Aviata at Lakeside Oaks

In the surveyor’s words

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

• Actual harm, isolatedF699Oct 21, 2025

  Based on observation, record review, and interviews, the facility did not ensure the care plan was updated and individualized interventions were in place after a reportable adverse event, that resulted in re-traumatization, for one resident (#1) out of one resident reviewed.Findings included: On 10/21/25 at 10:58 a.m., an interview was conducted with Resident #1. She said an event occurred at the facility on 9/4/25. She said she had a bowel movement and relied on the staff to change her. She said around 5:00 or 6:00 p.m., on 9/4/25, she requested a female staff to assist with changing her. Resident #1 said she was told by a male staff the female staff member was busy, and she could wait until about 7:30 p.m. She said she was not comfortable with a male staff member changing her. […]

• No harm, potential for more than minimal, patternF550Jul 30, 2026

  Based on observation, interview, and record review, the facility did not maintain dignity during a meal service for one resident (#84) out of six residents reviewed for dining, and did not ensure residents' rights to self determination regarding leave of absence (LOA) for two residents (#60 and #12) out of four residents reviewed. These failures resulted in Resident #84 not receiving a timely lunch meal and Residents #60 and #12 being restricted from leaving the facility. Findings include: On 7/27/26 at 12:25 p.m., an observation showed Resident #84's roommate received a lunch tray and began eating in their shared room. At 12:48 p.m., Resident #84 walked into the hallway and asked Staff A, Certified Nursing Assistant (CNA), where his lunch was. […]

• No harm, potential for more than minimal, patternF610Oct 21, 2025

  Based on interviews and record review, the facility did not ensure two allegations of abuse were investigated thoroughly for two residents (#1 and #2) out of four residents with reportable incidents reviewed.Findings included: 1.) On 10/21/25 at 10:58 a.m., an interview was conducted with Resident #1. She said an event occurred at the facility on 9/4/25. She said she had a bowel movement and relied on the staff to change her. She said around 5:00 or 6:00 p.m., on 9/4/25, she requested a female staff to assist with changing her. Resident #1 said she was told by a male staff the female staff member was busy, and she could wait until about 7:30 p.m. She said she was not comfortable with a male staff member changing her. […]

• No harm, potential for more than minimal, patternF627Aug 28, 2025

  Based on record review and interview, the facility failed to ensure a safe and orderly discharge for one residents (#1) and failed to follow up post discharge for two residents (#1 and #10) out of three residents sampled.Findings included:1. Review of Resident #1's admission record showed he was admitted on [DATE] and discharged on 6/20/25 to Private home/apt.(apartment) with no home health services: Home. Resident #1's medical diagnoses including the following: Stage 3 pressure ulcer of sacral region, paraplegia, chronic pain and osteomyelitis of the spine. […]

• No harm, potential for more than minimal, patternF755Aug 28, 2025

  Based on interview and record review, the facility failed to maintain accurate records of controlled substances and ensure narcotics were reconciled as required for three residents (#2, #3, and #4) out of three sampled residents.Findings included:On 8/27/2025 at 10:03 a.m., an interview was conducted with Resident #3. Over a week ago the resident did not receive the prescribed oxycodone 10 mg during an evening shift. The resident stated the pain medication was due at 6:00 p.m. Staff U, Licensed Practical Nurse (LPN), was asked several times to administer the medication. The resident did not receive the medication until the next shift. […]