Aviata at Saint Lucie

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Nov 1, 2024

  Based on record review and interviews, the facility failed to protect the residents' rights to be free from neglect for newly admitted residents requiring dialysis treatments. The facility failed to ensure a newly admitted resident received dialysis services in a timely manner causing the resident to be transferred to a higher level of care, affecting 1 of 3 residents reviewed for dialysis (Resident #1). The facility failed to ensure resident rights to prevent neglect regarding care and services for dialysis communication for newly admitted residents, resulting in serious harm and possibly the death of the resident (Resident #1). […]

• Immediate jeopardy, isolatedF698Nov 1, 2024

  Based on record review and interviews, the facility failed to ensure newly admitted residents received dialysis services in a timely manner causing one resident to be transferred to a higher level of care, affecting 1 of 3 residents reviewed for dialysis (Resident #1). The facility failed to ensure resident rights to prevent neglect regarding care and services for dialysis communication for newly admitted residents, resulting in serious harm and possibly the death of the resident (Resident #1). […]

• Immediate jeopardy, isolatedF698Aug 7, 2024

  Based on record review and interviews, the facility failed to protect the residents' rights to be free from neglect for newly admitted residents requiring dialysis treatments. The facility failed to ensure a newly admitted resident received dialysis services in a timely manner causing the resident to be transferred to a higher level of care, affecting 1 of 3 residents reviewed for dialysis (Resident #1). The facility failed to ensure resident rights to prevent neglect regarding care and services for dialysis communication for newly admitted residents, resulting in serious harm and possibly the death of the resident (Resident #1). […]

• Immediate jeopardy, isolatedF689Apr 10, 2024

  Based on interview, observation, and record review, the facility failed to provide adequate supervision and properly functioning wanderguard doors (wander monitoring system device) for 1 of 3 sampled residents reviewed for elopement risk (exiting the facility unsupervised) (Resident #1). The deficient practice allowed Resident #1 to exit the facility undetected on 03/27/24 at approximately 6:00 PM and walk 1.4 miles away from the facility. Resident #1 was found by the police while displaying confusion, resulting in a transfer to a local hospital. These actions resulted in Immediate Jeopardy. The facility administrator was informed of the Immediate Jeopardy on 04/10/24 at 4:48 PM. At the time of the investigation there were 11 residents who were identified as wander/elopement risk. […]

• Actual harm, isolatedF600Aug 7, 2024

  Based on record review and interview, the facility failed to ensure newly admitted residents, dependent on dialysis, received dialysis services in a timely manner causing the resident to be transferred to a higher level of care affecting 1 of 3 residents reviewed for dialysis (Resident #1). The findings included: A review of Resident #1's medical record revealed the resident was admitted to the facility on [DATE] with diagnoses including, but not limited to, chronic kidney disease, colostomy, pressure ulcer of the sacral region, contracture, aphasia following cerebral infarction, end stage renal disease, non-ST elevation myocardial infarction, dependence on renal dialysis, congestive heart failure, and type II diabetes. […]