Aventura At Carriage Inn
AVENTURA AT CARRIAGE INN in DAYTON, OH — inspection on October 21, 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 Minimum Data Set (MDS) assessment for Resident #15 dated 07/15/25 revealed the resident had intact cognition and required moderate staff assistance with activities of daily living (ADLs.) Review of the physician's orders for Resident #15 dated October 2025 revealed there was no order for the resident to self-administer medications.
Observation on 10/20/25 at 10:01 A.M. with License Practical Nurse (LPN) #30 revealed the nurse entered Resident #15's room with an ampule of albuterol, an inhalant medication to assist with breathing. LPN #30 placed the contents of the ampule into the nebulizer and told the resident the medication was there for him whenever he was ready to use.
The nurse then left the room.
Interview on 10/20/25 at 10:03 A.M. with LPN #30 confirmed Resident #15 did not have a physician's order to self-administer albuterol.
Review of facility policy titled Administering Medications dated April 2019 revealed residents may self-administer medications only if the attending physician and interdisciplinary care team had determined the resident had the decision-making capacity to do so safely.
This deficiency represents noncompliance investigated under Complaint Number 2640037.
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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
365876 10/21/2025
Aventura at Carriage Inn 5040 Philadelphia Drive Dayton, OH 45415
Review of facility policy titled Administering Medications dated April 2019 revealed medications should be administered as ordered by the physician.
This deficiency represents noncompliance investigated under Complaint Number 2640037.
365876 10/21/2025
Aventura at Carriage Inn 5040 Philadelphia Drive Dayton, OH 45415
Review of the puree diet menu for 10/20/25 revealed the following items were on the lunch menu: beef burgundy, vegetable rice pilaf, green peas, mandarin oranges, dinner roll, chocolate chip cookie.
Review of the substitution log revealed beef stew was substituted for beef burgundy on 10/20/25.
Observation on 10/20/25 at 11:07 A.M. revealed [NAME] #14 prepared pureed peas. [NAME] #14 added 10 ounces (oz) of peas, one cup of water, and three scoops of thickener to a food processer and blended the peas. [NAME] #14 then prepared pureed beef stew by adding 12 oz. stew, one cup of water and two scoops of thickener to the food processor.
Interview on 10/20/25 at 11:18 A.M. with [NAME] #14 verified that she used water as a thinning agent when making pureed foods.
Review of the facility policy titled Summary of House Diets dated August 1015 revealed fruit or vegetable juices, meat broths, or milk should be used to thin pureed food to the appropriate consistency.
This deficiency represents noncompliance investigated under Complaint Number
- 365876 10/21/2025
Aventura at Carriage Inn 5040 Philadelphia Drive Dayton, OH 45415
Observation on 10/20/25 at 9:29 A.M. revealed there was a metal plate warmer with food debris stored on the clean dish drying rack.
Interview on 10/20/25 at 9:29 A.M. with DM #21 verified that the plate warmer was dirty. 4.
Observation on 10/20/25 at 9:30 A.M. revealed the can opener attached to the prep table had dried food debris on the blade.
Interview on 10/20/25 at 9:30 A.M. with DM #21 verified that the can opener was unclean. 5.
Observation on 10/20/25 at 9:33 A.M. revealed there was a build up of debris at the bottom of the steam table wells.
Interview on 10/20/25 at 9:33 A.M. with DM #21 verified the steam table wells were dirty. 6.
Observation on 10/20/25 at 9:35 A.M. revealed there was a build-up of ice on the vinyl strip curtains and floor in the walk-in freezer.Interview on 10/20/25 at 9:35 A.M> with DM #21 verified the walk-in freezer had a build-up of ice on the vinyl strip curtains and on the floor. 7.
Observation on 10/20/25 at 9:37 A.M. revealed the walk-in cooler metal floors and walls were rusted with the metal flooring separating.
Further observation revealed the condenser was leaking with a bucket below it containing gray stagnant water and water on the floor.
Interview on 10/20/25 at 9:37 A.M. with DM #21 confirmed the cooler had been leaking for a while and the maintenance department had placed the bucket below the condenser.
This deficiency represents noncompliance investigated under Complaint Number 2640037.
365876 10/21/2025
Aventura at Carriage Inn 5040 Philadelphia Drive Dayton, OH 45415
Review of facility policy titled Handwashing/Hand Hygiene dated October 2023 revealed hand hygiene was indicated immediately before touching a resident, after touching a resident, after touching a resident's environment and immediately after glove removal.
Review of the facility policy titled Isolation-Categories of Transmission Based Precautions (TBP) dated 2001 revealed staff should consult with the nurse to determine what type of PPE should be donned prior to caring for a resident on TBP.
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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.