Aviata at Tallahassee

In the surveyor’s words

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

• Actual harm, isolatedF678Aug 13, 2025

  Based on record review, policy review and staff interviews, the facility neglected to provide basic life support, including cardiopulmonary resuscitation (CPR) to 1 of 3 residents (Resident #1). The facility neglected the resident's needs for emergency care allowing the resident to expire despite a full code status.The findings include: A review of the electronic medical record (EMR) revealed Resident #1 expired on [DATE] at 1:05 PM and that CPR was not performed. Staff A, a Registered Nurse (RN), provided a statement of events that took place on [DATE]. At 1:05 PM, the nurse observed that the resident was not breathing. She checked vital signs with respirations 0, blood pressure 0, and oxygen saturation 0%. […]

• No harm, potential for more than minimal, widespreadF812Jun 20, 2024

  Based on observations, staff interviews, and policy review, the facility failed to store, prepare, and serve food in accordance with professional standards of food service safety. There were issues found with the dish cleaning process, cold food storage, non-food items and personal drinks stored on food preparation stations and a lack of hair containment during food preparation. The findings include: A tour of the kitchen was conducted on 06/17/24 beginning at 12:01 PM. Upon entering the dishwasher room, the following was observed: -Two juice cups and one soup bowl were on the floor of the dishwasher room along with garbage, debris, and a large amount of water. -The ceiling above the dishwasher was rusted through and appeared to be falling apart. […]

• No harm, potential for more than minimal, patternF919Jan 14, 2025

  Based on observation and interview, the facility failed to maintain an adequately equipped call light system for the 100 hall of the building. The findings include: During the initial tour of the facility, it was noted that all the residents in the 100 hall were observed with hand held bells located at the bedside of each resident. When asked about this, the Administrator stated that the call light system was not working and these bells were being used in lieu of the call lights for now. He stated the call light system had been broken in the 100 hall for a very long time. […]

• No harm, potential for more than minimal, patternF550Jun 20, 2024

  Based on observations, review of the electronic medical record (EMR), interviews with staff and residents, and review of the facility policies and procedures, the facility failed to provide a dignified existence for 5 of 6 residents sampled for dignity. (Residents 104, 65, 116, 41, and 120) The findings include: Resident #104 During a tour of the facility conducted on 06/17/24 at 2:53 PM, Resident #104 was observed lying in bed in a hospital gown. When asked why Resident #104 was in a hospital gown, Resident #104 stated she had no clean clothes. She stated she had talked to housekeeping staff and to nursing staff and each told her the responsibility of resident's personal laundry fell on the other. […]

• No harm, potential for more than minimal, patternF584Jun 20, 2024

  Based on observations and staff interviews the facility failed to provide a safe, clean, and homelike environment in the laundry room, main hallway, and the 100 and 200 residential areas. The findings include: On 6/19/24 at 2:51 PM, a tour of the facility laundry services area was conducted with the Facility Administrator (FA), District Manager of Housekeeping Services, the Facility Laundry Services Supervisor, and the Plant Operations Director. Upon opening the door to the soiled laundry processing area, concerns were identified. On the right side of the room was a shelf overflowing and stacked with linens to the ceiling. A blue disposal can was directly in front of the shelf with linens stacked up on top. There were also linens on the floor below the shelf. […]