Aviata At Bradenton

F 0585 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

call today. On 08/12/2025 at 3:40 p.m. a telephone interview was conducted with Resident #2's family member. He stated he would visit the resident all the time. He worked around the corner from the facility and will come in at various times. He stated the call bell light has been going off continuously for weeks.

The family member said, I could understand if it were a couple to a few days, but it had been a month. They should have fixed it. The family member stated the resident has to wait for help. They had given him a bell to ring. The family member stated sometimes the staff do not hear it and reported having to go into the hall to ring the bell for them to hear it. The family member stated, I do his laundry; his clothing is soiled. They are not getting to him quick enough. I talked to Maintenance and the Nursing Home Administrator. A review of

the facility's policies and procedures for Complaint/ Grievance, N-1042, last revised 10/24/2022, documented the policy: The Center will support each resident's right to vice a complaint/ grievance without fear of discrimination or reprisal. The center will make prompt efforts to resolve the complaint; Grievance and informed (sic) the resident of progress towards resolution.The procedure included: .4. The grievance follow-up should be completed in a reasonable time frame; this should not exceed 14 days.

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

08/12/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Aviata at Bradenton

105 15th St E Bradenton, FL 34208

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0690 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

call bell light had been going off for about a month and a half. The resident stated, they gave me a bell.

Sometimes they do not hear it. It can take a while. Bells were observed at Resident #2's bedside and the roommate's bedside, and one on the back of the commode in the bathroom. At this time, the SSD said it was a shock to her; the residents had bells; she thought maintenance was fixing the call lights. A telephone

interview was conducted on 08/12/2025 at 3:40 p.m. with Resident #2's family member, who stated he will visit (Resident #2) all the time, and he will come in at various times. The family member stated, the call bell light has been going off continuously for weeks. The family member said, I could understand if it were a couple to a few days, but it has been a month. They should have fixed. (Resident #2) has to wait for help.

They had given him a bell to ring. Sometimes the staff do not hear it. (Resident #2) will have to go into the hall to ring the bell for them to hear it. I do his laundry; (Resident #2's) clothing is soiled. They are not getting to him quickly enough. I talked to maintenance; I talked to the NHA.The facility did not provide a policy.

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

08/12/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Aviata at Bradenton

105 15th St E Bradenton, FL 34208

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0908

Keep all essential equipment working safely.

Level of Harm - Minimal harm or potential for actual harm

Based on observation, record review, and interview, the facility failed to ensure a timely repair of a call bell light for one resident (#2) of five sampled residents. Findings included: On 08/12/2025 at 9:49 a.m., an

observation was conducted of Resident #2's room. The light in the hallway above the door was sounding repeatedly with a flashing red light blinking. At 10: 50 a.m., the light above Resident #2's door was observed still flashing and sounding. No residents were in the room at the time of observation. Resident #2's call bell light was identified to blink and sound continuously on 07/21/2025 and the light was still malfunctioning as of 08/12/2025.On 08/12/2025 at 11:01 a.m. a grievance from Resident #2 was reviewed with the Social Service Director (SSD). Resident #2's grievance was dated as received on 07/21/2025 with a resolution date of 07/22/2025. The concern in the grievance, Resident stated his call light was not answered timely on 3 p.m.-11 p.m. shift on 07/18/2025. The findings documented: Explained to resident that call light is malfunctioning and maintenance team are working on getting it fixed. Resident provided with a bell to ring

in the meantime. During the interview with the SSD, she stated, his call light was dysfunctional. It was staying on continuously. We could not get it to cut off. We gave the residents (in the room) bells to ring

during that period. They like to keep them, even though the light is fixed. We offered room changes until that got resolved; and we offered them staff to round more frequently in that room.On 08/12/2025 at 11:15 a.m., Resident #2's room was observed with the SSD present. The red light above the door was flashing and sounding. Resident #2 was in the room, in his wheelchair, he stated the call bell light had been going off for about a month and a half. Resident #2 stated, They gave me a bell. Sometimes they do not hear it. It can take a while. Bells were observed at Resident #2's bedside and the roommate's bedside, and one on the back of the commode in the bathroom. At this time, the SSD said it was a shock to her; the residents had bells; she stated she thought maintenance was fixing it. On 08/12/2025 at 3:40 p.m. a telephone interview was conducted with Resident #2's family member. He stated he would visit (Resident #2) all the time. He worked around the corner from the facility and will come in at various times. He stated the call bell light had been going off continuously for weeks. The family member said, I could understand if it were a couple to a few days, but it had been a month. They should have fixed it. He stated my (Resident #2) has to wait for help. They had given him a bell to ring. Sometimes the staff do not hear it. (Resident #2) will have to go into

the hall to ring the bell for them to hear it. I do his laundry; (Resident #2's) clothing is soiled. They are not getting to him quick enough. I talked to Maintenance; I talked to the Nursing Home Administrator. On 08/12/2025 at 12:08 p.m., the Maintenance Director was interviewed. He stated for Resident #2's room, We changed the box in the wall, he (the resident) purposely pulled at the box; I have seen him bang it. I could be wrong. I used all the spare parts. For the grievance, there was a whole new box installed in the bathroom at the time the grievance was done. The Maintenance Director reported the continuous sounding of the light in the hall stopped at that time, and it worked for about a week and then started up again. He stated he was waiting for a technician from an electric company to come to the facility to bring spare parts.

When asked how long it took for the electric company to respond to a request from him, he stated, It takes about a week, sometime 2-3 days. When asked if he had any documentation to support the effort by the facility to resolve the resident's concern regarding the continuous call bell light, he did not respond. He stated he would call today.On 08/12/2025 at 1:15 p.m., an interview was conducted with the Maintenance Director who stated he had two methods of receiving work orders from the staff, the (electronic work order) system and a binder at the nurses' station. He stated there was no order in either places for (Resident #2's) call bell light not functioning. The Maintenance Director said, I just walk by and fix it.

Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet