Aviata at Sand Key

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Oct 31, 2023

  Based on record review, interviews, hospital record review, facility documentation and policy review, the facility failed to protect the resident's right to be free from neglect for one Resident (#1) of three residents reviewed for change in condition. On [DATE] during a 12 hour shift when Resident #1 exhibited shortness of breath and not feeling well, was unable to perform her normal daily activities, unusual behaviors and was begging to go to the hospital the nurses on duty neglected to respond with in a way that could have helped the resident. There were no PRN (as needed) medications provided to the resident except pain medication, no documented assessments or vital signs (VS), no call to the resident's provider, and no call to the resident's family. […]

• Immediate jeopardy, isolatedF726Oct 31, 2023

  Based on record review, interviews, hospital record review, facility documentation and policy review, the facility failed to ensure nursing staff were competent to recognize and respond to a change in condition for one resident (#1) out of three residents reviewed for change in condition. On [DATE] Resident #1 complained of shortness of breath and not feeling well, was unable to perform her normal daily activities, exhibited unusual behaviors and was begging to go to the hospital. The aide assigned to the resident notified the nurses on duty of the resident's condition and complaints multiple times during a 12-hour shift. There were no documented assessments, vital signs (VS) or notifications to a physician or family member. […]

• Actual harm, isolatedF678Aug 27, 2026

  Based on record review, interviews, and facility policy review, the facility failed to implement and continue Cardiopulmonary Resuscitation (CPR) for one (#1) of three residents reviewed. Findings included: Record review of the facility's policies and procedures, Advanced Directives, last revised on [DATE], revealed the following:Policy: The Center will abide by stated and federal laws regarding advance directives. The center will honor all properly executed advance directives that have been provided by the resident and/or resident representative. […]

• No harm, potential for more than minimal, widespreadF725Feb 1, 2024

  Based on observations, interviews, and record review, the facility failed to ensure sufficient staffing in order to provide care and services to residents on four (100, 200, 300 and 400) of four halls observed Findings Include: 1. On 1/29/2024 at 7:00 AM an observation occurred of Staff O, Registered Nurse (RN) stating to another employee, I refuse to take over two medications carts that are across the building, that is too much. On 1/29/2024 at 7:30 AM an observation of Staff O, RN was in the Nurse Manager office stating, only taking the cart accepted on the 300 hallway and to accept the cart for 100 hallway is too much for one nurse. On 1/29/2024 at 7:45 AM an observation of Staff O, RN speaking to Staff C, RN. […]

• No harm, potential for more than minimal, widespreadF885Feb 15, 2023

  Based on record review and interview, the facility failed to inform resident representatives and family members by 5 p.m. of the next calendar day for three or more residents or staff with a new-onset of respiratory symptoms occurring within 72 hours of each other. after twenty-seven (#1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16, #17, #18, #19, #20, #21, #22, #23, #24, #25, #26, and #27) of twenty-seven residents acquired the COVID-19 virus. Findings include: Review of the facility-provided list, Positive Residents in the last 4 weeks, 1/16/23 and the last notification letter, dated 1/17/23, that was sent to family members and resident representatives, identified the following residents had tested positive for COVID-19 after the notification letter was sent: -… […]