Inspection·January 31, 2025

F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm Based on record review and interview, the facility failed to ensure residents received services as ordered by physician for 1 of 3 sampled residents, Resident #1. Residents Affected - Few Findings include: During an interview on 1/31/2025 at 3:44 PM, Resident #1 stated, I have not seen a urologist or pulmonologist. I cannot make my own appointments because I am new to the area and don't know what doctors to call. Review of Resident #1's physician order dated 10/22/2024 showed it read, Urology Consult. Review of Resident #1's physician order dated 10/22/2024 showed it read, Pulmonologists consult for lung cancer. Review of Resident #1's physician order dated 10/22/2024 showed it read, Oncology consult to manage lung cancer. Review of Advanced Practice Registered Nurse (APRN) #1 visit note for Resident #1 dated 10/21/2024 showed it read, History of Present Illness . Reports that he feels well. Denies any issues of concern. Continue to monitor. Patient would like to see pulmonology, urology, oncology, and pain management. Referral given to nursing. Review of APRN #1 visit note for Resident #1 dated 11/18/2024 showed it read, History of Present Illness . Reports feeling well. Reports that he saw ID and was told he is doing well. Patient reports that he would like to see Urology. He is working closely with the scheduler to set that up. No issues reported from nursing. Continue to monitor. Review of the facility's transportation log from 11/1/2024 through 1/31/2024 did not show Resident #1 scheduled for a urologist consult, pulmonologist consult, or oncologist consult. During an interview on 1/31/2025 at 1:23 PM, the Director of Nursing (DON) stated, The staff review the chart and put an order in the system. The scheduler makes the appointment and arranges transportation. During an interview on 1/31/2025 at 2:52 PM, Staff E, Medical Records, stated, I have been in this position for two weeks. I reached out to the last scheduler and could not find any information on appointments for urology, oncology or pulmonology being scheduled for [Resident #1's name]. (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 2 Event ID: 105304 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 105304 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/31/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avante at Leesburg, Inc 2000 Edgewood Ave Leesburg, FL 34748 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)