Aviata at the Gardens - Tallahassee

Inspectors wroteBased on observations, record review, resident interview and staff interview, the facility failed to develop a comprehensive care plan to address refusal of care for 1 of 26 sampled residents. (Resident #138)

Inspectors wroteBased on staff interviews, observations, and photographic evidence, the facility failed to maintain an effective pest control program to ensure a clean, safe, and homelike environment in 1 of 2 nutritional pantries reviewed.

Inspectors wroteBased on observations, resident and family interviews and record reviews, the facility failed to provide a safe, clean, comfortable, and homelike environment for 3 of 10 residents reviewed.

Inspectors wroteBased upon observations, policy review, and interviews the facility failed to maintain proper labeling of medications with dates of when medication was opened, correctly label multi-use vial medications of when it was first accessed, follow label instructions for expiration dates, and provide safe storage of controlled drugs.

Inspectors wroteBased on observation and interviews, the facility failed to maintain all the areas in the kitchen in safe and functional condition.

Inspectors wroteBased on observations, staff and resident interviews, and record reviews, the facility failed to maintain an effective pest control program to ensure the facility is free of pests, specifically cockroaches.

Inspectors wroteBased upon record reviews and interview, the facility failed to provide care and services to prevent worsening of wounds for 1 of 1 residents reviewed for pressure ulcers. (Resident #7)

Inspectors wroteBased upon Interviews, observations, and facility policy review the facility failed to ensure and provide routine medications to residents in a timely manner. The facility failed to ensure the controlled drug records are in order, signed out appropriately by administering staff nurses and that all controlled medications are accounted for. While conducting observations of medication carts on 12/2/25 at approximately 3:15 pm, Nurse E opened up the narcotic medication drawer and removed 5-7 narcotic cards. A small white tablet was noted in the bottom of the drawer. She then stated the medication count sheet was blank. But she signed it out because she was told to do that today for the other nurse. On 12/2/25 an interview was conducted with Resident 12 at 08:00 pm, she stated that over the weekend she had to go without her pain medication. [...]

Inspectors wroteBased on interviews, record review and facility policy review, the facility failed to invite resident to care plan meetings for 1 of 3 residents sampled. (Resident #2)

Inspectors wroteBased upon interview, observation, and record review, the facility failed to maintain a clean environment in 2 out of 4 halls observed.

Inspectors wroteBased on observation, resident and staff interviews, and record review, the facility failed to develop a comprehensive person-centered care plan to maintain the resident's highest practicable level of physical functioning for 1 of 28 sampled residents. (Resident #88)

Inspectors wroteBased on observation, staff interviews, and record review, the facility failed to provide equipment and restorative services to prevent a further decrease in range of motion for 1 of 3 residents sampled for limited range of motion. (Resident #88).

Inspectors wroteBased on observation, interview, and policy review, the facility failed to provide appropriate urinary catheter care for 1 of 1 resident reviewed for catheter care. (Resident #97)

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medical records contained complete and accurate information for 3 of 28 residents reviewed for medical records. (Residents #92, #5, #105)

Inspectors wroteBased on observations, interview, and record review, the facility failed to maintain proper isolation precautions for 2 of 2 residents reviewed for Enhanced Barrier Precautions (EBP) (Resident #97 and #67), and the facility failed to ensure proper handwashing practices during medication administration opportunities for 2 of 20 observations (Resident #71 and #563).

Inspectors wroteBased on record review and interview, the facility failed to ensure vaccination consents were obtained and maintained for 4 of 5 residents reviewed for Influenza and Pneumococcal Vaccinations (Resident #101, #51, #105, and #96).

Inspectors wroteBased on record review and interview, the facility failed to ensure vaccination consents were obtained and maintained for 3 of 5 residents reviewed for COVID-19 Vaccinations (Resident #101, #51, and #105).

Inspectors wroteBased on observations, staff and resident interviews, record review, and policy review the facility failed to take precautions to ensure safety of residents during smoking times for 6 of 10 residents reviewed. (Residents #4, #5, #6, #7, #8, and #10)

Inspectors wroteBased on resident and staff interviews, review of the facility grievance log, and policy and procedures, the facility failed to make prompt efforts to resolve grievances for 2 of 3 residents reviewed. (Residents #2 and #3)

Inspectors wroteBased on observations and interviews, the facility failed to provide a clean, safe and home-like environment for 11 of 94 occupied areas.

Inspectors wroteBased on record review and staff interview, the facility failed to administer a medication as ordered by a physician for 1 of 3 resident sampled for medication administration. (Resident #2)

Inspectors wroteBased on observations, interviews, record review and facility policy review, the facility failed to provide a safe, clean, comfortable, and homelike environment for 4 of 26 residents sampled. (Residents #1, #46, #70 and #242)

Inspectors wroteBased on record review and interview, the facility failed to provide transfer or discharge notices to 2 out of 2 resident sampled for discharge notices. (Residents#30 and #1)

Inspectors wroteBased on record review and interview the facility failed to provide bed-hold notices to 2 out of 2 resident sampled for hospital discharge. (Residents #30 and #1)

Inspectors wroteBased on record reviews and interviews, the facility failed to develop a comprehensive care plans for antibiotic use for 1 of 1 residents sampled. (Resident #34)

Inspectors wroteBased on interviews and records review, the facility failed to develop and implement written standards, policies, and procedures for the Infection Prevention and Control Program (IPCP) and failed to conduct an annual review of its IPCP.

Inspectors wroteBased on interviews and record review, the facility failed to develop, maintain, or follow policies and procedures for immunization of residents against influenza and pneumococcal disease in accordance with national standards of practice for 2 of 5 clinical records reviewed. (Residents #36 and #46)