Aviata At Bryan Dairy
Inspection Findings
F-Tag F0578
F 0578 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
misappropriation policy.- On [DATE REDACTED], licensed nurses received education on the identification of a change in condition including competency. Eleven licensed nurses completed the training. - Newly hired licensed nurses will receive education upon hire, or accepting a shift, to include the CPR policy/procedure, advanced directives policy/procedure, identification of change in condition with competency, abuse/neglect/exploitation/misappropriation, and participation in code blue drills.Verification of the facility's removal plan was conducted by the survey team on [DATE REDACTED].- Interviews were conducted with twenty-five out of 117 licensed nursing staff who worked across all shifts. The staff members were able to state they had been trained and were knowledgeable about the new policies and procedures initiated by the facility.- A
review of in-service documentation revealed 100% of staff currently working had completed education and training related to CPR policy/procedure, advanced directives policy/procedure, identification of change in condition with competency, abuse/neglect/exploitation/misappropriation, and participation in code blue drills. The facility was conducting on-going training to reach 100% completion for the identification of change condition with competency.Based on verification of the facility's Immediate Jeopardy removal plan
the immediate jeopardy was determined to be removed on [DATE REDACTED] and the non-compliance was reduced to
a scope and severity of D.
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
10/24/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Aviata at Bryan Dairy
9035 Bryan Dairy Rd Largo, FL 33777
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-Tag F0600
F 0600 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
immediate actions to remove the Immediate Jeopardy included:- An audit of each resident's code status was initiated on [DATE REDACTED] and completed on [DATE REDACTED]. - On [DATE REDACTED] the licensed nurse was suspended, pending
the facility's investigation. - An ADHOC Quality Improvement Performance Committee (QAPI) was conducted on [DATE REDACTED] to review the recommendations made from the root cause analysis. The team members in attendance were the medical director, executive director, director of nursing, and the assistant administrator.- A performance improvement plan was developed and initiated based on root cause analysis as determined by the QAPI committee. The root cause analysis identified lack of consistent staff training upon hire in orientation and ongoing monthly mock drills. The QAPI committee approved the recommendations on [DATE REDACTED].- Code blue drills were initiated on [DATE REDACTED] on two shifts, three shifts on [DATE REDACTED], three shifts on [DATE REDACTED], three shifts on [DATE REDACTED], and two shifts on [DATE REDACTED]. Licensed nurses are 12-hour shifts. Thirteen code blue drills had been completed with 115 staff members. Ongoing drills will continue until all staff have completed and will continue weekly for four weeks and then ongoing monthly with the results reported to the QAPI committee.- From [DATE REDACTED] to [DATE REDACTED], the regional director of social services provided education to licensed nurses and the interdisciplinary team on advanced directives including identification of a valid DNR and who can initiate a DNR. A posttest was provided upon completion of the education.- From [DATE REDACTED] to [DATE REDACTED], licensed nurses and CNA's received education on the CPR policy and procedure including responding to a code blue and the roles/responsibilities during a code.- From [DATE REDACTED] to [DATE REDACTED], 100% of staff received education related to the abuse, neglect, exploitation, and misappropriation policy.- On [DATE REDACTED], licensed nurses received education on the identification of a change in condition including competency. Eleven licensed nurses completed the training. - Newly hired licensed nurses will receive education upon hire, or accepting a shift, to include the CPR policy/procedure, advanced directives policy/procedure, identification of change in condition with competency, abuse/neglect/exploitation/misappropriation, and participation in code blue drills.Verification of the facility's removal plan was conducted by the survey team on [DATE REDACTED].- Interviews were conducted with twenty-five out of 117 licensed nursing staff who worked across all shifts. The staff members were able to state they had been trained and were knowledgeable about the new policies and procedures initiated by the facility.- A
review of in-service documentation revealed 100% of staff currently working had completed education and training related to CPR policy/procedure, advanced directives policy/procedure, identification of change in condition with competency, abuse/neglect/exploitation/misappropriation, and participation in code blue drills. The facility was conducting on-going training to reach 100% completion for the identification of change condition with competency.Based on verification of the facility's Immediate Jeopardy removal plan
the immediate jeopardy was determined to be removed on [DATE REDACTED] and the non-compliance was reduced to
a scope and severity of D.
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
10/24/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Aviata at Bryan Dairy
9035 Bryan Dairy Rd Largo, FL 33777
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-Tag F0678
F 0678 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
by the facility.- A review of in-service documentation revealed 100% of staff currently working had completed education and training related to CPR policy/procedure, advanced directives policy/procedure, identification of change in condition with competency, abuse/neglect/exploitation/misappropriation, and participation in code blue drills. The facility was conducting on-going training to reach 100% completion for
the identification of change condition with competency.Based on verification of the facility's Immediate Jeopardy removal plan the immediate jeopardy was determined to be removed on [DATE REDACTED] and the non-compliance was reduced to a scope and severity of D.
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
10/24/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Aviata at Bryan Dairy
9035 Bryan Dairy Rd Largo, FL 33777
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-Tag F0726
F 0726 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
education related to the abuse, neglect, exploitation, and misappropriation policy.- On [DATE REDACTED], licensed nurses received education on the identification of a change in condition including competency. Eleven licensed nurses completed the training. - The Human Resource Director will ensure during new hire orientation, newly hired nurses and CNAs are educated on the facility policy related to advanced directives, CPR and the completed road map from orientation will be signed acknowledging the education received.Newly hired licensed nurses will receive education upon hire, or accepting a shift, to include the CPR policy/procedure, advanced directives policy/procedure, identification of change in condition with competency, abuse/neglect/exploitation/misappropriation, and participation in code blue drills.Verification of
the facility's removal plan was conducted by the survey team on [DATE REDACTED].- Interviews were conducted with twenty-five out of 117 licensed nursing staff who worked across all shifts. The staff members were able to state they had been trained and were knowledgeable about the new policies and procedures initiated by the facility.- A review of in-service documentation revealed 100% of staff currently working had completed education and training related to CPR policy/procedure, advanced directives policy/procedure, identification of change in condition with competency, abuse/neglect/exploitation/misappropriation, and participation in code blue drills. The facility was conducting on-going training to reach 100% completion for the identification of change condition with competency.Based on verification of the facility's Immediate Jeopardy removal plan the immediate jeopardy was determined to be removed on [DATE REDACTED] and the non-compliance was reduced to a scope and severity of D.
Event ID:
Facility ID:
If continuation sheet
AVIATA AT BRYAN DAIRY in LARGO, FL inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 LARGO, 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 BRYAN DAIRY or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.