Aventura at West Park

In the surveyor’s words

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

• Immediate jeopardy, isolatedF700Jun 17, 2026

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENCE OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY Based on record review, Self-Reported Incident (SRIs) review, hospital record review, review of emergency medical services (EMS) run sheet review, observation, staff interview, review of the facility investigation, review of the United States Food and Drug Administration (FDA) Guide to Bed Safety: Bed Rails in Hospitals, Nursing Homes and Home Healthcare, review of the Direct Supply Multi-Bed Pivoting Assist Device Owner's Manual, and policy review, the facility failed to thoroughly assess residents for the risk of entrapment and appropriateness for the use of bed rails. […]

• Immediate jeopardy, isolatedF678Apr 17, 2024

  Based on medical record review, staff interview, Physician Assistant (PA) interview, review of facility witness statements, review of facility policy and review of the American Heart Association (AHA) guidelines, the facility failed to ensure cardiopulmonary resuscitation (CPR) was provided to a resident who was a full code. This resulted in Immediate Jeopardy and the potential for serious life-threatening harm and/or death when Resident #76, who was a full code, was found unresponsive and without vital signs on [DATE] at 7:20 A.M. and staff failed to immediately perform CPR and the resident was subsequently pronounced dead. This affected one (Resident #76) of three residents reviewed for death over the last three months. The facility census was 78. […]

• Actual harm, isolatedF689Dec 15, 2022

  Based on record review, observation, staff interview, and review of the facility policy, the facility failed to conduct a thorough investigation to determine root cause analysis to identify potential hazards and resident-specific interventions to reduce and/or eliminate falls and falls with injury and the facility also failed to ensure fall prevention interventions were in place. This resulted in Actual Harm when Resident #38 experienced repeated falls resulting in a fractured femur which required surgery. This affected two (#38, #74) out of three residents reviewed for falls. The facility census was 73. Findings include: 1. Review of the medical record for Resident #38 revealed an admitted [DATE] with a diagnosis of dementia with behavioral disturbance. […]

• No harm, potential for more than minimal, widespreadF812May 18, 2026

  Based on observation, staff interview, and policy review, the facility failed to store food in accordance with professional standards for food service safety. This had the potential to affect all of the residents residing in the facility with the exception of three facility-identified residents who did not receive food from the kitchen. The facility census was 88 residents. Findings include: Observations during initial kitchen tour on 05/07/26 at 8:48 A.M. revealed a rack containing bread products including 4 full bags of hamburger buns, not dated, 2 partial bags of hamburger buns, not dated, one half loaf of bread, not dated. Inside the refrigerator there was a half full bag of Asian stir-fry, not dated, and two bags of tater tots not dated. Interview on 05/07/26 at 8:48 A.M. […]

• No harm, potential for more than minimal, widespreadF814May 18, 2026

  Based on observation, staff interview, and policy reviews, the facility failed to ensure garbage cans in the kitchen were covered with lids. This had the potential to affect all of the residents residing in the facility with the exception of three facility-identified residents who did not receive food from the kitchen. The facility census was 88 residents.Findings include: Observations of the kitchen on 05/07/26 at 8:48 A.M. revealed there was a garbage can in the dishwashing area without a lid and garbage can in the food preparation area without a lid. At time of observation neither container was being actively used to dispose of waste. Interview on 05/07/26 at 8:48 A.M. with Corporate Support Manager (CSM) #600 confirmed the garbage cans did not have lids and the cans should be covered. […]