Health inspection·December 22, 2025

F 0693 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Based on observations, interviews, and record review, the facility failed to ensure that professional standards of practice were adhered to regarding the changing and dating of enteral feeding equipment for five (Residents #1, #15, #17, #18 and #19) of eight residents reviewed for enteral tube feeding (TF). This could result in the residents not receiving appropriate care and/or clinical complications.1. On 12/22/2025 at 10:00 am, Resident #1 was observed lying in bed with the head of the bed elevated at approximately 30 degrees. Nutren 1.5 enteral feeding was noted to be infusing via g-tube at 60 milliliters (ml)/hour (hr.). The water flush bag was dated on 12/20/2025 at 6:00 am and the enteral feeding bag was undated. (Photographic evidence obtained)Review of Resident #1's medical record revealed an admission date of 5/26/2025. Her diagnoses included Hemiplegia and Hemiparesis following nontraumatic intracerebral hemorrhage affecting right dominant side, Neuromuscular Dysfunction of Bladder, Unspecified Atrial Fibrillation, and Gastrostomy Status.Review of Resident #1's physician's orders revealed free water 180ml/4h to provide 1080 ml of free water with formula and flushes (6/13/2025) and enteral feed two times a day Nutren 1.5ml @ 60ml/hr. x 20 hr. (off 12 am, on 4 am) + 180 ml free water flow q4hr (6/1/2025).2. On 12/22/2025 at 11:30 am, Resident #15 was observed to be lying in bed with the head of the bed elevated at approximately 30 degrees. The resident's water bag for his enteral tubing was undated. (Photographic evidence obtained)Review of Resident #15's medical record revealed an admission date of 10/16/2025. His diagnoses included gastrostomy status, amyotrophic lateral sclerosis, dysphasia, oropharyngeal phase, functional quadriplegia, and major depressive disorder. Review of Resident #15's physician's orders revealed enteral feed order every shift Osmolite 1.5 70 ml/hr. continuous 150 milliliter flush every three hours while pump is on and enteral feed order every shift Osmolite 1.5 start feeding at 0600 infuse at 80 milliliters an hour continuous until 1280 milliliters has been infused flush with 120 milliliters water every two hours while pump is on flushed by syringe 120 milliliters before and after each feed cycle period.3. On 12/22/2025 at 11:40 am, Resident #17 was observed to be lying in bed with the head of the bed elevated at approximately 30 degrees. The resident's water bag for her enteral tubing was undated. (Photographic evidence obtained)Review of Resident #17's medical record revealed an admission date of 5/24/2024. Her diagnoses included hemiplegia and hemiparesis following cerebral infarction, dysphagia, oropharyngeal phase, aphasia, other specified anemias, unspecified severe protein calorie malnutrition, bipolar disorder, other seizures, gastrostomy status, neuromuscular dysfunction of bladder, and gastroesophageal reflux disease.Review of Resident #17's physician's orders revealed enteral feed order two times a day Isosource 1.5 at 55 ml/hr. for 20 hours, flush with 200 milliliters of water every four hours.4. On 12/22/2025 at 11:45 am, Resident #18 was observed to be lying in bed with the head of the bed elevated at approximately 30 degrees. The resident's water bag for her enteral tubing was undated. (Photographic evidence obtained)Review of Resident #18's medical record revealed an admission date of 9/8/2023. Her diagnoses (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: 105617 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 105617 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/22/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avante Villa at Jacksonville Beach Inc 1504 Seabreeze Ave Jacksonville Beach, FL 32250 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)