Aventura at Creekside

In the surveyor’s words

From the most serious findings on record at Aventura at Creekside, in the surveyor’s own words.

• Immediate jeopardy, widespreadF812Aug 28, 2025

  Based on observation, a review of select facility policy, and staff interviews it was determined that the facility failed to ensure the kitchen was maintained in a manner to ensure food was stored, prepared, distributed, and served under sanitary conditions and free of pest infestation. The presence of live and dead cockroaches in food preparation and storage areas created a high risk of contamination of food, utensils, and food-contact surfaces with disease-causing organisms. This failure created an increased potential for foodborne illness and placed 80 out of 80 residents in a situation of Immediate Jeopardy to their health and safety. […]

• Immediate jeopardy, isolatedF600Jul 31, 2025

  Based on review of clinical records, the facility's abuse prohibition policy, and select investigative reports and interviews with staff and residents it was determined the facility failed to ensure that one resident (Resident 49) out of 19 residents sampled was free from physical abuse perpetrated by a facility staff member This failure to prevent, identify, and respond appropriately to physical abuse placed Resident 49 and all other residents in the facility at risk for further harm, resulting in Immediate Jeopardy.Findings include: A review of a facility policy entitled Abuse Policy, last reviewed July 8, 2024, revealed it is the policy of the facility that acts of physical, verbal, phycological and financial abuse directed against residents are absolutely prohibited. […]

• Actual harm, isolatedF689Apr 3, 2025

  Based on a review of clinical records, investigative reports, staff interviews, and facility documentation, it was determined the facility failed to consistently ensure adequate supervision, staff training, and implementation of appropriate individualized interventions to prevent accidents for three residents (Residents 1, 2, and 3) out of 10 sampled resulting in harm including skin ters, lacerations and a head injury requiring staples. Findings include: A review of clinical records revealed that Resident 1 was admitted to the facility on [DATE] with diagnosis to include Picks Disease (condition that affects the brain leading to inappropriate behavior and language difficulties), psychotic disorder with hallucinations (a mental health condition that may include hearing things, false… […]

• No harm, potential for more than minimal, widespreadF925Aug 28, 2025

  Based on a review of facility policy, observations of the food and nutrition services department, interviews with facility staff, and review of pest control records, it was determined that the facility failed to maintain an effective pest control program to ensure the facility was free of insects/pests, specifically cockroaches.Findings include: A review of the facility's Pest Control Policy last updated July 18, 2025, indicated the facility shall maintain an effective pest control program. The facility maintains an on-going pest control program to ensure the building is kept free of insects and rodents. Contracted outside pest control services are provided. Windows are always screened. […]

• No harm, potential for more than minimal, widespreadF812Jul 31, 2025

  Based on observation, review of select facility policies, and staff interviews, it was determined that the facility failed to store, prepare, and serve food under sanitary conditions to prevent potential contamination and microbial growth in food, which increased the risk of food-borne illness in the dietary department.Findings included: Food safety and inspection standards for safe food handling indicate that everything that comes in contact with food must be kept clean and food that is mishandled can lead to foodborne illness. Safe steps in food handling, cooking, and storage are essential in preventing foodborne illness. […]