Aviata at Jacksonville

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Dec 11, 2025

  Based on food service observations, staff interviews, 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, by failing to clean one of two microwaves located in a unit nourishment room. Food handling and sanitation is important in health care settings serving nursing home residents. Unsafe food handling practices represent a potential source of pathogen exposure. The findings include: Observations of the nourishment rooms were conducted during the follow-up tour on 12/10/2025 at 10:55 am. […]

• No harm, potential for more than minimal, patternF584Feb 17, 2022

  Based on observations, interviews, record review and facility policy and procedure review, the facility failed to maintain a safe, clean, comfortable, and homelike environment, and provide maintenance services as necessary in five resident rooms (102, 500, 501, 512 and 511) affecting six (Residents #4, #59, #19, # 49, #151, and #92) out of a total of 41 residents in the sample. Specifically, there were concerns with sticky floors in bathrooms, dead roaches, debris on floors and under resident's beds, enteral feeding product splattered on feeding pumps, IV poles, walls, mattresses, bed frames and floors, and Air Conditioning (AC)/Heating units filters were not clean. […]

• No harm, potential for more than minimal, patternF695Feb 17, 2022

  Based on observations, interviews and record reviews, the facility failed to ensure physician's orders for oxygen were in place prior to administering oxygen for two (Residents #301 and #453) of eight residents receiving treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . This could result in the resident not receiving appropriate care and/or clinical complications. The findings include: 1. A review of Resident #301's clinical record revealed she was admitted to the facility on [DATE] with primary diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . Secondary diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . On 02/14/22 at 11:03 AM, Resident #301 was observed in her room receiving oxygen via nasal cannula. The oxygen concentrator was set at 3 Liters per minute (L/Min). […]

• No harm, potential for more than minimal, patternF812Feb 17, 2022

  Based on observations, interviews, record review and facility policy and procedure review, the facility failed to ensure nutritional supplements kept in 2 of 2 nourishment refrigerators were stored in accordance with professional standards for food service saftey and failed to ensure equipment in the nourishment rooms were clean and free of debris. The findings include: During an observation of the two-nourishment rooms in the facility on [DATE] at 12:21 PM revealed the following: Each refrigerator had a container of Med Pass which were expired (expiration dates of [DATE] and [DATE]). A review of the Medpass shake instructions revealed, use within 4 days of opening. (Photographic evidence obtained) The freezer in the nourishment room on hall 200 contained a dried brownish stain in it. […]

• No harm, potential for more than minimal, isolatedF585Dec 11, 2025

  Based on interviews and record reviews, the facility failed to document and respond appropriately to resident grievances regarding missing clothing items for 1 out of 5 residents reviewed. (Resident #46)The findings include:During an interview on 12/9/2025 at 2:45pm, Resident #46 reported missing two pairs of pants. She said, I told [Environmental Services Account Manager] about it, but nothing ever got done.Review of the grievance log for the previous 12 months did not reveal a grievance filed by the resident.During an interview on 12/11/2025 at 10:30am, the Environmental Services Account Manager stated, I remember she [Resident #46] said something to me about a pair of pants a few months ago, but like I tell them, I check the inventory and if it's listed on the inventory, then I look for… […]