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Complaint Investigation

Aventura At Carriage Inn

October 30, 2025 · Dayton, OH · 5040 Philadelphia Drive
Citations 2
CMS Rating 3/5
Beds 85
Provider ID 365876
Healthcare Facility
Aventura At Carriage Inn
Dayton, OH  ·  View full profile →
Inspection Summary

AVENTURA AT CARRIAGE INN in DAYTON, OH — inspection on October 30, 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.

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Inspection Findings

FF0760
Pharmacy Service Deficiencies
Potential for More Than Minimal Harm

Review of the hospital discharge orders for Resident #10 revealed an order dated 04/05/25 for Levaquin (an antibiotic) 750 milligrams (mg) once daily by mouth until 05/13/25.

Review of the Medication Administration Record (MAR) for Resident #10 dated April 2025 revealed Levaquin was administered twice daily on 04/06/25, 04/07/25, 04/08/25, and 04/09/25.

Interview on 10/30/25 at 1:03 P.M. with the Administrator confirmed the facility staff had not administered Resident #10's Levaquin as ordered.

Review of the medical record for Resident #11 revealed an admission date of 09/17/25 with diagnoses including nontraumatic subarachnoid hemorrhage, atrial fibrillation, and chronic obstructive pulmonary disease. Resident #11 was discharged to the hospital on [DATE] and returned on 10/23/25.

Review of the hospital discharge orders for Resident #11 revealed an order dated 10/23/25 revealed to hold Eliquis (an anticoagulant) 5 mg until 10/26/25 and an order for cefuroxime (an antibiotic) 500 mg twice daily by mouth for three days.

Review of the MAR for Resident #11 dated October 2025 revealed Eliquis was administered once on 10/23/25 and twice on 10/24/25 and10/25/25.

Further review of the MAR dated 10/23/25 to 10/30/25 revealed cefuroxime was not signed off as administered.

Interview on 10/30/25 at 1:03 PM with the Administrator confirmed the facility had not administered Resident #11's Eliquis nor the cefuroxime as ordered.

Review of the facility policy titled Administering Medication dated April 2019 revealed medications should be administered in accordance with prescriber orders, including any required timeframe.This deficiency represents noncompliance investigated under Complaint Number 1263206 and is a recite to the survey dated 10/21/25.

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 REPRESENTATIVE'S SIGNATURE

TITLE

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/30/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Aventura at Carriage Inn

5040 Philadelphia Drive Dayton, OH 45415

SUMMARY STATEMENT OF DEFICIENCIES

Review of the hospital discharge orders for Resident #10 dated 04/05/25 revealed an order for Vancomycin (antibiotic) intravenous (IV) one gram every 12 hours and an order to obtain a Vancomycin level every Monday.

Review of the Medication Administration Record (MAR) for Resident #10 revealed the resident was given the first dose of IV Vancomycin on 04/06/25 at 8:00 P.M.

Review of the lab results for Resident #10 revealed the facility did not obtain obtain a Vancomycin level for Resident #10 until 04/14/25.

Interview on 10/30/25 at 12:20 PM with Pharmacist #165 confirmed Vancomycin levels should be drawn prior to the administration of the fourth dose of Vancomycin for safe dosing.

Pharmacist #165 further confirmed the pharmacy sent recommendations to the facility on [DATE] indicating the need to obtain a pre-dose Vancomycin level.

Interview on 10/30/25 at 1:15 PM with the Administrator confirmed Resident #10 had an order for Vancomycin every 12 hours and an order to obtain Vancomycin levels every Monday.

The Administrator further confirmed the facility began administration of Vancomycin to Resident #10 on 04/06/25 at 8:00 P.M. but did not obtain a Vancomycin level until 04/14/25.

This deficiency represents noncompliance investigated under Complaint Number

  • Facility ID:

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 DAYTON, OH, (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 AVENTURA AT CARRIAGE INN or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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