Aviata At Colonial Lakes
AVIATA AT COLONIAL LAKES in WINTER GARDEN, FL — inspection on January 16, 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
Review of the facility's Policies and Procedures revised 9/25/17 revealed an individualized person-centered plan of care would be established by the interdisciplinary team (IDT) with the resident and/or representative and updated in accordance with state and federal regulatory requirements.
The policy detailed that the care plan must be reviewed, updated and/or revised based on changing goals, preferences, and needs of the resident and in response to current interventions as needed.
The document indicated that the IDT should ensure the plan of care addressed any resident needs and that the plan was oriented towards attaining or maintaining the highest practicable physical, mental, and psychosocial wellbeing.
105440 01/16/2025
Aviata at Colonial Lakes 15204 W Colonial Dr Winter Garden, FL 34787
jeopardy to resident health or puree.
Orders and care plans were updated accordingly to reflect the texture change.
The RD followed safety up with resident #1 on 12/26/24 with no new recommendations.
meeting and to review the progress made.
They determined that all plans that had been put in place were effective. *On 12/30/24 the RD completed the second quality review to ensure diet orders in the electronic medical record matched the meal tracker.
There were no issues noted.
Interviews conducted from 01/15/25 through 01/16/25 with 21 total facility staff who represented the dietary and nursing departments revealed they were knowledgeable of the facility's policy and procedure for dysphagia diet orders, and appropriate snacks.
Interviews conducted with nursing staff, including 9 CNAs, 2 Registered Nurses, and 3 Licensed Practical Nurses, revealed they received education between 12/20/24 and 12/25/24.
105440 01/16/2025
Aviata at Colonial Lakes 15204 W Colonial Dr Winter Garden, FL 34787
jeopardy to resident health or residents with dysphagia diagnosis were on the correct texture diets.
The audit was completed on safety 1/14/25 with no discrepancies noted.
puree.
Orders and care plan were updated accordingly to reflect the texture change.
Registered Diet (RD) followed up with resident on 12/26/24 with no new recommendations. * On 12/24/24 the Administrator and Interdisciplinary Team (IDT), including Medical Director, met for monthly QAPI meeting and to review the progress made.
They determined that all plans that had been put in place were effective. *On 12/30/24 the RD completed the second quality review to ensure diet orders in the electronic medical record matched the meal tracker.
There were no issues noted.
Interviews conducted from 01/15/25 through 01/16/25 with 21 total facility staff who represented the dietary and nursing departments revealed they were knowledgeable of the facility's policy and procedure for dysphagia diet orders, and appropriate snacks.
Interviews conducted with nursing staff, including 9 CNAs, 2 Registered Nurses, and 3 Licensed Practical Nurses, revealed they received education between 12/20/24 and 12/25/24.
Review of resident #1's physician orders for December 2024 revealed orders for a dysphagia mechanical soft texture diet since 8/29/23.
The Quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the resident had a Brief Interview for Mental Status score of 10 out of 15, which indicated moderate cognitive impairment.
She had no upper or lower extremity limitations, was independent for eating, and required set up or clean-up assistance for other Activities of Daily Living (ADLs).
She was not identified as having any symptoms of a swallowing disorder but was on a mechanically altered diet which required a change in food texture or liquids.
105440
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 105440 B.
Wing 01/16/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Aviata at Colonial Lakes 15204 W Colonial Dr Winter Garden, FL 34787
Review of a nursing progress note revealed a change in condition note entered on 12/20/24 at 1:30 PM, that indicated resident #1 had respiratory arrest.
The note revealed resident #1's vital signs at that time were, blood pressure 85/56, pulse 44, no respirations, oxygen saturation 71% on room air, and mental status was unresponsive.
The LPN documented that she responded immediately and noticed the resident had something in her mouth and her face was discolored.
She started the Heimlich maneuver and soggy bread material was expelled from her mouth, so they lowered her to the floor on her side and suctioned. EMS was called, oxygen was applied on the resident, and the APRN gave the order to transfer the resident to the hospital. At 2:34 PM, the LPN documented she spoke with the resident's son who said he was at the hospital with the resident.
105440
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 105440 B.
Wing 01/16/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Aviata at Colonial Lakes 15204 W Colonial Dr Winter Garden, FL 34787
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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.