Advinia Care at Venice

In the surveyor’s words

From the most serious findings on record at Advinia Care at Venice, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jul 16, 2023

  Based on observations, record review, review of facility's policies and procedures, and staff interview the facility failed to protect residents' rights to be free from neglect. The facility neglected to develop a care plan and ensure adequate supervision to prevent unsafe wandering and elopement for 1 (Resident #386) of 5 sampled cognitively impaired residents with active exit seeking behaviors. On 4/1/23 at approximately 4:30 p.m., Resident #386 who was cognitively impaired, and wheelchair bound was not adequately supervised. The resident wheeled herself through an unsecured door of the skilled nursing facility into a hallway leading to the adjoining Assisted Living Facility. […]

• Immediate jeopardy, isolatedF689Jul 16, 2023

  Based on observation, record review, and staff interviews, the facility failed to implement processes to ensure adequate supervision of 1 (Resident #386) of 5 cognitively impaired residents at risk for elopement to prevent unsafe wandering and elopement. On 4/1/23 at approximately 4:30 p.m., Resident #386 who was a vulnerable cognitively impaired, wheelchair bound resident with known wandering behavior was not adequately supervised. The resident wheeled herself through an unsecured door of the skilled nursing facility into a hallway leading to the adjoining Assisted Living Facility. Resident #386 wore a wander alarm and triggered the alarm of two doors without staff response. […]

• Immediate jeopardy, isolatedF835Jul 16, 2023

  Based on observation, interviews, and record review, the facility's administration failed to utilize its resources effectively to ensure a safe environment, including adequate supervision of cognitively impaired residents with known exit seeking behaviors to prevent unsafe wandering and elopement. On 4/1/23 at approximately 4:30 p.m., Resident #386 who was cognitively impaired, and wheelchair bound was not adequately supervised. The resident wheeled herself through an unsecured door of the skilled nursing facility into a hallway leading to the adjoining Assisted Living Facility. Resident #386 left through the front door of the Assisted Living Facility, and traveled unsupervised in her wheelchair, approximately three tenths of a mile, and crossed two streets. […]

• Immediate jeopardy, isolatedF867Jul 16, 2023

  Based on record review, review of the facility's policies and procedures, and staff interviews the facility failed to develop and implement appropriate corrective actions related to adequate supervision of cognitively impaired residents at risk for unsafe wandering, elopement and exit seeking behaviors. On 4/1/23 at approximately 4:30 p.m., Resident #386 who was vulnerable, cognitively impaired, and wheelchair bound was not adequately supervised. The resident wheeled herself through an unsecured door of the skilled nursing facility into a hallway leading to the adjoining Assisted Living Facility. […]

• No harm, potential for more than minimal, widespreadF812Jul 11, 2024

  Based on observation, review of facility policy and procedure and staff interviews, the facility failed to prepare, and store food in a sanitary manner by failing to cover and date food in 1 reach-in refrigerator, failed to use proper hand hygiene during dish washing procedure, and failed to ensure hair restraints were used to cover facial hair. Additionally, the facility failed to properly assist residents during meals to prevent cross contamination. The lack of sanitation in the kitchen and dining services had the potential to affect all residents and staff. The findings included: The facility policy Food Safety and Sanitation initiated 2021 documented [NAME] nets are required when facial hair is visible are we cried when facial hair is visible. […]