Avante Villa at Jacksonville Beach Inc

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Sep 22, 2022

  Based on observations, staff interviews and policy and procedure review, the facility failed to ensure staff served meals in a safe and sanitary manner and maintained food service equipment. Failure to clean and maintain cooking and baking equipment and to ensure that food provided to residents is prepared in a clean environment in accordance with professional standards for food service, can place all residents who consumed foods prepared in the facility's kitchen at risk of exposure to food-borne illnesses. The findings include: An initial tour of the kitchen was conducted with the Certified Dietary Manager (CDM) on 09/19/2022 at 8:30 AM. During the tour, the dry storage pantry, throughout the kitchen and on the wall behind the preparation table built-up debris and dirt were observed. […]

• No harm, potential for more than minimal, patternF628May 29, 2026

  Based on observations, interviews, record reviews, and a review of the facility's policies and procedures, the facility failed to provide transfer/discharge notification to the Long-Term Care (LTC) Ombudsman's office prior to or as soon as was practicable for five (Residents #22, #90, #148, #156, and #16) of five residents reviewed for transfer/discharge. Appropriate notification of the LTC Ombudsman's office provides added protection for residents from being inappropriately transferred or discharged , provides residents with access to an advocate who can inform them of their options and rights, and ensures that the LTC Ombudsman's office is aware of facility practices and activities related to transfers and discharges. […]

• No harm, potential for more than minimal, patternF693Dec 22, 2025

  Based on observations, interviews, and record review, the facility failed to ensure that professional standards of practice were adhered to regarding the changing and dating of enteral feeding equipment for five (Residents #1, #15, #17, #18 and #19) of eight residents reviewed for enteral tube feeding (TF). This could result in the residents not receiving appropriate care and/or clinical complications.1. On 12/22/2025 at 10:00 am, Resident #1 was observed lying in bed with the head of the bed elevated at approximately 30 degrees. Nutren 1.5 enteral feeding was noted to be infusing via g-tube at 60 milliliters (ml)/hour (hr.). The water flush bag was dated on 12/20/2025 at 6:00 am and the enteral feeding bag was undated. […]

• No harm, potential for more than minimal, patternF695Sep 19, 2024

  Based upon observations, interview and record review, the facility failed to ensure respiratory services were administered according to a physician's order for five residents receiving respiratory care from 40 sampled residents (#96, 106, 59, 105, and 90). The findings include: 1. Observations made during the tour on 09/16/24 at 11:35 AM, revealed that Resident #96's oxygen concentrator flow was set at 2 Liters per minute (L/min.) (photographic evidence obtained). During an interview on 09/16/24 at 11:35 AM, the resident reported she was unsure what the oxygen flow rate should be set at and noted that she did not manipulate her concentrator's oxygen flow rate. A second observation on 09/17/24 at 9:50 AM, revealed that the resident's oxygen concentrator flow rate was set at 2 L/min. […]

• No harm, potential for more than minimal, patternF689Mar 22, 2023

  Based on observations, interviews and record review, the facility failed to ensure residents received adequate supervision to prevent accidents, by failing to supervise residents during smoking breaks for three (Residents #3, #4, and #5) of seven sampled residents who smoked, from a total sample of nine residents. Failure to supervise residents during smoking breaks could result in injury and/or death. The findings include: During a tour of the facility on 3/21/23 at 10:22 AM, two residents were observed smoking on the smoking porch (Residents #3 and #4). There were no staff members present. An interview was conducted with Resident #4 at 10:25 AM, and she explained that she had kept her cigarettes and lighter from the night before and gave one of her cigarettes to Resident #3. […]