Avante at Ocala, Inc

In the surveyor’s words

From the most serious findings on record at Avante at Ocala, Inc, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Mar 11, 2022

  Based on observation, interview, and record review the facility failed to ensure a resident was free from neglect when the resident eloped from the facility into the parking lot to a stop sign approximately 10 feet from a busy road; staff was not aware the resident was not in the facility, for 1 of 2 residents sampled for elopement, Resident #1. (Photographic evidence obtained). Findings included: On 3/10/2022 at 4:00 AM, the front door was locked upon entrance, facility staff entered a code to allow surveyor access to the building. […]

• Immediate jeopardy, isolatedF689Mar 11, 2022

  Based on observation, interview, and record review the facility failed to ensure all residents received adequate supervision to prevent possible accident hazards when 1 of 2 residents, Resident #1, eloped from the facility across the parking lot to a stop sign that was approximately 10 feet from a busy road. Staff within the facility were not aware that the resident was not in the facility. Findings included: Review of Resident #1's medical record documented Resident #1 was [AGE] years old and he was admitted to the facility on [DATE] with a diagnosis of [CONDITION(S)] (a sudden, uncontrolled electrical disturbance in the brain), hypertension (high blood pressure), [CONDITION(S)] [CONDITION(S)], subdural hematoma (a buildup of blood on the brain), dementia (a loss of memory, language,… […]

• Immediate jeopardy, isolatedF835Mar 11, 2022

  Based on observation, interview, and record review, the facility administration failed to investigate a serious adverse event when a resident was not safely and adequately supervised and found unsupervised in the parking lot approximately 10 feet from a busy road by the facility administrator for 1 of 2 residents (Resident #1). Findings included: Review of the job description titled Nursing Home Administrator reads: Purpose: To direct the day-to-day functions of the facility in accordance with current federal, state, and local standards governing long-term care facilities to ensure that the highest degree of quality care can be provided to the residents at all times. […]

• Immediate jeopardy, isolatedF867Mar 11, 2022

  Based on observation, interview and record review the facility failed to utilize the Quality Assessment and Process Improvement (QAPI) process when the administrative staff failed to investigate an elopement, failed to develop and implement appropriate plans of correction, and failed to identify and correct quality deficiencies for 1 of 2 residents reviewed for elopement, Resident #1. Resident #1 was found in the parking lot alone at a stop sign approximately 10 feet from a busy road. Facility staff were not aware of the resident's whereabouts. Findings Include: During an interview conducted on 3/10/2022 at 6:15 AM, when asked if the facility had an incident of elopement, the Administrator stated, Well there was one possible elopement on Sunday. […]

• No harm, potential for more than minimal, widespreadF801Mar 26, 2026

  Based on interview and record review, the facility failed to ensure the individual responsible for directing the dietary service met the required qualifications in accordance with regulatory requirements affecting all residents receiving dietary services by increasing the risk of inadequate nutritional management, improper food safety practices, and noncompliance with dietary regulations.Findings include:Review of the Dietary Manager's personnel file, the file did not contain documentation the staff member working as the Dietary Manager had the required qualifications. […]