Aviata At Brentwood
AVIATA AT BRENTWOOD in LECANTO, FL — inspection on November 5, 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
Ensure each resident receives an accurate assessment.
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] 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.
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
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/05/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Aviata at Brentwood
2333 N Brentwood Cir Lecanto, FL 34461
SUMMARY STATEMENT OF DEFICIENCIES
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.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/05/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Aviata at Brentwood
2333 N Brentwood Cir Lecanto, FL 34461
SUMMARY STATEMENT OF DEFICIENCIES
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.