facility failed to ensure appropriate infection control procedures were followed during medication administration. This affected three residents (Residents #10, #14, and #35) of four residents observed for medication administration and had the potential to affect all 17 residents residing in the Northeast Hall. Also, the facility failed to implement an infection control program that included the use of enhanced barrier precautions. This had the potential to affect all residents. The facility census was 68. Findings include: 1. Observation on 08/12/24 from 11:55 A.M. to 12:40 P.M. of medication administration on the northeast hall by Licensed Practical Nurse (LPN) #302 revealed the following: a. LPN #302 was observed preparing medications for Resident #10 on 08/12/24 at 11:55 A.M. after exiting another resident's room without first performing hand hygiene. During this observation, LPN #302 removed two 400 milligram (mg) tablets of Mucinex from 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-08-14 · 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, medical record review, and review of facility policy, the facility failed to ensure wound care was completed per physician orders for one resident (Resident #10) of three residents who were reviewed for appropriate wound care services. The facility census was 68. Findings include: Review of the medical record for Resident #10 revealed an admission date of 03/04/24 with diagnoses including acute and chronic respiratory failure, cardiomegaly, sleep related hypoventilation, systolic and diastolic congestive heart failure, hypertension, atrial fibrillation, stage three chronic kidney disease, glaucoma, pleural plaque with asbestos, venous insufficiency, and lymphedema. Review of the quarterly Minimum Data Set (MDS) 3.0 assessment revealed Resident #10 had intact cognition, had an impairment on one side of his upper extremities, and was dependent on a wheelchair for locomotion. Further review of the MDS revealed Resident #10 was dependent on staff for toileting, bathing, dressing his lower extremities, and personal hygiene. Review of the care plan…

  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 before2024-08-14 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, medical record review and review of facility policy, the facility failed to ensure a medication error rate of less than five percent. A total of 35 medication administration opportunities revealed four medication errors, resulting in an 11.4 percent (%) error rate. This affected one resident (Resident #10) of four residents (#10, #14, #3, and #58) reviewed for medication administration. The facility census was 68. Findings included: Review of the medical record for Resident #10 revealed an admission date of 03/04/24 with diagnoses including acute and chronic respiratory failure, cardiomegaly, sleep related hypoventilation, systolic and diastolic congestive heart failure, hypertension, atrial fibrillation, stage three chronic kidney disease, glaucoma, pleural plaque with asbestos, venous insufficiency, and lymphedema. Review of the quarterly Minimum Data Set (MDS) 3.0 assessment revealed Resident #10 had intact cognition and was dependent on staff for toileting, bathing, and personal hygiene. Further review of the MDS revealed Resident #10 had 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.

  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

No federal fines in the current CMS record.

Part of a chain

This home belongs to AVENTURA HEALTH GROUP — 11 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 7 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted.

4 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 $780K paid to related parties — landlords or management companies under common ownership — equal to about 11% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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 OH