Aviata At Greenacres
AVIATA AT GREENACRES in GREEN ACRES, FL — inspection on February 26, 2026.
Found 5 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
his or her rights.
record review, interview, and observation, the facility failed to treat a resident with dignity for 2 of 7
Resident #1 was admitted to the facility on [DATE] post knee replacement surgery. A comprehensive assessment dated [DATE] documented the resident was cognitively intact and required substantial/maximum assistance with activities of daily living.A phone interview was conducted with Resident #1 on 02/25/26 at 11:00 AM. Resident #1 stated while she was at the facility, they placed a bedside commode next to her bed.
The resident stated while she was using the bedside commode, urine splashed on the floor as well as her body. Resident #1 stated it was humiliating. It appeared the bedside commode did not have the correct bottom/collection container on it.An interview was conducted with the Nursing Home Administrator (NHA) on 02/26/26 at 10:00 AM.
The DON stated they did not currently have any residents who use a bedside commode.
The NHA, after conferring with a staff member, stated the bedside commodes are kept in the shower room and supply closet.An observation of the supply closet revealed 3 bedside commodes covered with plastic.
Further observation of the bedside commode revealed they did not have an attached bucket/drainage collection. An observation of the shower room revealed 3 bedside commodes without collection containers.An interview was conducted with the NHA on 02/26/26 at 10:30 AM.
The NHA acknowledged the above.2. Resident #7 was admitted to the facility on [DATE]. A comprehensive assessment dated [DATE] documented Resident #7 had mild cognitive impairment, and was dependent for activities of daily living.Resident #7 was observed sitting in a wheelchair next to the nursing station slouched over to the right side on 02/25/26 at 11:00 AM. Resident #7 was yelling Help! I need to be repositioned.
The resident was observed handled roughly by 2 staff members trying to reposition/adjust the resident in the wheelchair in front of others watching.
The NHA was made aware of the observation on 02/26/26 at 12:00 PM.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
105611 02/26/2026
Aviata at Greenacres 6414 13th Rd S Green Acres, FL 33415
medication was effective.
An interview was conducted with the Director of Nursing (DON) on 02/26/26 at 12:00 PM.
The DON acknowledged the above.
105611 02/26/2026
Aviata at Greenacres 6414 13th Rd S Green Acres, FL 33415
life.
interview and record review, the facility failed to ensure ordered home health was set up for a
review revealed Resident #1 was admitted to the facility on [DATE] post knee replacement surgery.
A comprehensive assessment dated [DATE] documented the resident was cognitively intact and required substantial/maximum assistance with activities of daily living. A phone interview was conducted with Resident #1 on 02/25/26 at 11:00 AM. Resident #1 stated she was still waiting to receive home health treatment since discharge from the facility on 01/31/26.A review of Resident #1's orders revealed an order dated 01/30/26 to discharge home on [DATE] with occupational therapy (OT), physical therapy (PT), home health. DME (durable medical equipment) to include standard walker. An interview was conducted with the facility's Social Services Director (SSD) on 02/25/26 at 11:30 AM.
The SSD stated Resident #1 was originally supposed to be discharged home on [DATE], but the ordered walker had not been delivered. SSD confirmed Resident #1 was discharged home without home health services being confirmed.
The SSD stated she faxed orders to a home health agency on 01/29/26.
The SSD stated she did not have documentation of confirmation of home health services. A review of Resident #1's records did not reveal any documentation related to the discharge of Resident #1's status with attempt to set up home health services.
105611 02/26/2026
Aviata at Greenacres 6414 13th Rd S Green Acres, FL 33415
Review of the Minimum Data Set, dated [DATE] documented in Section C a Brief Interview of Mental Status score of 11 indicating moderate cognitive impairment. 1.
Record review for Resident #7 revealed no assessment or physician's order to self-administer medication.
Review of the Physician's Orders for Resident #7 revealed in part the following:An order dated 01/5/26 for Allergy Cream 2-0.1 % (diphenhydramine-Zinc Acetate) apply to back/affected area topically every 12 hours as needed for Itching.An order dated 02/20/26 for Allergy Cream 2-0.1 % (diphenhydramine-Zinc Acetate) apply to neck, back and chest topically as needed for Itching.An order dated 02/2/26 Clobetasol Propionate E External Cream 0.05 % apply to bilateral upper arms topically two times a day for bullous pemphigoid apply to bilateral upper extremities topically every 12 hours for eczematous rash, bullous pemphigoid for 14 Days Clean bilateral upper extremities forearms with normal saline.
Apply Clobetasol to wounds/blisters.
Cover with abdominal pads and wrap with Kerlex twice daily and apply to affected areas topically every 12 hours as needed for Bullous pemphigoid, rash. On 02/25/26 at 11:07 AM an observation was made of Resident #7 of night stand top drawer open with hydrocortisone 2.5% cream and Clobetasol Propionate 0/05% cream. On 02/25/26 at 11:08 AM during an interview conducted with Staff C Registered Nurse (RN) who was asked if Resident #7 has any creams ordered, she stated he has an order dated 02/02/26 for Clobetasol Cream and Allergy Cream (diphenhydramine-Zinc Acetate). On 02/25/26 at 11:09 AM during a side-by-side observation with Staff C RN with Staff A CNA who both acknowledged the medications are kept at the bedside and they both said they are there so the CNA can put the creams on the patient when they provide care. 2.On 02/25/26 at 11:55 AM observation of 1 bottle of melatonin 3mg and 1 bottle of melatonin 5mg was on the nursing counter (200 unit) with no staff member in sight and 3 residents adjacent from the nursing station.
During an interview conducted on 02/25/26 at 12:00 PM with the Assistant Director of Nursing (ADON), she acknowledged the medications were left at the nursing station but they were unopened. 3.On 02/26/26 at 11:09 AM an observation was made at the unsecured North Nursing station of an unsecured enema saline laxative with active ingredient Diabasic sodium phosphate 7gm and Monobasic sodium phosphate 19gm.
There were no staff members at or near the nursing station, however there were 4 residents near the nursing station.
During an interview conducted on 02/26/26 at 11:15 AM with Staff E Registered Nurse Unit Manager who was asked if medications should be secured at all times, she said yes.
When asked about the enema saline solution, she said she had no idea who left it at the nursing station but removed it immediately.
105611 02/26/2026
Aviata at Greenacres 6414 13th Rd S Green Acres, FL 33415
individual needs.
observation, interview, and record review, the facility failed to provide food prepared in a form
(Resident #4).The findings included:
Record review revealed Resident #4 was admitted to the facility on [DATE] with a readmission date of 04/18/25. A comprehensive assessment dated [DATE] documented the resident had severe cognitive impairment and required substantial/max assist with activities of daily living.Resident #4 was care planned for at risk of malnutrition related to need for therapeutic and mechanically altered diet.
Interventions included explain and reinforce to the resident the importance of maintaining the diet ordered and monitor/document/report as needed and signs and symptoms of dysphagia (difficulty swallowing): pocketing, choking, coughing, drooling.A review of Resident #4's orders revealed an order dated 12/17/23 for a dysphagia mechanical soft diet.Resident #4 was observed sitting in the hallway next to the nursing station, coughing, on 02/25/26 at approximately 12:00 PM. Resident #4 was observed with something grasped in the hand and putting it to the mouth and coughing.
Staff was observed passing by the resident not intervening.
Surveyor inquired what was in the resident's hand. Resident #4 exposed what appeared to be a chewy granola bar.
Surveyor asked Staff Z, a certified nurse assistant (CNA) where the resident got the granola bar and she said from his drawer, but it was the last one. An observation of Resident #4's room revealed no food in the resident's drawer but revealed a breakfast tray on the bedside table with another resident's name the ticket.
The tray had remnants of scrambled hard eggs and hashbrowns with crispy/crunchy edges.
Staff Z was assisting Resident #4's roommate.
Staff Z shrugged her shoulders when questioned about the tray. An interview was conducted with the Speech Therapist (ST) and Registered Dietician (RD) on 02/25/26.
They both agreed Resident #4 should not have had the chewy granola bar and the crispy hash browns.