Health inspection·August 13, 2025

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Based on interviews and observations, the facility failed to ensure sufficient clean linen, washcloths, towels, and protective bed pads, to meet the care needs of residents Findings include:During an interview on 8/13/2025 at 4:30 PM, Resident #5 stated, At the end of a shift, we have to wait for the laundry to deliver or someone has to go get some from the laundry. The laundry is not open during the night shift.During an interview on 8/13/2025 at 4:45 PM Resident #1 stated, I do not have anything to wash my face and hands.During an interview on 8/13/2025 at 6:15 PM, Resident #6 stated, The aids scramble at the end of shift to find bed pads that help keep the sheets dry. They do not have enough.During an interview on 8/13/2025 at 8:40 PM Resident #2 stated, I have reported it [not enough linens, washcloths or towels]. They do not have enough to last the night. I have had to wait to get clean washcloths and towels.During an interview on 8/13/2025 at 4:58 PM Staff L, Laundry Staff stated, Generally the CNAs will let me know if they need any linen. I work until 12 midnight. They do run out before the end of the shift and let me know when I come in here. I try to make sure they have what they need to start their night shift.During an interview on 8/13/2025 at 5:00 PM Staff A, LPN (Licensed Practical Nurse) stated The aides are always running out of wash cloths and bed pads before the shift is over and before laundry brings more.During an interview on 8/13/2025 at 5:05 PM Staff C, RN (Registered Nurse) stated, The aids struggle at times with not having enough linen and pads.During an interview on 8/13/2025 at 5:10 PM Staff E, CNA stated, We still have problems with not having enough supplies gloves and washcloths and bed pads before the shift is over. Right now, we do not have any gloves except for the small size. During an interview on 8/13/2025 at 5:17 PM Staff G, CNA, stated, I do run out of washcloths usually before the shift is over.During an interview on 8/13/2025 at 5:18 PM, Staff H, CNA stated, I have enough to start my shift [linen] but run out sometimes before the end of shift. During an interview on 8/13/2025 at 5:20 PM Staff I, CNA stated, We do not have enough supplies. I bring my own wipes for the residents, and we do not have enough washcloths, towels and pads to last the night. We have no large size gloves [while pointing to the Personal Protective Equipment supply container outside of a room with Enhanced Barrier Precautions sign]. I have come in and had the laundry cart be empty. It is hard to provide toileting care if you do not have supplies to use for the Residents.During an interview on 8/13/2025 at 6:20 PM Staff D, RN stated, The CNAs [Certified Nursing Assistants] can let you know if they have enough linen.During an interview on 8/13/2025 at 11:30 PM, Staff J, CNA (11PM-7 AM shift) stated, I have seven bed pads and I can definitely run out of pads because I have a lot of heavy frequent wetters.During an interview on 8/13/2025 at 11:45 PM Staff K, CNA stated, I only work part time but linen is an issue, we have linen to begin the shift but usually run out before the shift is over. I have five pads and that is not enough when you have residents that are frequently incontinent. Laundry is locked up so we cannot get anything from there.During observations on 8/13/2025 beginning at 11:45 PM of the linen carts it showed one cart had four Page 1 of 3 106084 106084 08/13/2025 Avante at Ocala, Inc 2021 SW 1st Ave Ocala, FL 34474

F 0584 Level of Harm - Minimal harm or potential for actual harm protective bed pads (which are absorbent layers placed on beds to absorb moisture and protect the underlying material from leaks and stains, primarily due to urinary incontinence, bedwetting, or excessive sweating), two carts had five protective bed pads, and one cart had seven protective bed pads available for the entire shift. Residents Affected - Few 106084 Page 2 of 3 106084 08/13/2025 Avante at Ocala, Inc 2021 SW 1st Ave Ocala, FL 34474

F 0809 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Based on interviews, observations, and policy and procedure review the facility failed to ensure snacks were offered and/or served to 5 of 5 residents, Residents #1, #2, #3, #4, and #5, sampled for evening snacks.Findings include:During an interview on 8/13/2025 at 4:30 PM Resident #3 stated, I am a diabetic. They never come to you or your room and ask if you want a snack. You can get a snack if you go to the nurses' station and ask for one. Residents #4 and #5 were present during the interview. Resident #4 stated, That is if there is someone at the desk to ask. Resident #5 added, Not all the residents can come to the nursing station. My roommate can't come to the nurses' station. The CNAs (Certified Nursing Assistants) should check with all the residents and ask them if they want a snack.During an interview on 8/13/2025 at 4:45 PM with Resident #1 when asked when snacks are provided Resident #1 stated, They don't come around and give you snacks.During an interview on 8/13/2025 at 8:40 PM, Resident #2 stated, I don't like to leave my room because I have seizures, and I am photosensitive. No one ever comes to my room and offers me a snack.During observations on 08/13/2025 beginning at 5:05 PM there were three drawer plastic containers at each nurses' station with snacks observed inside the containers.During an interview on 8/13/2025 at 5:00 PM Staff A, LPN (Licensed Practical Nurse) stated, Residents can come to the desk, and we give them a snack upon request.During an interview on 8/13/2025 at 5:03 PM, Staff B, LPN stated Snacks are available in the plastic three drawer container at the nursing station. The Residents come up to the station and request snacksDuring an interview on 8/13/2025 at 6:20 PM, Staff D, RN (Registered Nurse) stated The CNAs can let you know how snacks are provided.During an interview on 8/13/2025 at 5:10 PM Staff E, CNA stated, Snacks are available for residents when requested. During an interview on 8/13/2025 at 5:17 PM Staff G, CNA, stated, The Resident come to the nursing desk, and we provide snacks or if they request one.During an interview on 8/13/2025 at 5:18 PM, Staff H, CNA stated, Snacks are provided when requested.During an interview on 8/13/2025 at Staff I, CNA stated, Snacks are available at the nursing station.Record review of the policy and procedure titled, Offering/Serving Bedtime Snacks with a review date of 6/6/2025, read Policy: It is the practice of this facility to offer and serve residents with a nourishing snack in accordance with their needs preferences and requests at bedtime on a daily basis. 1. The nursing staff offers bedtime snacks to all residents in accordance with the residents' needs, preferences, and requests on a daily basis. 2. Dietary services staff deliver bedtime snacks to each nurses' station. The Charge Nurse is made aware of the delivery of the snacks. 3. Nursing staff delivers and serves snacks to residents within (specify time frame) from arrival to the unit. 106084 Page 3 of 3