Aviata at Spring Hill

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Sep 1, 2022

  Based on observation, interview, and record review, the facility failed to ensure residents were free from medical neglect by allowing unqualified facility staff to work outside of their scope of practice, administering intravenous (IV) medications via a peripherally inserted central catheter (PICC) line for 1 of 2 residents, Resident #84, without certification of education, training, and validation of competency for IV medication administration. IV infusion without IV certification and validation of competency could result in the likelihood of serious harm and/or death for residents who are administered IV medication infusions. […]

• Immediate jeopardy, isolatedF726Sep 1, 2022

  Based on observation, interview, and record review, the facility failed to ensure licensed nurses had appropriate competencies and skills sets to provide nursing and related services to residents by allowing unqualified facility staff to work outside of their scope of practice, administering intravenous (IV) medications via a peripherally inserted central catheter (PICC) line for 1 of 2 residents, Resident #84, without certification of education, training, and validation of competency for IV medication administration. IV infusion without IV certification and validation of competency could result in the likelihood of serious harm and/or death for residents who are administered IV medication infusions. […]

• Immediate jeopardy, isolatedF835Sep 1, 2022

  Based on observation, interview, and record review, the facility administration failed to effectively and efficiently attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident by not assuming full responsibility for the day to day operations of the facility by allowing unqualified facility staff to work outside of their scope of practice, administering intravenous (IV) medications via a peripherally inserted central catheter (PICC) line for 1 of 2 residents, Resident #84, without certification of education, training, and validation of competency for IV medication administration. […]

• No harm, potential for more than minimal, widespreadF812Sep 1, 2022

  Based on observation, interview, and record review, the facility failed to ensure food was prepared and stored in a safe and sanitary manner. Findings include: During an initial observation of the main kitchen with Staff G, Cook, on 8/28/2022 beginning at 10:15 AM, there were open items inside the cooler with no opening date including [NAME] El Whole Eggs, a ceramic bowl of purple jelly-like substance, Sysco Imperial Thickened Dairy Drink and a clear bag of approximately four cups of sliced lemons. In the freezer on the floor under the racks, there were pieces of paper trash, small milk cartons. In the dry storage area, there was one container of food wrapped in foil, which was not labeled or dated. […]

• No harm, potential for more than minimal, patternF641Feb 8, 2024

  Based on record review and interview, the facility failed to ensure resident assessment was accurate for 1 of 3 residents reviewed for discharge, Resident #114. Finding include: Review of Resident #114's summary of discharge date d 12/4/2023 at 6:00 PM showed the resident was discharged to home with spouse/family. Review of Resident #114's Minimum Data Set (MDS) Discharge Return Not Anticipated Assessment, dated 1/4/2024, showed the resident was discharged to an acute hospital on 12/4/2023. […]