Aviata at Englewood

In the surveyor’s words

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

• Actual harm, isolatedF600Nov 24, 2025

  Based on resident and staff interviews, medical record reviews and a facility policy review, the facility failed to protect the resident's right to be free from neglect by leaving the resident unattended during incontinent care and not adequately training staff in resident care, thereby allowing the resident to fall off the bed which resulted in a serious injury for 1 Resident, (Resident #1), of 3 residents reviewed for neglect. The findings included:Review of the facility's policy for Abuse, Neglect, Exploitation and Misappropriation effective 11/30/2014 and last revised 11/16/2022 stated, It is inherent in the nature and dignity of each resident at the center that he/she be afforded basic human rights including the right to be free from abuse, neglect, mistreatment, exploitation and/or… […]

• Actual harm, isolatedF689Nov 24, 2025

  Based on record review, and staff interviews, the facility failed to provide adequate supervision to prevent falls with major injury for 1 (Resident #5) of 3 residents reviewed for falls.The findings included: Facility policy titled Falls Management Revision Date 7/29/2019 indicated: Fall mitigation strategies included developing resident centered interventions based on resident risk factors.Record Review of the facility provided incident log revealed Resident #5 had 5 falls between 12/14/25 and 1/6/26.Review of Resident #5's progress notes reveal on 12/14/25 resident was found on the floor and assisted back to bed with no change in condition noted at that time. […]

• No harm, potential for more than minimal, widespreadF812Mar 24, 2021

  Based on observation, policy review, and staff interview the facility failed to maintain the kitchen, nourishment rooms, and activity kitchen in a clean, safe, and sanitary manner that was in good repair by not having clean surfaces in food storage areas, clean surfaces on food preparation equipment, outdated/unlabeled food items, and not maintaining the ice machines in a manner to prevent potential contamination. The findings included: The facility's policy, Ice Machines and Ice Storage Chests, revised January 2012, stated Ice-making machines, ice storage chest/containers, and ice can all become contaminated by unsanitary manipulation by employees, residents and visitors and to help prevent contamination of ice machines Keep the ice scoop/bin in a covered container when not in use. […]

• No harm, potential for more than minimal, widespreadF921Mar 24, 2021

  Based on observation and resident and staff interviews, the facility failed to maintain a safe, sanitary, and comfortable environment for residents, staff, and the public by not having clean surfaces; maintaining resident equipment in a sanitary manner; not repairing damaged shower rooms and pantry walls; and having heavily soiled/stained furniture in day room. Not maintaining a sanitary environment has the potential for cross contamination and biological growth (bio-growth). The findings included: On 3/21/21 at 12:40 p.m., in an interview, Resident #80 said he had osteo[DIAGNOSES REDACTED] (infection of the bone) in his left foot, had daily dressing changes, and was on antibiotics. […]

• No harm, potential for more than minimal, patternF880Nov 25, 2025

  Based on record review and staff and resident interviews, the facility failed to follow Infection Control measures to prevent a potential outbreak of scabies.The findings included:Review of the facility policy titled, Infection Prevention and Control revised October 2018, revealed an infection prevention and control program is established and maintained to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections.Outbreak management includes a process that consists of: determining the presence of an outbreak; managing the affected residents; preventing the spread to other residents; documenting information about the outbreak; reporting the information to appropriate public health authorities; educating… […]