Health inspection·August 14, 2023

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some it has been out for a few weeks and the administration is aware of it and some of the residents have fans. The facility had not initiated new interventions for the residents to prevent dehydration, the staff pass ice water each shift and nourishments. On 8/14/23 at 9:25 a.m., the Resident Council President, Resident #950 said, Thank God you are here. It gets so hot here. They gave me a fan, but it doesn't help. The interim Administer that was here knew about the problem with the cooling system, we reported it all the time, but he didn't do anything to address it. I would say it has been malfunctioning for the last two months at least. It blows out hot air, not cold. We complain but it does not get addressed so most people have stopped reporting it. They bring ice and water but for the ones who can't ask or reach it, they don't get extra fluids. No one comes and offers us juice or anything, you get what you get on your meal tray. Once a shift they pass the ice and water. On 8/14/23 at 9:35 a.m., Resident #899 said, By noon it is so hot in here. My mother brought this fan for me, but it just blows the hot air. I have reported it to anyone who walks in this room, and they all say the facility is working on it. They know are aware, but they don't fix the problem. I have not been offered extra fluids, just the ice. I'm lucky my mother brings in drinks for me. On 8/14/23 at 9:45 a.m., Certified Nursing Assistant (CNA) Staff A said, It gets hot in here in the afternoon, right now it is not as bad because it is still early. The employee breakroom is very hot. The facility knows about it, you sweat your butt off in here. I don't know of anything special the facility initiated for the residents because of the heat. They don't send extra fluids or anything. I personally have not gotten sick from the heat here, but I know some of the staff have felt sick. On 8/14/23 at 10:15 a.m., CNA Staff B said, It is hot here during peak hours from 1:00 p.m., to 5:00 p.m., it gets really bad. I see them working on the cooling system, but it hasn't helped. Some residents have fans, and some have air cooling systems. The CNA said the facility had not initiated anything new for the residents as far as hydration, We pass ice water. Residents who can't reach the water or ask for fluids we try and go in and offer fluids and we offer them when we do care. On 8/14/23 at 10:30 a.m., the Speech Therapist said, The air conditioning had been off for several weeks and it is very hot in the therapy rooms. We usually see Residents in their rooms because it is cooler. The Rehab Director has reported it in the daily management meetings. On 8/14/23 at 10:45 a.m., the Maintenance Director said Three cooling systems are not functioning, including the nursing stations and the therapy rooms. The heat exchange is at its maximum and blowing hot air. The air-conditioning system was insufficient for the extreme temperatures. The Maintenance Director said he was using a laser surface thermometer (measures the surface temperature of an object) to obtain the room temperatures in the facility and was not aware it was the incorrect device to use. He said he had tried to correct the problem himself and the management team was aware of the problems with the cooling system. He said there was no cooling company at present that had been out to assess the problem. He confirmed the air-conditioning had been out for a couple of weeks and said, he gets complaints and is working on it. Review of the Maintenance Work Request revealed: (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105416 If continuation sheet Page 2 of 5 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 105416 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/14/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Aviata at Beneva 741 South Beneva Road Sarasota, FL 34232 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)

F 0584 On 7/16/23 rooms [ROOM NUMBERS] air-conditioning (a/c) was not working. Level of Harm - Minimal harm or potential for actual harm On 7/17/23 room [ROOM NUMBER] the a/c was not getting cold On 7/18/23 room [ROOM NUMBER] the a/c is not cooling. Residents Affected - Some On 7/21/23 room [ROOM NUMBER] the a/c was not working. On 7/26/23 room [ROOM NUMBER] the a/c is broken. On 8/1/23 room [ROOM NUMBER] the a/c is not cooling the room. On 8/3/23 Please check a/c in room [ROOM NUMBER], set at 70 and the room is 80 degrees. On 8/7/23 room [ROOM NUMBER], 101, 102, 400 and 402 a/c not working. 8/7/23 room [ROOM NUMBER] and 221 a/c blows but not keeping cool. 79 degrees now when set at 70 degrees. Please provide fan to (Resident #899), patient is very uncomfortable and has health issues affected by the heat. On 8/9/23 rooms [ROOM NUMBERS] a/c not blowing cold, rooms are hot. On 8/14/23 at 11:00 a.m., Resident #800's visitor said, I have reported how hot it is here every day. I tell the nurse and I tell the front desk when I am leaving. I can't stay as long as I would like, because I start to sweat so bad, and I have to leave. I know the a/c has been down for a while, it blows out hot air, not cold. It gets so hot here around 1:00 p.m., it is terrible. There is no fan in here. On 8/14/23 at 11:30 a.m., the Social Service Director said, It has been so hot here and the facility had not done anything to fix the a/c until today, now they want to jump to fix it. It was over 100 degrees here last week. A lot of the residents and staff are on medications, and most cannot tolerate the extreme heat here. I just came from two rooms and the thermostat reading was over 80 degrees. By noon it gets so hot in here. The residents have not filed a grievance, and no one has mentioned it in the Resident Council but let me tell you, they are reporting it and the facility knows about it. In morning standup meetings, it is discussed. I have worked the last seven days and I have gone out and purchased with my own funds ice cream, popsicles, whatever it takes that they will accept. I offer the residents water when I am with them. The facility has not initiated any interventions for the residents. If the resident can't get to the water or say something, they don't get anything. On 8/14/23 at 11:45 a.m., CNA Staff E said, It gets hot in here especially after 1:00 p.m. The CNA said, I have not been sick because of the heat but I know some of the other CNA's have felt sick. The heat just makes me really tired. I see the maintenance director always working on the units in the resident rooms, but it doesn't fix it. Some residents have reported it. We have not been told about any new hydration plan, we pass ice and water every shift and if the resident asks for more we get it. On 8/14/23 at 12:30 p.m., during a second tour of the facility, the following temperatures were recorded using a hygrometer: (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105416 If continuation sheet Page 3 of 5 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 105416 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/14/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Aviata at Beneva 741 South Beneva Road Sarasota, FL 34232 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)

F 0584 12:30 p.m., the front lobby and hallway temperature was 90.1 degrees F. Level of Harm - Minimal harm or potential for actual harm 12:45 p.m., in room [ROOM NUMBER] the temperature was 82 degrees F. 12:50 in room [ROOM NUMBER] the temperature was 77.8 F. Residents Affected - Some 1:00 p.m., room [ROOM NUMBER] was 83.3 degrees F, and room [ROOM NUMBER] was 82.2 degrees F. 1:15 p.m., the therapy room thermostat was 86 degrees F, and the therapy gym was 82.5 degrees F. On 8/14/23 at 12:20 p.m., the Physical Therapy Assistant said, The therapy room has been hotter than it was in recent years. We notify the Therapy Director, and she brings it up in the morning stand up management meeting. The Maintenance Director has been in here multiple times, but he has not fixed the problem. On 8/14/23 at 12:40 p.m., Resident #850 showed the thermostat reading was 80 degrees F in his room. He said, This has been going on for weeks. It gets so hot in here it's terrible, you lay here and sweat. They didn't bring me a fan, that might help. The Maintenance Director has been here several times working on it, but it's not fixed yet. I don't know what is taking so long, it just blows hot air. Right now, it is raining so it has cooled off slightly. On 8/14/23 at 1:15 p.m., the Administrator confirmed there was no long-term plan for the malfunctioning air conditioning (a/c) units. She said the facility did not initiate a log to keep track of the temperature. She said, I have them starting a temperature log today to establish a baseline. The Administrator said the Maintenance Director used the wrong thermometer, a laser surface thermometer so inaccurate readings have been used for resident room and facility temperatures. She said the interventions initiated included keeping the curtains and the blinds closed. They have four more spot coolers coming today from other facilities. The Administrator confirmed the facility had no plan in place to address the malfunctioning cooling system before today. On 8/14/23 at 1:30 p.m., the Director of Nursing (DON) said the staff pass hydration two to three times a shift including with meals, but confirmed there was no plan in place to ensure the residents received adequate hydration as the temperatures inside the facility increased. The DON said today she has initiated a two-hour hydration plan and the staff do monitor the resident's vital signs each shift. The DON said not every resident was provided with a fan. She said residents have fans if they report their rooms were warm and we see the temperature in the room is 80 degrees or higher, then we get them a fan. The DON verified the facility did not keep a log of room temperatures to identify rooms where the temperature was above 81 degrees F. On 8/14/23 at 2:00 p.m., Resident #900 said, It is always warm in here and by 3:00 p.m., it is really hot. I have reported it to the nurse, and I'm told they are working on it, they are always working on it. It gets so hot here I can't take it, I don't want to move. The a/c is blowing but it is not cold, it blows hot air. What good is that? On 8/14/23 at 2:30 p.m., the Therapy Director said it was approximately two weeks since the temperatures started climbing in the therapy room and the facility. She said because of the heat in the therapy rooms, they work with the residents wherever they want, in the gym, the hallway or their rooms. No one has declined therapy because of the heat, and she could not say there had been a change in (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105416 If continuation sheet Page 4 of 5 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 105416 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/14/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Aviata at Beneva 741 South Beneva Road Sarasota, FL 34232 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)

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete the residents who are receiving therapy. She has taken the concern to the daily management meeting, and was told there were waiting on parts for the a/c. The Therapy Director said, there are currently 32 residents on case load right now. This room is always warm, but it has been much warmer in the last two to three weeks. The thermostat reads 86 degrees F here right now. On 8/14/23 at 4:00 p.m., the Administrator said there was no documentation to show the facility air conditioning system was inspected by an air conditioning service company. Event ID: Facility ID: 105416 If continuation sheet Page 5 of 5