Aviata at Brooksville

In the surveyor’s words

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

• Immediate jeopardy, isolatedF578May 24, 2023

  Based on record review, interview, and policy and procedure review, the facility failed to act in accordance with a resident's advance directive and to honor the resident's wishes of Do Not Resuscitate (DNR) for 1 of 3 residents, Resident #1, when found unresponsive and absent of vital signs. This has the potential to affect 46 residents with advance directives of do not resuscitate. The findings include: Review of the medical record for Resident #1, documented the resident was admitted into the facility on [DATE] at 5:53 PM with diagnosis to include chronic kidney disease, stage 4 severe, chronic obstructive pulmonary disease (COPD), atherosclerotic heart disease, peripheral vascular disease, diabetes mellitus type 2, major depressive disorder, chronic respiratory failure with… […]

• Immediate jeopardy, isolatedF578Oct 8, 2021

  Based on record review, interview, and the facility policy and procedure review, the facility failed to act in accordance with a resident's advance directive and to honor the resident's wishes of Do Not Resuscitate when found unresponsive and without respirations or a pulse for 1 of 2 residents, Resident #1. This has the potential to affect 45 residents with advance directives of do not resuscitate. The findings include: Review of the medical record for Resident #1, [AGE] year-old, revealed an admitted into the facility on [DATE]. The resident had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of Resident #1's Florida Living Will, recorded and signed by Resident #1 on [DATE], listed Resident #1's daughter as her Health Care Surrogate and Power of Attorney. […]

• Actual harm, isolatedF686Jul 27, 2023

  Based on resident record review, interview, and facility policy and procedure review, the facility failed to ensure residents received care consistent with professional standards of practice to prevent worsening of pressure ulcers for 1 of 3 residents reviewed for pressure ulcers, Resident #4. Findings include: Review of the admission record for Resident #4 documented diagnoses including multiple sclerosis, mild intermittent asthma, heart failure unspecified, unspecified atrial fibrillation, unspecified convulsions, idiopathic normal pressure hydrocephalus, rheumatoid arthritis, age-related osteoporosis, essential primary hypertension, COVID-19, personal history of malignant neoplasm of ovary, hyperlipidemia, primary open angle glaucoma, and acute embolism and thrombosis of deep veins of… […]

• No harm, potential for more than minimal, widespreadF868Feb 1, 2024

  Based on record review and interview, the facility failed to ensure the quality assurance and assurance committee consisted of the required members in 3 of 4 quarters during 2023. Findings include: Review of the QAPI (Quality Assurance Performance Improvement) agenda attendance rosters for 2023 showed the Medical Director did not attend the QAPI meeting 3 of 4 quarters for months which an attendance roster was available. Review of the QAPI agenda attendance rosters for 2023 showed there were no attendance rosters maintained for 4 of 12 months of 2023. During an interview on 2/1/2024 at 10:05 AM, the Administrator in Training confirmed the former Medical Director had not attended the facility QAPI as required. […]

• No harm, potential for more than minimal, widespreadF568Jul 27, 2023

  Based on record review, interview, and facility policy and procedure review, the facility failed to provide quarterly account statements of resident available funds for the last 2 quarters. Findings include: Review of the facility's form titled Trail Balance from 1/1/2023 until 6/30/2023 indicated 50 residents were to receive quarterly account balance statements. On 7/27/2023 at 2:00 PM, upon request for the documentation indicating that the residents received quarterly account balance statements, the facility was unable to provide quarterly statement verification forms. The Business Office Manager (BOM) #1 presented two forms titled Quarterly Statement Verification Form both dated 7/27/2023 for the quarter ending on March 31, 2023, and June 30, 2023. […]