Aviata at Harts Harbor

In the surveyor’s words

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

• Immediate jeopardy, isolatedF686Feb 16, 2021

  Based on record reviews and staff interviews, the facility failed to prevent pressure ulcers, consistent with professional standards of practice, by failing to 1) Perform peripheral neurovascular assessments, and 2) Conduct weekly skin assessments for a resident who was admitted to the facility with a splinting device. The deficient practice involved one (Resident #1) of three residents reviewed for pressure injuries. Resident #1 was admitted on [DATE] with a splinting device to his left ankle. The facility failed to assess his peripheral neurovascular status each shift per its policy and practice standards, and it failed to assess his skin integrity weekly per its policy. […]

• No harm, potential for more than minimal, widespreadF888May 3, 2022

  Based on interview, record review, and review of the facility's policy, the facility failed to implement their policy by ensuring all staff were either fully vaccinated against COVID-19 or had an approved exemption from vaccination prior to working at the facility. The facility allowed four staff members who were not fully vaccinated and who did not have an approved exemption to work directly with residents, resulting in a compliance rate of 96.1%. The facility also failed to ensure their tracking of COVID-19 vaccination status for each staff was accurate. […]

• No harm, potential for more than minimal, patternF584Apr 2, 2026

  Based on observations, interviews, and record review, the facility failed to ensure residents' right to a safe, clean, comfortable and homelike environment, including but not limited to, receiving treatment and supports for daily living safely for 14 (Residents #17, #22, #29, #75, #89, #59, #48, #23, #53, #1, #71, #34, #101 and #67) residents in 11 (Rooms #1, #2, #3, #4, #6, #8, #9, #10, #11, #15 and #21) of 65 resident rooms currently in use, and in both of the hallways (East and South) in the facility.The findings include: On 3/30/26 at 10:30 AM, a tour of the facility began. On 3/30/26 at 10:47 AM, room [ROOM NUMBER], occupied by Residents #17 and #22, was observed with a door frame that was missing multiple chucks of wood. […]

• No harm, potential for more than minimal, patternF584Jun 27, 2024

  Based on observations, staff interviews, a staff cleaning schedule review, and facility policy and procedure review, the facility failed to provide housekeeping services necessary to maintain a sanitary and comfortable living environment, by keeping resident care equipment and rooms clean for four (Residents #109, #32, #10, and #46) of five residents who received enteral feedings, from 33 residents sampled for the survey, and a facility census of 117 residents. Failure to maintain a clean living environment can impact residents' enjoyment of their living space due to unsanitary and uncomfortable living conditions. […]

• No harm, potential for more than minimal, patternF638Jun 27, 2024

  Based on record review, staff interview, and facility policy and procedure review, the facility failed to ensure Quarterly Minimum Data Set (MDS) Assessments were completed timely for seven (Residents #83, #105, #87, #76, #28, #59, and #60) of 33 residents sampled for the survey. The findings include: A 06/27/2024 review of the Minimum Data Set (MDS) viewer in the survey shell, revealed no evidence of Quarterly MDS assessments for Residents #83 or #105. An interview with MDS Nurse J on 06/27/2024 at 9:15 a.m., revealed that the last MDS assessment transmitted for Resident #83 was on 01/15/2024. She confirmed that a quarterly assessment was due on 04/16/2024 but was never opened. […]