Aviata at North Fort Myers

In the surveyor’s words

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

• Actual harm, isolatedF684May 4, 2022

  Based on observation, record review and interview, the facility failed to ensure care according to industry standards by not following physician's orders for quarterly lab draws for 1 (Resident #31) of 1 resident reviewed for seizures. Not following physician's orders for quarterly lab values puts a resident with [CONDITION(S)] at risk of seizures and hospitalization by not ensuring therapeutic levels of the [CONDITION(S)] medication are within the bloodstream. The findings included: On 5/1/22 at 10:06 a.m., Resident #31 was observed lying in bed in her room. The resident did not respond to verbal stimulation, stared straight ahead, making unintelligible noises, like whimpering. […]

• No harm, potential for more than minimal, widespreadF812Apr 9, 2026

  Based on observation and interview with the Dietary Manager, the facility failed to store food in an appropriate manner in accordance with guidelines of the FDA (Food and Drugs Administration) Food Code to ensure food was stored wrapped or in covered containers, labeled and dated, and arranged in a manner to prevent cross contamination. The findings included:The facility policy and procedure titled, Food Storage: Cold Foods, revised 4/2018, policy #019's Policy Statement stated, All Time/Temperature Control for Safety (TCS) foods, frozen and refrigerated, will be appropriately stored in accordance with guidelines of the FDA (Food and Drug Administration) Food Code. Procedures . […]

• No harm, potential for more than minimal, widespreadF925Oct 22, 2025

  Based on observation, record review, residents, staff and contractor's interview, the facility failed to have an effective pest control program to ensure a pest free environment in residents' rooms and in the kitchen of the food serving establishment.The findings included:On 10/20/25 at 9:05 a.m., during a tour of the [NAME] Unit, a live brown insect was observed crawling on the bathroom floor of room [ROOM NUMBER].On 10/20/25 at 9:49 a.m., in an interview Resident #6 said she's had ants crawling in her bed.On 10/21/25 at 3:50 a.m., in an interview Registered Nurse (RN) Staff BB said ants were an issue at the facility. […]

• No harm, potential for more than minimal, widespreadF812May 4, 2022

  Based on observation, record review and interview the facility failed to maintain the kitchen and nourishment room equipment in a safe and clean manner. The facility failed to ensure kitchen staff contain hair to prevent contamination of food. The findings included: Healthcare Services Group (HCSG) policy 027 revised May 2014 Staff Attire read, It is the center policy that all employees wear approved attire for the performance of their duties. Action Steps 1. The food service Director insures all staff members will have their hair off the shoulders, confined in a hair net or cap, and facial hair properly restrained. […]

• No harm, potential for more than minimal, patternF842Apr 9, 2026

  Based on record review, and staff interviews, the facility failed to ensure the clinical record of 1 (Resident #11) of 2 residents reviewed for accurate documentation was completely and accurately documented. The findings included: Review of the clinical record for Resident #11 revealed an admission date of 10/31/22.Diagnoses included: Acute gastric ulcer with hemorrhage; Traumatic subdural hemorrhage with loss of consciousness (head injury); Mild protein-calorie malnutrition; Dysphagia (difficulty swallowing); Epilepsy; Cerebrovascular disease (disease of the blood vessels in the brain).Review of the Quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #11scored 14 on the Brief Interview for Mental Status, indicating intact cognition. […]