Aviata at Grand Oaks

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689May 13, 2026

  Based on resident and staff interviews, review of facility and resident records, and a review of the manufacturer's instructions for Resident #1's rolling walker, the facility failed to ensure that Resident #1 received adequate supervision and sufficient safeguards to prevent an avoidable accident. Staff failed to understand the proper use of the resident's rollator which resulted in Resident #1, one of seven residents reviewed for accidents, falling backwards and striking his head on the cement sidewalk. […]

• Immediate jeopardy, isolatedF578Jun 7, 2024

  Based on a review of resident records, facility reports, staff interviews, and the facility's policies and procedures titled Advance Directives and Florida Cardiopulmonary Resuscitation (CPR), the facility failed to act in accordance with the resident's Advance Directives and his Full Code status (the desire to be resuscitated in the event of cardiac/respiratory arrest) after finding him unresponsive with no respirations. This affected one (Resident #1) of three residents reviewed for Advance Directives. The facility's failure to honor Resident #1's Advance Directives deprived him of potentially lifesaving measures. Resident #1 was not revived and expired in the facility. Immediate Jeopardy (IJ) at a scope of J (isolated) was identified at 1:34 p.m. on [DATE]. […]

• Immediate jeopardy, isolatedF678Jun 7, 2024

  Based on a review of resident records, facility reports, staff interviews, and the facility's policy and procedure titled Florida Cardiopulmonary Resuscitation (CPR), the facility failed to provide CPR for one resident who was a Full Code status (the desire to be resuscitated in the event of cardiac/respiratory arrest) after finding him unresponsive with no respirations. This affected one (Resident #1) of three residents reviewed for Advance Directives. The facility's failure to provide CPR according to Resident #1's Advance Directives deprived him of potentially lifesaving measures. Resident #1 was not revived and expired in the facility. Immediate Jeopardy (IJ) at a scope of J (isolated) was identified at 1:34 p.m. on [DATE]. […]

• No harm, potential for more than minimal, widespreadF880May 8, 2025

  Based on interviews, record review, and a review of the facility's policies and procedures, the facility failed to implement a comprehensive water management program for the purpose of reducing the risk of growth and spread of Legionella and other opportunistic pathogens in the facility's water system for its current census of 103 residents. Residents of nursing homes who may suffer from a weakened immune system, chronic lung disease, or other underlying medical conditions such as immunosuppression, are at risk for Legionnaires' Disease (type of pneumonia) if exposed to Legionella bacteria. […]

• No harm, potential for more than minimal, widespreadF812Mar 3, 2022

  Based on observations, interviews, and facility policy review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety, by failing to 1) Ensure wet nesting did not occur, 2) Maintain safe food temperatures, 3) Label and date food items in the West Wing nourishment room refrigerator/freezer, 4) Dispose of outdated and unlabeled/undated foods items properly, 5) Maintain thermometers in the East and West Wing nourishment room freezers, 6) Ensure hot water was available in the kitchen handwashing sinks, and 7) Ensure the kitchen trashcan pedal, which opened the trashcan lid, was functional. […]