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Complaint Investigation

Adviniacare At Naples

April 18, 2025 · Naples, FL · 7801 Airport Pulling Road N
Citations 5
CMS Rating 1/5
Beds 40
Provider ID 105995
Healthcare Facility
Adviniacare At Naples
Naples, FL  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

ADVINIACARE AT NAPLES in NAPLES, FL — inspection on April 18, 2025.

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

FF0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to

about calling a door company to see what could be done about the front door.

She said other than that,

jeopardy to resident health or 8:00 a.m., and she felt the residents were safe because the wander alarm bracelet would lock the door safety down if they approached it.

When asked about a cognitively impaired person following someone out an already opened door, she said, You can't guarantee people wouldn't get out, they could open a

are dealing with people.

105995 04/18/2025

Adviniacare at Naples 7801 Airport Pulling Road N Naples, FL 34109

jeopardy to resident health or said, You can't guarantee people wouldn't get out, they could open a window, anything to get out.

You safety can't guarantee anything 100%.

You are dealing with systems, you are dealing with people.

the facility and had a wander alarm bracelet.

105995 04/18/2025

Adviniacare at Naples 7801 Airport Pulling Road N Naples, FL 34109

resident found time was 8:55 a.m.

The form noted staff verified the resident was not signed out,

jeopardy to resident health or off when the resident was found.

The staff performance result was good and staff did respond in safety accordance with established procedures.

to the drill, including the DON and Minimum Data Set (MDS) Coordinator Staff H.

On 4/18/25 at 12:45 p.m., in an interview MDS Coordinator Staff H said she came to work at 6:00 a.m.

She did not hear an announcement for an elopement drill and did not participate in an elopement drill.

Staff H said the Maintenance Director came to her office and asked her questions. He asked, If this happens (elopement), what would you do basically.

On 4/18/25 at 1:05 p.m., in an interview the Maintenance Director verified he completed the elopement drill of 4/18/25.

The Maintenance Director said normally he would gather staff but this time he went person to person and asked each staff member individually what they would do in case of an elopement, and what they would look for. He announced an elopement drill but not in a group setting. He said he even educated the laundry girls and considered the education an elopement drill.

On 4/18/25 at 1:45 p.m., an interview was held with the DON and the Administrator to discuss implementation of the facility's Immediate Jeopardy removal plan.

The Administrator said she did not know the Maintenance Director did not conduct the elopement drill and would reeducate him.

The Administrator verified the staff education provided was generalized and not specific to each department.

Based on staff statements obtained the resident did not have a wander alert bracelet and was found sitting by the front door.

She said she believed Resident #3 propelled herself out of the front door looking for her brother.

The DON said she assumes no one was at the nurse's station at the time the resident eloped.

105995

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 105995 B.

Wing 04/18/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Adviniacare at Naples 7801 Airport Pulling Road N Naples, FL 34109

Review of the Executive Director's job description signed on 3/3/25 revealed, The Executive Director is totally responsible for the management of the .

Skilled Nursing Facility .

Also, ensures high quality resident care services .

Oversees and monitors nursing services . to ensure high quality nursing delivery systems .

Implement quality assurance programs for all departments .

Directs community safety . monitors adherence to safety rules and regulations and takes remedial action when necessary .

The ability to take ownership for . the safety of the residents.

105995

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 105995 B.

Wing 04/18/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Adviniacare at Naples 7801 Airport Pulling Road N Naples, FL 34109

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 NAPLES, 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 ADVINIACARE AT NAPLES or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.