Inspection visit

InspectionSeptember 11, 2025

AVIATA AT THE SEA - HARBOR BEACHCMS #28358

Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

Florida State Department of Health <table><tr><td colspan="2">STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS</td><td colspan="2">(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 11940963</td><td>(X2) MULTIPLE CONSTRUCTION A. BUILDING B. WING</td><td colspan="2">(X3) DATE SURVEY COMPLETED 09/11/2025</td></tr><tr><td colspan="3">NAME OF PROVIDER OR SUPPLIER AVIATA AT THE SEA - HARBOR BEACH</td><td colspan="4">STREET ADDRESS, CITY, STATE, ZIP CODE 1615 MIAMI RD , FORT LAUDERDALE, Florida, 33316</td></tr><tr><td>(X4) ID PREFERRED TAG</td><td>SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)</td><td colspan="2">ID PREFERRED TAG</td><td colspan="2">PROVIDER'S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETION DATE</td></tr><tr><td>N0000</td><td>INITIAL COMMENTS</td><td colspan="2">N0000</td><td colspan="2"></td><td></td></tr><tr><td>N0054 SS = D</td><td colspan="6">An unannounced Relicensure survey was conducted on to at Aviata at the Sea-Harbor Beach. The facility had deficiencies identified at the time of the survey. Follow Physician Orders CFR(s): 59A-4.107(5), FAC All physician orders must be followed as prescribed, and if not followed, the reason must be recorded on the resident's medical record during that shift. This LICENSURE REQUIREMENT is NOT MET as evidenced by: Based on observations, interviews and record reviews, the facility also failed to follow a physician order for a medication and failed to follow the professional standards of nursing practice related to the rights of medication administration: the "right time" for 1 of 25 sampled residents (Resident # 26). The findings included: A review of the facility's policy titled, "Oral Administration of Medication", with a revision date of , documented to review Physician's order (1). According to National Institute of Health, Nurses have a unique role and responsibility in medication administration, in that they are frequently the final person to check to see that the medication is correctly prescribed and dispensed before administration. In upholding patient safety, the "five R's" of medication administration are followed. A guiding principle for one of the five rights is of the "right time". The "right time" is ensuring that medications should be prescribed as closely to the time as possible, and nurses should not deviate from this time by more than half an hour to avoid consequences such as altering bioavailability or other chemical mechanisms.</td></tr></table> Office of Primary Care and Health Systems Management STATE FORM Florida State Department of Health <table><tr><td colspan="2">STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS</td><td colspan="2">(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 11940963</td><td>(X2) MULTIPLE CONSTRUCTION A. BUILDING B. WING</td><td colspan="2">(X3) DATE SURVEY COMPLETED 09/11/2025</td></tr><tr><td colspan="3">NAME OF PROVIDER OR SUPPLIER AVIATA AT THE SEA - HARBOR BEACH</td><td colspan="4">STREET ADDRESS, CITY, STATE, ZIP CODE 1615 MIAMI RD , FORT LAUDERDALE, Florida, 33316</td></tr><tr><td>(X4) ID PREFERRED TAG</td><td>SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)</td><td colspan="2">ID PREFERRED TAG</td><td colspan="2">PROVIDER'S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETION DATE</td></tr><tr><td>N0054 SS = D</td><td colspan="2">Continued from page 1 https://www.ncbi.nlm.nih.gov/books/NBK560654/ Based on multiple clinical studies, including those funded by the National Institutes of Health, { , , } and { , , } have shown comparable efficacy for treating focal-onset . Key differences lie in their side effect profiles, mechanisms of action, and controlled substance status. is not a controlled substance while is a schedule V controlled substance indicating a potential for misuse and dependence. It can also cause abnormal rhythms. https://pubmed.ncbi.nlm.nih.gov/40119876/1) A record documented Resident #26 was admitted to the facility on with diagnoses that included , and due to unspecified Occlusion or of the Right Anterior An electronic review of the recent Minimum Data Set (MDS) assessment dated , under Section C of the ( ) , revealed a score of 13, indicating Resident #26 had no . An additional review revealed that on at 11:07 AM, a physician order for oral tablet 50 mg by , two times a day for . An additional review of physician order dated revealed oral tablet 50 mg by , two times a day for . During a medication administration observation with Staff G, RN on at 9:44 AM, she stated that she would administer 50 mg for . She added it is scheduled twice daily. A further record review of a paper documentation called Medication Monitoring Control Record (MMCR) for administration during the month of , it revealed that it was administered with only a 4-hour interval on the following dates: On , 1 (one) pill was administered at 12:35 PM with the second pill administered at 4:32 PM, both by Staff K, LPN, indicating only a 4-hour interval between administrations. On , 1 pill was administered at11:03 AM, and the second pill at 4:00 PM, indicating only a 5-hour interval between administrations, with both pills</td><td>N0054</td><td></td><td></td><td></td></tr></table> STATE FORM Florida State Department of Health STATE FORM Florida State Department of Health <table><tr><td colspan="2">STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS</td><td colspan="2">(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 11940963</td><td>(X2) MULTIPLE CONSTRUCTION A. BUILDING B. WING</td><td colspan="2">(X3) DATE SURVEY COMPLETED 09/11/2025</td></tr><tr><td colspan="3">NAME OF PROVIDER OR SUPPLIER A VIATA AT THE SEA - HARBOR BEACH</td><td colspan="4">STREET ADDRESS, CITY, STATE, ZIP CODE 1615 MIAMI RD , FORT LAUDERDALE, Florida, 33316</td></tr><tr><td>(X4) ID PREFERRED TAG</td><td>SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)</td><td colspan="2">ID PREFERRED TAG</td><td colspan="2">PROVIDER'S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETION DATE</td></tr><tr><td>N0095 SS = D</td><td colspan="2">Continued from page 3 (6) Prescription drugs and non-prescription medications requiring refrigeration must be stored in a refrigerator. The refrigerator must be locked or located within a locked medication room and accessible only to licensed staff. This LICENSURE REQUIREMENT is NOT MET as evidenced by: Based on observations, interviews and record reviews, the facility failed to follow the professional standards of practice related to keeping the medication storage room free of facility staff's personal belongings. The facility also failed to ensure medications and supplies are properly stored for 1 of 21 sampled residents (Resident #53). The findings included: A review of facility's policy titled, "Medication Supply Storage and Medication Disposal", with an effective date of , documented the following (ff): · Central storage of medications is required for prescriptions, prescribed over -the counter medications and complementary and alternative medicine (CAM). · Will be kept in a locked area, in their original labeled container and may not be removed more than 2 hours prior to scheduled administration. 1) During a tour of the medication storage room with Staff G, Registered Nurse (RN) on at 10:06 AM, it revealed a big black unzipped purse sitting on the counter next to bags of residents' When Staff G, RN was asked why the big black purse was kept inside a medication storage room, she stated that facility staff leave personal items like lunch boxes, and pursues inside the medication storage room. She added that staff do not have an area where they can keep their personal items because the facility is very small. The only place where they can keep their purses is inside the medication storage room. In an interview conducted with the Director of Nursing (DON) on at 10:44 AM, she stated that facility staff are not allowed to keep personal belongings inside the medication storage room.</td><td>N0095</td><td colspan="2">Continued from page 3 no _ supplies are at bedside. Current nursing staff have been educated about not keeping personal items in med room, medication storage & no _ supplies to be left at bedside. Mock survey rounds by department heads will audit compliance daily. The Director of Nursing/Designee will conduct quality reviews 2x/week for (4) weeks, then 1x/week for (4) weeks, then 1x/month for (1) month. The findings of these reviews will be reported to the Quality Assurance Performance Improvement (QAPI) committee monthly for (3) months to determine substantial compliance and the need for further education and/or monitoring.</td><td></td></tr></table> STATE FORM Florida State Department of Health STATE FORM Florida State Department of Health <table><tr><td colspan="2">STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS</td><td colspan="2">(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 11940963</td><td>(X2) MULTIPLE CONSTRUCTION A. BUILDING B. WING</td><td colspan="2">(X3) DATE SURVEY COMPLETED 09/11/2025</td></tr><tr><td colspan="3">NAME OF PROVIDER OR SUPPLIER AVIATA AT THE SEA - HARBOR BEACH</td><td colspan="4">STREET ADDRESS, CITY, STATE, ZIP CODE 1615 MIAMI RD , FORT LAUDERDALE, Florida, 33316</td></tr><tr><td>(X4) ID PREFERRED TAG</td><td>SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)</td><td colspan="2">ID PREFERRED TAG</td><td colspan="2">PROVIDER'S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETION DATE</td></tr><tr><td>N0095 SS = D</td><td>Continued from page 5In an interview conducted with Staff I, RN, when asked if she keeps supplies and medications at bedside, she responded, "No, staff are not permitted to leave any unused supplies and medications at resident's bedside".When she was asked if a resident is allowed to keep and supplies in his room, she responded, "No, no resident is allowed to keep supplies and medications in his room".In an interview conducted with Staff J, Licensed Practical Nurse (LPN) on at 12:50 PM, she stated that she has been working in the facility for a long time. She stated that the only supplies allowed inside a resident's room are the care supplies.She added that residents are not allowed to keep any medication and supplies inside their rooms.In another interview with Staff J, LPN on at 11:30 AM, when she was asked about a process the facility follows for a resident with changes and with left over supplies, she responded, "The supplies which are not used during the changes are discarded, they are not put in the storage carts and are not kept in the resident's room".Class III</td><td>N0095</td><td></td><td></td><td></td><td></td></tr><tr><td>N0110 SS = D</td><td>Physical Environment - Safe, Clean, Homelike CFR(s): 400.141(1)(h) FS; 59A-4.122(1) FAC400.141(1)(h) FSMaintain the facility premises and equipment and conduct its operations in a safe and sanitary manner.59A-4.122(1) FACThe licensee must provide a safe, clean, comfortable, and homelike environment, which allows the resident to use his or her personal belongings to the extent possible</td><td>N0110</td><td colspan="2">Resident #23 has been re-evaluated for risk. interventions remain in place.An audit of residents previous 30 day completed to ensure all interventions are in place.Current nursing staff have been educated on following interventions for & management policy/procedures.The Director of Nursing/Designee will conduct a quality review of residents experiencing a daily 5x/week for (2) weeks, then 2x/week for (2) weeks, then weekly for (4) weeks, then monthly for (1) month. The findings of these reviews will be reported to the Quality Assurance Performance Improvement (QAPI) committee</td><td>/2025</td><td></td></tr></table> STATE FORM Florida State Department of Health <table><tr><td colspan="2">STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS</td><td colspan="2">(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 11940963</td><td>(X2) MULTIPLE CONSTRUCTION A. BUILDING B. WING</td><td>(X3) DATE SURVEY COMPLETED 09/11/2025</td></tr><tr><td colspan="3">NAME OF PROVIDER OR SUPPLIER AVIATA AT THE SEA - HARBOR BEACH</td><td colspan="3">STREET ADDRESS, CITY, STATE, ZIP CODE 1615 MIAMI RD, FORT LAUDERDALE, Florida, 33316</td></tr><tr><td>(X4) ID PREFERRED TAG</td><td>SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)</td><td>ID PREFERRED TAG</td><td colspan="2">PROVIDER'S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETION DATE</td></tr><tr><td>NO110 SS = D</td><td colspan="2">Continued from page 6 This LICENSURE REQUIREMENT is NOT MET as evidenced by: Based on observations, interviews, and record review, the facility failed to follow interventions and failed to complete a post- assessment for 1 of 5 sampled residents (Resident #23). The findings included: A record review revealed that Resident #23 was readmitted to the facility on with diagnoses of and . The Quarterly Minimum Data Set dated revealed Resident #23 had a Brief Interview Mental Status ( ) score of 04, which indicated severe . . . An order dated for floor mats for safety. A review of the facility's policy titled " Management "dated " showed the following: the purpose of this policy is to identify residents at risk for and to establish and modify interventions to decrease the risk of future and minimize the potential for a resulting injury. Initiate post-documentation every shift for 72 hours. In an observation conducted on at 11:00 AM, Resident #23 was noted in the bed with a mat folded on the right side of the bed and a fully opened mat on the left side of the bed. Further observation did not show that the bed was in the lowest position. In an observation conducted on at 3:15 PM, Resident #23 was not in the room. The two floor mats were folded on each side of the bed. Further observation did not show that the bed was in the lowest position. In an observation conducted on at 9:55 AM, Resident #23 was noted in the bed with a mat folded on the right side of the bed and a fully opened mat on the left side of the bed. The Care plan revealed the following: Resident #23 has had an actual on , and on , with the following interventions in place: bed in low position initiated on floor mats placed for safety initiated on and determine and address causative factors of the . Further record review showed that post- assessments were conducted on , which was 6 days after the actual on .</td><td colspan="2">Continued from page 6 monthly for (3) months to determine substantial compliance and the need for further education and/or monitoring.</td><td></td></tr></table> STATE FORM Florida State Department of Health <table><tr><td colspan="2">STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS</td><td colspan="2">(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 11940963</td><td>(X2) MULTIPLE CONSTRUCTION A. BUILDING B. WING</td><td colspan="2">(X3) DATE SURVEY COMPLETED 09/11/2025</td></tr><tr><td colspan="3">NAME OF PROVIDER OR SUPPLIER A VIATA AT THE SEA - HARBOR BEACH</td><td colspan="4">STREET ADDRESS, CITY, STATE, ZIP CODE 1615 MIAMI RD , FORT LAUDERDALE, Florida, 33316</td></tr><tr><td>(X4) ID PRIX TAG</td><td colspan="2">SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)</td><td>ID PRIX TAG</td><td colspan="2">PROVIDER'S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETION DATE</td></tr><tr><td>N0110 SS = D</td><td colspan="2">Continued from page 7In an interview conducted on at 12:53 PM with the facility's Director of Nursing, she reported that after a , they need to assess the residents and ensure no injuries. They need to notify the family and the doctor and update the care plans for interventions. She further said that they complete a post- assessment every shift for 72 hours.In an interview conducted on at 2:47 PM with Staff A, a Certified Nursing Assistant, she stated that Resident #23 was a risk and there are interventions in place. The bed needs to be in the lowest position, mats on both sides of the bed, and ensure the call lights are within reach and close to the Resident.Class III</td><td>N0110</td><td></td><td></td><td></td></tr><tr><td>N0201 SS = D</td><td colspan="2">Right to Adequate and Appropriate Health Care CFR(s): 400.022(1)(I), FS (I) The right to receive adequate and appropriate health care and protective and support services, including social services; mental health services, if available; planned recreational activities; and therapeutic and rehabilitative services consistent with the resident care plan, with established and recognized practice standards within the community, and with rules as adopted by the agency.This LICENSURE REQUIREMENT is NOT MET as evidenced by: Based on observations, interviews and record reviews, the facility failed to follow its own policy for grooming for activities of daily living (ADL) for 1 of 1 sampled resident (Resident #40).Based on observations, interviews, and record reviews, the facility failed to follow the professional standards for , , tube ( ) care and management for 2 out of 2 sampled residents for (Resident #22 and Resident #52).Based on observations, interviews and record reviews, the facility failed to follow the professional standards for , care and management for 1 of 1 sampled resident for , (Resident #22).Based on observations, interviews, and record review,</td><td>N0201</td><td colspan="2">Resident #40 has been shaved.An audit of current residents was completed for residents needing shave. Corrective action taken at time of discovery.Current nursing staff educated on shaving residents and grooming. Mock survey rounds will be conducted daily by department heads to ensure residents are shaved and well groomed. Director of Nursing/Designee will conduct a weekly quality review of 5 residents for appropriate shaving/grooming of residents weekly for (4) weeks then monthly for (2) months. The findings of these reviews will be reported to the Quality Assurance Performance Improvement (QAPI) committee monthly for (3) months to determine substantial compliance and the need for further education and/or monitoring.</td><td>/2025</td></tr></table> STATE FORM Florida State Department of Health <table><tr><td colspan="2">STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS</td><td colspan="2">(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 11940963</td><td>(X2) MULTIPLE CONSTRUCTION A. BUILDING B. WING</td><td colspan="2">(X3) DATE SURVEY COMPLETED 09/11/2025</td></tr><tr><td colspan="3">NAME OF PROVIDER OR SUPPLIER A VIATA AT THE SEA - HARBOR BEACH</td><td colspan="4">STREET ADDRESS, CITY, STATE, ZIP CODE 1615 MIAMI RD , FORT LAUDERDALE, Florida, 33316</td></tr><tr><td>(X4) ID PREFERRED TAG</td><td colspan="2">SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)</td><td>ID PREFERRED TAG</td><td colspan="2">PROVIDER'S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETION DATE</td></tr><tr><td>N0201 SS = D</td><td colspan="2">Continued from page 8 the facility failed to attain weekly , and identify a significant , loss in a timely manner for 1 out of 3 sampled residents for nutrition (Resident #55). The findings included: 1. A review of the facility's policy stated, "Grooming Activities", revised on , documented the following: o Grooming activities are provided to assist residents in meeting their physical needs as well as self-esteem needs. o Grooming activities shall be offered daily. o Grooming activities shall include, but not limited to: Shaving Combing hair Nail care A record review documented Resident #40 was admitted to the facility on with diagnoses that included Displaced of the Left , and An electronic record review of the annual Minimum Data Set (MDS) assessment, under Section C of the ( ), revealed a score of 13 indicating Resident #40 had no . A review of the nursing care plan dated revealed a focus noting Resident #40 had an ADL self-care performance related to balance, left ,/and The nursing care plan interventions included bathing /showering; provide sponge bath when a full bath or shower cannot be tolerated; skin inspection: the resident requires skin inspection. In an interview conducted with Staff D, Certified Nursing Assistant (CNA), on at 11:09 AM, who stated she has been working in the facility for 3 years. She stated she usually brings the shaving supplies inside the residents' rooms. She also brings whatever they need. She takes the supplies from the central storage rooms. She added that she uses a different blade for each resident, she puts them in</td><td>N0201</td><td></td><td></td><td></td></tr></table> STATE FORM Florida State Department of Health STATE FORM Florida State Department of Health STATE FORM Florida State Department of Health STATE FORM Florida State Department of Health STATE FORM Florida State Department of Health STATE FORM Florida State Department of Health STATE FORM Florida State Department of Health STATE FORM Florida State Department of Health STATE FORM Florida State Department of Health <table><tr><td colspan="2">STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS</td><td colspan="2">(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 11940963</td><td>(X2) MULTIPLE CONSTRUCTION A. BUILDING B. WING</td><td colspan="2">(X3) DATE SURVEY COMPLETED 09/11/2025</td></tr><tr><td colspan="3">NAME OF PROVIDER OR SUPPLIER AVIATA AT THE SEA - HARBOR BEACH</td><td colspan="4">STREET ADDRESS, CITY, STATE, ZIP CODE 1615 MIAMI RD , FORT LAUDERDALE, Florida, 33316</td></tr><tr><td>(X4) ID PREFERRED TAG</td><td>SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)</td><td colspan="2">ID PREFERRED TAG</td><td colspan="2">PROVIDER'S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETION DATE</td></tr><tr><td>N0201 SS = D</td><td>Continued from page 17In an interview conducted on at 10:20 AM with the DON, she said that the Dietitian gives her and the Assistant Director of Nursing (ADON) a list of any residents who need weekly , and she splits the assignments between the nursing staff. There are no specific staff members who take the weekly . In the past two months, the weekly . were given to the ADON, and she was in charge of putting the . in the electronic system.</td><td>N0201</td><td></td><td></td><td></td><td></td></tr><tr><td rowspan="2">N0407</td><td>In an interview conducted on at 10:30 AM, with the ADON, she said that the weekly . are given to any of the nursing staff or the DON. The Dietitian may ask for specific . if needed, but she does not put the weekly . in the computer system. She may remind the nursing staff that the weekly . need to be done, but she does not oversee the weekly . Class III</td><td>N0407</td><td>Chart review was conducted for residents #34, #1, and #10. Resident #34 is being provided with a Magic Cup two times a day for lunch and dinner as ordered. Large portions are being served as ordered. Resident #1 is being provided large portions of protein as ordered. Resident #10 is being provided with a large entree as ordered by the physician.</td><td>/2025</td><td></td><td></td></tr><tr><td>Dietary ServicesCFR(s): 400.141(1)(i), FSEvery licensed facility shall comply with all applicable standards and rules of the agency and shall:(i) If the licensee furnishes food service, provide a wholesome and nourishing diet sufficient to meet generally accepted standards of proper nutrition for its residents and provide such therapeutic diets as may be prescribed by attending physicians. In making rules to implement this paragraph, the agency shall be guided by standards recommended by nationally recognized professional groups and associations with knowledge of dietetics. This LICENSURE REQUIREMENT is NOT MET as evidenced by:Based on observations, interviews, and record reviews, the facility failed to follow the menus and preferences of 3 out of 3 residents observed during dining observations (Resident #34, Resident #1, and Resident #10).The findings included:1. A chart review revealed that Resident #34 was admitted on with diagnoses of . and Magic cup (nutritional supplements) two times a</td><td>N0407</td><td>An audit of current residents was completed for residents with recommendations of large portion of protein with all meals and nutritional supplements to ensure nutritional needs of residents are being met. Regional Dietary Manager educated dietary staff on menus and nutritional adequacy and ensuring nutritional needs of residents are in accordance with national guidelines.The Dietary Director/Designee will conduct a quality review of residents with recommendations of large portion of protein with meals and nutritional supplements to ensure experiencing a daily 5x/week for (2) weeks, then 2x/week for (2) weeks, then weekly for (4) weeks, then monthly for (1) month. The findings of these reviews will be reported to the Quality Assurance Performance Improvement (QAPI) committee monthly for (3) months to determine substantial compliance and the need for further education and/or monitoring.</td><td></td><td></td><td></td></tr></table> STATE FORM Florida State Department of Health STATE FORM Florida State Department of Health STATE FORM <table><tr><td colspan="2">STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS</td><td colspan="2">(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 105578</td><td>(X2) MULTIPLE CONSTRUCTION A. BUILDING B. WING</td><td colspan="2">(X3) DATE SURVEY COMPLETED</td></tr><tr><td colspan="4">NAME OF PROVIDER OR SUPPLIERAVIATA AT THE SEA - HARBOR BEACH</td><td colspan="3">STREET ADDRESS, CITY, STATE, ZIP CODE1615 MIAMI RD , FORT LAUDERDALE, Florida, 33316</td></tr><tr><td>(X4) IDPREFIXTAG</td><td colspan="2">SUMMARY STATEMENT OF DEFICIENCIES(EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)</td><td>IDPREFIXTAG</td><td colspan="2">PROVIDER'S PLAN OF CORRECTION(EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETIONDATE</td></tr><tr><td>F0000F0558SS = D</td><td colspan="2">INITIAL COMMENTSAn unannounced Recertification survey was conducted on to at Aviata at the Sea-Harbor Beach. The facility was not in compliance with 42 CFR, Part 483. Requirements for Long Term Care Facilities.Reasonable Accommodations Needs/PreferencesCFR(s): 483.10(e)(3)§483.10(e)(3) The right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences except when to do so would endanger the health or safety of the resident or other residents.This REQUIREMENT is NOT MET as evidenced by:Based on observation, interviews, and records review, the facility failed to ensure call lights were within reach for 3 of 25 sample residents (Resident #1, Resident #17 and Resident #22).The findings included:1. On at 10:48 AM, it was observed that a call light in the resident's room was attached to the of Resident #22's bed's headboard. The observation prompted an interview with Resident #22 who reported through gestural confirmation, because of his , that he wanted to use the call light, but he could not reach it. Resident #22 affirmatively nodded, it was not the first time this situation occurred, when asked if that was the first time it had happened. To ensure that Resident #22 could use his , the Assistant Nurse Manager was immediately called to the room and was asked to the call light to Resident #22 and to have him press on it to activate it. Resident #22 successfully activated the call light.Resident #22 was admitted to the facility on and was diagnosed with: Anoxic Damage, Not Elsewhere Classified; , , , , , , , Status. Section GG of the MDS dated documented</td><td>F0000F0558</td><td colspan="2">Resident #1, #17 and #22 call light was placed within reach.A facility audit was done to ensure call lights withingershare on with 100% in compliance.Facility staff in-service regarding call lights withinreach for all residents. Mock survey rounds conducteddaily to ensure call lights are within reach.Director of Nursing/Designee will conduct a quality review of 5 residents on each unit to ensure call lights are within reach daily 5x/week for (2) weeks then 3x/week for (2) weeks, then weekly for (3) weeks. The findings of these reviews will be reported to the Quality Assurance Performance Improvement (QAPI)committee monthly for (3) months to determine substantial compliance and the need for further education and/or monitoring.</td><td>/Z025</td></tr></table> <table><tr><td colspan="2">STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS</td><td colspan="2">(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 105578</td><td>(X2) MULTIPLE CONSTRUCTION A. BUILDING B. WING</td><td>(X3) DATE SURVEY COMPLETED</td></tr><tr><td colspan="3">NAME OF PROVIDER OR SUPPLIERAVIATA AT THE SEA - HARBOR BEACH</td><td colspan="3">STREET ADDRESS, CITY, STATE, ZIP CODE1615 MIAMI RD , FORT LAUDERDALE, Florida, 33316</td></tr><tr><td>(X4) IDPREFIXTAG</td><td colspan="2">SUMMARY STATEMENT OF DEFICIENCIES(EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)</td><td>IDPREFIXTAG</td><td>PROVIDER'S PLAN OF CORRECTION(EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETION DATE</td></tr><tr><td>F0558SS = D</td><td colspan="2">Continued from page #17 was at risk for related to Gait/balance problems, periods of / drug use, Vision problems. The goals were to minimize the risk of through next review date; Minimize risk of minor injury through the next review date. As intervention staff would make sure Resident #17's call light was within reach and she would be encouraged to use it for assistance, as needed.3. On at 11:01 AM, in the resident's room, Resident #1's call light was observed in a nightstand drawer. Resident #1 could not reach the call light due to physical limitations and in both Resident #1 said that the call light did not work the day before, Resident #1 said he had been trying to get someone to come to his room to lower the of his bed, but he did not see, nor could he reach the call light. The bed control was also observed on the floor away from Resident #1. On at 11:24 AM, Resident #1's call light was observed attached to his bed and was also replaced by a softer touch call light instead of the push-button call light Resident #1 previously had.Review of the MDS revealed a significant change was processed on . Section C of the MDS revealed Resident #1 obtained a score of on the . In section GGO130 titled self-care documented Resident #1 hadThe CP dated outlined Resident #1 was at risk for related to: Gait/balance problems and The goal was to minimize risk of minor injury through the next review date. To do so, Staff would make sure the resident's call light was placed within reach and Resident #1 would be encouraged to use it for assistance, as needed.The findings were reported to the Director of Nursing, the Corporate Nurse, and the Administrator during the initial observation and at the end of the survey on</td><td>F0558</td><td></td><td></td></tr><tr><td>F0677SS = D</td><td colspan="2">ADL Care Provided for Dependent ResidentsCFR(s): 483.24(a)(2) $483.24(a)(2) A resident who is unable to carry out activities of daily living receives the necessary services to maintain good nutrition, grooming, and personal and oral hygiene;This REQUIREMENT is NOT MET as evidenced by:</td><td>F0677</td><td>Resident #40 has been shaved.An audit of current residents was completed for residents needing shave. Corrective action taken at time of discovery.Current nursing staff educated on shaving residents and grooming. Mock survey rounds will be conducted daily by department heads to ensure residents are shaved and well groomed.</td><td>/2025</td></tr></table> <table><tr><td colspan="2">STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS</td><td colspan="2">(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 105578</td><td>(X2) MULTIPLE CONSTRUCTION A. BUILDING B. WING</td><td colspan="2">(X3) DATE SURVEY COMPLETED</td></tr><tr><td colspan="3">NAME OF PROVIDER OR SUPPLIERAVIATA AT THE SEA - HARBOR BEACH</td><td colspan="4">STREET ADDRESS, CITY, STATE, ZIP CODE1615 MIAMI RD , FORT LAUDERDALE, Florida, 33316</td></tr><tr><td>(X4) IDPREFIXTAG</td><td colspan="2">SUMMARY STATEMENT OF DEFICIENCIES(EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)</td><td>IDPREFIXTAG</td><td colspan="2">PROVIDER'S PLAN OF CORRECTION(EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETIONDATE</td></tr><tr><td>F0677SS = D</td><td colspan="2">Continued from page 3Based on observations, interviews and record reviews, the facility failed to follow their own policy regarding grooming for Activities of Daily Living (ADL) for 1 of 21 sampled residents (Resident #40).The findings included:A review of the facility's policy titled, "Grooming Activities", revised on , documented the following:o Grooming activities are provided to assist residents in meeting their physical needs as well as self-esteem needs.o Grooming activities shall be offered daily.o Grooming activities shall include, but not limited to:ShavingCombing hairNail careA record review documented Resident #40 was admitted to the facility on with diagnoses that included Displaced of the Left , andAn electronic record review of the annual Minimum Data Set (MDS) assessment, under Section C of the ( ), revealed a score of 13 indicating Resident #40 had no . . .A review of the nursing care plan dated revealed a focus noting Resident #40 had an ADL self-care performance related to . . .balance, left , /, andThe nursing care plan interventions included bathing/showering; provide sponge bath when a full bath or shower cannot be tolerated; skin inspection: the resident requires skin inspection.In an interview conducted with Staff D, Certified Nursing Assistant (CNA), on at 11:09 AM, who stated she has been working in the facility for 3 years. She stated she usually brings the shaving supplies inside the residents' rooms. She also brings whatever they need. She takes the supplies from the central storage rooms. She added that she uses a</td><td>F0677</td><td colspan="2">Continued from page 3Director of Nursing/Designee will conduct a weekly quality review of 5 residents for appropriate shaving/grooming of residents weekly for (4) weeks then monthly for (2) months. The findings of these reviews will be reported to the Quality Assurance Performance Improvement (QAPI) committee monthly for (3) months to determine substantial compliance and the need for further education and/or monitoring.</td><td></td></tr></table> <table><tr><td colspan="2">STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS</td><td colspan="2">(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 105578</td><td>(X2) MULTIPLE CONSTRUCTION A. BUILDING B. WING</td><td>(X3) DATE SURVEY COMPLETED</td></tr><tr><td colspan="3">NAME OF PROVIDER OR SUPPLIERAVIATA AT THE SEA - HARBOR BEACH</td><td colspan="3">STREET ADDRESS, CITY, STATE, ZIP CODE1615 MIAMI RD , FORT LAUDERDALE, Florida, 33316</td></tr><tr><td>(X4) IDPREFIXTAG</td><td colspan="2">SUMMARY STATEMENT OF DEFICIENCIES(EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)</td><td>IDPREFIXTAG</td><td>PROVIDER'S PLAN OF CORRECTION(EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETION DATE</td></tr><tr><td>F0677SS = D</td><td rowspan="2" colspan="2">Continued from page 5During an observation conducted on at 4:50 PM, Resident #40's still had approximately 2 inches long hair around his and below his .In an interview conducted with Staff E, CNA, on 10:23 AM, when she was asked why she provided shave to this resident, she responded, "I saw his hair was about 2 inches long and asked the resident if he would like a shave, and the resident, responded, yes.She added that the 3:00 PM to 11:00 PM shifts staff are the ones responsible for providing showers, but because she saw the resident with long hair, she decided to give him a shower. She added that this resident also asked for a shave today.When she was asked what other personal care was provided to Resident #40, she responded, "I gave him a shower today". When she was asked what shower includes, she responded, "The staff washes from top to bottom. The hair is shampoed; the nails are cleaned including both " and toenails.When she was asked if she was the staff assigned to Resident #40 on Monday, , she responded that she does not remember. When she was asked if Resident #40 requested a shave on Monday, she responded that she does not remember.Free of Accident Hazards/Supervision/DevicesCFR(s): 483.25(d)(1)(2)\$483.25(d)Accidents.The facility must ensure that - \$483.25(d)(1)The resident environment remains as free of accident hazards as is possible; and\\)483.25(d)(2)Each resident receives adequate supervision and assistance devices to prevent accidents.This REQUIREMENT is NOT MET as evidenced by:Based on observations, interviews, and record review, the facility failed to follow interventions and failed to complete a post- assessment for 1 of 5 sampled residents (Resident #23).The findings included:</td><td>F0677</td><td></td><td></td></tr><tr><td>F0689SS = D</td><td>F0689</td><td>Resident #23 has been re-evaluated for risk. Interventions remain in place.An audit of residents previous 30 day completed to ensure all interventions are in place.Current nursing staff have been educated on following interventions for & management policy/procedures.The Director of Nursing/Designee will conduct a quality review of residents experiencing a daily 5x/week for (2) weeks, then 2x/week for (2) weeks, then weekly for (4) weeks, then monthly for (1) month. The findings of these reviews will be reported to the Quality Assurance Performance Improvement (QAPI) committee monthly for (3) months to determine substantial compliance and the need for further education and/or monitoring.</td><td>/2025</td></tr></table> <table><tr><td colspan="2">STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS</td><td colspan="2">(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 105578</td><td>(X2) MULTIPLE CONSTRUCTION A. BUILDING B. WING</td><td>(X3) DATE SURVEY COMPLETED</td></tr><tr><td colspan="3">NAME OF PROVIDER OR SUPPLIERAVIATA AT THE SEA - HARBOR BEACH</td><td colspan="3">STREET ADDRESS, CITY, STATE, ZIP CODE1615 MIAMI RD , FORT LAUDERDALE, Florida, 33316</td></tr><tr><td>(X4) IDPREFIXTAG</td><td colspan="2">SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)</td><td>IDPREFIXTAG</td><td>PROVIDER'S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETION DATE</td></tr><tr><td>F0689SS = D</td><td colspan="2">Continued from page 7In an interview conducted on at 2:47 PM with Staff A, a Certified Nursing Assistant, she stated that Resident #23 was a risk and there are interventions in place. The bed needs to be in the lowest position, mats on both sides of the bed, and ensure the call lights are within reach and close to the Resident.</td><td>F0689</td><td>Resident #55 , have been obtained per policy. Nutrition assessment form with MNA completed .</td><td>/2025</td></tr><tr><td>F0692SS = D</td><td colspan="2">Nutrition/Hydration Status MaintenanceCFR(s): 483.25(g)(1)-(3)§483.25(g) Assisted nutrition and hydration.(Includes naso-, and , tubes, both endoscopic , and fluids). Based on a resident's comprehensive assessment, the facility must ensure that a resident-§483.25(g)(1) Maintains acceptable parameters of nutritional status, such as usual body , or desirable body , range and electrolyte balance, unless the resident's clinical condition demonstrates that this is not possible or resident preferences indicate otherwise;§483.25(g)(2) is offered sufficient fluid intake to maintain proper hydration and health;§483.25(g)(3) is offered a therapeutic diet when there is a nutritional problem and the health care provider orders a therapeutic diet. This REQUIREMENT is NOT MET as evidenced by:Based on observations, interviews, and record review the facility failed to attain weekly , and identify significant , loss in a timely manner for 1 of 3 sampled residents (Resident #55).The findings included:A review of the facility's policy titled "Weighing the Resident," revised on , showed the following:When there is a significant variance from the previous recorded , , the scale should be rebalanced and the resident , , and a licensed nurse should validate. It further showed to record the , and alert the nurse to any significant change.</td><td>F0692</td><td>Current resident's , reviewed last 30 days to ensure appropriate interventions in place for identified significant , loss. Corrections made as indicated at time of discovery. Current licensed nurses have been educated on "weighing the resident" policy . will be obtained by designated certified nursing assistant as directed by Registered Dietician/Director of Nursing.The Director of Nursing/Designee will conduct weekly quality review of new/re-admitted residents and as recommended by registered dietician to ensure are obtained as per policy. The findings of these reviews will be reported to the Quality Assurance Performance Improvement (QAPI) committee monthly for (3) months to determine substantial compliance and the need for further education and/or monitoring.</td><td></td></tr></table> <table><tr><td colspan="2">STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS</td><td colspan="2">(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 105578</td><td>(X2) MULTIPLE CONSTRUCTION A. BUILDING B. WING</td><td>(X3) DATE SURVEY COMPLETED</td></tr><tr><td colspan="3">NAME OF PROVIDER OR SUPPLIERAVIATA AT THE SEA - HARBOR BEACH</td><td colspan="3">STREET ADDRESS, CITY, STATE, ZIP CODE1615 MIAMI RD , FORT LAUDERDALE, Florida, 33316</td></tr><tr><td>(X4) IDPREFIXTAG</td><td colspan="2">SUMMARY STATEMENT OF DEFICIENCIES(EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)</td><td>IDPREFIXTAG</td><td>PROVIDER'S PLAN OF CORRECTION(EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETION DATE</td></tr><tr><td>F0692SS = D</td><td rowspan="2" colspan="2">Continued from page 10ask for specific if needed, but she does notput the weekly in the computer system. She may remind the nursing staff that the weekly need to be done, but she does not oversee the weeklyMgmt/Restore Eating SkillsCFR(s): 483.25(g)(4)(5)</td><td rowspan="2">F0692F0693</td><td rowspan="2">Residents #22 and #52 are receiving medications as per professional standards and policy and proceduresCURRENT residents with medication administration have been observed to ensure administration follows policy and procedure/professional standardsCURRENT licensed nurses have been educated on the policy/procedure for medication administration via tube.The Director of Nursing/Designee will conduct a quality review of residents with medications 2x/week for (4) weeks, then weekly for (4) weeks, then monthly for (1) month. The findings of these reviews will be reported to the Quality Assurance Performance Improvement (QAPI) committee monthly for (3) months to determine substantial compliance and the need for further education and/or monitoring.</td><td rowspan="2">/2025</td></tr><tr><td>F0693SS = D</td></tr><tr><td></td><td colspan="5">§483.25(g)(4) A resident who has been able to eat enough alone or with assistance is not fed by methods unless the resident's clinical condition demonstrates that feeding was clinically indicated and consented to by the resident; and</td></tr><tr><td></td><td colspan="5">§483.25(g)(5) A resident who is fed by means receives the appropriate treatment and services to restore, if possible, oral eating skills and to prevent complications of feeding including but not limited to abnormalities, and</td></tr><tr><td></td><td colspan="5">This REQUIREMENT is NOT MET as evidenced by:Based on observations, interviews, and record reviews, the facility failed to follow the professional standards for , tube ( ) care and management for 2 out of 2 sampled residents (Resident #22 and Resident #52).The findings included:A review of a facility's policy titled, "Medication Administration via Tube", with a revision date of , documented the following:· Place disposable under, or towel around the area of tube to limit spillage.· Check for residual.· Check for placement.</td></tr></table> <table><tr><td colspan="2">STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS</td><td colspan="2">(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 105578</td><td>(X2) MULTIPLE CONSTRUCTION A. BUILDING B. WING</td><td colspan="2">(X3) DATE SURVEY COMPLETED</td></tr><tr><td colspan="3">NAME OF PROVIDER OR SUPPLIERAVIATA AT THE SEA - HARBOR BEACH</td><td colspan="4">STREET ADDRESS, CITY, STATE, ZIP CODE1615 MIAMI RD , FORT LAUDERDALE, Florida, 33316</td></tr><tr><td>(X4) IDPREFIXTAG</td><td colspan="2">SUMMARY STATEMENT OF DEFICIENCIES(EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)</td><td>IDPREFIXTAG</td><td colspan="2">PROVIDER'S PLAN OF CORRECTION(EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETION DATE</td></tr><tr><td>F0693SS = D</td><td colspan="2">Continued from page 13A further review of MAR revealed a check mark and 2initials acrossresidual check at 12:00 PM,indicating Staff I, RN performed this process asordered, but it was not observed during this medicationadministration. Staff stated that this was the onlymedication administered at 12:00 PM.In an interview with the Director of Nursing (DON) on09/0925 at 3:13 PM when she was asked about the processof giving medications through the, she respondedto wash, look at the physician order, applybarrier to cover resident, check the placement, popa plunger from the syringe barrel. She added that thefacility's policy for noted that the Staff mustaspirate forcontents first and if more than 60ml was obtained, do not flush the.She added that the strip is not used in the facility, andthe flushes are accomplished using gravity.The staff change the syringes for flushes every night,the cap is inside the package, and the Staff use themto cap the flushing syringe. She added that thefacility staff use whateverend port cap thatcame in the package. She added that G- tube end portmust be capped at all times.</td><td>F0693</td><td></td><td></td><td></td></tr><tr><td>F0695SS = D</td><td colspan="2">CFR(s): 483.25(i)§ 483.25(i), care, including, care and suctioning.The facility must ensure that a resident who needs, care, including, care and suctioning, is provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, the residents' goals and preferences, and 483.65 of this subpart.This REQUIREMENT is NOT MET as evidenced by:Based on observations, interviews and record reviews, the facility failed to follow the professional standards of, care and management for 1 of 1 sampled resident (Resident # 22).The findings included:A record review of the facility's policy titled, "Care", with a revision date of, documented the following:</td><td></td><td>professional standards and policy and procedures.Residents with, are at risk for allegeddeficient practice.Current licensed staff have been educated on, care policy & procedures with returndemonstration completed.The Director of Nursing/Designee will observe, care for 2x/week for (4) weeks, then 1x/week for (4) weeks, then every other week for (4) weeks. The findings of these reviews will be reportedto the Quality Assurance Performance Improvement (QAPI)committee monthly for (3) months to determinesubstantial compliance and the need for furthereducation and/or monitoring.</td><td></td><td></td></tr></table> <table><tr><td colspan="2">STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS</td><td colspan="2">(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 105578</td><td>(X2) MULTIPLE CONSTRUCTION A. BUILDING B. WING</td><td colspan="2">(X3) DATE SURVEY COMPLETED</td></tr><tr><td colspan="3">NAME OF PROVIDER OR SUPPLIERAVIATA AT THE SEA - HARBOR BEACH</td><td colspan="4">STREET ADDRESS, CITY, STATE, ZIP CODE1615 MIAMI RD, FORT LAUDERDALE, Florida, 33316</td></tr><tr><td>(X4) IDPREFIXTAG</td><td colspan="2">SUMMARY STATEMENT OF DEFICIENCIES(EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)</td><td>IDPREFIXTAG</td><td colspan="2">PROVIDER'S PLAN OF CORRECTION(EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETIONDATE</td></tr><tr><td>F0695SS = D</td><td colspan="2">Continued from page 15to pour normal solution into the box.She then placed the box with normal solution on top of the table (not a sterile field). Staff J, LPN opened the inner box and put it on the table.The flap of the box went to its closing position, indicating the sterility of the inner was not maintained. Staff J, LPN did not keep the flap open for Staff I to pick it up using , technique. Staff I, RN picked up the inner using clean gloves (not sterile gloves). She then inserted the inner into the , site.Staff I, RN opened the suction tubing kit using clean gloves and picked up the sterile suction tubing. She dipped the tip of the suction tubing into the box with normal . She was asked if she will need to use sterile gloves.Staff I, RN opened another package of suction tubing on top of resident's abdomen. The suction kit came with only one sterile glove, so she asked Staff J, LPN to give her another kit. Staff I, RN opened another suction kit on top of resident's abdomen. She had a hard time donning the sterile gloves stating they are too small. The resident had a big , and productive light-yellow colored came out and down the gauze ,Staff I, RN inserted the suction tip inside the inner tube using her right (she used the normal solution which was opened onto unsterile field). She stated she would keep the right , sterile, and the left clean. There were more that came out and Staff I, RN used the suction tip to suck the outside sections but inserted the suction tip inside the , tube again. She was reminded not to do that. Staff J, LPN was reminded to , the resident. Staff I was reminded to check the , saturation.</td><td>F0695</td><td></td><td></td><td></td></tr><tr><td rowspan="4">F0760SS = D</td><td rowspan="4" colspan="2">Residents are Free of Significant Med ErrorsCFR(s): 483.45(f)(2)The facility must ensure that Its-$483.45(f)(2) Residents are free of any significant medication errors.This REQUIREMENT is NOT MET as evidenced by:Based on observations, interviews and record reviews, the facility also failed to follow a physician order</td><td rowspan="4">F0760</td><td>Resident #26 no longer resides at the facility.</td><td rowspan="3">/2025</td><td></td></tr><tr><td>Current residents receiving medications have been reviewed with updating of scheduled medication administration times as indicated.</td><td></td></tr><tr><td>Licensed nurses have been educated to use scheduled times for medication.</td><td></td></tr><tr><td colspan="3">Director of Nursing will complete a quality review of medication daily 5x/week for (4) weeks then 3x/week for (4) weeks, then weekly for (4) weeks. The findings of these reviews will be</td></tr></table> <table><tr><td colspan="2">STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS</td><td colspan="2">(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 105578</td><td>(X2) MULTIPLE CONSTRUCTION A. BUILDING B. WING</td><td colspan="2">(X3) DATE SURVEY COMPLETED</td></tr><tr><td colspan="3">NAME OF PROVIDER OR SUPPLIERAVIATA AT THE SEA - HARBOR BEACH</td><td colspan="4">STREET ADDRESS, CITY, STATE, ZIP CODE1615 MIAMI RD , FORT LAUDERDALE, Florida, 33316</td></tr><tr><td>(X4) IDPREFIXTAG</td><td colspan="2">SUMMARY STATEMENT OF DEFICIENCIES(EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)</td><td>IDPREFIXTAG</td><td colspan="2">PROVIDER'S PLAN OF CORRECTION(EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETIONDATE</td></tr><tr><td>F0760SS = D</td><td colspan="2">Continued from page 16for a medication and failed to follow the professional standards of nursing practice related to the rights of medication administration: the "right time" for 1 of 25 sampled residents (Resident # 28).The findings included:A review of the facility's policy titled, "Oral Administration of Medication", with a revision date of, documented to review Physician's order (1).According to National Institute of Health, Nurses have a unique role and responsibility in medication administration, in that they are frequently the final person to check to see that the medication is correctly prescribed and dispensed before administration. In upholding patient safety, the 'five R's' of medication administration are followed.A guiding principle for one of the five rights is of the "right time". The "right time" is ensuring that medications should be prescribed as closely to the time as possible, and nurses should not deviate from this time by more than half an hour to avoid consequences such as altering bioavailability or other chemical mechanisms.https://www.ncbi.nlm.nih.gov/books/NBK560654/Based on multiple clinical studies, including those funded by the National Institutes of Health, ( , ) and ( , ) have shown comparable efficacy for treating focal-onset .Key differences lie in their side effect profiles, mechanisms of action, and controlled substance status.is not a controlled substance while is a schedule V controlled substance indicating a potential for misuse and dependence. It can also cause abnormal rhythms.https://pubmed.ncbi.nlm.nih.gov/40119876/1) A record review documented Resident #26 was admitted to the facility on with diagnoses that included , and due to unspecified Occlusion or of the Right AnteriorAn electronic review of the recent Minimum Data Set (MDS) assessment dated , under Section C of the ( ) , revealed a score of 13, indicating Resident #26 had no .</td><td>F0760</td><td colspan="2">Continued from page 16reported to the Quality Assurance Performance Improvement (QAPI) committee monthly for (3) months to determine substantial compliance and the need for further education and/or monitoring.</td><td></td></tr></table> <table><tr><td colspan="2">STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS</td><td colspan="2">(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 105578</td><td>(X2) MULTIPLE CONSTRUCTION A. BUILDING B. WING</td><td>(X3) DATE SURVEY COMPLETED</td></tr><tr><td colspan="3">NAME OF PROVIDER OR SUPPLIERAVIATA AT THE SEA - HARBOR BEACH</td><td colspan="3">STREET ADDRESS, CITY, STATE, ZIP CODE1615 MIAMI RD , FORT LAUDERDALE, Florida, 33316</td></tr><tr><td>(X4) IDPREFIXTAG</td><td colspan="2">SUMMARY STATEMENT OF DEFICIENCIES(EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)</td><td>IDPREFIXTAG</td><td>PROVIDER'S PLAN OF CORRECTION(EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETION DATE</td></tr><tr><td>F0760SS = D</td><td colspan="2">Continued from page 18she did not know she did that. She added that the second dose should have been given by the night nurse after 8 to 12 hours from the first dose at 12:35 PM.In an interview conducted with Staff I, RN on at 3:45 PM, she stated that she gave on both at 11:03 AM and at 3:04 PM, indicating only a 4-hour interval between administrations. She acknowledged that the interval must be between 8 to 12 hours for a , or a twice daily scheduled medication. She added that she would pay more attention to physician orders and administer medications on the right time following the physician ordered interval.When she was asked if she reads and verifies the physician orders for medications, she responded, "Yes".</td><td>F0760</td><td></td><td></td></tr><tr><td>F0761SS = D</td><td colspan="2">Label/Store Drugs and BiologicalsCFR(s): 483.45(g)(h)(1)(2)§483.45(g) Labeling of Drugs and BiologicalsDrugs and biologicals used in the facility must be labeled in accordance with currently accepted professional principles, and include the appropriate accessory and cautionary instructions, and the expiration date when applicable.§483.45(h) Storage of Drugs and Biologicals§483.45(h)(1) In accordance with State and Federal laws, the facility must store all drugs and biologicals in locked compartments under proper temperature controls, and permit only authorized personnel to have access to the keys.§483.45(h)(2) The facility must provide separately locked, permanently affixed compartments for storage of controlled drugs listed in Schedule II of the Comprehensive Drug Prevention and Control Act of 1976 and other drugs subject to , except when the facility uses single unit package drug distribution systems in which the quantity stored is minimal and a missing dose can be readily detected.This REQUIREMENT is NOT MET as evidenced by:Based on observations, interviews and record reviews, the facility failed to follow the professional standards of practice related to keeping the medication</td><td>F0761</td><td>Resident #53 has no _ supplies at bedside. No personal items are stored in the med room.An audit of current residents rooms completed to ensure no _ supplies are at bedside.Current nursing staff have been educated about not keeping personal items in med room, medication storage & no _ supplies to be left at bedside. Mock survey rounds by department heads will audit compliance daily.The Director of Nursing/Designee will conduct quality reviews 2x/week for (4) weeks, then 1x/week for (4) weeks, then 1x/month for (1) month. The findings of these reviews will be reported to the Quality Assurance Performance Improvement (QAPI) committee monthly for (3) months to determine substantial compliance and the need for further education and/or monitoring.</td><td>/2025</td></tr></table> <table><tr><td colspan="2">STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS</td><td colspan="2">(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 105578</td><td>(X2) MULTIPLE CONSTRUCTION A. BUILDING B. WING</td><td>(X3) DATE SURVEY COMPLETED</td></tr><tr><td colspan="3">NAME OF PROVIDER OR SUPPLIERAVIATA AT THE SEA - HARBOR BEACH</td><td colspan="3">STREET ADDRESS, CITY, STATE, ZIP CODE1615 MIAMI RD , FORT LAUDERDALE, Florida, 33316</td></tr><tr><td>(X4) IDPREFIXTAG</td><td colspan="2">SUMMARY STATEMENT OF DEFICIENCIES(EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)</td><td>IDPREFIXTAG</td><td>PROVIDER'S PLAN OF CORRECTION(EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETIONDATE</td></tr><tr><td>F0761SS = D</td><td colspan="2">Continued from page 19 storage room free of facility staffs personal belongings. The facility also failed to ensure medications and supplies are properly stored for 1 of 21 sampled residents (Resident #53).The findings included:A review of facility's policy tilled, "Medication Supply Storage and Medication Disposal", with an effective date of , documented the following (ff): Central storage of medications is required for prescriptions, prescribed over -the counter medications and complementary and alternative medicine (CAM). Will be kept in a locked area, in their original labeled container and may not be removed more than 2 hours prior to scheduled administration.1) During a tour of the medication storage room with Staff G, Registered Nurse (RN) on at 10:06 AM, it revealed a big black unzipped purse sitting on the counter next to bags of residents' . . .When Staff G, RN was asked why the big black purse was kept inside a medication storage room, she stated that facility staff leave personal items like lunch boxes, and purses inside the medication storage room. She added that staff do not have an area where they can keep their personal items because the facility is very small. The only place where they can keep their purses is inside the medication storage room.In an interview conducted with the Director of Nursing (DON) on at 10:44 AM, she stated that facility staff are not allowed to keep personal belongings inside the medication storage room.2) A record review revealed Resident # 53 was admitted to the facility on with diagnoses that included Acute of the Left Ankle and , Local of the Skin and Tissue, and . . .An electronic record review of the recent Minimum Data Set (MDS) under Section C of the ( ) revealed a score of 15 indicating Resident #26 had no . . .A review of physician orders dated , documented to: cleanse left , -lateral , with normal</td><td>F0761</td><td></td><td></td></tr></table> <table><tr><td colspan="2">STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS</td><td colspan="2">(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 105578</td><td>(X2) MULTIPLE CONSTRUCTION A. BUILDING B. WING</td><td colspan="2">(X3) DATE SURVEY COMPLETED</td></tr><tr><td colspan="3">NAME OF PROVIDER OR SUPPLIERAVIATA AT THE SEA - HARBOR BEACH</td><td colspan="4">STREET ADDRESS, CITY, STATE, ZIP CODE1615 MIAMI RD , FORT LAUDERDALE, Florida, 33316</td></tr><tr><td>(X4) IDPREFIXTAG</td><td colspan="2">SUMMARY STATEMENT OF DEFICIENCIES(EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)</td><td>IDPREFIXTAG</td><td colspan="2">PROVIDER'S PLAN OF CORRECTION(EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETION DATE</td></tr><tr><td>F0761SS = D</td><td colspan="2">Continued from page 21long time. She stated that the only supplies allowed inside a resident's room are the care supplies.She added that residents are not allowed to keep any medication and supplies inside their rooms.In another interview with Staff J, LPN on at 11:30 AM, when she was asked about a process the facility follows for a resident with changes and with left over supplies, she responded, "The supplies which are not used during the changes are discarded, they are not put in the storage carts and are not kept in the resident's room".</td><td>F0761</td><td></td><td></td><td></td></tr><tr><td rowspan="8">F0803SS = D</td><td>Menu Meet Resident Nds/Prep in Adv/FollowedCFR(s): 483.60(c)(1)-(7)\\(483.60(c)</td><td>Menu Meet Resident Nds/Prep in Adv/FollowedCFR(s): 483.60(c)(1)-(7)</td><td>F0803</td><td rowspan="8" colspan="2">Chart review was conducted for residents #34, #1, and #10. Resident #34 is being provided with a Magic Cup two times a day for lunch and dinner as ordered. Large portions are being served as ordered. Resident #1 is being provided large portions of protein as ordered. Resident #10 is being provided with a large entree as ordered by the physician.An audit of current residents was completed for residents with recommendations of large portion of protein with all meals and nutritional supplements to ensure nutritional needs of residents are being met. Regional Dietary Manager educated dietary staff on menus and nutritional adequacy and ensuring nutritional needs of residents are in accordance with national guidelines.The Dietary Director/Designee will conduct a quality review of residents with recommendations of large portion of protein with meals and nutritional supplements to ensure experiencing a daily 5x/week for (2) weeks, then 2x/week for (2) weeks, then weekly for (4) weeks, then monthly for (1) month. The findings of these reviews will be reported to the Quality Assurance Performance Improvement (QAPI) committee monthly for (3) months to determine substantial compliance and the need for further education and/or monitoring.</td><td rowspan="8">/2025</td></tr><tr><td>Menu must-\)\$483.60(c)(3)</td><td>Menu must-$\$483.60(c)(3)</td><td>F0803</td></tr><tr><td>\$483.60(c)(4)</td><td>\$483.60(c)(4)</td><td>F0803</td></tr><tr><td>Reflect, based on a facility's reasonable efforts, the religious, cultural and ethnic needs of the resident population, as well as input received from residents and resident groups:\$483.60(c)(5)</td><td>Reflect, based on a facility's reasonable efforts, the religious, cultural and ethnic needs of the resident population, as well as input received from residents and resident groups:\\)483.60(c)(6)</td><td>F0803</td></tr><tr><td>Be prepared in advance;\\)483.60(c)(7)</td><td>Be prepared in advance;\\)483.60(c)(7)</td><td>F0803</td></tr><tr><td>Be updated periodically;\\)483.60(c)(8)</td><td>Be updated periodically;\\)483.60(c)(8)</td><td>F0803</td></tr><tr><td>Be reviewed by the facility's dietitian or other clinically qualified nutrition professional for nutritional adequacy; and\\)483.60(c)(9)</td><td>Be reviewed by the facility's dietitian or other clinically qualified nutrition professional for nutritional adequacy; and\\)483.60(c)(10)</td><td>F0803</td></tr><tr><td colspan="2">Nothing in this paragraph should be construed to limit the resident's right to make personal dietary choices.</td><td>F0803</td></tr></table> <table><tr><td colspan="2">STATEMENT OF DEFICIENCIESAND PLAN OF CORRECTIONS</td><td colspan="2">(X1) PROVIDER/SUPPLIER/CLIAIDENTIFICATION NUMBER:105578</td><td>(X2) MULTIPLE CONSTRUCTIONA. BUILDINGB. WING</td><td colspan="2">(X3) DATE SURVEY COMPLETED</td></tr><tr><td colspan="3">NAME OF PROVIDER OR SUPPLIERAVIATA AT THE SEA - HARBOR BEACH</td><td colspan="4">STREET ADDRESS, CITY, STATE, ZIP CODE1615 MIAMI RD , FORT LAUDERDALE, Florida, 33316</td></tr><tr><td>(X4) IDPREFIXTAG</td><td colspan="2">SUMMARY STATEMENT OF DEFICIENCIES(EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)</td><td>IDPREFIXTAG</td><td colspan="2">PROVIDER'S PLAN OF CORRECTION(EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETIONDATE</td></tr><tr><td>F0803SS = D</td><td colspan="2">Continued from page 22This REQUIREMENT is NOT MET as evidenced by:Based on observations, interviews, and record reviews, the facility failed to follow the menus and preferences of 3 out of 3 residents observed during dining observations (Resident #34, Resident #1, and Resident #10).The findings included:1. A chart review revealed that Resident #34 was admitted on with diagnoses of , and . Magic cup (nutritional supplements) two times a day for lunch and dinner was ordered onThe nutrition assessment dated showed the following: Resident #34's ( ) was low for age at 16.8, and that , gain was beneficial to the Resident. Recommendations were made for a large portion of protein with all meals and Magic cup supplements twice a day.In an observation conducted on at 12:18 PM in the main dining room, Resident #34 was eating the lunch meal. Resident #34's meal ticket showed the following: a puréed diet, large entree portions, puréed broccoli florets, puréed dinner roll, puréed sour cream, orange cake, and a Magic cup supplement. Further observation of the lunch meal showed that the Magic cup was not provided, and only one scoop of the protein was provided on the plate, which was not a large portion.2. Resident #1 was admitted to the facility on with diagnoses of , and . An order noted for regular diet, , mechanical soft large portions of proteins for lunch and dinner, datedIn an observation conducted on at 12:13 PM in the main dining room, Resident #1 was eating his lunch meal. The lunch meal ticket was noted to have large portions of protein and ground baked ham. The meal plate was noted with only one scoop of meat and not the large portions of protein as ordered.3. Resident #10 was admitted to the facility on with diagnoses of and . An order was noted for , advanced texture, regular/thin liquid consistency, and large entree portions with all meals, dated</td><td>F0803</td><td></td><td></td><td></td></tr></table> <table><tr><td colspan="2">STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS</td><td colspan="2">(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 105578</td><td>(X2) MULTIPLE CONSTRUCTION A. BUILDING B. WING</td><td>(X3) DATE SURVEY COMPLETED</td></tr><tr><td colspan="3">NAME OF PROVIDER OR SUPPLIERAVIATA AT THE SEA - HARBOR BEACH</td><td colspan="3">STREET ADDRESS, CITY, STATE, ZIP CODE1615 MIAMI RD , FORT LAUDERDALE, Florida, 33316</td></tr><tr><td>(X4) IDPREFIXTAG</td><td colspan="2">SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)</td><td>IDPREFIXTAG</td><td>PROVIDER'S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETION DATE</td></tr><tr><td>F0803SS = D</td><td colspan="2">Continued from page 23The nutrition assessment dated ,showed that Resident #10 is at risk for ,related, advanced age, limited mobility, process, andIn an observation conducted on ,at 12:14 PM, Resident #10 was in the dining room eating his lunch meal. The meal ticket was noted with advanced diet with a large entree. The lunch meal was noted with one serving of ground ham, 1/2 cup serving of baked sweet potato, and 1/2 cup of seasoned green beans. The meal plate did not provide the large entree as ordered by the Physician.In an interview conducted on ,at 3:30 PM with the kitchen Manager, he stated that the diet on the tray line observe to make sure that the correct food items and portions are placed on the meal trays to match the diets on the meal tickets. It is also his responsibility to ensure that the correct items are on the meal trays. When asked about the double portion of meat, they will place two scoops of the meat (3 ounces each) on the meal plates. When the order calls for a large entree, they will provide significant portions of the meat, starch, and vegetables.</td><td>F0803</td><td></td><td></td></tr><tr><td>F0805SS = D</td><td colspan="2">Food in Form to Meet Individual NeedsCFR(s): 483.60(d)(3)§483.60(d) Food and drinkEach resident receives and the facility provides-§483.60(d)(3) Food prepared in a form designed to meet individual needs.This REQUIREMENT is NOT MET as evidenced by:Based on observations, interviews, and chart review, the facility failed to provide food in a form to meet the needs of 2 of 2 residents on the ,advanced diet (Resident #55 and Resident #10). This has the potential to affect three residents on a , advanced diet.The findings included:A review of the "National , Diet Levels" was provided by the Kitchen Manager. The following was noted: Level 3 , , advance is characterized by a</td><td>F0805</td><td>Residents #55 and #10 are receiving meals that are fork-mashable and moistened.An audit of current residents was completed for residents on an , , Advanced Diet to ensure food is prepared and provided in a form designed to meet individual needs.Regional Dietary Manager educated Dietary staff on National , , Diet Levels to ensure food is prepared and provided in a form to meet the needs of residents on an , , Advanced Diet in accordance with national guidelines.The Dietary Director/Designee will conduct a quality review of residents an , , Advanced Diet to ensure they are provided food they meets their needs daily 5x/week for (2) weeks, then 2x/week for (2) weeks, then weekly for (4) weeks, then monthly for (1) month. The findings of these reviews will be reported to the Quality Assurance Performance Improvement (QAPI) committee monthly for (3) months to determine substantial compliance and the need for further education and/or monitoring.</td><td>/2025</td></tr></table> <table><tr><td colspan="2">STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS</td><td colspan="2">(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 105578</td><td>(X2) MULTIPLE CONSTRUCTION A. BUILDING B. WING</td><td colspan="2">(X3) DATE SURVEY COMPLETED</td></tr><tr><td colspan="3">NAME OF PROVIDER OR SUPPLIERAVIATA AT THE SEA - HARBOR BEACH</td><td colspan="4">STREET ADDRESS, CITY, STATE, ZIP CODE1615 MIAMI RD , FORT LAUDERDALE, Florida, 33316</td></tr><tr><td>(X4) IDPREFIXTAG</td><td colspan="2">SUMMARY STATEMENT OF DEFICIENCIES(EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)</td><td>IDPREFIXTAG</td><td colspan="2">PROVIDER'S PLAN OF CORRECTION(EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETIONDATE</td></tr><tr><td>F0812SS = F</td><td colspan="2">Continued from page 25$483.60(i) Food safety requirements.The facility must -$483.60(i)(1) - Procure food from sources approved or considered satisfactory by federal, state or local authorities.(i) This may include food items obtained directly from local producers, subject to applicable State and local laws or regulations.(ii) This provision does not prohibit or prevent facilities from using produce grown in facility gardens, subject to compliance with applicable safe growing and food-handling practices.(iii) This provision does not preclude residents from consuming foods not procured by the facility.$483.60(i)(2) - Store, prepare, distribute and serve food in accordance with professional standards for food service safety.This REQUIREMENT is NOT MET as evidenced by:Based on observations and interviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety and sanitary conditions, and to prevent foodborne illnesses, during 2 of 2 tours in the central kitchen.The findings included:A review of the Food Safety Guide dated ,showed that raw chicken should be in the refrigerator for 1 to 2 dayshttps://www.foodsafety.gov/food-safety-charts/ -food -storage-charts.In a tour of the central kitchen conducted on at 9:08 AM, accompanied by the food service manager, the following issues were noted:The reach in freezer was noted with a pack of frozen meat patties that were not labeled and did not have the date of when the frozen meat patties were placed in the freezer, nor did they have an expiration date.</td><td>F0812</td><td colspan="2">Continued from page 25per million. Temperature of dishwasher machined evaluated to ensure it stays 180 degrees or above before use. Staff are properly using .hairnet. Appropriate items with internal temperature of 40 degrees and below regulated. Internal temperature of meats cooked or re-heated in accordance with food safety guidelines-current residents are at risk for alleged deficient practice.Regional Dietary Manager educated Dietary staff on storage, preparation, and distribution of food in accordance with professional standards for food service safety.The Dietary Director/Designee will conduct a quality review of food storage, preparation and distribution ensure they meet applicable state and local regulations daily 5x/week for (2) weeks, then 2x/week for (2) weeks, then weekly for (4) weeks, then monthly for (1) month. The findings of these reviews will be reported to the Quality Assurance Performance Improvement (QAPI) committee monthly for (3) months to determine substantial compliance and the need for further education and/or monitoring.</td><td></td></tr></table> <table><tr><td colspan="2">STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS</td><td colspan="2">(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 105578</td><td>(X2) MULTIPLE CONSTRUCTION A. BUILDING B. WING</td><td colspan="2">(X3) DATE SURVEY COMPLETED</td></tr><tr><td colspan="3">NAME OF PROVIDER OR SUPPLIERAVIATA AT THE SEA - HARBOR BEACH</td><td colspan="4">STREET ADDRESS, CITY, STATE, ZIP CODE1615 MIAMI RD , FORT LAUDERDALE, Florida, 33316</td></tr><tr><td>(X4) IDPREFIXTAG</td><td colspan="2">SUMMARY STATEMENT OF DEFICIENCIES(EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)</td><td>IDPREFIXTAG</td><td colspan="2">PROVIDER'S PLAN OF CORRECTION(EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETION DATE</td></tr><tr><td>F0812SS = F</td><td rowspan="2" colspan="2">Continued from page 27In an interview conducted on at 2:00 PM with the Kitchen Manager, he stated that he was told that the dishwasher needs to run a few times to reach 180 degrees and above before using it for dishes.In an observation conducted on at 11:45 AM, Staff P. Cook, was noted in the food production area with no . . . hairnet. He placed a . . . hairnet during this observation, which covered his beard but not his mustache.In a second tour of the kitchen conducted on at 11:35 AM during the lunch tray line, the following were noted:A chocolate cream pie noted with an internal temperature of 50 degrees Fahrenheit (F) and another chocolate cream pie noted with an internal temperature of 50 degrees F. The remaining chocolate cream pies were placed on the individual's lunch trays. This was not at the appropriate temperatures of 40 degrees F and below.A steam table quarter-size pan of chopped pork loin was noted with an internal temperature of 125 degrees F and not the necessary 155 degrees F and above for hot food. In this observation, the Kitchen Manager reheated the chopped pork loin and rechecked the internal temperature, which showed 158 degrees F and not the necessary internal temperature of 165 degrees F when reheating cooked pork loin that was cooked and cooled.The temperature of a cookedbreaded chicken sandwich was taken using a facility-calibrated thermometer, showing an internal temperature of 85 degrees F. In this observation, the Kitchen Manager reheated thebreaded chicken and checked the internal temperature. Further observation showed that thebreaded chicken had an internal temperature of 115 degrees F after reheating, and not the necessary 165 degrees F or above.A pureed chocolate pudding was noted at 53 degrees F, and not the necessary 40 degrees F or below.In an interview conducted on , at 3:00 PM with the facility's Administrator, he was informed of the findings.Dispose Garbage and Refuse ProperlyCFR(s): 483.60(i)(4)</td><td>F0812</td><td></td><td></td><td></td></tr><tr><td>F0814SS = D</td><td>F0814</td><td colspan="2">1.Trash spilling out of dumpster lid removed. Garbage, medication containers, and medical waste as well as equipment, gloves, and surgical masks were removed safely.</td><td>/2025</td></tr></table> <table><tr><td colspan="2">STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS</td><td colspan="2">(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 105578</td><td>(X2) MULTIPLE CONSTRUCTION A. BUILDING B. WING</td><td>(X3) DATE SURVEY COMPLETED</td></tr><tr><td colspan="3">NAME OF PROVIDER OR SUPPLIER AVIATA AT THE SEA - HARBOR BEACH</td><td colspan="3">STREET ADDRESS, CITY, STATE, ZIP CODE 1615 MIAMI RD, FORT LAUDERDALE, Florida, 33316</td></tr><tr><td>(X4) ID PREFERRED TAG</td><td>SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)</td><td>ID PREFERRED TAG</td><td colspan="2">PROVIDER'S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETION DATE</td></tr><tr><td>F0814 SS = D</td><td>Continued from page 28 §483.60(i)(4)- Dispose of garbage and refuse properly. This REQUIREMENT is NOT MET as evidenced by: Based on observation, interview, and record review, it was determined that the facility failed to dispose of garbage and refuse properly in 2 of 2 observations. The findings included: A review of the facility's policy titled "Solid Waste Management" dated "showed the following: solid waste shall be handled and disposed of in a manner that shall ensure a safe and sanitary facility environment. An observation was conducted on at 8:39 AM outside the main dumpster. Two large blue dumpsters were partially open, with numerous bags of garbage/trash broken open and spilling their contents outside the dumpsters. Further observation showed garbage, trash, medication containers, and medical waste products on top of the blue dumpsters. Further observations showed protective Equipment, gloves, and surgical masks were noted all around the garbage area. On at 8:45 AM, an observation was conducted in the outside dumpster area, where one blue dumpster was found to be unsealed and contained garbage bags, food boxes, disposable plates, and other trash. The area around the blue dumpster was noted with dirty gloves and other trash. In an interview conducted on with the Kitchen Manager at 2:30 PM, he stated that he oversees the garbage dumpster area and cleans around the area. When asked how often they empty the blue dumpster outside, he did not know.</td><td>F0814</td><td>Continued from page 28 2.Current residents are at risk for alleged deficient practice. 3. Executive Director educated dietary and housekeeping staff on solid waste management policies and how to handle and dispose in a manner that ensures safety and a sanitary facility department. 4. Executive Director/Designee will conduct a quality review a tour of the trash receptacle area 2x/week for (4) weeks, then 1x/week for (4) weeks, then monthly for (1) month. The findings of these reviews will be reported to the Quality Assurance Performance Improvement (OAPI) committee monthly for (3) months to determine substantial compliance and the need for further education and/or monitoring.</td><td></td><td></td></tr><tr><td>F0880 SS = D</td><td>CFR(s): 483.80(a)(1)(2)(4)(e)(f) §483.80 Control The facility must establish and maintain an prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable and §483.80(a) prevention and control program.</td><td></td><td>utilizing enhanced barrier precautions following CDC guidelines. Current residents with enhanced barrier precautions are at risk for alleged deficient practice. Current nursing staff and , staff educated on enhanced barrier precautions P&P. Director of Nursing/Designee will conduct a quality review of 5 residents requiring enhanced barrier precautions 2x/week for (4) weeks, then 1x/week for (4) weeks, then monthly for (1) month. The findings of these reviews will be reported to the Quality Assurance</td><td></td><td></td></tr></table> <table><tr><td colspan="2">STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS</td><td colspan="2">(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 105578</td><td>(X2) MULTIPLE CONSTRUCTION A. BUILDING B. WING</td><td>(X3) DATE SURVEY COMPLETED</td></tr><tr><td colspan="3">NAME OF PROVIDER OR SUPPLIERAVIATA AT THE SEA - HARBOR BEACH</td><td colspan="3">STREET ADDRESS, CITY, STATE, ZIP CODE1615 MIAMI RD , FORT LAUDERDALE, Florida, 33316</td></tr><tr><td>(X4) IDPREFIXTAG</td><td colspan="2">SUMMARY STATEMENT OF DEFICIENCIES(EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)</td><td>IDPREFIXTAG</td><td>PROVIDER'S PLAN OF CORRECTION(EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETIONDATE</td></tr><tr><td>F0880SS = D</td><td colspan="2">Continued from page 30§483.80(e) Linens.Personnel must handle, store, process, and transport linens so as to prevent the spread of§483.80(f) Annual review.The facility will conduct an annual review of its iPCP and update their program, as necessary.This REQUIREMENT is NOT MET as evidenced by:Based on observations, interviews and record reviews, the facility failed to follow the Center for Control and Prevention (CDC) guidelines for Enhanced Barrier Precautions (EBP) for 2 of 15 EBP residents (Resident #4 and Resident #22).The findings included:According to the Center for Control and Prevention (CDC), Enhanced Barrier Precautions sign post included the following: Everyone must clean their, including when both entering and leaving the room; Providers and Staff must also wear gloves and a gown for the following: high-contact care resident care activities, , bathing-showering, transferring, changing linens, providing hygiene, changing briefs or assisting with toileting; Device care or use; central line, , care with any skin opening requiring a ,https://www.cdc.gov/long-term-carefacilities/media/pdfs/1) A record review documented Resident #4 was admitted to the facility on , with diagnoses that included Displaced of Medial Malleolus of Left Phase.An electronic review of the most recent Minimum Data Set (MDS) assessment, under Section C of the ( ) , documented a score of 7 , indicating Resident #4 had severe ,An electronic review of physician orders dated , documented EBP related to ,A further review of the nursing care plan dated</td><td>F0880</td><td></td><td></td></tr></table> <table><tr><td colspan="2">STATEMENT OF DEFICIENCIESAND PLAN OF CORRECTIONS</td><td colspan="2">(X1) PROVIDER/SUPPLIER/CLIAIDENTIFICATION NUMBER:105578</td><td>(X2) MULTIPLE CONSTRUCTIONA. BUILDINGB. WING</td><td colspan="2">(X3) DATE SURVEY COMPLETED</td></tr><tr><td colspan="3">NAME OF PROVIDER OR SUPPLIERAVIATA AT THE SEA - HARBOR BEACH</td><td colspan="4">STREET ADDRESS, CITY, STATE, ZIP CODE1615 MIAMI RD , FORT LAUDERDALE, Florida, 33316</td></tr><tr><td>(X4) IDPREFIXTAG</td><td colspan="2">SUMMARY STATEMENT OF DEFICIENCIES(EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)</td><td>IDPREFIXTAG</td><td colspan="2">PROVIDER'S PLAN OF CORRECTION(EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETIONDATE</td></tr><tr><td>F0880SS = D</td><td colspan="2">Continued from page 31, documented a focus on alteration in usual functional performance in mobility/transfer status, related to . One of the interventions was to use a as a transfer device.During an observation conducted on . at 10:48 AM, two staff were not wearing personal protective equipment (PPE) gowns during a resident's transfer. Both exited Resident #4's room, with one staff member pushing the . out and with the other staff who went out with the resident.The . that used during the resident transfer stayed on the hall for the entire time without during the morning observation.In an interview conducted with Staff F, a Certified Nursing Assistant (CNA) on . at 4:02 PM, when asked why she did not don gown and gloves during the transfer of Resident#4, she responded that EBP is followed only for residents with and ostomy. She added that she did not remember to use gown and gloves during the transfer, but she performed hygiene before and after the transfer.When asked if she . the . after resident's use, she responded, "No one told me to . the . after resident's use". She added that she has been working in the facility for 1(one) year and she had never a or any machine after each resident's use.2) Review of the facility policy titled Prevention and Control Program provided by the Director of Nursing (DON) revised documented in the Policy Statement: An Prevention and Control Program (IPCP) is established and maintained to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable and ....The program is based on accepted national prevention and control standards....Review of the facility policy titled Dry/Clean provided by the DON reviseddocumented in the Policy Statement: Purpose-of this procedure is to provide guidelines for the application of dry, clean . . .Steps in the Procedure....2. Arrange the supplies so they can be easily reached....6.Put on clean gloves. Loosen tape and remove soiled .7. Pull glove over . and discard into plastic or biohazard bag....18. Discard disposable items into the designated container....</td><td>F0880</td><td></td><td></td><td></td></tr></table>

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Citations

No citations recorded on this visit

The surveyor cited no deficiencies during this survey.

FAQ · About this visit

Common questions about this visit

What happened during the September 11, 2025 survey of AVIATA AT THE SEA - HARBOR BEACH?

This was a inspection survey of AVIATA AT THE SEA - HARBOR BEACH on September 11, 2025. The surveyor cited no deficiencies.

Were any deficiencies cited at AVIATA AT THE SEA - HARBOR BEACH on September 11, 2025?

No deficiencies were cited during this survey.

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

SourceView on CMS Care Compare

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Inspection·September 11, 2025