Aventura Rehab and Nursing Center

In the surveyor’s words

From the most serious findings on record at Aventura Rehab and Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF656Apr 16, 2026

  Based on observations, interviews and record reviews, the facility did not implement a fall care plan for one (Resident #95) of five sampled residents. Resident # 95 in bed, which was positioned high, and the call light was out of reach. There were 24 residents on the facility's Fall Management Program at the time of survey. The findings included: On 04/13/2026 at 9:17 AM, Resident # 95 was observed in a bed positioned at a high level, with the call light placed out of the resident's reach. […]

• No harm, potential for more than minimal, isolatedF645Apr 16, 2026

  Based on observations records reviewed and interviews it was determined that the facility did not accurately complete Level I Preadmission Screening and Resident Review (PASRR) forms for one out of three sampled residents diagnosed with a Serious Mental Illness (SMI). Resident # 9's diagnosis of Anxiety was omitted on the Level I PASRR form despite being admitted to the facility with this diagnosis. There were 78 residents residing in the facility. The findings included: Resident # 9On 04/13/2026 at 9:40 AM Resident # 9 was observed in bed, no apparent distress noted.On 4/17/2026 at 11:48 AM Resident # 9 was observed in a recliner in room singing loudly and stating ownership of the facility. […]

• No harm, potential for more than minimal, isolatedF658Apr 16, 2026

  Based on observations, records reviewed and interviews it was determined that the facility failed to provide care and services in accordance with professional standards for administering medications via Percutaneous Endoscopic Gastrostomy (PEG) tube for one out of two sampled residents (Resident #52) with a PEG tube. Facility staff did not check the placement of Resident #52's PEG tube before administering medications. This practice had the potential to cause severe medical complications. […]

• No harm, potential for more than minimal, isolatedF689Apr 16, 2026

  Based on observations, interviews and record reviews, the facility failed to provide an environment free of accident hazards for one (Resident # 95) out of five sampled residents on fall management program; and on the fourth floor and with the fourth-floor housekeeping cart as evidenced by; Resident # 95 was left in a high positioned bed, the call light not in reach while and no staff present. There were 24 residents on the facility's Fall Management Program at the time of survey. 2) Housekeeping cart left unattended with hazardous chemical easily accessible on the cart. There were 78 residents residing in the facility at the time of survey. […]

• No harm, potential for more than minimal, isolatedF755Apr 16, 2026

  Based on observations, interview and record review the facility failed to provide pharmaceutical services to ensure accurate and timely medication administration for two (Resident # 52 and Resident #73) out of five residents reviewed for medication administration observation as evidenced by:1 An omission of a supplement order for Resident # 52 for wound healing. 2. Medications administered 1.5 to 2 hours late to Resident # 46 and Resident #73. There were 78 residents residing in the facility at the time of survey. […]