Aviata at Palm Bay

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Apr 5, 2024

  Based on observation, interview, and record review, the facility failed to protect the resident's right to be free from neglect by not ensuring staff implemented measures to mitigate the risk and prevent elopement for 1 of 3 residents reviewed for Elopement, of a total sample of 23 residents, (#1). These failures contributed to the elopement of resident #1 and placed her at risk for serious injury, impairment, and/or death. While resident #1 was out of the facility unsupervised, there was likelihood she could have fallen, been accosted by unknown persons, become lost or been hit by a vehicle. On 12/28/2023 at approximately 3:30 PM, resident #1, a vulnerable [AGE] year old female was admitted to the facility from the hospital. […]

• Immediate jeopardy, isolatedF689Apr 5, 2024

  Based on observation, interview, and record review, the facility failed to provide adequate supervision and a secure environment to prevent elopement for 1 of 3 sampled residents reviewed for elopement, of a total sample of 23 residents, (#1). These failures contributed to the elopement of resident #1 and placed her at risk for injury, impairment, or even death. While resident #1 was out of the facility unsupervised, there was high likelihood she could have fallen and sustained serious injury, become lost, been accosted by a stranger, or hit by a car and died . On [DATE] at approximately 3:30 PM, resident #1, a vulnerable [AGE] year-old female was admitted to the facility from the hospital. […]

• Actual harm, isolatedF622Apr 5, 2024

  Based on interview, and record review, the facility failed to ensure an appropriate discharge process to the community was followed for facility-initiated discharges for 2 of 3 residents reviewed for discharge status of a total sample of 23 residents, (#21 and #29). The facility's failure to safely discharge a resident to the community resulted in actual harm. Findings: 1. Review of resident #21's medical record revealed she was initially admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses including type 2 diabetes, right below the knee amputation, absence of left toes, anxiety, anemia, chronic heart failure and mood disorder. She was discharged home on 2/21/24. […]

• Actual harm, isolatedF689Aug 4, 2022

  Based on observation, interview, and record review, the facility failed to provide adequate supervision and implement fall prevention interventions to prevent falls with major injuries for 1 of 4 sampled residents, of a total sample of 19 residents, (#1). Findings: Resident #1 was admitted to the facility on [DATE] from a skilled nursing facility (SNF). Her diagnoses included advanced [CONDITION(S)], [CONDITION(S)] [CONDITION(S)], [CONDITION(S)], and history of falls that included a right [CONDITION(S)] prior to her admission. Review of the resident's medical record included a physician's initial history and physical dated 4/25/22 that noted the resident had history of falls and surgery for a right hip femur fracture prior to coming to the facility. […]

• No harm, potential for more than minimal, patternF623Apr 5, 2024

  Based on interview and record review, the facility failed to notify the residents or their representatives of a facility-initiated discharge in a timely manner and in writing and failed to submit a copy of the notice to the State Long-Term Care (LTC) Ombudsman for 3 of 3 residents reviewed for discharge status out of a total sample of 23 residents, (#21, #28 and #29). Findings: 1. Resident #21 was readmitted to the facility on [DATE] with diagnoses including type 2 diabetes, right below the knee amputation, absence of left toes, anxiety, anemia, chronic heart failure and mood disorder. She was discharged home on 2/21/24. On 4/04/24 at 7:28 AM, resident #21 stated she was verbally informed she would be discharged the day before she went home. […]