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Complaint Investigation

Aviata At Lakeside Oaks

October 21, 2025 · Dunedin, FL · 1061 Virginia St
Citations 3
CMS Rating 2/5
Beds 93
Provider ID 105132
Healthcare Facility
Aviata At Lakeside Oaks
Dunedin, FL  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

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

FF0585
Resident Rights Deficiencies

concerns about residents being handled roughly during care should be addressed with the nursing

the resident of progress towards resolution.

Grievances will be reviewed by the Quality Assurance

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.

105132 10/21/2025

Aviata at Lakeside Oaks 1061 Virginia St Dunedin, FL 34698

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.

105132 10/21/2025

Aviata at Lakeside Oaks 1061 Virginia St Dunedin, FL 34698

Staff E, CNA said she was not aware if Resident #1 preferred a male or female to care for her.

She

p.m., an interview was conducted with the Nursing Home Administrator (NHA) and the Director of

#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.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in DUNEDIN, FL, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from AVIATA AT LAKESIDE OAKS or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.