Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around September 2026
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 Aviata At Englewood during CMS and state inspections, most recent first.
A resident with traumatic brain injury, moderate cognitive impairment, and a history of unpredictable behaviors became agitated and physically aggressive during transfer to bed. Despite the resident’s refusals and distress when a mechanical lift was brought in, two CNAs continued care. One CNA was reported to have grabbed the resident’s arm, twisted it, and forcefully slapped the same area of the forearm multiple times while laughing, after the resident kicked and hit staff. The resident later stated that nurses slapped his arm several times, and a family member reported being told that staff repeatedly tapped the resident’s arm while saying not to do that. Multiple staff, including CNAs and LPNs, observed redness and linear marks on the resident’s right forearm, and a provider note documented localized erythema with superficial linear markings consistent with a grab or excoriation-type injury. These events show that the resident was not protected from physical abuse by staff.
A resident who fell from bed was not properly assessed or monitored by an LPN, who failed to document the incident, initiate neurological checks, complete a post-fall evaluation, or notify the physician and resident representative. The fall was only discovered later when the resident reported symptoms, leading to hospital admission for a head injury. Facility leadership confirmed the LPN did not follow required post-fall procedures or communicate the event to the oncoming RN.
Two residents with urinary catheters were found with drainage bags lying on the floor, contrary to infection control policies requiring bags to be kept off the floor and covered for privacy. One resident was being treated for a UTI and required contact isolation, while the other had recent urinary retention and dementia. Staff acknowledged the infection control issue, and photographic evidence was obtained.
Resident Physically Abused by CNA During Agitated Care Episode
Penalty
Summary
The deficiency involves the facility’s failure to protect a resident from physical abuse by staff during the provision of care. The facility’s Abuse, Neglect, Exploitation & Misappropriation policy defines abuse as the willful infliction of injury, including physical abuse such as hitting, slapping, and punching, and states that such acts are strictly prohibited. Despite this policy, a CNA was reported to have intentionally struck a resident’s right forearm multiple times during care, resulting in visible redness and linear markings consistent with a grab or excoriation-type injury. The resident involved had a history of traumatic subdural hemorrhage, diffuse traumatic brain injury, ADHD, and a psychotic disorder with delusions, with a BIMS score indicating moderate cognitive impairment. The resident’s care plan documented mood problems related to traumatic brain injury, unpredictable behaviors, a potential for traumatization due to prior storm/hurricane evacuations, and communication problems requiring staff to allow adequate time to respond and not rush. The care plan also noted that the resident was dependent on staff for emotional, intellectual, physical, and social needs, with an intervention for all staff to converse with the resident while providing care. During the incident, the resident became agitated and physically aggressive while being assisted to bed, including kicking and hitting staff. Multiple staff interviews described the sequence of events leading to the abuse. One CNA reported that another CNA repeatedly tapped on the resident’s plate while insisting he finish his food, wiped his mouth aggressively when he refused and spit food out, and then proceeded with a transfer to bed despite the resident’s refusal and agitation when seeing the mechanical lift. During the transfer, the resident kicked one CNA and hit the other, after which the accused CNA allegedly grabbed the resident’s arm, twisted it so the forearm was exposed, and hit the same spot on the forearm four to five times while laughing and grinning. The reporting CNA, as well as other staff, observed a red mark on the resident’s right forearm, and photographic evidence documented these red marks. The resident stated that nurses slapped his arm multiple times, and a family member reported being told that someone had tapped his arm repeatedly while saying “don’t do that.” Additional staff, including LPNs, confirmed being told that the resident had been slapped on the arm and that they observed redness on the forearm. A primary care note documented localized erythema with superficial linear markings on the volar aspect of the right forearm, consistent with friction, a grab mark, or excoriation-type injury. Further interviews revealed that the accused CNA denied hitting the resident and instead alleged that the reporting CNA had pinched the resident’s feet during care. However, the reporting CNA stated she had previously seen the accused CNA smack residents’ hands in a manner similar to smacking a child, though not as aggressively as in this incident. Staff accounts also indicated that care was continued despite the resident’s verbal refusals and escalating agitation, and that one LPN, when informed of the incident and shown the resident’s arm, stated she did not want any part of it and left the room. Another LPN reportedly responded to the description of the incident and the redness on the arm by saying she hoped it would go away. These actions and observations collectively demonstrate that the resident was not kept free from physical abuse as required by the facility’s abuse policy.
Failure to Follow Post-Fall Protocol and Notification Procedures
Penalty
Summary
A resident experienced a fall from bed during the early morning hours, which was witnessed by the roommate. The roommate alerted a CNA, who then notified an LPN. The LPN arrived with another CNA, questioned the resident, and returned the resident to bed without performing an assessment. The LPN failed to document the fall in the medical record, did not initiate neurological checks, did not complete a Post Fall Evaluation form, and did not notify the resident's primary care physician or the resident's representative as required by facility policy. Additionally, the LPN did not communicate the incident to the oncoming RN during shift change. Later that day, the resident reported nausea and headache to the RN, who was then informed by the roommate about the earlier fall. The RN notified the APRN, who ordered medication and assessed the resident, ultimately directing a transfer to the hospital where the resident was diagnosed with a head injury/concussion. Facility leadership confirmed through their investigation that the LPN did not follow post-fall protocols, failed to document the incident, and did not notify appropriate parties as required.
Failure to Maintain Infection Control Standards for Urinary Catheter Care
Penalty
Summary
Surveyors identified that the facility failed to adhere to infection control standards for two residents with urinary catheters. For one resident with a history of urinary retention, obstructive and reflux uropathy, and sepsis, the urinary catheter drainage bag was observed lying on the floor next to the bed. The resident was being treated for a urinary tract infection at the time, and the care plan included interventions for infection control and contact isolation. A CNA confirmed that the drainage bag should not be on the floor due to infection control concerns and repositioned it appropriately. The facility's policy requires catheter bags to be covered for privacy and kept off the floor, but this was not followed in this instance. Another resident, admitted with diagnoses including urinary tract infection and dementia, was also observed with a urinary catheter drainage bag lying on the floor and without a privacy bag. Nursing documentation indicated recent urinary retention and Foley catheter insertion. The DON was notified of the issue and acknowledged the need to correct the placement of the drainage bag. These observations were supported by photographic evidence and demonstrated non-compliance with the facility's infection control and catheter care policies.
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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 Englewood
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| North Port Rehabilitation And Nursing Center | 9.1 mi | — | 0 | 0 |
| Sunset Lake Healthcare And Rehabilitation Center | 10.6 mi | — | 0 | 0 |
| Port Charlotte Rehabilitation Center | 11.4 mi | — | 0 | 0 |
| Village On The Isle | 12.1 mi | — | 0 | 0 |
| Sun Harbor Healthcare | 12.1 mi | — | 0 | 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.