Aviata at Green Cove Springs

In the surveyor’s words

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

• Actual harm, isolatedF693Mar 30, 2023

  Based on observations, resident and staff interviews, a review of resident records, and the facility's policy and procedure titled G-Tube Care, the facility failed to 1) Follow treatment ordered by the physician for G-tube (G-tube; a tube inserted through the wall of the abdomen directly into the stomach to provide liquid nutrition, medications and fluids) dressing changes, 2) Arrange G-tube removal in a timely manner, and 3) Prevent complications of the G-tube, specifically, recurrent stoma infections for one (Resident #80) of three residents reviewed with G-Tubes, from a total of 36 residents in the sample. […]

• No harm, potential for more than minimal, widespreadF812Feb 13, 2025

  Based on kitchen food service observations, staff interviews, record review, and facility policy and procedure review, the facility failed to follow proper sanitation and food handling practices to prevent the outbreak of foodborne illness with the potential to affect all residents who consumed foods from the facility's kitchen, by failing to clean the juice dispenser hose attachment connected to the thickened water bag in box and the 100% apple blend juice (regular consistency) on the juice machine. Food handling and sanitation are important in health care settings serving nursing home residents. Unsafe food handling practices represent a potential source of pathogen exposure. The findings include: A follow-up tour of the kitchen was conducted on 02/12/25 at 11:21 AM. […]

• No harm, potential for more than minimal, widespreadF880Feb 13, 2025

  Based on facility record review, staff interview, and a review of facility policy and procedure, the facility failed to develop and 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. Residents of nursing homes who may suffer from a weakened immune system, chronic lung disease, or other underlying medical conditions such as immunosuppression, are especially at risk for Legionnaires' Disease (type of pneumonia) if exposed to Legionella bacteria. This had the potential to affect all residents residing in the facility. […]

• No harm, potential for more than minimal, widespreadF727Mar 30, 2023

  Based on interviews and record review, the facility failed to use the services of a registered nurse (RN) for at least 8 consecutive hours on February, 27, 2023. Nurse staffing in nursing homes has a substantial impact on the quality of care and outcomes that residents experience. Failure to staff a registered nurse for at least 8 hours a day could result in a negative impact on resident care. The findings include: A review of the Payroll Based Journal Staffing Data Report for the period covering July 1, 2022 through September 30, 2022, rvealed that the facility's submitted weekend staffing data was excessively low. A review of the facility's staffing calculations from February 5, 2023 through March 25, 2023, revealed there was no RN on duty at all on February 27, 2023, a Monday. […]

• No harm, potential for more than minimal, widespreadF814Mar 30, 2023

  Based on observations and interviews with staff, the facility failed to dispose of garbage and refuse properly and in a manner to prevent invitation, harboring and feeding of pests which can carry infectious diseases. This had the potential to affect all 103 residents residing in the facility at the time of the survey by risking exposure to vermin and disease. The findings include: An initial tour of the kitchen was conducted with the Certified Dietary Manager (CDM) on 03/27/23 at 9:37 AM. The tour concluded with the inspection of the three garbage dumpsters which were situated on the southwest side of the facility. The chain link cage that enclosed the dumpsters was ajar and one of the dumpsters had one of two lids open. […]