Deficiency Index

Aviata at Bryan Dairy

Largo, Florida · CCN 106116

15 surveys since 2018, 6 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
81
Surveys
15
Harm or worse
6
Immediate jeopardy
6
The record, 2018–2025
’18’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy6

Findings at the most serious level CMS records.

Beyond CMS’s monthly file9/15

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
158
Ownership
For profit - Limited Liability company
Chain
AVIATA HEALTH GROUP
County
Pinellas
Medicare-certified since
2017

CMS ratings

Overall
1
Health inspection
1
Staffing
2
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 150 for-profit facilities with 128 or more beds in Florida.

Last survey on record

Oct 24, 2025

381 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.373.63
Registered-nurse hours per resident day0.35—
Annual nurse turnover54.5%41.4%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$45,660 across 5 penalties
Special focus
SFF Candidate
Abuse icon
Flagged by CMS on Care Compare

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ49.8%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD2970.7%E717.1%F12.4%
No harm, potential for minimalA—B—C—
CMS’s current file: 41 of the 81 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5502×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F5542×

    Allow residents to self-administer drugs if determined clinically appropriate.

  • F6002×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • F6952×

    Provide safe and appropriate respiratory care for a resident when needed.

In the surveyor’s words

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

  • Immediate jeopardy, isolatedF578Oct 24, 2025

    Based on review of the facility policy, interviews and record review, the facility failed to ensure advanced directives were implemented in a timely manner and failed to ensure the residents' wishes were honored related to full code status for one resident (#5) of three residents sampled. On [DATE] at 1:09 a.m., Staff B, Licensed Practical Nurse (LPN) obtained Resident #5's oxygen saturation level (Sp02) which was 84% with supplemental oxygen by nasal cannula. According to emedicinehealth oxygen saturation levels below 95% are considered abnormal, and the brain may be affected when SpO2 levels drop below 80 to 85 percent. https://www.emedicinehealth.com/what_is_a_good_oxygen_rate_by_age/article_em.htm retrieved on [DATE]. […]

  • Immediate jeopardy, isolatedF600Oct 24, 2025

    Based on interviews and record reviews, the facility failed to protect the resident's right to be free from deprivation of goods and services by failing to ensure timely Cardiopulmonary Resuscitation (CPR) was provided, per the resident's wishes, and failed to notify the physician of a change in condition for one resident (#5) out of three residents sampled for advance directives.On [DATE] at 1:09 a.m., Staff B, Licensed Practical Nurse (LPN) obtained Resident #5's oxygen saturation level (Sp02) which was 84% with supplemental oxygen by nasal cannula. According to emedicinehealth oxygen saturation levels below 95% are considered abnormal, and the brain may be affected when SpO2 levels drop below 80 to 85 percent. […]

  • Immediate jeopardy, isolatedF678Oct 24, 2025

    Based on review of the facility policy, interviews and record review, the facility failed to ensure Cardiopulmonary Resuscitation (CPR), was implemented in a timely manner and failed to ensure the residents' wishes were honored related to full code status for one resident (#5) of three residents sampled. Resident #5 had active physician orders for full code status and had expressed wishes to be resuscitated. On [DATE] at 1:09 a.m., Staff B, Licensed Practical Nurse (LPN) obtained Resident #5's oxygen saturation level (Sp02) which was 84% with supplemental oxygen by nasal cannula. According to emedicinehealth oxygen saturation levels below 95% are considered abnormal, and the brain may be affected when SpO2 levels drop below 80 to 85 percent. […]

  • Immediate jeopardy, isolatedF726Oct 24, 2025

    Based on record review, interviews, and facility documentation and policy review, the facility failed to ensure nursing staff were competent in identifying resident's code status, providing timely Cardiopulmonary Resuscitation (CPR) and responding to a Change in Condition (CIC) for one resident (#5) out of three residents sampled. On [DATE] at 1:09 a.m., Staff B, Licensed Practical Nurse (LPN) obtained Resident #5's oxygen saturation level (Sp02) which was 84% with supplemental oxygen by nasal cannula. According to emedicinehealth oxygen saturation levels below 95% are considered abnormal, and the brain may be affected when SpO2 levels drop below 80 to 85 percent. https://www.emedicinehealth.com/what_is_a_good_oxygen_rate_by_age/article_em.htm retrieved on [DATE]. […]

  • Immediate jeopardy, isolatedF689Jul 1, 2022

    Based on medical record review, observations, resident, visitor and staff interviews and review of policy and procedure, the facility failed to provide supervision to prevent an elopement of one resident (#1) of three residents sampled for elopement. Resident #1 was assessed on 4/28/2022 to have severe cognitive impairment after a staff member noticed he was unable to understand discharge planning information. Resident #1 on 6/8/2022 was assessed to be high risk for elopement after exhibiting exit seeking behavior on 6/7/22. He was also assessed to be confused, independent with ambulation and at risk for falls. Staff reported that he frequently walked the halls of the facility. The Care Planned safety interventions were not effective to maintain the resident's safety. […]

Read 22 findings in full →The most serious and the most recent: 22 of 81 on record.

Every survey on record

FindingsAt actual harm or above

  • Oct 24, 2025Complaint4 findings · 4 harm
  • Jun 18, 2025Complaint1 finding
  • Jun 12, 2024Standard and complaint17 findings
  • Feb 28, 2024Complaint4 findings
  • Nov 3, 2022Complaint5 findings
  • Jul 1, 2022Complaint1 finding · 1 harm
  • Apr 1, 2022Standard and complaint15 findings
  • Nov 18, 2021Complaint4 findings
Show the 7 earlier surveys
  • Apr 2, 2021Complaint2 findings
  • Jan 29, 2021Standard and complaint8 findings
  • Sep 29, 2020Complaint1 finding
  • Feb 5, 2020Complaint3 findings
  • Aug 15, 2019Standard6 findings
  • Jan 31, 2019Standard and complaint9 findings · 1 harm
  • Nov 14, 2018Complaint1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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