Inspection·September 16, 2024

F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm Based on observation, record review, and interviews, the facility failed to ensure adequate nail care and consistent shower services for one (Resident #1) of three residents sampled for Activity of Daily Living services. Residents Affected - Few Findings included: A review of Resident #1's clinical chart, documented an initial admission of 05/2022; readmission of 03/2024. Medical Diagnoses included: Metabolic Encephalopathy; Hyperosmolality and Hyponatremia; Aphasia; chronic kidney disease; contracture of muscle right hand, diabetes insipidus . On 09/16/2024 at 1:08 p.m., a phone interview was conducted with Resident #1's family member. She stated she communicated with (Resident #1) daily by way of video chat. She stated his appearance was unclean at times and his fingernails are long and unclean. On 09/16/2024 at approximately 1:30 p.m., Resident #1 was observed in his room, sitting in his wheelchair at bedside. He agreed to answer questions. He showed the surveyor his hands. Resident #1 was observed to have a closed right hand, which he pulled open to show his nails. The skin on the right hand was observed to be dry and scaly in appearance. His fingernails were observed to be longer in length, approximately ¼ inch beyond the nail bed, darker yellowish discolor in appearance and uneven. When asked if he would like his nails to be cut, he nodded yes. On 09/16/2024 at approximately 1:40 p.m., Staff A, Licensed Practical Nurse (LPN) was interviewed. She said she was familiar with Resident #1, and stated, For nails, we have a podiatrist that comes in weekly. That is Social Services responsibility for scheduling the residents. I do not deal with the nails. Shower sheets are in the books. Certified Nursing Assistants (CNAs) fill them out. There is a shower schedule. A review of the shower schedule in the book reflected Resident #1's room to be scheduled for two times per week, Monday and Thursdays during the 7:00 a.m. to 3:00 p.m. shift. On 09/16/2024 at 1:59 p.m., the Social Service Director (SSD) was interviewed. She stated for male residents, the CNAs or Nurses would cut the residents fingernails. She said, for the toenails, the facility has a podiatrist group. For diabetic residents, the podiatrist would have to see the resident. She stated at this time, there had been a transition to a new podiatrist group, (name of company). She stated she had a list of residents that are to be seen by them. She stated she would put a resident on the list if she was told to by the CNAs or nursing staff. On 09/16/2024 at 2:25 p.m. the SSD was re-interviewed, she provided documentation of podiatrist (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: 105895 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 105895 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/16/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Aviata at Seminole 9393 Park Blvd Seminole, FL 33777 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)