Aviata at Countryside

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF880Sep 19, 2024

  Based on observations, record reviews, and interviews the facility failed to implement an effective Infection Control program related to 1. failure to ensure third-party vendors wore Personal Protective Equipment (PPE) appropriately and per posted instructions for one (#37) out of two residents under Contact isolation on one of two units, 2. failed to ensure staff conducted hand hygiene and donned PPE while providing high contact care activities per posted Enhanced Barrier Precautions for one (#44) of four residents observed during medication administration, 3. failed to cover respiratory masks when not in use for one (#5) of three sampled residents, 4. failed to ensure contact precautions were put in place in a timely manner for one (#457) of two sampled residents, and 5. […]

• No harm, potential for more than minimal, isolatedF656Feb 19, 2025

  Based on record review and interviews, the facility did not ensure a care plan was updated to include individualized interventions related to behaviors after a reported sexual event were included in the care plan for one (#1) of two residents reviewed. Findings included: On 2/18/25 at 12:25 p.m., an interview with Staff A, Physical Therapy Assistant (PTA) revealed she had witnessed a reported event that occurred on 10/1/24, where Resident #1 was involved. She stated, [Resident name] was actively performing a sexual act on another resident. Staff A, PTA stated Resident #1 was grinning/smiling. She stated she asked Resident #1 what he was doing, but she couldn't recall if he answered. […]

• No harm, potential for more than minimal, isolatedF578Sep 19, 2024

  Based on observation, interview, and record review, the facility failed to ensure advance directives were updated per resident's request for two (#406, #455) of 22 residents sampled. Findings included: A review of Resident #406's Admission Record revealed she had diagnoses which included chronic kidney disease stage 3 and chronic systolic congestive heart failure. A review of Resident #406's physician's order dated [DATE] revealed full code. A review of Resident #406's 5-day Medicare Minimum Data Set (MDS) dated [DATE], revealed: Section C - Brief Interview for Mental Status (BIMS) 14 which indicated intact cognition. A review of Resident #406's care plans revealed a care plan initiated on [DATE] by the Director of Social Services for full code. […]

• No harm, potential for more than minimal, isolatedF759Sep 19, 2024

  Based on observation, record review, and interview, the facility failed to ensure that the medication error rate was less than 5.00%. Twenty-eight medication administration opportunities were observed and seven errors were identified for four (#59, #55, #44, and #66) of four residents observed. These errors constituted a 25% medication error rate. Findings included: 1. On 9/17/24 at 9:32 a.m., an observation of medication administration with Staff E, Registered Nurse (RN), was conducted with Resident #59. […]

• No harm, potential for more than minimal, isolatedF761Sep 19, 2024

  Based on observation, record review, and interview, the facility failed to ensure one (South Front) of five carts were locked when unattended, failed to date medications with limited life when opened in one (South Front) of five med carts, failed to ensure three medical devices were discarded when expired, and failed to ensure medications were stored appropriately in four ( #302, #304, #305, and #306) of 14 resident rooms sampled. Findings included: On [DATE] at 3:40 p.m., the South Front medication cart was reviewed with Staff E, RN. During the observation Staff E left the keys to the unlocked medication cart in the lock, leaving the area to speak with an unknown staff who was standing in a doorway on the other side of the nursing station. […]