Aviata At Beneva
AVIATA AT BENEVA in SARASOTA, FL — inspection on August 13, 2025.
Found 2 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
Review of the clinical record for Resident #99 revealed an admission date of 7/26/24.
Diagnoses included peripheral vascular disease, protein calorie malnutrition, left below knee amputation, major depressive disorder and current cigarette smoker.Review of Minimum Data Set (MDS) assessments revealed on 12/17/24 Resident #99 had an unplanned discharge to an acute care hospital. Resident #99 returned to the facility on [DATE].
Review of the Quarterly MDS assessment with a target date of 12/29/24 revealed Resident #99's cognitive skills for decision making were intact with a Brief Interview for Mental Status score of 15.
The MDS noted the resident was at risk of developing pressure ulcers and had no unhealed pressure ulcer. Resident #99 was always incontinent of bladder or bowel.
Review of the Treatment Administration Record (TAR) for January 2025 and February 2025 revealed Licensed Practical Nurse (LPN) Staff B documented she completed the weekly skin sweeps on 1/6/25, 1/12/25, 1/19/25, 1/28/25, 2/2/25 and 2/16/25.LPN Staff A documented she completed the weekly skin sweeps on 2/9/25 and 2/23/25.On 8/12/25 at 12:00 p.m., in an interview LPN Staff A confirmed on 2/2/25 and 2/16/25 she signed the Treatment Administration Record (TAR) verifying she completed the weekly skin evaluation but she did not do them. LPN Staff A said she could not remember why she did not do the skin evaluation on 2/2/25 and 2/16/25.
She said she must have been busy.
105416 08/13/2025
Aviata at Beneva 741 South Beneva Road Sarasota, FL 34232
pain from the wound care and had requested a pain pill.
The resident rated her pain a 9 out of 10
interview with Registered Nurse (RN) Staff H said she was doing the wound care today.
She said she
the wound care.
The RN Staff H said Resident #99 had 3 wounds.
The sacrum and the left hip were treated with Moist Dakins solution (broad spectrum antiseptic) and dry sterile dressing daily and as needed.
The Left hip was infected, and the resident was receiving the antibiotic Bactrim. RN Staff H said the resident was not able to turn completely in bed, she requires 2 people to assist her.On 8/12/25 at 9:10 a.m., observation of wound care with Resident #99, with her consent.
Unit Manager LPN Staff F provided wound care and CNA Director of Patient Services Staff G assisted with positioning the resident.
The left hip wound was yellow with slough (dead tissue), and tan drainage, a moderate amount.
The Sacral wound was approximately the size of a deck of cards, black with an open area at 6:00 O'clock.
The treatment was Dakins soaked gauze and dry dressing for all the wounds.
The Unit Manager said the wound care is completed daily but she often does not let the wound care physician look at the wounds and she refuses treatments at times.
The Unit Manager said the resident likes to sit outside and smoke most of the day.On 8/12/25 at 10:16 a.m., in a telephone interview with the Wound Care Physician he said the resident refused care and is non-compliant. We recommended a low air loss mattress, and she refused it.
She is non-compliant and a smoker.
There is a low chance for the sacral wound to heal. I visit once a week it is on and off with her.
She does not always allow me to see her, and she is alert and oriented.
She is very stubborn, and she refused the air mattress and said it was too hard.
She does not comply with turning and repositioning.
The left hip is showing signs of infection, and she is on antibiotics for that.On 8/12/25 at 12:00 p.m., in an interview LPN Staff A confirmed on 2/2/25 and 2/16/25 she signed the Treatment Administration Record (TAR) verifying she completed the weekly skin evaluation but she did not do them. LPN Staff A said she could not remember why she did not do the skin evaluation on 2/2/25 and 2/16/25.
She said she must have been busy.
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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.