Aviata At Brentwood
Inspection Findings
F-Tag F0641
F 0641
Ensure each resident receives an accurate assessment.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
record review and interview, the facility failed to ensure accuracy of minimum data set assessments for 1 of 3 residents reviewed for dialysis (Resident #6).Findings include:Review of Resident #6's physician order dated 4/29/2025 read, Hemodialysis- Tuesday, Thursday and Saturday- [Address and Phone number of Dialysis Center].Review of Resident #6's quarterly Minimum Data Set assessment dated [DATE REDACTED] showed dialysis was not checked under Section O- Special Treatments, Procedures and Programs.During an
interview on 11/4/2025 at 12:44 PM, the Director of Nursing stated, [Resident #6's name] is a dialysis patient.During an interview on 11/4/2025 at 12:47 PM, the Minimum Data Set Registered Nurse stated, [Resident #6's name] is a dialysis patient. Section O would need to be corrected. We follow the RAI [Resident Assessment Instrument] manual.
Residents Affected - Few
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 REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
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
11/05/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Aviata at Brentwood
2333 N Brentwood Cir Lecanto, FL 34461
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 F0684
F 0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Level of Harm - Minimal harm or potential for actual harm
Based on observation, interview, and record review, the facility failed to ensure residents received blood pressure medications as ordered for 1 of 3 residents reviewed for medication management (Resident #6).Findings include: Review of Resident #6's physician order dated 10/9/2025 read, Midodrine HCl Oral Tablet 5 MG [milligram] (Midodrine HCl), Give 5 mg by mouth every 12 hours as needed for hypotension.
Give for Systolic BP [Blood Pressure] less than 110 and diastolic BP less than 60.Review of Resident #6's Weights and Vitals Summary showed the blood pressure of 105/54 mmHg [millimeters of mercury] on 10/11/2025 at 5:04 PM and 102/50 mmHg on 10/11/2025 at 11:19 PM.Review of Resident #6's Medication Administration Record (MAR) for October 2025 for administration of Midodrine HCl 5 mg showed no documentation on 10/11/2025.During an interview on 11/5/2025 at 9:55 AM, the Advanced Practice Registered Nurse #1 stated, On 10/11/2025, the on call notes did not mention anything about blood pressure, but Midodrine was already at hand. Parameters are ordered for a reason. [Resident #6's name] blood pressure some days was through the roof and some days was lower than normal. Not sure if the staff had checked her blood pressure and then rechecked the blood pressure and it had recovered.During an
interview on 11/5/2025 at 10:42 AM, Staff A, Licensed Practical Nurse (LPN), stated, On 10/11/2025, I was checking on [Resident #6's name] and she had no signs of distress throughout the day. I don't recall why
the medication is not marked as given. I always look at parameters. If I would have given the medication, I would have documented on the MAR.During an interview on 11/5/2025 at 12:08 PM, the Director of Nursing stated, Midodrine should have been given and parameters should have been followed.Review of
the facility policy and procedure titled Medication- Oral Administration of with an effective date of 11/30/2014 read, Procedure. Review physician's order.
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
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
11/05/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Aviata at Brentwood
2333 N Brentwood Cir Lecanto, FL 34461
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 F0842
Federal health inspectors cited AVIATA AT BRENTWOOD in LECANTO, FL for a deficiency under regulatory tag F-F0842 during a complaint investigation conducted on 2025-11-05.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 3 deficiencies cited during this inspection of AVIATA AT BRENTWOOD.
Correction Status: Deficient, Provider has no plan of correction.
AVIATA AT BRENTWOOD in LECANTO, 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 LECANTO, 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 BRENTWOOD or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.