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Aviata at Saint Lucie

611 S 13th St., Fort Pierce, FL 34950 · St. Lucie County · (772) 464-5262

171 certified beds, about 124 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1972

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 105257 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 20, 2025, inspectors cited 22 health deficiencies (the Florida average is 7.1, the national average 9.2).

Of 66 health citations since July 2022, 3 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).

CMS lists 2 fines totaling $65,361 in the last three years; the largest was $55,322, and the latest is dated November 1, 2024.

Nurses and nurse aides worked 3.82 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.83 of those hours.

37.0% of nursing staff left within the year CMS measured (Florida average 41.4%).

CMS links it to Aviata Health Group, an affiliated group of 50 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 66 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
3J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
50D
12E
1F
Potential for minimal harm
0A
0B
0C
May 28, 2026Complaint inspection · 2 citations
  1. D
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    F557 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 23, 2026
    Inspectors wroteBased on observations, record review and interviews the facility failed to ensure the resident was treated with respect and dignity related to going into the resident's room without his permission and removing his personal possessions from his room for 1 of 3 sampled resident (Resident #2).
  2. D
    Ensure that the resident and his/her doctor meet face-to-face at all required visits.
    F712 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 23, 2026
    Inspectors wroteBased on record review and interview the facility failed to ensure the physician completes the initial assessment within 30 days of admission for 3 of 3 residents reviewed (Resident #1, Resident #7 and Resident #8).
April 14, 2026Complaint inspection · 2 citations
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 14, 2026
    Inspectors wroteBased on clinical and administrative record review and interview, the facility failed to ensure that residents receive the necessary treatment and care in accordance with professional standards of practice. This is evidenced by the facility failing to follow the prescribed monitoring, administration and accurate documentation for 2 of 6 sampled residents (Resident #1 and Resident #2).
  2. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 14, 2026
    Inspectors wroteBased on clinical and administrative record review and interview, the facility failed to ensure the staff take appropriate action (e.g., suspending administration of the anticoagulant) in response to an elevated International Normalized Ratio (INR) for a resident who is receiving warfarin, resulting in the future hospitalization of the resident. The staff failed to respond appropriately to an INR level that is above the target range for treatment. The staff failed to ensure the prescribed laboratory monitoring was conducted and/or provided evidence that follow-up is performed when not done. This failure affected 1 of 1 resident prescribed warfarin therapy (Resident # 1).
July 29, 2025Complaint inspection · 2 citations
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 29, 2025
    Inspectors wroteBased on interview and record review, the facility failed to provide care and services for showers, as evidenced by failing to provide documented evidence for proof of showering for 1 of 3 sampled residents who were reviewed for shower service, (Resident # 4).
  2. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 29, 2025
    Inspectors wroteBased on interviews and records review, the facility failed to ensure pain medication was administered as ordered by the physician, as evidenced by failure to ensure pain medication was documented as administered, nurse refusal to provide pain medication and failure to provide documented evidence of appropriate training and education to the nurses following the incident for 1 of 3 sampled residents reviewed, (Resident # 5).
March 20, 2025Standard inspection · 22 citations
  1. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 20, 2025
    Inspectors wroteBased on record review, interview, and observation, the facility failed to implement transmission based precautions related to suspected C-DIFF (a contagious intestinal infection) for 1 of 1 resident reviewed for diarrhea (Resident #83); Failed to follow infection control standards during medication administration observation for 3 of 6 sampled residents (Residents #193, #10, and #65); and failed to maintain laundry in a manner to prevent spread of infection.
  2. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2025
    Inspectors wroteBased on interview and record review, the facility failed to provide showers as per schedule and resident request for 1 of 6 sampled residents, Resident #2.
  3. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2025
    Inspectors wroteBased on record review and interviews, the Facility failed to notify the family in a timely manner that Medicare Part A was going to be ending for 1 of 3 residents reviewed, Resident #87.
  4. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2025
    Inspectors wroteBased on observations and interviews, the facility failed to provide personal privacy which includes his personal space, accommodation and personal care related to the bedroom door not closing for 3 of 3 sampled residents (Residents #242, #64, and #76).
  5. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure an accurate Minimum Data Set (MDS) assessment related to the discharge and transfer of Resident #139; Limited range of motion for Resident #5; Unnecessary medication for Resident #107 and Resident #64; and medication inaccuracy related to anticoagulant use for Resident #32.
  6. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2025
    Inspectors wroteBased on record review and interview, the facility failed to obtain a PASARR (Preadmission Screening for individuals with a mental disorder and individuals with intellectual disability) Level II in a timely manner for 1 of 2 Residents reviewed for PASARRs (Resident #86).
  7. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2025
    Inspectors wroteBased on record review and interviews, the facility failed to ensure that baseline care plans are completed within 48 hours of admission for 3 of 38 residents reviewed (Resident #32, #117 and #103).
  8. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2025
    Inspectors wroteBased on observation, record review and interview the facility failed to offer and provide services of dental care and getting resident out of bed at his request for 1 of 1 resident reviewed for ADL's (Activities of Daily Living), Resident #32.
  9. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2025
    Inspectors wroteBased on observations, record reviews and interviews, the facility failed to encourage and assist the residents to participate in Activities for 2 of 2 residents reviewed for Activities. (Resident #32 and Resident #243).
  10. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2025
    Inspectors wroteBased on observations, record reviews and interviews, the facility failed to follow physician's orders related to blood pressure medication, for Resident #103, thyroid medication for Resident #242, spasm medication for Resident #66 and lab orders for stool sample for C-Diff for Resident #83.
  11. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a physician ordered urology appointment in a timely manner for 1 of 1 sampled resident, Resident #60, who had a suprapubic (located in the lower abdomen) urinary catheter.
  12. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2025
    Inspectors wroteBased on record review and interview, the facility failed to maintain a nutritional status for a resident receiving dialysis therapy related to ordered nutritional supplement for 1 of 1 resident reviewed for Dialysis (Resident #25).
  13. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure care and service for oxygen therapy for 3 of 5 sampled residents, as evidenced by the failure to properly store the nebulizer mask for Resident #37, failure to ensure physician order for oxygen use for Resident #192, and failure to follow physician orders for the amount of oxygen used for Resident #117.
  14. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure pain medication was administered as ordered for one of three residents reviewed, Resident #109.
  15. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure dialysis communication forms were completed, and Hemodialysis Dietitian Recommendations were carried out in a timely manner for 1 of 1 resident reviewed for hemodialysis (Resident #25).
  16. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure a resident with PTSD (Post-Traumatic Stress Disorder) was assessed, and the care plan was individualized for 1 of 1 resident reviewed for PTSD (Resident #91).
  17. D
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure there was sufficient staff to upload physician progress notes in a timely manner for 1 of 1 resident reviewed for diarrhea (Resident #83), and failed to ensure a urology consult was obtained in a timely manner for 1 of 1 sampled resident (Resident #60).
  18. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure narcotic removal was documented in the medication administration records (MARs) for 3 of 9 residents reviewed during the medication storage review process. This involved Residents #39, # 69 and #71.
  19. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2025
    Inspectors wroteBased on Record review and interview the facility failed to ensure adequate monitoring of side effects and behaviors for psychotropic medications for 1 of 5 residents reviewed for unnecessary medications, Resident #103. Resident #103 was admitted to the facility on [DATE] with diagnoses to include Generalized Anxiety, Major Depressive Disorder, Bipolar Disorder, Schizoaffective Disorder and Diabetes Mellitus. [...]
  20. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2025
    Inspectors wroteBased on observation, interview and record review, the medication error rate was 14.81 percent. Four medication errors were identified while observing a total of 27 opportunities, affecting 1 of 7 residents observed (Resident #193).
  21. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure proper storage of medications for 1 of 5 residents during the medication pass observation (Resident #193,) and for 1 of 1 random sampled resident whose medications were observed at his bedside (Resident #242)
  22. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2025
    Inspectors wroteBased on record review and interview, the facility failed to have a complete resident record for 5 of 28 sampled residents (Residents #83, #64, #37, #60, and #79).
November 4, 2024Complaint inspection · 4 citations
  1. E
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on clinical record review and interview, the facility failed to provide evidence that the staff provided care and services that met professional standards of quality as evidenced by the staff failure to follow the physician orders for medication administration for 8 of 12 residents reviewed (Residents #7, #8, #9, #11, #12, #13, #14, #15).
  2. D
    Honor each resident's preferences, choices, values and beliefs.
    F675 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on clinical record review and staff interview, the facility failed to provide evidence of providing the necessary care and services consistent with the prescribed treatment plan of care for 2 of 12 sampled residents (Resident # 8 and # 9). The staff failed to provide evidence they performed the prescribed treatments for tracheostomy care, wound care, catheter care, skin checks, oral care, and the PICC (Peripherally Inserted Central Catheter) dressing changes and monitoring.
  3. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on observation, clinical record review and staff interview, the facility staff failed to provide the necessary care and services to maintain the oral hygiene of a resident who is unable to carry out activities of daily living, for 1 of 12 residents reviewed (Resident #9).
  4. D
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on observation, interview, clinical record review and policy review, the facility failed to ensure that 1 of 1 residents reviewed for intravenous medications (Resident #8) received the necessary care and services consistent with professional standards of practice. This is evidenced by the staff failing to complete the PICC (Peripherally Inserted Central Catheter) line dressing for multiple weeks.
November 1, 2024Complaint inspection · 2 citations
  1. J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on record review and interviews, the facility failed to protect the residents' rights to be free from neglect for newly admitted residents requiring dialysis treatments. The facility failed to ensure a newly admitted resident received dialysis services in a timely manner causing the resident to be transferred to a higher level of care, affecting 1 of 3 residents reviewed for dialysis (Resident #1). The facility failed to ensure resident rights to prevent neglect regarding care and services for dialysis communication for newly admitted residents, resulting in serious harm and possibly the death of the resident (Resident #1). Upon admission to the hospital emergency department, Resident #1 was discovered to have a critically high serum potassium level, which could lead to hear problems including arrhythmia, heart attack, and death. [...]
  2. J
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on record review and interviews, the facility failed to ensure newly admitted residents received dialysis services in a timely manner causing one resident to be transferred to a higher level of care, affecting 1 of 3 residents reviewed for dialysis (Resident #1). The facility failed to ensure resident rights to prevent neglect regarding care and services for dialysis communication for newly admitted residents, resulting in serious harm and possibly the death of the resident (Resident #1). Upon admission to the hospital emergency department, Resident #1 was discovered to have a critically high serum potassium level, which could lead to heart problems including arrhythmia, heart attack, and death. On 10/31/24, it was determined that the findings of the survey posed Immediate Jeopardy to the health and safety of the dialysis residents residing in the facility. [...]
June 26, 2024Complaint inspection · 2 citations
  1. D
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 23, 2024
    Inspectors wroteBased on observations and interviews, the facility failed to honor the resident's right for food preference for portion sizes for 2 of 5 sampled residents (Resident #1 and #4).
  2. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 23, 2024
    Inspectors wroteBased on observation, administrative record review and interviews, the facility failed to store, distribute and serve food in accordance with professional standards for food service safety. This is evidence by the facility serving and storing milk beyond the manufacturer's expiration date. This failure affected 1 of 4 sampled residents who have a preference for chocolate milk for three or more days (Resident #5).
April 10, 2024Complaint inspection · 2 citations
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 3, 2024
    Inspectors wroteBased on interview, observation, and record review, the facility failed to provide adequate supervision and properly functioning wanderguard doors (wander monitoring system device) for 1 of 3 sampled residents reviewed for elopement risk (exiting the facility unsupervised) (Resident #1). The deficient practice allowed Resident #1 to exit the facility undetected on 03/27/24 at approximately 6:00 PM and walk 1.4 miles away from the facility. Resident #1 was found by the police while displaying confusion, resulting in a transfer to a local hospital. These actions resulted in Immediate Jeopardy. The facility administrator was informed of the Immediate Jeopardy on 04/10/24 at 4:48 PM. At the time of the investigation there were 11 residents who were identified as wander/elopement risk.
  2. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 3, 2024
    Inspectors wroteBased on interview and record review, the facility failed to accurately assess a resident for wandering for 1 of 3 sampled residents reviewed for elopement (Resident #1).
November 17, 2023Standard inspection, Complaint inspection · 15 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 17, 2023
    Inspectors wroteBased on observations and interviews, the facility failed to provide food service in a manner consistent with professional standards for food safety.
  2. E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 17, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to treat 3 of 29 sampled residents and additional Resident Council members, in a dignified manner, related to staff attitudes and manner in which personal care is provided, speaking in foreign languages in front of residents, response to call bells, not addressing residents by their proper name and use of hospital armbands (Resident #31, #43, #85, and voiced concerns during Resident Council, including Resident #6, #41 and #7).
  3. E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 17, 2023
    Inspectors wroteBased on observations and interviews, the facility failed to provide a clean, comfortable, and home like environment for the residents.
  4. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 17, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure of a resident's ability to to use an overhead light for 1 of 1 sampled residents observed (Resident #31).
  5. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 17, 2023
    Inspectors wroteBased on observation, interview, record review, and policy review, the facility failed to ensure 2 of 4 sampled residents were free from abuse and neglect, as evidenced by a resident-to-resident altercation between Resident #87 and #45, resulting in physical harm to Resident #87.
  6. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 17, 2023
    Inspectors wroteBased on record review, interview, and policy review, the facility failed to report to the State Survey Agency 2 of 3 allegations of abuse, within two hours. Resident #43 voiced an allegation of abuse by a staff member. Residents #45 and #87 were involved in a resident-to-resident altercation.
  7. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 17, 2023
    Inspectors wroteBased on observation, interview, record review, and policy review, the facility failed to protect 1 of 4 sampled residents from further abuse, after a voiced allegation by Resident #43, of alleged abuse by Staff E, Licensed Practical Nurse (LPN). The facility also failed to ensure a thorough investigation for 2 of 4 sampled residents involved in a resident-to-resident altercation (Residents #45 and #87).
  8. D
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 17, 2023
    Inspectors wroteBased on record review and staff interview, the facility failed to accurately complete the quarterly Minimum Data Set (MDS) assessment for 2 of 5 sampled residents reviewed for Unnecessary Medications (Resident #83, as it relates to missing diagnosis of Depression; and Resident #71, as it relates to missing diagnosis of Anxiety).
  9. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 17, 2023
    Inspectors wroteBased on record review, policy, and staff interview, the Facility failed to complete a Level II PASARR for 1 of 1 sampled resident reviewed with diagnosis of severe mental illness (Resident #77).
  10. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 17, 2023
    Inspectors wroteBased on record review and staff interview, the facility failed to review and revise comprehensive, personalized care plan related to the diagnosis of Depression and use of antidepressant medication therapy for 1 of 5 sampled residents reviewed for Unnecessary Medications (Resident #83).
  11. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 17, 2023
    Inspectors wroteBased on observations, interviews and record reviews, the facility failed to provide enteral feeding as ordered by the physician for 1 of 1 sampled residents reviewed for Tube feeding (Resident #58).
  12. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 17, 2023
    Inspectors wroteBased on observation, interview, record review, and policy review, the medication error rate was 11.11 percent. Three medication errors were identified while observing a total of 27 opportunities, affecting 3 of 8 sampled residents observed during medication administration observations (Residents #65, #31, and #14).
  13. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 17, 2023
    Inspectors wroteBased on observation, interview, and policy review, the facility failed to ensure proper storage of medications in the treatment cart for 1 of 1 sampled resident observed for wound care (Resident #21). This observation was made on the [NAME] Unit were 7 of 22 residents were identified and/or observed to independently ambulate or self-propel throughout the unit, to include sampled Resident #65, #45, #28, #84 and #69. The facility also failed to ensure expired medications were removed from 2 of 6 medication carts (Emerald cart #3 and [NAME] A/front cart).
  14. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 17, 2023
    Inspectors wroteBased on observation, interview, record review, and review of the respiratory services contract, the facility failed to maintain accurate and complete records for 3 of 33 sampled residents, related to respiratory services for Resident #1, a fall for Resident #43, and a newly identified skin impairment for Resident #28. The facility also failed to ensure all progress notes completed by the Nurse Practitioner (NP) for the Medical Director were maintained in the medical records.
  15. D
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 17, 2023
    Inspectors wroteBased on record review, interview, and policy review, the facility failed to ensure collection of urinalysis for 1 of 1 sampled resident, prior to initiation of an antibiotic (Resident #31).
July 21, 2022Standard inspection · 13 citations
  1. E
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    F565 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 21, 2022
    Inspectors wroteBased on record review and interview, the facility failed to respond and resolve grievances in a timely manner.
  2. E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 21, 2022
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide a safe, clean, comfortable, and home like environment, for multiple residents in the facility. The census at the time of the survey was 94 residents.
  3. E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 21, 2022
    Inspectors wroteBased on interview and record review, the facility failed to ensure point of care staff were part of an interdisciplinary team (IDT) that participated in the care planning review and revision for 22 of 32 sampled residents reviewed for care plans (Resident #34, 57, 82, 94, 23, 7, 89, 54, 33, 9, 66, 1, 44, 58, 63, 74, 81, 87, 24, 37, 84 and 3).
  4. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 21, 2022
    Inspectors wroteBased on observations, interviews and record reviews, the facility failed to provide an environment free of accident hazards with the potential to affect residents that use the shower room on the Emerald Unit who are independently ambulatory; failed to secure the soiled utility room and storage room; failed to maintain the door to room [ROOM NUMBER] in order for residents to exit the room in case of an emergency; and the facility failed to accurately assess a resident post-fall for 1 of 1 sampled resident reviewed for falls, Resident #58.
  5. E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 21, 2022
    Inspectors wroteBased on observation, interview and record review, the facilitiy failed to ensure appropriate staffing levels to provide appropriate care and services, as evidenced by unresolved grievances related to staffing identified by Resident Council, numerous complaints by residents during the survey and resident falls. This has the potential to affect the entire resident population. The census at the time of the survey was 94 residents.
  6. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 21, 2022
    Inspectors wroteBased on observation interview and record review, the faciity failed to provide prepared foods, stored and served in accordance with professional standards for food service safety.
  7. E
    Have a plan that describes the process for conducting QAPI and QAA activities.
    F865 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 21, 2022
    Inspectors wroteBased on observation, interview and record review, the facility failed to develop and implement appropriate plans of actions to correct identified quality concerns especially related to pest control.
  8. E
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 21, 2022
    Inspectors wroteBased on observation, interview and record review, the facility failed to maintain an effective pest control program in order to maintain an environment free from pests
  9. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 21, 2022
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide opportunities for a resident to be out of bed for 1 of 3 samples residents reviewed (Resident #57).
  10. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 21, 2022
    Inspectors wroteBased on record review and interview, the facility failed to implement and develop care plan for Diabetes for 1 out of 5 sampled residents reviewed for unnecessary medications Resident #58; and failure to implement an ADL (Activities of Daily Living) care plan for Resident #74 for 1 of 4 sampled residents reviewed for ADL's.
  11. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 21, 2022
    Inspectors wroteBased on record review and interview, the facility failed to follow physician orders for wound care treatment for 1 of 3 sampled residents reviewed for wound care (Resident #66); the facility failed to follow physician orders for blood pressure medications for 1 of 5 sampled residents reviewed for unneccessary medications (Resident#33); and failure to follow physician orders for skin care treatment 1 of 4 sampled residents reviewed for ADL's. (Resident #74).
  12. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 21, 2022
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure proper positioning of indwelling catheter bag and failed to ensure appropriate hand hygiene technique during catheter care for 1 of 2 sampled residents reviewed with a history of urinary tract infection (UTI) (Resident #88).
  13. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 21, 2022
    Inspectors wroteBased on record review and interview, the facility failed to ensure accurate reconciliation of controlled medications for 2 of 4 sampled residents reviewed(Resident #68 and #200).

Fire safety inspections

6 fire safety citations on file: 2 on March 20, 2025, 4 on November 17, 2023.

Every fire safety citation6 citations
  1. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · March 20, 2025 · Corrected (the home has a date of correction)
  2. D
    Install corridor and hallway doors that block smoke.
    K 363 · March 20, 2025 · Corrected (the home has a date of correction)
  3. D
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · November 17, 2023 · Corrected (the home has a date of correction)
  4. D
    Install corridor and hallway doors that block smoke.
    K 363 · November 17, 2023 · Corrected (the home has a date of correction)
  5. D
    Meet Health Care Facilities Code mechanical requirements.
    K 900 · November 17, 2023 · Corrected (the home has a date of correction)
  6. D
    Ensure proper usage of power strips and extension cords.
    K 920 · November 17, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
November 1, 2024Fine $55,322
April 10, 2024Fine $10,039

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeFloridaUnited States
All nursing staff (RN, LPN and aides)3.823.823.86
Registered nurses0.830.730.69
All nursing staff on weekends3.583.493.42
Nurse aides2.39
Licensed practical nurses0.60
Nursing staff turnover (share who left in a year)37.0%41.4%45.8%
Registered nurse turnover48.4%46.0%42.9%
Administrators who left0

CMS expects 3.58 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.91 on weekdays and 3.58 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.76 in April to June 2025 to 3.82 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.820.833.913.58 0.0%0 of 90124
Oct to Dec 20253.900.923.993.66 0.0%0 of 92128
Jul to Sep 20253.840.883.923.64 0.0%0 of 92125
Apr to Jun 20253.760.863.873.47 0.0%0 of 91132
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Florida, Jan to Mar 20263.760.703.903.441.1%0.2% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Florida

JobMedianMiddle halfEmployed
Florida, all employers
CNAs (nursing assistants)$18.03$17.33 to $20.3496,960
LPNs and LVNs$29.70$28.14 to $31.1138,620
Registered nurses$40.48$37.82 to $48.64229,940
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeFloridaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
9.58.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.50.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.71.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.02.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.91.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
9.19.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.54.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
2.98.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.926.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
13.99.112.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.42.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.91.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Aviata at Saint Lucie's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (28.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

28.8% this home

Worse than the national rate

US median of homes 51.5% · Florida: 169 better, 109 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 28 eligible stays.

Potentially preventable readmissions

11.4% this home

No different from the national rate

US median of homes 10.7% · Florida: 2 better, 35 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 47 eligible stays.

Infections that led to a hospital stay

7.8% this home

No different from the national rate

US median of homes 7.1% · Florida: 6 better, 21 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 36 eligible stays.

Self-care and mobility at discharge

49.1% this home

Median of homes: Florida55.1% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 59 residents counted.

Falls with major injury

0.0% this home

Median of homes: Florida0.6% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 98 residents counted.

New or worsened pressure ulcers

0.8% this home

Median of homes: Florida1.3% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 98 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Florida97.7% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 12 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: 13TH STREET OPCO LLC. CMS links this home to Aviata Health Group, a group of 50 nursing homes averaging 2.4 stars overall.

NameRoleTypeShareSince
13th Street Parent LLCDirect ownership interestOrganization09/01/2023
Pierce Holdco LLCIndirect ownership interestOrganization09/01/2023
Freund, NochumCorporate officerIndividual09/01/2023
Demons, KeithOperational/managerial controlIndividual09/01/2023
Freund, NochumOperational/managerial controlIndividual09/01/2023
Watt, JasonOperational/managerial controlIndividual03/27/2025
Dagan, AmitaiIndividual is an owner, partner or trustee of any ADP of the SNFIndividual06/30/2025
Goldberger, AbrahamIndividual is an owner, partner or trustee of any ADP of the SNFIndividual06/30/2025
Goldberger, FaigyIndividual is an owner, partner or trustee of any ADP of the SNFIndividual06/30/2025
Herskowitz, EliezerIndividual is an owner, partner or trustee of any ADP of the SNFIndividual07/02/2025
Herskowitz, YaakovIndividual is an owner, partner or trustee of any ADP of the SNFIndividual07/03/2025
Travitsky, AaronIndividual is an owner, partner or trustee of any ADP of the SNFIndividual07/03/2025
Aspire Mgt LLCAdp of the SNFOrganization09/01/2023
Demons, KeithAdp of the SNFIndividual09/01/2023
Watt, JasonAdp of the SNFIndividual03/27/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 21 problems in this area, most recently on April 14, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 12 problems in this area, most recently on March 20, 2025: "Ensure each resident receives an accurate assessment."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 10 problems in this area, most recently on May 28, 2026: "Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 8 problems in this area, most recently on April 14, 2026: "Ensure each resident’s drug regimen must be free from unnecessary drugs."

Other nursing homes nearby

Florida contacts for a concern about a nursing home

These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.

Common questions

What is Aviata at Saint Lucie's Medicare star rating?
CMS rates Aviata at Saint Lucie 1 out of 5 stars overall, with 1 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Aviata at Saint Lucie get at its last inspection?
22 health deficiencies at the standard inspection on March 20, 2025. The Florida average is 7.1.
Has Aviata at Saint Lucie been fined?
Yes. CMS lists 2 fines totaling $65,361 in the last three years.
Does Aviata at Saint Lucie accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Aviata at Saint Lucie?
CMS lists 15 owners and managers, and links the home to Aviata Health Group. Legal business name: 13TH STREET OPCO LLC.

Sources

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