Aviata at Lake Mary

In the surveyor’s words

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

• Actual harm, patternF686Apr 7, 2023

  Based on observation, interview, and record review, the facility failed to provide wound care and services according to professional standards to prevent the development and worsening of pressure injuries for 2 of 4 residents reviewed for pressure injuries, of a total sample of 10 residents, (#6 & #10). The facility's failure to implement appropriate preventative interventions, follow physician orders, and execute policies and procedures for skin and wound care, repeatedly over all shifts, resulted in preventable pressure injuries, actual harm, for residents #6 and #10. Findings: 1. Review of the medical record revealed resident #10, an [AGE] year-old female, was admitted to the facility on [DATE]. […]

• Actual harm, isolatedF689Apr 7, 2023

  Based on interview and record review, the facility failed to identify and arrange the appropriate mode of transportation and provide adequate supervision to prevent accidents during transfer to an outside appointment for 1 of 4 residents reviewed for transportation concerns, of a total sample of 10 residents, (#2). The facility's failure to provide care and services to ensure safety during transport resulted in preventable fractures and hospitalization , actual harm, for resident #2. Findings: Review of the medical record revealed resident #2, a [AGE] year-old female, was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, widespreadF814Apr 23, 2026

  Based on observation and interview, the facility failed to maintain exterior waste areas in sanitary condition for 1 of 1 waste handling locations reviewed. Unsanitary waste conditions may attract pests and increase risk for food contamination.Findings:On 4/20/26 at 8:30 AM, during a tour of the exterior dumpster area with the Certified Dietary Manager (CDM), widespread litter and food related debris was strewn around the receptacle. Sugar packets, salt packets, powdered creamer packets, paper towels, used disposable gloves, graham crackers, and condiment packets were scattered across the concrete surfaces inside the enclosure and throughout the surrounding ground. Debris extended 15-20 feet beyond the enclosure and over the fence line into the grass and the gravel. […]

• No harm, potential for more than minimal, widespreadF607Apr 7, 2023

  Based on interview and record review, the facility failed to implement policies and procedures to prohibit Abuse and Neglect related to an incident that resulted in major injuries and transfer to a higher level of care for 1 of 2 residents reviewed for Abuse and Neglect, (#2), and failed to ensure frontline and management staff adhered to the policies and procedures to promote the safety and well-being of all residents in the facility. Findings: Review of the medical record revealed resident #2, a [AGE] year-old female, was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, widespreadF835Apr 7, 2023

  Based on observation, interview, and record review, the facility's administration failed to effectively utilize its resources to implement policies and procedures to prohibit Abuse and Neglect; and nursing administration failed to ensure necessary oversight, care and services to maintain the highest practicable well-being for all residents at risk for skin breakdown. Findings: 1. On 4/05/23 at 1:43 PM, the Administrator described a very unfortunate incident that occurred on 2/24/23, in which a resident who used a transportation company to attend an outside appointment returned to the facility with a significant decrease in level of consciousness and five skin tears. He explained the resident was assessed by nursing staff and transferred to the hospital by Emergency Medical Services. […]