Aviata At St Cloud
AVIATA AT ST CLOUD in SAINT CLOUD, FL — inspection on October 10, 2025.
Found 1 citation. 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
message from LPN A that resident #1 alleged resident #2 had entered her room to touch her on the shoulder and wake her up.
The DON said he instructed LPN A to write a statement but said there were no other instructions given.
The Administrator confirmed she received a call from the DON telling her about the incident, and that resident #1 was doing fine.
The Administrator said they had a meeting with resident #1's sister on 10/07/25 to discuss the incident with her but confirmed they did not tell the sister what would be done to ensure resident #2 did not get near resident #1 again.
They said they spoke with resident #1 who told them she was fine and felt safe at the facility.
She said they did not gather statements from staff until 10/08/25 because they felt the event did not rise to the level of harm.
The DON confirmed he did not instruct LPN A to conduct a skin assessment on either resident or complete an incident report. He said there was no order to do one-to-one supervision with resident #2 until 10/08/25 after the sister insisted something be done to ensure resident #2 did not repeat his actions as he still wandered the hallways freely at night.
The Administrator said LPN A should have continued to reach out to the DON when she did not hear back from him right away.
She said she was the Abuse Coordinator, and her number was posted throughout the facility.
She confirmed they did not do a full investigation because resident #1 said she was doing fine.
She agreed that all allegations of abuse should be investigated thoroughly to ensure proper actions were taken to keep residents safe.
Review of the facility's Abuse, Neglect, Exploitation, and Misappropriation Policies and Procedures revised 11/16/22, revealed that sexual abuse was defined as non-consensual sexual contact of any type and was not limited to unwanted intimate touching of any kind.
Generally, sexual contact was non-consensual if the resident did not want the contact to occur.
The procedure for investigation was to immediately upon an allegation of abuse, the suspect should be segregated from residents pending the investigation.
The assigned nurse or DON should perform and document a thorough nursing evaluation and notify the attending physician. An incident report should be filed by the individual in charge who received the report in conjunction with the person who reported the abuse.
The policy indicated the Abuse Coordinator or DON should take statements from the victim, suspects, and all possible witnesses including those within the vicinity of the alleged abuse, and upon completion of the investigation, a detailed report should be prepared.
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