Aviata at West Palm Beach

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Mar 13, 2026

  Based on record review and interview, the facility neglected to honor a resident's full code status and failed to perform emergency care/cardio-pulmonary resuscitation (CPR) on 1 of 3 residents reviewed for advanced directives (Resident #1). The facility did not perform basic life support according to the physician's orders and advanced directives and the resident died. The staff neglected to inform administration of the incident. The Immediate Jeopardy began on [DATE] at 11:15 PM. The Immediate Jeopardy was removed effective [DATE]. The facility self-identified the serious incident as noncompliance that was Immediate Jeopardy and took immediate actions to remove the Immediate Jeopardy on [DATE]. […]

• Immediate jeopardy, isolatedF678Mar 13, 2026

  Based on record review and interview, the facility failed to honor a resident's full code status and failed to perform emergency care/cardio-pulmonary resuscitation (CPR) on 1 of 3 resident's reviewed for advanced directives (Resident #1). The facility did not perform basic life support according to the physician's orders and advanced directives and the resident died. The Immediate Jeopardy began on [DATE] at 11:15 PM. The Immediate Jeopardy was removed effective [DATE]. The facility self-identified the serious incident as noncompliance that was Immediate Jeopardy and took immediate actions to remove the Immediate Jeopardy on [DATE]. The facility continued to implement corrective actions until they achieved substantial compliance for F678. […]

• Immediate jeopardy, isolatedF678May 3, 2023

  Based on staff interviews, observations, and clinical record review, the facility failed to provide complete and correct Cardiopulmonary Resuscitation (CPR) in accordance with healthcare professional standards of practice, the resident's documented wishes, and physician's order for 1 of 3 residents reviewed for emergency care (Resident #1). Resident #1 had a full code status effective [DATE]. On [DATE] at 12:24 PM the resident was unresponsive and had no pulse or respiration. A code blue was called, and CPR was initiated consisting of chest compressions only, no rescue breathing was performed due to no bag-valve-mask (also known as an Ambu bag) available. […]

• No harm, potential for more than minimal, patternF812May 31, 2024

  Based on observations, interviews and record reviews, the facility failed to provide foods prepared under sanitary conditions and in accordance with standards for food safety professionals. The findings included: 1). During the initial kitchen tour, on 05/28/24 at 8:48 AM, accompanied by the District Manager for Health Services Group (contracted to oversee the kitchen/dietary ) the following were noted: a. An employee's personal cellular device on prep table by the walk in cooler. b. There was an accumulation of food residue on the sharpening stones to slicer. c. A 1/3 sized six inch deep container of barbecued pork in the process of cooling from the previous day was 49 degrees Fahrenheit (F). […]

• No harm, potential for more than minimal, patternF585Dec 16, 2021

  Based on interview and record review, the facility failed to act in a timely manner to resolve grievances expressed by residents, affecting 6 of 6 sampled residents, Residents #8, #20, #39, #45, #51 and #71. The findings included: The facility's policy titled, Clinical Guideline - Complaint/Grievance, dated 11/30/14 and most recently revised on 08/09/18, documented: * The Grievance Officer / designee shall act on the grievance and begin follow-up of the concern or submit it to the appropriate department director for follow-up. * The grievance follow-up should be completed in a reasonable time frame; this should not exceed 14 days. * The findings of the grievanc shall be recorded on the Complaint / Grievance Form or electronic equivalent. […]