Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 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 The Sea - Harbor Beach during CMS and state inspections, most recent first.
A resident with severe sepsis and other conditions did not receive prescribed IV antibiotics during a three-day stay due to communication and procedural failures. Nursing staff failed to escalate the issue of undelivered medications, and the necessary high-cost authorization was delayed. The resident was discharged without receiving the required treatment.
The facility failed to maintain a sanitary and comfortable environment, with issues in the ice machine room, laundry room, main dining room, clean linen room, multiple resident rooms, community shower room, biohazard room, and outdoor patio. Observations included soiled floors, broken equipment, unsecured hazardous items, and poor maintenance reporting.
Five residents were treated undignifiedly, including a non-verbal resident watching his roommate eat without privacy, another frequently dressed in institutional gowns, a cognitively impaired resident eating with bare hands without staff intervention, and two residents served unappetizing pureed meals with derogatory comments from staff.
The facility failed to investigate an incident where a resident with multiple medical conditions sustained injuries of unknown origin. Despite complaints of pain and subsequent transfer to the hospital, there was no comprehensive nursing assessment or investigation into the cause of the injuries. Staff interviews revealed inconsistencies in documentation and communication, and the hospital later confirmed a shoulder dislocation.
The facility failed to assist two visually impaired residents with eating, resulting in inadequate food intake and potential risk for malnutrition. Both residents struggled to locate food on their trays and ate with bare hands, with no staff present to assist or supervise during meal times. The care plans lacked necessary interventions, and the staff were unaware of the residents' specific needs.
A resident with Diabetes Mellitus Type 2 was not identified or treated for her condition since admission, leading to a critically high blood sugar level. Despite being cognitively intact and partially dependent on assistance, the resident's care plan lacked orders for diabetes medication and blood glucose monitoring. The issue was only addressed after the resident's blood sugar was found to be 446, prompting immediate medical intervention.
The facility failed to consistently apply a physician-ordered left hand splint for a resident with multiple medical conditions, leading to a deficiency. Observations and interviews revealed that the splint was not applied as required, and staff admitted to inconsistencies in following the care plan.
The facility failed to manage a resident's Diabetes and overlooked a critical lab result for another resident. One resident did not receive insulin or blood glucose monitoring despite multiple physician visits, while another resident's critical low platelet count was not addressed during their stay.
The facility Physician failed to document visits in a timely manner for two residents, leading to deficiencies in medical record-keeping. One resident with diabetes and a foot ulcer had six visits documented as late entries, while another with liver cirrhosis and cancer had three visits documented late. The DON acknowledged these delays.
The facility failed to prepare pureed foods by methods that conserve nutritive value, flavor, and appearance for four residents with physician-ordered pureed diets. Observations revealed that the pureed foods were thin, watery, and unappetizing, leading to poor consumption by the residents. The Corporate Food Service Director acknowledged the issue but did not replace the unacceptable meals.
Failure to Administer Prescribed IV Antibiotics
Penalty
Summary
The facility failed to administer prescribed intravenous (IV) antibiotics to a resident, identified as Resident #1, during their three-day stay. The resident was admitted with severe sepsis and other complex medical conditions, including osteomyelitis, MRSA, and diabetes. Despite physician orders for three specific IV antibiotics, none were administered due to a series of communication and procedural failures within the facility. The nursing staff, including two Licensed Practical Nurses (LPNs), attempted to contact the facility's pharmacy to obtain the medications but were unsuccessful. They did not escalate the issue to the Assistant Director of Nursing (ADON) or the Director of Nursing (DON), nor did they document the lack of medication delivery in the resident's records. The ADON had confirmed with the pharmacy that the medications were in stock prior to the resident's admission, but the high cost of the medications required additional authorization, which was not completed in a timely manner. The facility's pharmacist explained that the high-cost authorization form was not returned until the resident's last day at the facility, preventing the delivery of the medication. The Medical Director was not informed of the issue until the third day of the resident's stay, and by then, the resident had been discharged without receiving the necessary IV antibiotic therapy. The DON acknowledged that the facility did not administer the antibiotics as ordered, and there was no detailed documentation explaining the failure to deliver and administer the medications.
Facility Fails to Maintain Sanitary and Comfortable Environment
Penalty
Summary
The facility failed to provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable environment for residents. Observations revealed that the commercial ice machine room had a heavily soiled floor, missing floor area around the machine, and a large gap under the exit door, potentially allowing pests to enter. The laundry room had multiple issues, including a broken air-conditioning system, open barrier doors between soiled and clean areas, heavily soiled floors, rust-laden vents, and improper storage of washing chemicals on porous wood shelving. Additionally, one of the washing machines and one of the commercial dryers were non-operational, and the lint vent of the operational dryer was not being cleaned as per facility policy. The ceiling vent above the clean linen folding table was also contaminated with a black mold-like substance, posing a risk to clean clothes below it. Photographic evidence was obtained to support these findings. The main dining room was found to have several deficiencies, including a build-up of yellow/brown matter on the ceiling frame, a cracked ceiling light cover, and a light cover with a build-up of dried dead insects. The clean linen room was unsecured, with disposable razors and a bottle of hydrogen peroxide stored on the shelves, and the room was heavily soiled and stained. Multiple resident rooms were observed to be in disrepair, with soiled and peeling paint on over-bed tables, rust-laden bed frames, non-operational electric beds, and soiled walls and floors. Bathrooms in several rooms had issues such as offensive odors, continuously running toilets, broken toilet paper holders, and emergency call light cords wrapped around handrails. The community shower room had non-functional ceiling lights, and the biohazard room had a specimen refrigerator with a heavy ice build-up. The outdoor patio was also found to be in poor condition, with dead potted plants, peeling paint on the floor, a rust-laden wall fan, and a large hole at the entrance exit door, posing a trip/fall hazard. The facility's computerized TELS system for reporting housekeeping and maintenance issues was not being effectively utilized by staff, and the Housekeeping/Maintenance Log at the Nurses Station was not being properly used for reporting and documenting issues. These deficiencies were confirmed with the Administrator and the facility's Corporate District Manager during the environment tour and subsequent discussions.
Undignified Treatment of Residents
Penalty
Summary
Five residents were observed to be treated in an undignified manner by the facility. Resident #14, who is non-verbal and fed via a peg tube, was observed watching his roommate eat lunch without the privacy curtain closed. Resident #14 gestured his displeasure and indicated he wanted the curtain closed, but staff did not respond to his needs. Resident #33, who is also non-verbal and has significant physical limitations, was frequently observed wearing an institutional gown despite having personal clothes available. Staff did not dress him in his personal attire, which affected his dignity and emotional well-being. Resident #4, who has cognitive impairments and a history of schizophrenia and bipolar disorder, was observed eating meals with her bare hands without staff intervention. This led to food covering her face, body, table, and floor, causing discomfort to other residents who complained to the staff. Despite these complaints, staff did not assist Resident #4 in using silverware or provide appropriate supervision during meals. Residents #19 and #30 were served a pureed diet that was thin, watery, and mixed into an unappetizing brown slurry. An LPN made a derogatory comment about the meal in front of the residents and other staff, further diminishing the residents' dignity. Both residents ate less than 25% of their meal, indicating the poor quality and presentation of the food affected their intake. These observations highlight significant deficiencies in maintaining residents' dignity and providing appropriate care and supervision during meals.
Failure to Investigate Resident's Injuries
Penalty
Summary
The facility failed to investigate an incident where a resident sustained injuries of unknown origin. The resident, who had a history of multiple medical conditions including dislocation of the left shoulder joint, anxiety disorder, and atherosclerotic heart disease, was readmitted to the facility and later complained of left-hand pain and swelling. Despite the resident's complaints and subsequent transfer to the hospital, there was no comprehensive nursing assessment detailing the resident's pain level or injuries, and no investigation was conducted to determine the cause of the injuries. The Nurses' Progress Notes did not document how the fall occurred, and the Director of Nursing (DON) was unaware of any shoulder injury while the resident was at the facility. Interviews with staff revealed inconsistencies in the documentation and communication regarding the resident's condition. The Social Service Director (SSD) and a Licensed Practical Nurse (LPN) confirmed that the resident had a fall and was injured, but the LPN erroneously documented the resident's pain level as zero. The LPN also reported the transfer and injuries to the DON, who did not conduct an investigation into the cause of the resident's transfer to the hospital. The hospital records later confirmed that the resident sustained a shoulder dislocation, which was reduced in the emergency department. The lack of a thorough investigation and proper documentation highlights the facility's failure to respond appropriately to the alleged violation.
Failure to Assist Visually Impaired Residents with Eating
Penalty
Summary
The facility failed to provide necessary assistance and supervision to maintain the independent eating abilities of two residents, both of whom were visually impaired. During the breakfast and lunch meals, Resident #5 was observed struggling to locate food on the tray and eating with bare hands, resulting in significant agitation and minimal food consumption. The CNA did not reposition the resident into an upright eating position or provide any guidance on the location of the food items. The resident consumed less than 25% of both meals, and the CNA did not return to assist during the meal times. Additionally, the resident's care plan lacked specific interventions for assistance with eating despite the resident's visual impairment and risk for malnutrition, as evidenced by a notable weight loss over time. Similarly, Resident #13, who shared a room with Resident #5, also struggled to find food on the tray and ate with hands during the breakfast and lunch meals. The resident was observed naked from the waist down and reaching over the overbed table to grab food, resulting in spilled food on the body and bed. The room door was shut, and no staff were present to assist or supervise the resident. The DON confirmed the surveyor's findings and acknowledged that the nursing staff were unaware of the care plan interventions, which included providing food in mugs to maintain the resident's independence in eating. Both residents had documented visual impairments and required specific dietary interventions to support their nutritional needs. However, the facility staff failed to implement these interventions, leading to inadequate food intake and potential risk for malnutrition. The care plans for both residents did not include necessary interventions for assistance with eating, and the staff were not adequately trained or informed about the residents' needs, resulting in a significant deficiency in the quality of care provided.
Failure to Identify and Treat Diabetes
Penalty
Summary
The facility failed to identify and treat a resident with Diabetes Mellitus Type 2, leading to a significant deficiency in care. Resident #17, who was admitted with a diagnosis of Diabetes Mellitus Type 2 and a diabetic foot ulcer, had not received any insulin or blood glucose monitoring since admission. Despite being cognitively intact and partially dependent on assistance for daily activities, the resident's care plan included an intervention to medicate as ordered, but no orders for diabetes medication, fingersticks, or lab results were present. The resident expressed concern about not receiving insulin or having her blood glucose levels checked, which she had been receiving in the hospital prior to admission. The staff informed her that they needed an order to check her blood sugar, but no such order was obtained until the issue was escalated on 05/08/24. Interviews with the Director of Nursing (DON) and the Medical Director, who was also the resident's Primary Care Physician (PCP), revealed a lack of communication and follow-up regarding the resident's diabetes management. The DON confirmed the absence of orders for blood glucose monitoring and diabetes medication. The PCP admitted that the resident had refused labs at one point but did not follow up on the need for blood glucose checks. The primary nurse for Resident #17 was unaware of her diabetic condition due to the lack of medication orders. It was only after the resident's blood sugar was found to be critically high at 446 that immediate medical intervention was initiated, including orders for insulin, Metformin, and daily blood sugar checks.
Failure to Apply Physician-Ordered Splints
Penalty
Summary
The facility failed to provide the physician-ordered left hand splint for a resident with multiple medical conditions, including hemiplegia, muscle weakness, and contractures. Observations on different days revealed that the resident was not wearing the prescribed left hand splint, despite physician orders stating it should be worn up to 6 hours daily. The resident, who is alert but non-verbal, confirmed through gestures that the splint was not being applied as required. The resident's care plan also documented the need for adaptive devices to prevent contractures, but these were not consistently used. Interviews with staff and the resident's Power of Attorney (POA) indicated inconsistency in the application of the splints. Staff members admitted that the splints were sometimes applied and sometimes not, with one staff member stating that the responsibility for applying the splints had shifted from a restorative nurse to Certified Nursing Assistants (CNAs). The POA expressed concerns about the attentiveness of the staff to the resident's health needs, noting that not all staff were diligent in following the care plan. This inconsistency in care led to the deficiency noted in the report.
Failure to Address Diabetes and Critical Lab Results
Penalty
Summary
The facility Physician failed to identify and treat a resident with Diabetes and failed to address a critical lab result for another resident. Resident #17, who was admitted with Diabetes Mellitus Type 2 and a Diabetic foot ulcer, did not receive any insulin or have her blood glucose levels checked since admission. Despite being seen by the physician multiple times, there were no orders for diabetes management, and the resident expressed concern about not receiving insulin or having her blood sugar monitored. The Director of Nursing confirmed the lack of orders, and the Medical Director acknowledged the oversight, stating that the resident's care fell through the cracks. Resident #157, admitted with Cirrhosis of the Liver and Liver Cancer, had a critical low platelet level that was not addressed. The resident's lab results showed a critical low platelet count, but the physician's progress notes did not mention this critical value. The resident was seen by the physician three times during the stay, but the critical lab result was overlooked, leading to a lack of appropriate medical response to the resident's condition.
Physician's Failure to Timely Document Visits
Penalty
Summary
The facility Physician failed to document visits in a timely manner for two residents, leading to deficiencies in medical record-keeping. Resident #17, who was admitted with Diabetes Mellitus Type 2 and a diabetic foot ulcer, had six physician visits documented as late entries, with significant delays between the actual visit dates and the documentation dates. For instance, a progress note dated 04/13/24 was created on 12/19/23, and another dated 04/29/24 was created on 05/07/24. This delay in documentation does not comply with the facility's policy, which requires timely recording of physician visits and progress notes to ensure continuity of care and compliance with state and federal regulations. Similarly, Resident #157, who was admitted with cirrhosis of the liver and liver cancer, had three physician visits documented as late entries. The progress notes for visits on 12/06/23, 12/11/23, and 12/13/23 were created much later, with the latest entry being made on 04/18/24. The Director of Nursing acknowledged these delays during an interview, confirming the physician's failure to document visits promptly. This lack of timely documentation compromises the quality of care and adherence to regulatory requirements.
Failure to Prepare Nutritious and Palatable Pureed Foods
Penalty
Summary
The facility failed to prepare pureed foods by methods that conserve nutritive value, flavor, and appearance for four residents with physician-ordered pureed diets. During an observation of the lunch meal in the main kitchen, the surveyor noted that the pureed foods, specifically the Pureed Cheese Ham & Macaroni Casserole and Pureed Sauteed Spinach, were very thin and watery. The lunch cook was unaware that adding too much liquid to the pureed food mixture decreases its nutritional value and negatively affects its appearance and taste. Additionally, no pureed garnishes were used to enhance the appearance of the pureed foods. The Corporate Food Service Director (CFSD) acknowledged that the pureed foods were unacceptable but failed to replace them with acceptable alternatives for the lunch meal. Residents #19 and #30 were observed struggling to consume the watery pureed food, with one staff member mixing all the foods together into a slurry and failing to offer beverages between bites. Both residents consumed less than 25% of their lunch meal. Resident #5, who is visually impaired, was observed attempting to eat the watery pureed food with her hands, resulting in a mess on her face, body, tray, and floor. During a breakfast meal observation, the pureed foods served to Residents #19 and #30 were again noted to be thin, watery, and running into each other on the plate. The CFSD acknowledged that the pureed fortified hot cereal was not acceptable and stated that the recipe would be reviewed with the cook. The facility's diet census confirmed that there were four residents with physician-ordered pureed diets, including Residents #5, #7, #19, and #30. Clinical records for these residents indicated various diagnoses and dietary needs, including dysphagia, cognitive impairments, and the need for fortified foods. Despite these needs, the facility consistently failed to provide pureed foods that met the required standards for consistency, nutritional value, and appearance.
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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 Fort Lauderdale
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Broward Nursing & Rehabilitation Center | 0.6 mi | — | 0 | 0 |
| Pearl At Fort Lauderdale Rehabilitation And Nursin | 4 mi | — | 0 | 0 |
| Westlake Nursing And Rehab Center | 4.1 mi | — | 0 | 0 |
| Wilton Manors Healthcare & Rehabilitation Center | 4.1 mi | — | 0 | 0 |
| Plantation Nursing & Rehabilitation Center | 4.8 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.