Inspection·September 16, 2025

<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 01 - MAIN FED 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&#x27;S PLAN OF CORRECTION(EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETIONDATE</td></tr><tr><td>K0000</td><td colspan="2">INITIAL COMMENTSAn unannounced Fire &amp; Life Safety Recertification survey was conducted on at Aviata at the Sea-Harbor Beach, a nursing home in Fort Lauderdale, Florida. Aviata at the Sea-Harbor Beach was not in compliance with 42 CFR 483 Subpart B, 42 CFR 488,307, and National Fire Protection Association (NFPA) 101 (2012 Edition), NFPA 99 (2012 Edition) requirements for nursing homes.Initial Plan Review: 1961ExistingNFPA 220 Construction Type: II (111)Number of beds: 59Census: 54The following is a description of the noncompliance.</td><td>K0000</td><td colspan="2"></td><td>/2025</td></tr><tr><td>K0222</td><td colspan="2">Egress DoorsCFR(s): NFPA 101Egress DoorsDoors in a required means of egress shall not be equipped with a latch or a lock that requires the use of a tool or key from the egress side unless using one of the following special locking arrangements:CLINICAL NEEDS OR SECURITY THREAT LOCKINGWhere special locking arrangements for the clinical security needs of the patient are used, only one locking device shall be permitted on each door and provisions shall be made for the rapid removal of occupants by: remote control of locks; keying of all locks or keys carried by staff at all times; or other such reliable means available to the staff at all times.</td><td>K0222</td><td colspan="2">The right leaf of the Main Entrance double emergency exit doors, noted to not operate when tested, was repaired to proper function. The astragal on the left leaf of the double exit doors near , noted to be obstructing the right leaf from opening, was removed.Additional double exit doors were reviewed for proper function.The Executive Director/ designee will educate the Maintenance Director on the importance of NFPA 101 Egress Doors specific to maintaining double exit doors to proper function, and will continue to monitor in accordance with NFPA standards.Any findings will be reported to the monthly QAPI Committee for further review.</td><td>/2025</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. BUILDING 01 - MAIN FEDB. 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&#x27;S PLAN OF CORRECTION(EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETIONDATE</td></tr><tr><td>K0222</td><td colspan="2">Continued from page 118.2.2.2.5.1, 18.2.2.2.6, 19.2.2.2.5.1, 19.2.2.2.6SPECIAL NEEDS LOCKING ARRANGEMENTSWhere special locking arrangements for the safety needs of the patient are used, all of the Clinical or Security Locking requirements are being met. In addition, the locks must be electrical locks that fail safely so as to release upon loss of power to the device; the building is protected by a supervised automatic sprinkler system and the locked space is protected by a complete smoke detection system (or is constantly monitored at an attended location within the locked space); and both the sprinkler and detection systems are arranged to unlock the doors upon activation.18.2.2.2.5.2, 19.2.2.2.5.2,DELAYED-EGRESS LOCKING ARRANGEMENTSApproved, listed delayed-egress locking systems installed in accordance with 7.2.1.6.1 shall be permitted on door assemblies serving low and ordinary hazard contents in buildings protected throughout by an approved, supervised automatic fire detection system or an approved, supervised automatic sprinkler system.18.2.2.2.4, 19.2.2.2.4ACCESS-CONTROLLED EGRESS LOCKING ARRANGEMENTSAccess-Controlled Egress Door assemblies installed in accordance with 7.2.1.6.2 shall be permitted.18.2.2.2.4, 19.2.2.2.4ELEVATOR LOBBY EXIT ACCESS LOCKING ARRANGEMENTS Elevator lobby exit access door locking in accordance with 7.2.1.6.3 shall be permitted on door assemblies in buildings protected throughout by an approved, supervised automatic fire detection system and an approved, supervised automatic sprinkler system.18.2.2.2.4, 19.2.2.2.4This STANDARD is NOT MET as evidenced by:Based on observations and staff interviews, the facility failed to maintain egress doors equipped with delayed egress locking arrangements in accordance with NFPA 101, for 2 of 7 sampled delayed egress exits.</td><td>K0222</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 01 - MAIN FED 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&#x27;S PLAN OF CORRECTION(EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETIONDATE</td></tr><tr><td>K0222</td><td rowspan="2" colspan="2">Continued from page 2The findings included:On , at the following times, during the fire safety tour of the facility with the Regional Maintenance Director and the Maintenance Director, the following was observed:1. At 2:00 PM, the Main Entrance double emergency exit doors, equipped with a delayed egress locking arrangement, it was noted that the right leaf failed to operate when tested. The right leaf was locked in place.2. At 2:45 PM, the double exit doors, equipped with a delayed egress locking arrangement, near , it was noted that the right leaf was obstructed. The left leaf had an astragal which prevented the right leaf from opening when it was closed and latched.An interview was conducted with the Regional Maintenance Director and the Maintenance Director concurrent with the observations and they acknowledged the findings. The findings were reviewed with the Administrator, the Regional Maintenance Director, and the Maintenance Director at the exit conference on at 4:55 PM.NFPA 101 (2012 Edition): 4.6.12.1, 7.1.9, 7.1.10.1, 7.2.1.5.3.2, 7.2.1.6.1.1(3), 7.2.1.6.1.1(4), 19.1.1.1.3, 19.2.1, 19.2.2.2.4(2)Photographic evidence obtained.K0321Hazardous Areas - EnclosureCFR(s): NFPA 101Hazardous Areas - EnclosureHazardous areas are protected by a fire barrier having 1-hour fire resistance rating (with hour fire rated doors) or an automatic fire extinguishing system in accordance with 8.7.1 or 19.3.5.9. When the approved automatic fire extinguishing system option is used, the areas shall be separated from other spaces by smoke resisting partitions and doors in accordance with 8.4. Doors shall be self-closing or automatic-closing and permitted to have nonrated or field-applied protective</td><td rowspan="2">K0222</td><td></td><td></td><td></td></tr><tr><td>K0321</td><td colspan="2">The broken door-closer noted on the Laundry Facility main door to the corridor will be repaired to proper function, and the fire/ smoke door noted to be missing between the washing machine room and dryer room will be reinstalled.Additional Hazardous Area doors will be reviewed for proper function.The Executive Director/ designee will educate the Maintenance Director on the importance of NFPA 101 Hazardous Areas - Enclosure specific to maintaining hazardous Area doors to proper function, and will continue to monitor in accordance with NFPA standards.</td><td>/2025</td></tr></table> Event ID:1D3CF8-L1 Facility ID:100610 <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. BUILDING 01 - MAIN FEDB. 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>SUMMARY STATEMENT OF DEFICIENCIES(EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)</td><td colspan="2">IDPREFIXTAG</td><td colspan="2">PROVIDER&#x27;S PLAN OF CORRECTION(EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETIONDATE</td></tr><tr><td>K0321</td><td>Continued from page 3plates that do not exceed 48 inches from the bottom of the door.Describe the floor and zone locations of hazardous areas that are deficient in REMARKS.19.3.2.1, 19.3.5.9Area Automatic Sprinkler Separation N/Aa. Boiler and Fuel-Fired Heater Roomsb. Laudryes (larger than 100 square )c. Repair, Maintenance, and Paint Shopsd. Soiled Linen Rooms (exceeding 64 gallons)e.Trash Collection Rooms(exceeding 64 gallons)f. Combustible Storage Rooms/Spaces(over 50 square )g. Laboratories (if classified as SevereHazard - see K322)This STANDARD is NOT MET as evidenced by:Based on observations and staff interview, the facility failed to maintain their hazardous areas in accordance with NFPA 101, for 1 of 3 smoke compartments.The findings included:On , at 2:29 PM, during the fire safety tour of the facility with the Regional Maintenance Director and the Maintenance Director, it was observed that the Laundry Facility main door to the corridor had a broken door-closer and the fire/smoke door separating the washing machine room from the dryer room was removed.An interview was conducted with the Regional Maintenance Director and the Maintenance Director concurrent with the observations and they confirmed the findings. The findings were reviewed with the Administrator, the Regional Maintenance Director, and the Maintenance Director at the exit conference on at 4:55 PM.</td><td>K0321</td><td>Continued from page 3Any findings will be reported to the monthly QAPI Committee for further review.</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 01 - MAIN FED B. WING</td><td>(X3) DATE SURVEY COMPLETED</td></tr><tr><td colspan="3">NAME OF PROVIDER OR SUPPLIER A VIATA 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 PRIX TAG</td><td>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&#x27;S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETION DATE</td></tr><tr><td>K0321</td><td>Continued from page 4</td><td>K0321</td><td colspan="2"></td><td rowspan="16">/2025</td></tr><tr><td rowspan="15">K0324</td><td>NFFA 101 (2012 Edition) 2.1, 4.5.8, 4.6.12.1, 8.7.3.1(1), 19.1.1.1.3, 19.3.2.1.3, 19.3.2.1.5</td><td rowspan="15">K0324</td><td colspan="2">The seams noted on the commercial cooking hood suppression system were properly sealed and made grease tight with a listed and rated material.</td></tr><tr><td>Photographic evidence obtained.</td><td colspan="2">The facility only has one commercial cooking hood suppression system, therefore no additional reviews were needed.</td></tr><tr><td>Cooking Facilities</td><td rowspan="13" colspan="2">The Executive Director/ designee will educate the Maintenance Director on the importance of NFPA 101 Cooking Facilities specific to properly maintaining the seams on the facility&#x27;s commercial cooking hood suppression system, and will continue to monitor in accordance with NFPA standards.</td></tr><tr><td>CFR(s): NFPA 101</td></tr><tr><td>Cooking Facilities</td></tr><tr><td>Cooking equipment is protected in accordance with NFPA 96, Standard for Control and Fire Protection of Commercial Cooking Operations, unless:</td></tr><tr><td>* residential cooking equipment (i.e., small appliances such as microwaves, hot plates, toasters) are used for food warming or limited cooking in accordance with 18.3.2.5.2, 19.3.2.5.2</td></tr><tr><td>* cooking facilities open to the corridor in smoke compartments with 30 or fewer patients comply with the conditions under 18.3.2.5.3, 19.3.2.5.3, or</td></tr><tr><td>* cooking facilities in smoke compartments with 30 or fewer patients comply with conditions under 18.3.2.5.4, 19.3.2.5.4,</td></tr><tr><td>Cooking facilities protected according to NFPA 96 per 9.2.3 are not required to be enclosed as hazardous areas, but shall not be open to the corridor.</td></tr><tr><td>18.3.2.5.1 through 18.3.2.5.4, 19.3.2.5.1 through 19.3.2.5.5, 9.2.3,</td></tr><tr><td>This STANDARD is NOT MET as evidenced by:</td></tr><tr><td>Based on observation and staff interview, the facility failed to maintain their commercial cooking facility in accordance with NFPA 101, for 1 of 1 sampled commercial cooking hood suppression system.</td></tr><tr><td>The findings included:</td></tr><tr><td>On , at 1:40 PM, during the fire safety tour of the facility with the Maintenance Director, the commercial cooking hood suppression system seams were not sealed or otherwise made greaselight.</td></tr></table> Event ID:1D3CF8-L1 Facility ID:100610 <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 01 - MAIN FED 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 MAMRID, 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&#x27;S PLAN OF CORRECTION(EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETIONDATE</td></tr><tr><td>K0324</td><td colspan="2">Continued from page 5An interview was conducted with the Regional Maintenance Director and the Maintenance Director concurrent with the observations and they confirmed the findings. The findings were reviewed with the Administrator, the Regional Maintenance Director, and the Maintenance Director at the exit conference on at 4:55 PM.NFPA 96 (2011 Edition) 5.1.4NFPA 101 (2012 Edition) 2.1, 4.5.8, 4.6.12.1, 9.2.3, 19.3.2.5.1Photographic evidence obtained.Electrical Equipment - Power and ExtensCFR(s): NFPA 101Electrical Equipment - Power and ExtensionPower strips in a patient care vicinity are only used for components of movable patient-care-related electrical equipment (PCREE) assemblies that have been assembled by qualified personnel and meet the conditions of 10.2.3.6. Power strips in the patient care vicinity may not be used for non-PCREE (e.g., personal electronics), except in long-term care resident rooms that do not use PCREE. Power strips for PCREE meet UL 1363A or UL 60601-1. Power strips for non-PCREE in the patient care rooms (outside of vicinity) meet UL 1363. In non-patient care rooms, power strips meet other UL standards. All power strips are used with general precautions. Extension are not used as a substitute for fixed wiring of a structure. Extension used temporarily are removed immediately upon completion of the purpose for which it was installed and meets the conditions of 10.2.4.10.2.3.6 (NFPA 99), 10.2.4 (NFPA 99), 400-8 (NFPA 70), 590.3(D) (NFPA 70).This STANDART IS NOT MET as evidenced by:Based on observations and staff interview, the facility failed to prevent the improper use of power strips utilized in lieu of permanent wiring in accordance with NFPA 99, for 2 of 3 smoke compartments.The findings included:</td><td>K0324K0920</td><td colspan="2">The power strips noted to be in improper use in the MDS Coordinator&#x27;s Office Television Close, and the Fire Panel Room, were removed.Additional IT related Equipment Rooms will be reviewed for the improper use of power strips.The Executive Director/ designee will educate the Maintenance Director on the importance of NFPA 101 Electrical Systems- Power and Extension specific to the improper use of power strips in IT related Equipment Rooms, and will continue to monitor in accordance with NFPA standards.Any findings will be reported to the monthly QAPI Committee for further review.</td><td>/2025</td></tr></table> Event ID: 1D3CF8-L1 Facility ID: 100610 <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 01 - MAIN FED 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>SUMMARY STATEMENT OF DEFICIENCIES(EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)</td><td>IDPREFIXTAG</td><td colspan="2">PROVIDER&#x27;S PLAN OF CORRECTION(EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETIONDATE</td></tr><tr><td>K0920Bldg. 01</td><td>Continued from page 6On , at the following times, during the fire safety tour of the facility with the Regional Maintenance Director and the Maintenance Director, the following was observed:1. At 1:20 PM, the MDS (Minimum Data Set) Coordinator&#x27;s Office Television Closet had cable boxes plugged into a power strip, which was plugged into a line coordinator, which was plugged into another power strip.2. At 3:35 PM, the Fire Panel Room had computer equipment plugged into a power strip, which was plugged into a battery backup.An interview was conducted with the Regional Maintenance Director and the Maintenance Director concurrent with the observations and they confirmed the findings. The findings were reviewed with the Administrator, the Regional Maintenance Director, and the Maintenance Director at the exit conference on at 4:55 PM.NFPA 70 (2011 Edition) 110.3 (B), 400.5 (A), 400.12 (1)NFPA 99 (2012 Edition) 10.1, 10.2.3.1.1, 10.2.3.6, 10.4.2.3NFPA 101 (2012 Edition) 2.1, 9.1.2, 19.5.1.1, 19.5.1.3Photographic evidence obtained.</td><td>K0920</td><td colspan="2"></td><td></td></tr></table> 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 05 - MAIN LIC B. WING</td><td>(X3) DATE SURVEY COMPLETED 09/16/2025</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 PRIX TAG</td><td>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&#x27;S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETION DATE</td></tr><tr><td>K0000</td><td colspan="2">INITIAL COMMENTS An unannounced Fire &amp; Life Safety re-licensure survey was conducted on at Aviata at the Sea - Harbor Beach, a nursing home in Fort Lauderdale, Florida in accordance with National Fire Protection Association (NFPA) 1 and 101 (2021 Edition) and applicable requirements of Florida State Fire Marshal&#x27;s Rules and Regulations, Florida Administrative Code (F.A.C.) 69A-3, F.A.C. 69A-53, F.A.C. 59A-4, and Florida Statutes (F.S.) 400 Part II, and F.S. 633.0215, adopting National Fire Protection Association (NFPA) 1 and 101 (2021 Edition) known as the Florida Fire Prevention Code and all NFPA referenced standards and requirements adopted per NFPA 101, Chapter 2. The following is a description of the deficiencies found at the time of the visit.</td><td>K0000</td><td></td><td>/2025</td></tr><tr><td>K0222</td><td>Egress Doors CFR(s): NFPA 101 Doors within a required means of egress shall not be equipped with a latch or lock that requires the use of a tool or key from the egress side, unless otherwise permitted by one of the following:(1) Locks complying with 18/19.2.2.2.5 shall be permitted.(2) Delayed-egress electrical locking systems complying with 7.2.1.6.1 shall be permitted.(3) Sensor-release of electrical locking systems complying with 7.2.1.6.2 shall be permitted.(4) Elevator lobby exit access door locking in accordance with 7.2.1.6.4 shall be permitted.(5) Approved existing door-locking installations shall be permitted. 18.2.2.2.4 through 18.2.2.2.7, 19.2.2.2.4 through 19.2.2.2.7</td><td>K0222</td><td colspan="2">The right leaf of the Main Entrance double emergency exit doors, noted to not operate when tested, was repaired to proper function. The astragal on the left leaf of the double exit doors near , noted to be obstructing the right leaf from opening, was removed. Additional double exit doors were reviewed for proper function.The Executive Director/ designee will educate the Maintenance Director on the importance of NFPA 101 Egress Doors specific to maintaining double exit doors to proper function, and will continue to monitor in accordance with NFPA standards. Any findings will be reported to the monthly QAPI Committee for further review.</td><td>/2025</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 05 - MAIN LIC B. WING</td><td colspan="2">(X3) DATE SURVEY COMPLETED 09/16/2025</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>ID PREFERRED TAG</td><td colspan="2">PROVIDER&#x27;S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td colspan="2">(X5) COMPLETION DATE</td></tr><tr><td>K0222</td><td>Continued from page 1 This LICENSURE REQUIREMENT IS NOT MET as evidenced by: Based on observations and staff interviews, the facility failed to maintain egress doors equipped with delayed egress locking arrangements in accordance with NFPA 101, for 2 of 7 sampled delayed egress exits. The findings included: On , at the following times, during the fire safety tour of the facility with the Regional Maintenance Director and the Maintenance Director, the following was observed: 1. At 2:00 PM, the Main Entrance double emergency exit doors, equipped with a delayed egress locking arrangement, it was noted that the right leaf failed to operate when tested. The right leaf was locked in place. 2. At 2:45 PM, the double exit doors, equipped with a delayed egress locking arrangement, near , it was noted that the right leaf was obstructed. The left leaf had an astragal which prevented the right leaf from opening when it was closed and latched. An interview was conducted with the Regional Maintenance Director and the Maintenance Director concurrent with the observations and they acknowledged the findings. The findings were reviewed with the Administrator, the Regional Maintenance Director, and the Maintenance Director at the exit conference on at 4:55 PM. NFPA 101 (2021 Edition) 4.6.12.1, 7.1.9, 7.1.10.1, 7.2.1.5.3.2, 7.2.1.6.1.1(3), 7.2.1.6.1.1(4), 19.1.1.1.3, 19.2.1, 19.2.2.2.4(2) Class III Photographic evidence obtained. Hazardous Areas - Enclosure CFR(s): NFPA 101 Hazardous Areas - Enclosure</td><td>K0222</td><td></td><td></td><td></td><td></td></tr><tr><td>K0321</td><td></td><td>K0321</td><td colspan="2">The broken door-closer noted on the Laundry Facility main door to the corridor will be repaired to proper function, and the fire/ smoke door noted to be missing between the washing machine room and dryer room will be reinstalled.</td><td colspan="2">/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 05 - MAIN LIC B. WING</td><td colspan="2">(X3) DATE SURVEY COMPLETED 09/16/2025</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>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&#x27;S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td colspan="2">(X5) COMPLETION DATE</td></tr><tr><td>K0321</td><td>Continued from page 22021 EXISTINGAny hazardous areas shall be safeguarded by a fire barrier having a 1-hour fire resistance rating or shall be provided with an automatic extinguishing system in accordance with 8.7.1.An automatic extinguishing system, where used in hazardous areas, shall be permitted to be in accordance with 19.3.5.9.Where the sprinkler option of 19.3.2.1 is used, the areas shall be separated from other spaces by smoke partitions in accordance with Section 8.4.The doors shall be self-closing or automatic closing.Doors in rated enclosures shall be permitted to have nonrated, factory- or field-applied protective plates extending not more than 48 in. (1220 mm) above the bottom of the door.Hazardous areas shall include, but shall not be restricted to, the following:(1) Boiler and fuel-fired heater rooms.(2) Central/bulk laundries larger than 100 ft2 (9.3 m2).(3) Paint shops.(4) Repair shops.(5) Rooms with soiled linen in volume exceeding 64 gal (242 L).(6) Rooms with collected trash in volume exceeding 64 gal (242 L).(7) Rooms or spaces larger than 50 ft2 (4.6 m2), including repair shops, used for storage of combustible supplies and equipment in quantities deemed hazardous by the authority having jurisdiction.(8) Laboratories employing flammable or combustible materials in quantities less than those that would be considered a severe hazard.19.3.2.1 through 19.3.2.1.5</td><td>K0321</td><td>Continued from page 2Additional Hazardous Area doors will be reviewed for proper function.The Executive Director/ designee will educate the Maintenance Director on the importance of NFPA 101 Hazardous Areas- Enclosure specific to maintaining hazardous Area doors to proper function, and will continue to monitor in accordance with NFPA standards.Any findings will be reported to the monthly QAPI Committee for further review</td><td></td><td colspan="2"></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 05 - MAIN LIC B. WING</td><td colspan="2">(X3) DATE SURVEY COMPLETED 09/16/2025</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 PREFER TAG</td><td colspan="2">SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)</td><td>ID PREFER TAG</td><td colspan="2">PROVIDER&#x27;S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETION DATE</td></tr><tr><td rowspan="17">K0321</td><td colspan="2">Continued from page 3 2021 NEW</td><td rowspan="17">K0321</td><td rowspan="17" colspan="2"></td><td rowspan="17"></td></tr><tr><td colspan="2">Any hazardous areas shall be protected in accordance with Section 8.7, and the areas addressed in 18.3.2.1.2 and 18.3.2.1.3 shall be protected as indicated.</td></tr><tr><td colspan="2">The following areas shall be considered hazardous areas and shall be protected by fire barriers having a minimum 1-hour fire resistance rating in accordance with Section 8.3:</td></tr><tr><td colspan="2">(1) Boiler and fuel-fired heater rooms</td></tr><tr><td colspan="2">(2) Central/bulk laundries larger than 100 ft2 (9.3 m2)</td></tr><tr><td colspan="2">(3) Paint shops employing hazardous substances and materials in quantities less than those that would be classified as a severe hazard</td></tr><tr><td colspan="2">(4) Physical plant maintenance shops</td></tr><tr><td colspan="2">(5) Rooms with soiled linen in volume exceeding 64 gal (242 L)</td></tr><tr><td colspan="2">(6) Rooms with collected trash in volume exceeding 64 gal (242 L)</td></tr><tr><td colspan="2">(7) Storage rooms larger than 100 ft2 (9.3 m2) and storing combustible material.</td></tr><tr><td colspan="2">The following areas shall be considered hazardous areas and shall be protected by smoke partitions in accordance with Section 8.4:</td></tr><tr><td colspan="2">(1) Laboratories employing flammable or combustible materials in quantities less than those that would be considered a severe hazard.</td></tr><tr><td colspan="2">(2) Storage rooms larger than 50 ft2 (4.6 m2) but not exceeding 100 ft2 (9.3 m2) and storing combustible material.</td></tr><tr><td colspan="2">18.3.2.1 through 18.3.2.1.3</td></tr><tr><td colspan="2">This LICENSURE REQUIREMENT is NOT MET as evidenced by:</td></tr><tr><td colspan="2">Based on observations and staff interview, the facility failed to maintain their hazardous areas in accordance with NFPA 101, for 1 of 3 smoke compartments.</td></tr><tr><td colspan="2">The findings included:</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 05 - MAIN LIC B. WING</td><td colspan="2">(X3) DATE SURVEY COMPLETED 09/16/2025</td></tr><tr><td colspan="4">NAME OF PROVIDER OR SUPPLIER A VIATA 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 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&#x27;S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETION DATE</td></tr><tr><td rowspan="6">K0321</td><td colspan="2">Continued from page 4</td><td>K0321</td><td colspan="2"></td><td></td></tr><tr><td colspan="2">On , at 2:29 PM, during the fire safety tour of the facility with the Regional Maintenance Director and the Maintenance Director, it was observed that the Laundry Facility main door to the corridor had a broken door-closer and the fire/smoke door separating the washing machine room from the dryer room was removed.</td><td></td><td colspan="2"></td><td></td></tr><tr><td colspan="2">An interview was conducted with the Regional Maintenance Director and the Maintenance Director concurrent with the observations and they confirmed the findings. The findings were reviewed with the Administrator, the Regional Maintenance Director, and the Maintenance Director at the exit conference on at 4:55 PM.</td><td></td><td colspan="2"></td><td></td></tr><tr><td colspan="2">NFTA 101 (2021 Edition) 2.1, 4.5.8, 4.6.12.1, 8.7.3.1(1), 19.1.1.1.3, 19.3.2.1, 19.3.2.1.3, 19.3.2.1.5</td><td></td><td colspan="2"></td><td></td></tr><tr><td colspan="2">Photographic evidence obtained.</td><td></td><td colspan="2"></td><td></td></tr><tr><td colspan="2">Class III</td><td></td><td colspan="2"></td><td></td></tr><tr><td rowspan="8">K0324</td><td colspan="2">Cooking Facilities</td><td>K0324</td><td colspan="2">The seams noted on the commercial cooking hood suppression system were properly sealed and made grease tight with a listed and rated material.</td><td>/2025</td></tr><tr><td colspan="2">CFR(s): NFTA 101</td><td></td><td colspan="2">The facility only has one commercial cooking hood suppression system, therefore no additional reviews were needed.</td><td></td></tr><tr><td colspan="2">Cooking Facilities</td><td></td><td colspan="2">The Executive Director/ designee will educate the Maintenance Director on the importance of NFTA 101 Cooking Facilities specific to properly maintaining the seams on the facility&#x27;s commercial cooking hood suppression system, and will continue to monitor in accordance with NFTA standards.</td><td></td></tr><tr><td colspan="2">Cooking facilities shall be protected in accordance with 9.2.3, unless otherwise permitted by 19.3.2.5.2, 19.3.2.5.3, or 19.3.2.5.4.</td><td></td><td colspan="2"></td><td></td></tr><tr><td colspan="2">Commercial cooking operations shall be protected in accordance with NFTA 96 unless such installations are approved existing installations, which shall be permitted to be continued in service.</td><td></td><td colspan="2"></td><td></td></tr><tr><td colspan="2">18.3.2.5.1 through 18.3.2.5.5, 19.3.2.5.1 through 19.3.2.5.5, 9.2.3</td><td></td><td colspan="2"></td><td></td></tr><tr><td colspan="2">This LICENSURE REQUIREMENT is NOT MET as evidenced by</td><td></td><td colspan="2"></td><td></td></tr><tr><td colspan="2">Based on observation and staff interview, the facility failed to maintain their commercial cooking facility in accordance with NFTA 101, for 1 of 1 sampled commercial cooking hood suppression system.</td><td></td><td colspan="2"></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 05 - MAIN LIC B. WING</td><td colspan="2">(X3) DATE SURVEY COMPLETED 09/16/2025</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&#x27;S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETION DATE</td></tr><tr><td>K0324</td><td colspan="2">Continued from page 5 The findings included:</td><td>K0324</td><td colspan="2"></td><td></td></tr><tr><td>K0920</td><td colspan="2">NFPA 96 (2021 Edition) 5.1.4, 10.2.6 NFPA 101 (2021 Edition) 2.1, 4.5.8, 4.6.12.1, 9.2.3, 19.3.2.5.1</td><td></td><td colspan="2"></td><td></td></tr><tr><td>Bldg. 05</td><td colspan="2">Photographic evidence obtained.</td><td></td><td colspan="2"></td><td></td></tr><tr><td></td><td colspan="2">Class III</td><td></td><td colspan="2"></td><td></td></tr><tr><td></td><td colspan="2">Electrical Equipment - Power and Extens CFR(s): NFPA 99</td><td>K0920</td><td colspan="2">The power strips noted to be in improper use in the MDS Coordinator&#x27;s Office Television Closet, and the Fire Panel Room, were removed.</td><td>/2025</td></tr><tr><td></td><td colspan="2">Electrical Equipment - Power and Extension</td><td></td><td colspan="2">Additional IT related Equipment Rooms will be reviewed for the improper use of power strips.</td><td></td></tr><tr><td></td><td colspan="2">Power strips in a patient care vicinity are only used for components of movable patient-care-related electrical equipment (PCREE) assemblies that have been assembled by qualified personnel and meet the conditions of 10.2.3.6. Power strips in the patient care vicinity may not be used for non-PCREE (e.g., personal electronics), except in long-term care resident rooms that do not use PCREE. Power strips for PCREE meet UL 1363A or UL 60601-1. Power strips for non-PCREE in the patient care rooms (outside of vicinity) meet UL 1363. In non-patient care rooms, power strips meet other UL standards. All power strips are used with general precautions. Extension are not used as a substitute for fixed wiring of a structure. Extension used temporarily are removed immediately upon completion of the purpose for which it was installed and meets the conditions of 10.2.4.</td><td></td><td colspan="2">The Executive Director designee will educate the Maintenance Director on the importance of NFPA 101 Electrical Systems- Power and Extension specific to the improper use of power strips in IT related Equipment Rooms, and will continue to monitor in accordance with NFPA standards. Any findings will be reported to the monthly QAPI Committee for further review.</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 05 - MAIN LIC B. WING</td><td colspan="2">(X3) DATE SURVEY COMPLETED 09/16/2025</td><td></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><td></td></tr><tr><td>(X4) ID PREFER TAG</td><td>SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)</td><td>ID PREFER TAG</td><td colspan="2">PROVIDER&#x27;S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td colspan="2">(X5) COMPLETION DATE</td><td></td></tr><tr><td>K0920 Bldg. 05</td><td colspan="2">Continued from page 6 10.2.3.6, 10.2.4, 10.5.2.3 (NFPA 99), NFPA 70 This LICENSURE REQUIREMENT is NOT MET as evidenced by: Based on observations and staff interview, the facility failed to prevent the improper use of power strips utilized in lieu of permanent wiring in accordance with NFPA 99, for 2 of 3 smoke compartments. The findings included: On , at the following times, during the fire safety tour of the facility with the Regional Maintenance Director and the Maintenance Director, the following was observed: 1. At 1:20 PM, the MDS (Minimum Data Set) Coordinator&#x27;s Office Television Closet had cable boxes plugged into a power strip, which was plugged into a line coordinator, which was plugged into another power strip. 2. At 3:35 PM, the Fire Panel Room had computer equipment plugged into a power strip, which was plugged into a battery backup. An interview was conducted with the Regional Maintenance Director and the Maintenance Director concurrent with the observations and they confirmed the findings. The findings were reviewed with the Administrator, the Regional Maintenance Director, and the Maintenance Director at the exit conference on at 4:55 PM. NFPA 1 (2021 Edition) 11.1.2.1, 11.1.4.2 NFPA 70 (2020 Edition) 110.3 (B), 400.5 (A), 400.12 (1) NFPA 99 (2021 Edition) 10.1, 10.2.3.1.1, 10.2.3.6, 10.4.2.3 NFPA 101 (2021 Edition) 2.1, 9.1.2, 19.5.1.1, 19.5.1.3 Photographic evidence obtained. Class III</td><td>K0920</td><td colspan="2"></td><td colspan="2"></td></tr></table> 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>(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&#x27;S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETION DATE</td></tr><tr><td>E0000</td><td colspan="2">Initial CommentsDuring the Fire &amp; Life Safety Recertification survey, conducted on at Aviata at the Sea-Harbor Beach, a nursing home, Emergency Preparedness was reviewed.Aviata at the Sea-Harbor Beach was not in compliance with Emergency Preparedness per Code of Federal Regulations (CFR) 42, Part 483.73, Requirement for Long-Term Care Facilities.</td><td>E0000</td><td rowspan="3">1. The facility&#x27;s federal Emergency Plan (Fed EP) has been updated with procedures for the maintenance of sanitary sewer system and provisions of sewage and waste disposal in the event of a loss of the system.2. There is only one required Fed EP; therefore no additional reviews were needed.3. The Executive Director designee will educate the Maintenance Director on the importance of CFR(s): 483.73(b)(1) Subsistence Needs for Staff and Patients specific to properly maintaining Fed EP documentation for provisions of sewage and waste disposal in the event of a loss of the system, and will continue to monitor in accordance with NFPA standards.4. Any findings will be reported to the monthly QAPI Committee for further review.</td><td>/2025</td></tr><tr><td rowspan="2">E0015</td><td colspan="2">Subsistence Needs for Staff and PatientsCFR(s): 483.73(b)(1) $403.748(b)(1), $418.113(b)(6)(iii), $441.184(b)(1), $460.848(b)(1), $482.15(b)(1), $483.73(b)(1), $483.475(b)(1), $485.542(b)(1), $485.625(b)(1)</td><td rowspan="2">E0015</td><td rowspan="2">/2025</td></tr><tr><td colspan="2">(b) Policies and procedures. [Facilities] must develop and implement emergency preparedness policies and procedures, based on the emergency plan set forth in paragraph (a) of this section, risk assessment at paragraph (a)(1) of this section, and the communication plan at paragraph (c) of this section. The policies and procedures must be reviewed and updated every 2 years [annually for LTC facilities]. At a minimum, the policies and procedures must address the following:(1) The provision of subsistence needs for staff and patients whether they evacuate or shelter in place, include, but are not limited to the following:(i) Food, water, medical and pharmaceutical supplies(ii) Alternate sources of energy to maintain the following:(A) Temperatures to protect patient health and safety and for the safe and sanitary storage of provisions.(B) Emergency lighting.(C) Fire detection, extinguishing, and alarm systems.</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&#x27;S PLAN OF CORRECTION(EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY)</td><td>(X5) COMPLETIONDATE</td></tr><tr><td>E0015</td><td colspan="2">Continued from page 1(D) Sewage and waste disposal.*[For Inpatient Hospice at §418.113(b)(6)(iii).]Policies and procedures.(6) The following are additional requirements for hospice-operated inpatient care facilities only. The policies and procedures must address the following:(iii) The provision of subsistence needs for hospice employees and patients, whether they evacuate or shelter in place, include, but are not limited to the following:(A) Food, water, medical, and pharmaceutical supplies.(B) Alternate sources of energy to maintain the following:(1) Temperatures to protect patient health and safety and for the safe and sanitary storage of provisions.(2) Emergency lighting.(3) Fire detection, extinguishing, and alarm systems.(C) Sewage and waste disposal.This STANDARD is NOT MET as evidenced by:Based on record review and staff interview, the facility failed to incorporate into their Emergency Preparedness Program (EP) the policy and procedures for subsistence needs for staff and patients in accordance with the Code of Federal Regulations (CFR).The findings included:On , at 4:00 PM, during record review of the facility&#x27;s EP with the Administrator, there was no policy or procedures for the maintenance of the sanitary sewer system and provisions of sewage and waste disposal in the event of a loss of the system.An interview was conducted with the Administrator concurrently with the record review and she acknowledged the findings. The findings were reviewed with the Administrator at the exit conference on at 4:55 PM.</td><td>E0015</td><td></td><td></td><td></td></tr></table>