Health inspection·June 26, 2024

F 0806 Level of Harm - Minimal harm or potential for actual harm Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Based on observations and interviews, the facility failed to honor the resident's right for food preference for portion sizes for 2 of 5 sampled residents (Resident #1 and #4). Residents Affected - Few The findings include: 1) An interview was conducted with Resident # 1 on 06/25/24 at approximately 10:45 AM. He expressed that the facility no longer provides him with large portions after the new company took over. He further stated that he was a big guy, and this little protein portion of meat is not good. The resident then became emotional and stated, they don't listen to me, I've tried to tell them; this little bit of food is not enough. I will sometime order something from somewhere that will deliver. An observation of the resident's lunch tray on 06/25/24 revealed that the resident was served a small portion of chicken thigh on his plate. The resident's vegetables were in a separate container. The resident again expressed that the serving was insufficient. An interview with the Certified Dietary Manager (CDM) and the resident was conducted on 06/25/24 at approximately 12:30 PM. The resident expressed that his tray was incorrect and that the serving was too small. The CDM informed the resident that the dietitian would have to assess the resident because they could only provide large or double portions when medically necessary. Another interview was conducted with the CDM on 06/26/24 at approximately 12:50 PM, who reported that since the change in ownership, they cannot provide large portions or double portions unless when medically necessary. She then contacted her District Manager, who confirmed this policy. The surveyor further questioned her regarding resident's preferences being honored. She again repeated that this is what she was informed. She further confirmed that the resident previously had large portions but that is no longer honored. An interview was conducted on 06/26/24 at 1:40 PM with the Dietitian. She stated she is new to the facility, but it was her understanding that she must complete a nutritional assessment and the resident has to meet the criteria of medically necessary, to be offered the option of double portions and/or large portions. Residents with wounds, increased BMI, or who have increased caloric needs then we can order but not based on the resident's preferences. We can then put it in as a therapeutic diet and get reimbursed for it. 2) An interview was conducted on 06/26/24 at approximately 2:00 PM with Resident #4. The resident said that he used to get large portions, but he doesn't receive that anymore. He said he was told that with the new owners, they can't get their preferred large portions. It must be a medical reason (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 3 Event ID: 105257 Printed: 05/28/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 105257 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/26/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Aviata at Saint Lucie 611 S 13th St Fort Pierce, FL 34950 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)