Aviata at the Palms

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Nov 20, 2025

  Based on observations, interviews, and record review, the facility failed to ensure the resident's right to be free from neglect for one resident (#3) out of two residents reviewed for neglect and abuse. The facility neglected to provide Resident #3 with the correct physician ordered diet and resulted in the resident choking, which required staff to execute the Heimlich maneuver. Resident #3's care plan and speech therapy evaluation showed the resident needed assistance with dining and supervision as needed. Observations of the resident during the lunch dining on 11/17/25 and 11/18/25 revealed he was not in the upright position when eating, which increased the risk of choking, and one to one supervision was not observed. […]

• Immediate jeopardy, isolatedF689Nov 20, 2025

  Based on observations, interviews, and record review, the facility failed to ensure residents were free from avoidable accidents for two residents (#3 and #2) out of three residents reviewed for accidents.The facility failed to provide Resident #3 with the correct physician ordered diet and resulted in the resident choking, which required staff to execute the Heimlich maneuver. Resident #3's care plan and speech therapy evaluation showed the resident needed assistance with dining and one to one supervision. Observations of the resident during the lunch dining on 11/17/25 and 11/18/25 revealed he was not in the upright position when eating, which increased the risk of choking, and one to one supervision was not observed. […]

• Immediate jeopardy, isolatedF692Nov 20, 2025

  Based on observations, interviews, and record review, the facility failed to ensure residents were provided the correct physician ordered therapeutic diet for one resident (#3) out of twenty-three residents sampled with texture-modified diets. The facility failed to provide Resident #3 with the correct physician ordered diet which resulted in the resident choking, and required staff to execute the Heimlich maneuver. Resident #3's physician ordered diet on 11/9/25 was a controlled carbohydrates (CCHO) diet, pureed texture, and regular/thin consistency due to advanced dementia and swallowing difficulties. The resident was provided a regular consistency meal for lunch. […]

• Immediate jeopardy, isolatedF726Nov 20, 2025

  Based on observations, interviews, and record review, the facility failed to ensure licensed nursing staff were knowledgeable and competent to provide care and services for three residents (#3, #11, and #2) out of eleven residents sampled related to: 1) failure to prevent accidents resulting in a choking and a fall incident; 2) failure to follow physician orders and care plan for therapeutic diets and positioning; and 3) failure to follow speech therapy recommendations for positioning and assistance when eating. The facility failed to provide Resident #3 with the correct physician ordered diet and resulted in the resident choking, which required staff to execute the Heimlich maneuver. […]

• Immediate jeopardy, isolatedF600Mar 23, 2023

  46234 Based on record review, interviews, hospital record review, facility documentation and policy review the facility failed to ensure one (Resident #2) of three residents reviewed for diabetic management was free from neglect regarding neglecting to provide insulin to a Resident admitted to the facility with a diagnosis of insulin dependent Type II Diabetes. Resident #2 had been using an insulin pump for just under a year and their blood glucose levels were controlled with the insulin pump. Prior to the insulin pump Resident #2 was on daily insulin injections. After admission to the facility, Resident #2 was not provided insulin and showed signs of hyperglycemia (high blood glucose levels) including lethargy, excessive thirst and coma. […]