Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
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 Venice during CMS and state inspections, most recent first.
The facility failed to maintain urinary catheters in a safe and sanitary manner for three residents. A resident's catheter drainage bag was observed on the floor, while another's was very full and visible without a privacy cover. Despite being informed, staff did not take corrective action. CNA Staff G explained proper catheter care procedures, which were not followed, compromising resident dignity and privacy.
A resident with a history of alcohol withdrawal and delirium, identified as an elopement risk, left the facility without staff knowledge. Despite having a wander alert device, the resident removed it and exited the facility, believing he was discharged. Staff interviews revealed the resident had been inquiring about discharge and the removal of the alert device. The administrator noted the resident was close to discharge and had the capacity to make his own decisions but did not sign out properly.
The facility experienced staffing shortages, resulting in delayed responses to resident call lights. A resident had to scream for help, another waited hours for repositioning, and a malfunctioning call light led to a fall. Despite staff presence, assistance was delayed, highlighting the need for improved staffing and response times.
Two residents in a facility were improperly transferred using mechanical lifts, contrary to their care plans. One resident, with a history of hemiplegia, was transferred using a sit-to-stand lift by a single CNA, resulting in severe knee pain and a hospital visit. Another resident, requiring a full-body lift, was also transferred incorrectly. These incidents highlight the facility's failure to ensure staff followed safety protocols and used the correct equipment.
A facility failed to ensure staff competency in using mechanical lifts, leading to unsafe transfers for two residents. One resident, with a history of hemiplegia, was improperly transferred using a Sit to Stand lift without assistance, resulting in knee pain. Another resident, unable to bear full weight, was transferred with the wrong lift despite care plan instructions. These incidents indicate a gap in staff training and adherence to care protocols.
The facility failed to ensure CNAs were competent in using mechanical lifts, leading to a resident's injury. A CNA used a Sit to Stand lift alone, against policy, causing a resident with mobility issues to slide out and fracture their femur. Other CNAs also demonstrated improper lift use, indicating widespread competency issues.
Failure to Maintain Safe and Sanitary Urinary Catheter Care
Penalty
Summary
The facility failed to provide necessary care and services to maintain urinary catheters in a safe and sanitary manner for three residents with indwelling urinary catheters. During an initial facility tour, it was observed that Resident #900's catheter drainage bag was on the floor, which was verified by RN Staff A. Additionally, Resident #899's catheter drainage bag was very full and visible to staff, other residents, and visitors, as it was located on the side of the bed facing the doorway without a privacy cover. This was confirmed by RN Staff A during an interview. Furthermore, Resident #800's catheter drainage bag was also noted to be on the floor and visible from the hallway. Despite being informed of this, RN Staff C did not take action to remove the urinary catheter bag from the floor. CNA Staff G explained that urinary catheter drainage bags should be attached to the bed frame on the side away from the door to ensure privacy and should not be on the floor. These observations and interviews highlight the facility's failure to maintain urinary catheters in a safe and sanitary manner, compromising the dignity and privacy of the residents involved.
Resident Elopement Due to Inadequate Supervision
Penalty
Summary
The facility failed to provide adequate supervision to prevent the elopement of a resident who left the facility without staff knowledge. The resident, who had been re-admitted post-hospitalization with diagnoses including alcohol withdrawal and delirium, was identified as an elopement risk due to disorientation and impaired safety awareness. Despite having a wander alert device, the resident managed to leave the facility undetected. On the day of the incident, the resident was seen making phone calls and later walking in the hallways. Staff noted the resident was missing when they went to retrieve his lunch tray. The resident had not signed out, and a search was initiated, including notifying the police. It was later discovered that the resident had removed his wander alert bracelet and left the facility, believing he had been discharged. Interviews with staff revealed that the resident had expressed a desire to be discharged and had been inquiring about the removal of his wander alert bracelet. The receptionist on duty did not see the resident leave through the front door, suggesting he may have tailgated another person. The administrator confirmed that the resident was close to being discharged and had the capacity to make his own decisions, but failed to sign out properly.
Staffing Shortages Lead to Delayed Resident Assistance
Penalty
Summary
The facility failed to provide sufficient nursing staff to ensure timely response to requests for assistance, affecting three residents. Observations and interviews revealed that the facility was often short-staffed, leading to delays in responding to call lights. A CNA reported frequent complaints from residents about unanswered call lights, and an RN expressed concerns that residents were not receiving the necessary care. Another RN acknowledged the staffing issues and noted that efforts to hire more staff were ongoing, but new hires often left after a short period. Specific incidents highlighted the deficiency, including a resident who had to scream for help when his call bell was not answered, sometimes waiting over an hour. Another resident and her husband reported long wait times for call light responses. A resident's daughter described how her father, who was receiving hospice care, was not repositioned for several hours, and her mother's call light was not functioning, leading to a fall. Despite the presence of staff in the hallway, assistance was delayed, and the Director of Nursing acknowledged excessive wait times and issues with the call light system.
Improper Use of Mechanical Lifts Leads to Resident Neglect
Penalty
Summary
The facility failed to protect residents from neglect by not ensuring the proper use of mechanical lifts and adherence to safety protocols during transfers. Specifically, two residents who required mechanical lifts for transfers were not handled according to the facility's policies. Resident #1, who had a history of cerebrovascular accident with left hemiplegia and was dependent on staff for transfers, was improperly transferred using a sit-to-stand lift by a single CNA without assistance. This resulted in the resident experiencing severe pain and swelling in the left knee, leading to a hospital visit where no fracture was found, but ongoing pain persisted. The incident with Resident #1 highlighted a failure to verify the correct transfer status and use the appropriate mechanical lift as indicated in the care plan and Kardex. The CNA involved did not follow the policy requiring two staff members for such transfers and left the resident unattended in the lift, leading to the resident sliding and experiencing pain. Despite the resident's complaints and the physical therapist's advice against using a sit-to-stand lift, the CNA proceeded with the transfer, resulting in the resident's distress and subsequent need for pain management. Similarly, Resident #2, who was dependent on staff for transfers and required a full-body mechanical lift, was observed being transferred with a sit-to-stand lift by a CNA. This was contrary to the care plan and Kardex instructions. The CNA admitted to not being aware of the correct lift requirement, despite having been counseled earlier. This oversight further exemplifies the facility's failure to ensure staff competency and adherence to established protocols, compromising resident safety and care.
Deficiencies in Mechanical Lift Use and Staff Competency
Penalty
Summary
The facility failed to ensure ongoing monitoring of staff competency in the use of mechanical lifts, leading to incidents involving two residents. For the first resident, a CNA used a Sit to Stand mechanical lift without assistance, contrary to the facility's policy requiring two staff members for such transfers. The resident, who had a history of hemiplegia and muscle weakness, was left alone in the lift and subsequently slid out, resulting in knee pain and swelling. Despite an X-ray showing no fracture, the resident experienced ongoing pain and required pain medication following the incident. In another incident, a CNA was observed using a Sit to Stand lift for a second resident who required a full body mechanical lift according to their care plan. The CNA had been counseled earlier about the correct lift to use but continued to use the incorrect equipment. The resident, who could not bear full weight on their legs, reported that staff had not been using the appropriate lift for transfers, which could compromise their safety. Both incidents highlight a failure in adhering to the facility's policies and procedures regarding mechanical lift use and staff competency. The facility's skills competency assessments indicated that the CNAs involved had been assessed and deemed competent in using the lifts, yet the incidents suggest a gap in practical application and adherence to care plans. These deficiencies in staff training and compliance with care protocols contributed to the unsafe transfer practices observed.
Deficiency in Mechanical Lift Competency Among CNAs
Penalty
Summary
The facility failed to ensure that Certified Nursing Assistants (CNAs) were knowledgeable and competent in the safe use of mechanical lifts, leading to an incident involving a resident who suffered a serious injury. CNA Staff A transferred a resident using a Sit to Stand mechanical lift without assistance, contrary to the facility's policy requiring two staff members for such transfers. The resident, who had a history of cerebrovascular accident with left hemiplegia and other mobility issues, was left alone in the lift and subsequently slid out, resulting in a fracture of the left femur. This incident highlighted a failure to adhere to the care plan, which specified the use of a full-body mechanical lift by two staff members. Further observations revealed additional deficiencies in the use of mechanical lifts by other staff members. CNA Staff E was observed using a Sit to Stand Lift for a resident who required a full-body mechanical lift with two staff members, as per the care plan. Despite being counseled by the Assistant Director of Nursing (ADON) about the correct lift to use, Staff E continued to use the incorrect lift, demonstrating a lack of awareness and adherence to the resident's transfer requirements. Additionally, CNAs Staff F and G were observed improperly using a Stand Up mechanical lift during a demonstration. They failed to fully open the base of the lift, locked the rear casters, and experienced technical difficulties with the lift, which stopped mid-transfer. This improper use of the lift, including not following the manufacturer's instructions, further underscored the lack of competency among staff in handling mechanical lifts safely and effectively.
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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 Venice
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Advinia Care At Venice | 1.1 mi | — | 0 | 0 |
| Capri Health And Rehabilitation Center | 1.5 mi | — | 0 | 0 |
| Village On The Isle | 1.6 mi | — | 0 | 0 |
| Venice Health And Rehabilitation Center | 1.7 mi | — | 0 | 0 |
| Sunset Lake Healthcare And Rehabilitation Center | 3 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.