Aviata at Greenacres

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Aug 16, 2024

  Based on interview, observation, and record review, the facility failed to provide appropriate supervision to prevent an elopement, which resulted in a resident who was able to leave the facility and travel along a busy roadway with a likelihood of being hurt, killed or lost, for 1 of 1 sampled resident reviewed for elopement risk (Resident #1). The deficient practice allowed Resident #1 to exit the facility from between 07/25/24 at 9:00 PM to 07/26/24 at 5:45 AM without supervision. Resident #1 walked approximately 3 miles away from the facility, before being stopped by staff. Resident #1 was transported back to the facility by the same staff. Census was 94 at the time of the survey. Seven residents were identified at risk of elopement or wandering. […]

• Immediate jeopardy, isolatedF689Jun 28, 2024

  Based on interview, observation, and record review, the facility failed to provide appropriate supervision to prevent an elopement, which resulted in a who was able to leave the facility and travel along a busy roadway with a likelihood of being hurt, killed or lost, for 1 of 1 sampled resident reviewed for elopement risk (Resident #1). The deficient practice allowed Resident #1 to exit the facility on [DATE] between 8:12 PM and 8:18 PM. Resident #1 ran approximately 1.3 miles away from the facility, before being stopped by staff. Resident #1 was transported back to the facility by the same staff. There were eighty (80) residents in the facility at the time of the survey. Two residents were identified at risk of elopement or wandering after the elopement. […]

• No harm, potential for more than minimal, patternF803Nov 15, 2024

  Based on observation, interviews, and menu review, the facility failed to provide adequate portion size for the main lunch entree for Regular diets, with the potential to affect 46 residents on Regular diets. In addition, 3 of 10 sampled residents voiced food concerns regarding inadequate portions during survey ( Residents #3, #8 and #9). The findings included: 1. On 11/14/24 at 9:44 AM, an interview was conducted with Resident #3, he stated The facility doesn't give enough food; they need bigger portion. Record review revealed Resident #3 was admitted to the facility on [DATE] with diagnosis including diabetes. […]

• No harm, potential for more than minimal, patternF842Mar 14, 2024

  Based on record review and interview, the facility failed to keep complete and accurate records for 19 of 19 records reviewed (Residents #5, #13, #17, #18, #24, #27, #28, #32, #34, #40, #41, #50, #51, #60, #61, #62, #64, #68, and #222). The findings included: A review of #28's records revealed no physician notes since May 2023. An interview was conducted with the Nursing Home Administrator (NHA) on 03/13/24 at 10:00 AM. The NHA stated the physician progress notes should be in the resident's electronic records and done monthly. Surveyor requested the last 3 months of physician progress notes. The NHA stated she would get in touch with the physician to inquire about the physician notes. An interview was conducted with the NHA on 03/13/24 at 3:00 PM. […]

• No harm, potential for more than minimal, patternF584Dec 2, 2022

  Based on observations and interviews, the facility failed to maintain a clean, comfortable and homelike environment on 2 of 2 units, including hallways, 8 residents' rooms and 1 activity room bathroom on the south unit; and failed to protect the residents' personal belongings (clothing) from being lost or damaged, affecting 1 of 1 sampled resident reviewed for personal belongings, Resident #30. The findings included: 1. The following observations were made during observational tours of the 100 and 200 units (photographic evidence obtained): a) Room 207's over-the-bed table has laminate edging missing leaving rough, splintered wood exposed; b) Room 211's caulking around base of toilet is dirty and discolored. Bathroom was not clean; spots on wall by toilet. […]