Aviata at the Sea - Harbor Beach

In the surveyor’s words

From the most serious findings on record at Aviata at the Sea - Harbor Beach, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Nov 5, 2021

  Based on interviews, observations, record reviews and policy review, the facility failed to prevent neglect by failing to appropriately assess a resident as an elopement risk for 3 of 5 sampled residents reviewed for elopements (Residents #1, Resident #39, and Resident #6). Additionally the facility failed to implement facility Elopement Risk Evaluation/Assessment at the time of admission, facility failed to provide staff with instructions/policy procedure to communicate increase exit seeking behavior to identify need to increase supervision, failed to administer [CONDITION(S)] medications as ordered, failed to instruct staff on what to do if a resident exits the 8 doors in the facility, and failed to do elopement drills. […]

• Immediate jeopardy, isolatedF689Nov 5, 2021

  Based on interviews, observations, record reviews and policy review, the facility failed to prevent a vulnerable resident with memory and cognitive deficits from exiting the facility unsupervised. The facility did not provide supervision to prevent an elopement of 1 of 5 sampled residents reviewed for elopement risk (Resident #1). The deficient practice allowed Resident #1 to elope from the facility undetected on [DATE] between 7:00 AM and 7:05 AM. The findings included: The facility's Policies and Procedures titled Missing Patient/Resident effective date [DATE] and revised on [DATE] has an Overview Staff will investigate cases of missing patient/resident and possible elopement. […]

• No harm, potential for more than minimal, widespreadF812Sep 11, 2025

  Based on observations and interviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety and sanitary conditions, and to prevent foodborne illnesses, during 2 of 2 tours in the central kitchen. The findings included: A review of the Food Safety Guide dated September 19, 2023, showed that raw chicken should be in the refrigerator for 1 to 2 days https://www.foodsafety.gov/food-safety-charts/cold-food-storage-charts.In a tour of the central kitchen conducted on 09/08/2025 at 9:08 AM, accompanied by the food service manager, the following issues were noted:The reach in freezer was noted with a pack of frozen meat patties that were not labeled and did not have the date of when the frozen meat patties were placed… […]

• No harm, potential for more than minimal, patternF584May 9, 2024

  Based on observation and interview, it was determined that the facility failed to provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior for 16 of 28 resident rooms, 1 of 2 community shower rooms, main dining room, ice machine room, and 1 of 1 clean linen storage rooms. The findings included: 1) During the observation of the commercial ice machine room which is located in a room just off the main dining room on 05/07/24 at 1 PM accompanied with the Corporate Housekeeping Director (CHD). The floor of the entire room was heavily soiled and stained black in color. […]

• No harm, potential for more than minimal, patternF584Feb 23, 2023

  Based on observations, interviews, and record review, the facility failed to maintain the hot water temperature at an acceptable level for the safety of the residents observed during an Environmental tour for 7 rooms out of 20 rooms occupied. The findings included: The policy titled, Monitoring and Recording Facility Hot Water Temperatures for Residents' Rooms, Common Areas, and Shower Rooms, dated 11/30/2014, showed to maintain and control hot water temperatures within the facility to federal and state standards. Hot water temperatures will be maintained at an acceptable level for the safety of the residents and staff. […]