Deficiency Index

Aviata at Colonial Lakes

Winter Garden, Florida · CCN 105440

38 surveys since 2010, 9 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
151
Surveys
38
Harm or worse
9
Immediate jeopardy
8
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy8

Findings at the most serious level CMS records.

Beyond CMS’s monthly file30/38

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

The facility

Certified beds
180
Ownership
For profit - Limited Liability company
Chain
AVIATA HEALTH GROUP
County
Orange
Medicare-certified since
1983

CMS ratings

Overall
2
Health inspection
2
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

Apr 2, 2026

221 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 day3.213.63
Registered-nurse hours per resident day0.46—
Annual nurse turnover49.3%41.4%

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

Enforcement

Fines
$23,136 across 3 penalties

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 jeopardyJ25.9%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD2470.6%E617.6%F25.9%
No harm, potential for minimalA—B—C—
CMS’s current file: 34 of the 151 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8423×

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6572×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • F6842×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

In the surveyor’s words

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

  • Immediate jeopardy, isolatedF692Jan 16, 2025

    Based on interview, and record review, the facility failed to ensure prescribed therapeutic diet of dysphagia mechanical soft consistency was followed for 1 of 8 sampled residents, (#1). This failure resulted in resident #1 consuming the wrong consistency snack, causing her to choke, and turn blue until she was transferred and admitted to the hospital Intensive Care Unit (ICU) and treated for acute respiratory failure with hypoxia. On 12/20/24 at 11:00 AM, resident #1, who was on a mechanical soft consistency diet, was allowed to consume a peanut butter and jelly (PB&J) sandwich from a tray of snacks left on a table in the dayroom by Certified Nursing Assistant (CNA) A. […]

  • Immediate jeopardy, isolatedF726Jan 16, 2025

    Based on interview, and record review, the facility failed to ensure a Certified Nursing Assistant (CNA) had the knowledge, skill sets, and competencies to provide foods/snacks to residents in accordance with their plan of care and physician orders for 1 of 8 sampled residents, (#1). This failure resulted in the resident being allowed to consume the wrong consistency snack which resulted in the resident choking and being transferred to a higher level of care where she was admitted to the Intensive Care Unit (ICU) and treated for acute respiratory failure with hypoxia. On 12/20/24 at 11:00 AM, resident #1, who was on a mechanical soft consistency diet, was allowed to consume a peanut butter and jelly (PB&J) sandwich from a tray of snacks left on a table in the dayroom by CNA A. […]

  • Immediate jeopardy, isolatedF578Mar 8, 2023

    Based on record review and interview, the facility failed to honor the right to refuse treatment related to implementing a Do Not Resuscitate Order (DNRO) to prohibit aggressive resuscitation measures at the end of life for 1 of 7 residents reviewed for advance directives, (#1). On [DATE] at approximately 5:00 AM, Licensed Practical Nurse (LPN) A discovered resident #1 in bed, unresponsive and without a pulse. She directed staff to use the facility's overhead paging system to announce a Code Blue while she called 911. Registered Nurses (RNs) B and C responded from another unit and asked about the resident's resuscitation status. […]

  • Immediate jeopardy, isolatedF678Mar 8, 2023

    Based on record review and interview, licensed nurses failed to follow the facility's policy and procedure for Cardiopulmonary Resuscitation (CPR) related to verification of resuscitation or code status in an emergency for 1 of 7 residents reviewed for advance directives, (#1). On [DATE] at approximately 5:00 AM, Licensed Practical Nurse (LPN) A discovered resident #1 in bed, unresponsive and without a pulse. She directed staff to use the facility's overhead paging system to announce a Code Blue while she called 911. Registered Nurses (RNs) B and C responded from another unit and asked about the resident's resuscitation status. […]

  • No harm, potential for more than minimal, widespreadF812Jul 18, 2024

    Based on observation and interview, the facility failed to store raw foods (e.g., produce) in a manner to reduce the risk of contamination of ready-to-eat foods and failed to store other food items by sealing, labeling and dating when opened. The facility also failed to ensure dishes and flatware were cleaned and stored under sanitary conditions and equipment was clean and in safe working order. These issues had the potential to negatively affect the health of 154 of the 166 residents in the facility. Findings: On 07/15/24 at 9:55 AM, surveyors entered the kitchen for the initial tour accompanied by the Certified Dietary Manager (CDM). […]

Read 26 findings in full →The most serious and the most recent: 26 of 151 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 2, 2026Standard4 findings
  • Sep 30, 2025Complaint1 finding
  • Jan 16, 2025Complaint3 findings · 2 harm
  • Dec 5, 2024Complaint2 findings
  • Nov 21, 2024Complaint1 finding
  • Sep 6, 2024Complaint1 finding
  • Jul 18, 2024Standard7 findings
  • Mar 8, 2023Complaint2 findings · 2 harm
Show the 30 earlier surveys
  • Jan 5, 2023Complaint3 findings
  • Dec 1, 2022Complaint1 finding
  • Aug 18, 2022Standard and complaint15 findings
  • Jan 23, 2022Complaint1 finding
  • Oct 6, 2021Complaint1 finding
  • Jan 28, 2021Standard6 findings
  • Oct 24, 2019Complaint1 finding
  • Jun 20, 2019Standard8 findings
  • Oct 16, 2018Complaint1 finding
  • Oct 5, 2017Standard8 findings
  • Oct 20, 2016Standard1 finding
  • Aug 6, 2016Complaint4 findings · 4 harm
  • Jul 30, 2016Complaint1 finding
  • Jul 31, 2015Standard13 findings
  • Mar 1, 2015Complaint4 findings
  • Jan 20, 2015Complaint3 findings
  • Nov 19, 2014Complaint1 finding
  • Sep 25, 2014Complaint1 finding
  • May 8, 2014Standard and complaint8 findings
  • Mar 19, 2014Complaint1 finding
  • Nov 12, 2013—1 finding
  • Jun 6, 2013—7 findings
  • Apr 8, 2013—1 finding
  • Apr 13, 2012—12 findings
  • Jan 24, 2012—1 finding
  • Nov 3, 2011—1 finding
  • Jun 21, 2011—1 finding
  • Mar 18, 2011—17 findings
  • Dec 2, 2010—3 findings · 1 harm
  • Nov 15, 2010—4 findings

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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