Aviara Healthcare Center

In the surveyor’s words

From the most serious findings on record at Aviara Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF578Sep 18, 2025

  Based on interview and record review the facility failed to ensure Advance Directive information was provided to 13 of 27 sampled residents (Resident 2, 6, 7, 8, 12, 13, 14, 15, 18, 22, 24, 74, 94 ). This failure had the result for Resident 2, 6, 7, 8, 12, 13, 14, 15, 18, 22, 24, 74 and 94 to not have the opportunity to express wishes for care if capacity for decision making was lost.Findings: 1. On 9/16/25 Resident 7's clinical record was reviewed. Resident 7 was admitted to the facility on [DATE] per the facility's admission Record. A document titled Physician Orders for Life-Sustaining Treatment (POLST) dated 2/20/23 was reviewed. Section D Advance Directives information was blank. […]

• No harm, potential for more than minimal, patternF865Sep 18, 2025

  Based on interviews and record review, the facility failed to identify a system wide issue identified by the survey team for not providing Advanced Directive information for 13 of 27 sampled residents (Resident 2, 6, 7, 8, 12, 13, 14, 15, 18, 22, 24, 74, 94). This failure had the result for Resident 2, 6, 7, 8, 12, 13, 14, 15, 18, 22, 24, 74 and 94 to not have the opportunity to express wishes for care if capacity for decision making was lost.On 9/16/25 Resident 7's clinical record was reviewed. Resident 7 was admitted to the facility on [DATE] per the facility's admission Record. A document titled Physician Orders for Life-Sustaining Treatment (POLST) dated 2/20/23 was reviewed. Section D Advance Directives information was blank. […]

• No harm, potential for more than minimal, patternF880Sep 18, 2025

  Based on observation, interview and record review the facility failed to ensure the facility's policy and procedure for infection control were implemented for seven of seven residents (103,15,113,82,10,140, 4), when:1. Resident 103 was not tested for Covid-19 after exposure to a positive roommate according to facility policy. 2. Licensed Nurse (LN) 35 did not use a precaution gown when administering medications via gastrostomy tube (G-tube, a tube is inserted into the stomach to provide medications and nutrients) to Resident 15 on Enhanced Barrier Precautions (EBP, a precaution that requires usage of gowns and gloves during specific, high-contact care activities).3. […]

• No harm, potential for more than minimal, patternF880May 28, 2025

  Based on observations, interview, and record review the facility failed to ensure infection control procedures were followed when: A. Staff did not tie plastic trash bags while transporting to the utility room, did not cover the trash bins, and trash bins were overflowing causing a foul smell in the utility room, B. a Licensed Nurse (LN) 2 did not wear a gown for Resident 6 with enhanced barrier precautions (EBP - involves gown and glove use during high-contact resident care activities for residents [example: residents with chronic wounds]) during a wound treatment observation, and, C. […]

• No harm, potential for more than minimal, patternF584Dec 5, 2024

  Based on observation, interview and record review, that facility failed to maintain required temperature range between 71 to 81 Fahrenheit ( F) with resident rooms in 44 of 68 random rooms inspected. Based on observation, interview, and record review, the facility failed to ensure resident room temperatures were kept at a comfortable and homelike level for 44 of 68 rooms inspected. This deficient practice had the potential for residents to feel uncomfortable. Findings: On 11/25/24 received a complaint related to the facility's physical environment, complaint of no heat in the facility and it was very cold. On 11/26/24 at 9:05 A.M., a concurrent observation and interview was conducted with Resident 2. Resident 2 was observed with three blankets in her bed. […]