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Complaint Investigation

Aviata At Bryan Dairy

October 24, 2025 · Largo, FL · 9035 Bryan Dairy Rd
Citations 4
CMS Rating 1/5
Beds 158
Provider ID 106116
Healthcare Facility
Aviata At Bryan Dairy
Largo, FL  ·  View full profile →
Inspection Summary

AVIATA AT BRYAN DAIRY in LARGO, FL — inspection on October 24, 2025.

Found 4 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.

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Inspection Findings

FF0578
Resident Rights Deficiencies
Immediate Jeopardy

jeopardy to resident health or safety

misappropriation policy.- On [DATE], 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].- 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] and the non-compliance was reduced to a scope and severity of D.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/24/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Aviata at Bryan Dairy

9035 Bryan Dairy Rd Largo, FL 33777

SUMMARY STATEMENT OF DEFICIENCIES

jeopardy to resident health or safety

immediate actions to remove the Immediate Jeopardy included:- An audit of each resident's code status was initiated on [DATE] and completed on [DATE]. - On [DATE] the licensed nurse was suspended, pending the facility's investigation. - An ADHOC Quality Improvement Performance Committee (QAPI) was conducted on [DATE] 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].- Code blue drills were initiated on [DATE] on two shifts, three shifts on [DATE], three shifts on [DATE], three shifts on [DATE], and two shifts on [DATE].

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] to [DATE], 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] to [DATE], 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] to [DATE], 100% of staff received education related to the abuse, neglect, exploitation, and misappropriation policy.- On [DATE], 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].- 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] and the non-compliance was reduced to a scope and severity of D.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/24/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Aviata at Bryan Dairy

9035 Bryan Dairy Rd Largo, FL 33777

SUMMARY STATEMENT OF DEFICIENCIES

jeopardy to resident health or safety

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] and the non-compliance was reduced to a scope and severity of D.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/24/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Aviata at Bryan Dairy

9035 Bryan Dairy Rd Largo, FL 33777

SUMMARY STATEMENT OF DEFICIENCIES

jeopardy to resident health or safety

education related to the abuse, neglect, exploitation, and misappropriation policy.- On [DATE], 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].- 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] and the non-compliance was reduced to a scope and severity of D.

Facility ID:

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.


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