Aventura at Walton Hills

In the surveyor’s words

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

• Actual harm, isolatedF686Mar 26, 2025

  Based on observation, record review, facility policy review and interview, the facility failed prevent Resident #58 from developing an in-house pressure ulcer and failed to ensure timely identification, proper treatment and interventions were initiated to promote healing. Additionally, the facility failed to ensure nursing staff completed accurate and comprehensive weekly skin assessments/checks as ordered. Actual Harm occurred on 12/04/24 when the facility failed to implement appropriate and effective interventions for Resident #58, who was at risk for developing pressure ulcers, was always incontinent of bladder, frequently incontinent of bowel, and required staff assistance for activities of daily living, to prevent the development of an in-house acquired unstageable (full-thickness… […]

• No harm, potential for more than minimal, widespreadF804Dec 1, 2025

  Based on observation, record review, interview and facility policy review, the facility failed to ensure the staff prepared food that was palatable with seasoning and had the ingredients to prepare the food according to the dietitian approved recipes. This affected 72 out of 75 residents who ate their meals in the facility. The facility identified three residents (#4, #9, #29) who received no food by mouth. The facility census was 75.Findings include:A review of Resident #38's clinical record revealed an admission date of 12/20/24 with diagnoses including type II diabetes mellitus, chronic respiratory failure, hearing loss, above the right knee amputation, major depression, diabetic peripheral angiopathy, anxiety, obesity, insomnia, obstructive sleep apnea, and chronic obstructive… […]

• No harm, potential for more than minimal, widespreadF812Dec 1, 2025

  Based on observation, staff interviews and facility policy review, the facility failed to ensure food items were stored in a safe and clean manner to prevent cross contamination, exposure to air, and failed to ensure the kitchen work areas were clean and free of debris and grease buildup. This had the potential to affect all residents who received food from the kitchen. The facility identified three residents (#4, #9 and #29) who received no food by mouth. The facility census was 75.Findings include:Observation of kitchen on 09/29/25 at 8:15 A.M. with Facility [NAME] #117 and Dietary Manager #110 revealed multiple items that were uncovered and exposed to air or pests. […]

• No harm, potential for more than minimal, widespreadF568Nov 28, 2022

  Based on record review and staff interview the facility failed to ensure resident and/or responsible parties received quarterly statements of resident personal needs account activity as required. This affected four (Residents #24, #25, #33, and #49) of four residents reviewed for personal funds. This had the potential to affect 22 additional residents (Residents #1, #3, #6, #7, #8, #10, #13, #14, #18, #23, #26, #29, #32, #36, #37, #38, #47, #50, #53, #55, #56, and #58) who also had personal needs bank accounts at the facility. […]

• No harm, potential for more than minimal, widespreadF812Nov 28, 2022

  Based on observation and staff interview, the facility failed to ensure the kitchen was maintained in a clean and sanitary condition. This had the potential to affect 58 out of 60 residents receiving food from the facility. Two residents (Residents #2 and #4) out of 60 residents received nothing by mouth. The facility census was 60. Findings include: During the initial kitchen tour conducted on 11/20/22 between 8:37 A.M. through 8:47 A.M. revealed Dietary Aide (DA) #500 was not wearing a hairnet. DA #500 stated that there were no hairnets available. In the walk-in refrigerator revealed ambrosia salad was portioned into souffle cups and not covered, labeled, or dated. Mashed potatoes and gravy were not labeled or dated. Cook # 212 verified the findings at 8:47 A.M. on 11/20/22. […]