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
(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:
106084
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
106084
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
08/13/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Avante at Ocala, Inc
2021 SW 1st Ave
Ocala, FL 34474
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
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
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
106084
If continuation sheet
Page 2 of 3
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
106084
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
08/13/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Avante at Ocala, Inc
2021 SW 1st Ave
Ocala, FL 34474
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 0809
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
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.
Event ID:
Facility ID:
106084
If continuation sheet
Page 3 of 3