Inspection visit
Fire Safety inspection
Citations
22 citations recorded*CMS
This is a Fire Safety survey. CMS cites these findings under the Life Safety Code and Emergency Preparedness rules, a separate set from the health (F-tag) deficiencies. The codes and grading differ, so these do not link to the health violation pages.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0006GeneralS&S Epotential for harm
Conduct risk assessment and an All-Hazards approach.
- 0009GeneralS&S Epotential for harm
Include a process for Emergency Preparedness collaboration.
- 0015GeneralS&S Epotential for harm
Address subsistence needs for staff and patients.
- 0018GeneralS&S Epotential for harm
Establish procedures for tracking staff and patients during an emergency.
- 0025GeneralS&S Epotential for harm
Create arrangements with other facilities to receive patients.
- 0029GeneralS&S Epotential for harm
Develop a communication plan.
- 0033GeneralS&S Epotential for harm
Establish methods for sharing information.
- 0035GeneralS&S Epotential for harm
Provide family notifications of emergency plan.
- 0039GeneralS&S Epotential for harm
Conduct testing and exercise requirements.
- 0042GeneralS&S Epotential for harm
Meet the requirements of an integrated health system.
- 0211GeneralS&S Dpotential for harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0222GeneralS&S Epotential for harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- 0281GeneralS&S Epotential for harm
Install proper backup exit lighting.
- 0324GeneralS&S Epotential for harm
Provide properly protected cooking facilities.
- 0345GeneralS&S Epotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0372GeneralS&S Epotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 0918GeneralS&S Epotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0923GeneralS&S Epotential for harm
Have proper medical gas storage and administration areas.
- 0926GeneralS&S Epotential for harm
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- 0007GeneralS&S Epotential for harm
Address patient/client population and determine types of services needed.
- 0030GeneralS&S Epotential for harm
List the names and contact information of those in the facility.
- 0032GeneralS&S Epotential for harm
Provide primary/alternate means for communication.
FAQ · About this visit
Common questions about this visit
What happened during the August 18, 2022 survey of AVIATA AT BROOKSVILLE?
This was a inspection survey of AVIATA AT BROOKSVILLE on August 18, 2022. The surveyor cited 22 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at AVIATA AT BROOKSVILLE on August 18, 2022?
Yes, 22 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Conduct risk assessment and an All-Hazards approach."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.
Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.
Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.