Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Avante At Ocala, Inc during CMS and state inspections, most recent first.
The facility did not ensure that a resident with hypokalemia received required quarterly nutritional evaluations by an RD, as outlined in the care plan, and failed to develop a care plan addressing PTSD for another resident, despite clear documentation of ongoing symptoms. These omissions were confirmed by facility staff and were not in accordance with established care planning policies.
The facility did not ensure an adequate supply of clean linens, washcloths, towels, and protective bed pads, resulting in residents and staff frequently running out of these essential items before the end of shifts. Staff reported difficulties in providing care due to the shortages, and observations confirmed limited supplies available on linen carts during the night.
The facility did not ensure snacks were proactively offered and served to residents according to their needs and preferences. Several residents, including one with diabetes and another with seizure disorder, reported that snacks were only available if they went to the nurses' station, which was not possible for all. Staff confirmed snacks were provided only upon request, contrary to facility policy requiring nursing staff to offer snacks to all residents daily.
A resident's medical record lacked complete and accurate documentation for behavior monitoring, as required by physician orders and facility policy. Staff only recorded check marks and initials instead of detailed behavior codes and interventions, and there were inconsistencies in progress notes regarding medication refusal and observed behaviors. Interviews with an LPN and the DON confirmed the documentation was insufficient.
A facility failed to accurately complete a Level I PASRR for a resident with bipolar disorder, documenting a depressive disorder instead. The discrepancy was confirmed by the DON, highlighting a failure in accurately recording the resident's mental health condition.
Two residents received narcotic pain medication outside prescribed parameters. One resident was given Tramadol despite a pain level of zero, and another received Hydrocodone-Acetaminophen for pain levels below the prescribed threshold. Staff interviews confirmed these errors, highlighting a failure to adhere to physician orders and facility policy.
The facility failed to securely store medications, as observed with two residents who had unsecured medications in their rooms. One resident had vitamin C gummies and red grape seed vitamins on their bedside table, while another had Diclofenac Sodium gel on their overbed table. The DON confirmed that medications should be secured and residents assessed for self-administration, with a lockbox provided if approved.
The facility failed to ensure proper food storage and handling, with unlabeled fruits in the cooler, raw ground beef left on the counter, and uncovered cake pans. Staff confirmed these practices did not align with facility policies.
A facility failed to ensure staff used proper PPE during high-contact care for a resident under Enhanced Barrier Precautions. An Infection Prevention Officer was observed applying a wound dressing without a gown, contrary to facility policy and signage requirements. Interviews confirmed the lapse, with the officer acknowledging the oversight and the DON emphasizing the need for gown and glove use during such care.
Failure to Implement and Develop Comprehensive Care Plans for Metabolic and Behavioral Health Needs
Penalty
Summary
The facility failed to implement and document care plan interventions for two residents with specific medical and behavioral health needs. For one resident with a metabolic condition related to hypokalemia, the care plan required quarterly evaluations by a Registered Dietician (RD) to monitor caloric intake and assess nutritional needs. However, there was no documentation that the RD had completed these quarterly evaluations or made nutritional recommendations as indicated. The RD only reviewed residents who triggered for weight loss, and this resident had not triggered for such a review, resulting in the absence of required RD assessments. For another resident with a diagnosis of post-traumatic stress disorder (PTSD), the comprehensive care plan did not include a focus on PTSD or related behavioral health interventions, despite documentation in psychiatric and psychological notes of frequent flashbacks, nightmares, and significant distress. Both the DON and the Minimum Data Set Coordinator confirmed that the care plan lacked a focus on PTSD and acknowledged that it should have been included, as required by the facility's policy for comprehensive, person-centered care plans.
Insufficient Linen and Hygiene Supplies for Resident Care
Penalty
Summary
The facility failed to provide sufficient clean linens, washcloths, towels, and protective bed pads to meet the care needs of residents. Multiple residents reported having to wait for laundry delivery or lacking necessary items such as washcloths and towels, especially during the night shift when the laundry was not accessible. Staff interviews confirmed that certified nursing assistants (CNAs) and nurses frequently ran out of essential supplies before the end of their shifts, including gloves, washcloths, towels, and bed pads. Some staff reported bringing their own wipes for residents due to the shortage, and noted that laundry carts were sometimes empty at the start of their shifts. Observations of linen carts during the night shift revealed a limited number of protective bed pads available, with some carts containing as few as four to seven pads for the entire shift. Staff described difficulties in providing toileting care and maintaining resident hygiene due to the lack of supplies, and noted that the laundry room was locked and inaccessible during certain hours. The deficiency was corroborated by both resident and staff accounts, as well as direct observation of supply shortages.
Failure to Proactively Offer and Serve Snacks to Residents
Penalty
Summary
The facility failed to ensure that snacks were offered and/or served to all residents in accordance with their needs, preferences, and requests, as required by facility policy. Multiple residents reported that snacks were not routinely offered to them in the evenings; instead, residents were expected to go to the nurses' station to request snacks. One resident, who is diabetic, stated that staff never came to offer snacks and that not all residents were able to go to the nurses' station, with another resident confirming that their roommate was unable to do so. Another resident, who experiences seizures and is photosensitive, reported that no one ever came to their room to offer snacks, and they did not like to leave their room due to their condition. Observations confirmed that snacks were stored in plastic containers at the nurses' stations, but staff interviews consistently indicated that snacks were only provided upon resident request, rather than being proactively offered. The facility's policy requires nursing staff to offer and serve snacks to all residents daily, in accordance with their needs and preferences, but this was not being followed. The deficiency was identified for all five sampled residents regarding the provision of evening snacks.
Incomplete and Inaccurate Behavior Documentation in Resident Medical Record
Penalty
Summary
The facility failed to ensure that a resident's medical records were complete and accurate, specifically for a resident being monitored for mood and behaviors. Physician orders required detailed documentation of behavior monitoring, including specific codes for types of behaviors, interventions used, outcomes, and any side effects. However, the Treatment Administration Record for the resident only contained check marks and staff initials, lacking the required detailed information. Interviews with staff, including an LPN and the Director of Nursing, confirmed that the documentation did not include the necessary coding or details about the resident's behaviors, as required by the physician's order and facility policy. Further review of the resident's progress notes revealed inconsistencies in documentation regarding medication refusal and behavioral observations. While the APRN noted that the resident was refusing medications, the progress notes also stated that no behaviors were observed during a shift. The facility's policies require accurate and complete documentation to reflect the resident's experiences and to monitor behaviors effectively. The deficiency was identified due to the lack of detailed and accurate documentation in the resident's medical record, contrary to both physician orders and facility policy.
Inaccurate PASRR Screening for Resident with Bipolar Disorder
Penalty
Summary
The facility failed to ensure an accurate Level I Preadmission Screening and Resident Review (PASRR) was completed for a resident diagnosed with a serious mental disorder. The resident, who was admitted with a diagnosis of bipolar disorder, had their PASRR screening inaccurately documented with a depressive disorder instead of bipolar disorder. This discrepancy was identified during a review of the resident's admission records and clinical documentation, which did not include the bipolar disorder diagnosis on the PASRR screening dated 10/6/2023. During an interview, the Director of Nursing confirmed that the resident's diagnosis of bipolar disorder was not included in the PASRR screening, indicating a failure in accurately documenting the resident's mental health condition.
Improper Administration of Pain Medication
Penalty
Summary
The facility failed to administer narcotic pain medication according to professional standards of practice for two residents. Resident #73 had a physician's order for Tramadol to be given every 8 hours for a pain scale of 5-10. However, the Medication Administration Record (MAR) showed that Tramadol was administered multiple times when the resident's pain level was documented as zero or not applicable. This indicates that the medication was given outside the prescribed parameters, which was confirmed by interviews with staff who acknowledged the error. Similarly, Resident #318 had a physician's order for Hydrocodone-Acetaminophen to be given for chronic pain with a pain scale of 7-10. The MAR revealed that the medication was administered on several occasions when the resident's pain level was documented as 5 or 6, which is below the prescribed threshold. Staff interviews confirmed that the medication should not have been given for pain levels less than 7, and the Director of Nursing emphasized the importance of following physician orders. The facility's policy on medication administration requires verification of correct medication parameters, which was not adhered to in these cases.
Failure to Securely Store Medications
Penalty
Summary
The facility failed to ensure that drugs and biologicals were stored securely, as observed in one of the three halls. During observations, it was noted that a resident had bottles of vitamin C gummies and red grape seed vitamins on their bedside table. The resident confirmed that they took these supplements daily for circulation. Despite multiple observations over two days, the vitamins remained unsecured on the bedside table. A Licensed Practical Nurse (LPN) acknowledged that medications should not be at the bedside unless the resident has been assessed for self-administration, and even then, they must be secured. The Director of Nursing (DON) confirmed that residents are not allowed to have medications in their rooms without a physician's order for self-administration and a lockbox for secure storage. Another resident was observed with a tube of Diclofenac Sodium gel on their overbed table. The resident stated they kept the gel there for frequent use. The physician's order indicated the gel was to be applied daily for pain. The DON reiterated that residents should be assessed for self-administration, and if approved, medications should be stored in a lockbox. The facility's policy requires all drugs and biologicals to be stored in locked compartments, with specific procedures for bedside medication storage, which were not followed in these instances.
Improper Food Storage and Handling Practices
Penalty
Summary
The facility failed to ensure proper food storage and handling practices in the kitchen and reach-in coolers, as observed during a survey. During an initial walk-through, assorted cut melon and other fruits were found in the reach-in cooler without identifying or date labels. Additionally, two 10-pound rolls of raw ground beef were left on the counter, not prepped in a pan or under running water, and there were uncovered and undated pans containing cake. Interviews with the Morning Charge and the Certified Dietary Manager (CDM) confirmed these observations. The Morning Charge acknowledged the mistake of placing raw ground beef on the counter instead of in the prep sink with running water. The CDM verified the lack of labeling on the fruit container and confirmed that the raw ground beef should have been under running water or prepped and covered. The CDM also confirmed that the dessert pans of cake should have been covered and dated, as per the facility's policy and procedure guidelines.
Failure to Use Proper PPE During Enhanced Barrier Precautions
Penalty
Summary
The facility failed to ensure that staff adhered to proper personal protective equipment (PPE) protocols while providing high-contact care to residents under Enhanced Barrier Precautions. During an observation, the Infection Prevention Officer was seen applying a wound dressing to a resident's lower left leg without wearing a gown, despite the signage on the resident's door indicating the need for gloves and a gown during such high-contact activities. The resident had a physician's order for wound care and was under Enhanced Barrier Precautions due to a chronic wound and an indwelling medical device. Interviews with the Infection Prevention Officer and the Director of Nursing confirmed the lapse in protocol adherence. The Infection Prevention Officer admitted to not wearing a gown during the wound care procedure, acknowledging the requirement to use both gloves and a gown. The Director of Nursing reiterated the necessity of wearing a gown and gloves when providing direct wound care to residents on enhanced barrier precautions. The facility's policy on Enhanced Barrier Precautions, issued earlier in the year, clearly outlined the requirement for gown and glove use during high-contact resident care activities, including wound care.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Ocala
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Lodge Healthcare And Rehabilitation Center | 0.5 mi | — | 0 | 0 |
| Ocala Health And Rehabilitation Center | 0.9 mi | — | 10 | 0 |
| Aviata At Arbor Springs | 1.1 mi | — | 7 | 0 |
| Palm Garden Of Ocala | 2.2 mi | — | 1 | 0 |
| Life Care Center Of Ocala | 2.5 mi | — | 8 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.