Aviata At Lakeside Oaks
AVIATA AT LAKESIDE OAKS in DUNEDIN, FL — inspection on October 21, 2025.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
the determination on whether a grievance should be made or not.
The SSD stated that he, doesn't really know who does or does not know about the grievance process.
When asked if a grievance is filed when there is an allegation of abuse, the SSD explained that a grievance and reportable should be completed in reference to the allegation, as the situation needs to be rectified.
The SSD explained that any concerns about residents being handled roughly during care should be addressed with the nursing department, and a grievance should be made and processed. A review of the facility's grievance policy revealed: The center will make prompt efforts to resolve the complaint/grievance and informed the resident of progress towards resolution.
Grievances will be reviewed by the Quality Assurance Performance Improvement Committee.
Grievances discovered to meet the definition of Abuse, Neglect, Exploitation or Misappropriation will be handled per the facility's Abuse Policy.
The resident should have reasonable expectations of care and services, and the center should address those expectations in a timely, reasonable, and consistent manner.
An employee receiving a complaint/grievance from a resident, family member and/or visitor will initiate a Complaint/Grievance Form.
Accommodations will be made to ensure residents have the opportunity regardless of their physical abilities or limitations.
Original grievance forms are then submitted to the Grievance Officer/designee for further action.
The Grievance Officer/designee shall act on the grievance and begin follow-up of the concern or submit it to the appropriate department director for follow-up.
The grievance follow-up should be completed in a reasonable time frame, this should not exceed 14 days.
The Grievance Officer will log complaints/grievances in Monthly Grievance Log.
The individual voicing the grievance will receive follow-up communication with the resolution, a copy of the grievance will be provided to the resident upon request.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/21/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Aviata at Lakeside Oaks
1061 Virginia St Dunedin, FL 34698
SUMMARY STATEMENT OF DEFICIENCIES
Review of the facility's policy titled abuse, neglect, exploitation and misappropriation, dated 11/16/22, revealed the following under investigation, The Abuse Coordinator and/ or Director of Nursing shall take statements from the victim, the suspect(s) and all possible witnesses including all other employees in the vicinity of the alleged abuse. He/she shall also secure all physical evidence.
Upon completion of the investigation, a detailed report shall be prepared.
Further review of the policy, under reporting/response, revealed the following, .
The Abuse Coordinator will endeavor to protect the rights of resident and employees.
The Administration recognizes that preliminary reports of abuse can sometimes be clouded by biases and other factors that are relevant and need to be explored during a full investigation in order to obtain a clear picture of what actually happened.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/21/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Aviata at Lakeside Oaks
1061 Virginia St Dunedin, FL 34698
SUMMARY STATEMENT OF DEFICIENCIES
outside.
She reports that she is journaling and that it is helping her cope.
Patient is not experiencing anxiety. No mood swings and behavioral outbursts noted.
Patient has fair sleep and appetite.
Insight and Judgement: Intact Orientation: Alert, Oriented X 3 .On 10/21/25 at 3:55 p.m., an interview was conducted with Staff S, LPN.
She said she had not recently been the nurse assigned to Resident #1 as she, Floats all over the place.
She said she was not aware of where to look for the resident's PTSD triggers.
She said the nurse that is usually assigned to Resident #1 was not working today.On 10/21/25 at 4:00 p.m., an interview was conducted with Staff E, CNA.
She said she floats and does not have a set assignment.
Staff E, CNA said she had not worked with Resident #1 long enough to determine what her PTSD triggers were.
She said Resident #1 showed signs of frustration if care was not done her way and could seem overwhelmed at times.
Staff E, CNA said she was not aware if Resident #1 preferred a male or female to care for her.
She said there was a place to document behaviors in the electronic health record.On 10/21/25 at 4:59 p.m., an interview was conducted with the Nursing Home Administrator (NHA) and the Director of Nursing (DON).
The DON said there were changes made as a result of the investigation of Resident #1's allegation of sexual abuse made on 9/6/25. He said the change they made was to make sure Resident #1 did not have a male caregiver, per her request. He said nursing staff were made aware of the change.
The DON stated, It's not written down anywhere, it's verbal. He said he was not sure if changes or updates were made to Resident #1's care plan.A review of Resident #1's nurse aide reference information, known as the Kardex, dated 10/21/25, revealed no information about a preference for a female caregiver or no male care givers.
On 10/21/25 at 6:28 p.m., the DON provided an assignment sheet for the east back hall that had handwritten documentation of, no male caregivers. review of other documents revealed no documented reference of the resident's caregiver preferences.A review of the facility's, trauma-informed care, dated 10/24/22, revealed the following, Residents will be evaluated to identify a history of trauma, triggers and cultural preferences.
Resident-centered interventions are initiated based on the resident triggers and preferences to decrease the risk of re-traumatization.
Further review of the policy, under procedure, revealed the following, .3.
Develop a care plan and add interventions to the nurse aid Kardex.
Facility ID: