Health inspection·July 28, 2025

F 0694 Provide for the safe, appropriate administration of IV fluids for a resident when needed. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to provide intravenous (IV) care and services per standards of practice and plan of care for 3 of 3 residents reviewed for IV care, (#4, #5, and #6), of a total sample of 9 residents. Findings: A midline catheter is put into a vein by the bend in the elbow or the upper arm .a midline catheter may allow you to receive long-term intravenous (IV) medicine or treatments, (retrieved on 8/08/25 from www.drugs.com). A peripherally inserted central catheter (PICC) is a long, thin tube that's inserted through a vein in the arm. The tube is passed through to the larger veins near the heart. It is often referred to as a PICC line. A PICC line gives your healthcare professional access to the large central veins near the heart. It's generally used to give medicines or liquid nutrition, (retrieved on 8/08/25 from www.mayoclinic.org). 1. Resident #4 was admitted to the facility from an acute care hospital on 7/16/25 with diagnoses that included cellulitis of the left lower limb, sepsis due to Escherichia coli, type 2 diabetes mellitus and acquired absence of the left foot. Resident #4 had a Midline IV catheter in her right upper arm for administration of IV antibiotics. The physician's orders read, resident #4 received 1-gram (gm) Meropenem solution intravenously every 8 hours and would continue to receive it for nine days for cellulitis. The physician's orders for the midline were to change the dressing to the insertion site (right arm) every seven days and as needed using sterile technique. On 7/28/25 at approximately 10:00 AM, resident #4 was sitting up in bed. A midline IV with transparent dressing on resident #4's right upper arm was undated. Resident # 4 stated the midline dressing had not been changed since coming from the hospital. A review of the Treatment Administration Record (TAR) for July 2025 showed no documentation of dressing changes since 7/18/25. (Photographic evidence provided). 2. Review of the medical record revealed Resident #5 was admitted to the facility on [DATE] from an acute care hospital with diagnoses that included encounter for surgical aftercare, venous insufficiency, cardiac arrest, seizures, major depressive disorder and muscle weakness. Resident #5 had a PICC Intravenous IV line in his left upper arm for administration of antibiotics. The physician's orders showed resident #5 received 1 gram of Ertapenem Sodium Solution Reconstituted intravenously daily for infection, and he would continue to receive it until 7/30/25. There were physician orders to change the PICC line dressing every seven days and as needed using sterile technique. On 7/28/25 at approximately 10:20 AM, resident # 5 was observed sitting up at the side of his bed and spoke about the IV dressing on his left upper arm. He said the IV was inserted in the hospital and had never been changed since he was admitted to the facility. On examination of the site, the date on the dressing was marked as 7/10/25. A total of eighteen days had passed since the dressing had been changed. (Photographic evidence provided). 3. Resident # 6 was admitted to the facility on [DATE] from the hospital and had diagnoses which included Wernicke's encephalopathy (brain dysfunction related to vitamin deficiency), chronic obstructive pulmonary disease, cellulitis of the right and left lower leg, and myositis (inflammation of the muscles). Residents Affected - Some (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: 105671 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 105671 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/28/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avante at Melbourne Inc 1420 South Oak Street Melbourne, FL 32901 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)