Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Advinia Care At Venice during CMS and state inspections, most recent first.
The facility failed to maintain proper food safety and sanitation standards, with personal items on food prep counters, improper hand hygiene by staff, and expired food in the refrigerator. In the dining room, staff assisted residents without proper hand hygiene, and there were no written policies for meal assistance. These deficiencies had the potential to affect all residents and staff.
The facility failed to maintain personal hygiene for two residents, leading to deficiencies in ADLs. One resident, dependent on staff for bathing, was observed unshaven with long, dirty fingernails and food crumbs on clothing due to a scheduling error by a CNA. Another resident, with severe cognitive impairment and dependent for all ADLs, was frequently unshaven with long, dirty fingernails, despite being scheduled for showers twice a week. The facility's policy required necessary services for residents unable to perform ADLs independently, but these were not adequately provided.
A resident with severe cognitive impairment and multiple diagnoses experienced several falls with injuries due to the facility's failure to implement and document fall prevention measures. Despite a physician's order for fall mats, they were not in place during incidents, and the care plan was not updated promptly. The facility also did not conduct thorough investigations or root cause analyses to prevent future falls.
A resident with severe cognitive impairment and multiple medical conditions experienced repeated falls due to the facility's failure to update the care plan with necessary safety interventions. Despite a physician's order for fall mats, the care plan was not revised in a timely manner, leading to falls and injuries. The facility's fall management protocol was not fully adhered to, as confirmed by interviews with the resident's spouse and the DON.
The facility failed to provide personalized activity programs for two residents, one with anxiety and another with dementia. Both residents had specific interests and needs that were not addressed in their care plans, leading to a lack of engagement in scheduled activities. Observations showed the residents were often left alone or unengaged, despite the activity calendar. The Activities Director confirmed the absence of documentation for their participation in activities and their exclusion from one-on-one room visits.
A facility failed to administer dialysis-related medication as ordered for a resident with end-stage renal disease. The resident, who was scheduled for dialysis three times a week, did not receive the prescribed Sevelamer Carbonate with breakfast because the medication was scheduled for a time when the resident was at the dialysis unit. Staff interviews revealed that the medication was not given due to the resident's early departure for dialysis, and the DON was unaware of the issue.
A resident experienced a decline in urinary continence, which was not addressed by the facility. Despite the resident's awareness of the need to urinate and use of the call bell, staff delays led to frequent incontinence. The MDS coordinator did not update the care plan, and the DON acknowledged that necessary assessments and physician notifications were not conducted.
The facility failed to secure and document controlled substances properly. The DON stored unused narcotics in her desk drawer without maintaining a reconciliation list, contrary to the facility's policy requiring double-locked storage. The LPN handed over unused substances to the DON, who admitted to not knowing the contents of her drawer. The consultant pharmacist confirmed the absence of a log, highlighting a deficiency in the facility's process to prevent loss or diversion of narcotics.
Deficiencies in Food Safety and Resident Assistance Practices
Penalty
Summary
The facility failed to maintain proper food safety and sanitation standards in the kitchen and dining areas, as observed during a survey. In the kitchen, personal items and drinks were found on food preparation counters, and there was a significant accumulation of food debris and dust on the dishwasher. A dietary aide was observed using improper hand hygiene by handling both dirty and clean dishes with the same gloves and placing clean plates against a dirty apron. Additionally, trash cans were left uncovered, and food items in the refrigerator were not properly labeled or dated. The walk-in refrigerator contained expired food, and the floor drain was found to be dirty with a bio-film. Furthermore, a staff member was observed preparing food without a facial hair covering and without washing hands after handling trash. In the dining room, staff failed to assist residents with meals in a sanitary manner. One resident was served while others waited for assistance, and a registered nurse was observed feeding multiple residents without washing hands between interactions. The nurse also used a dirty glass to dispense juice, despite clean glasses being available. Certified nursing assistants were seen assisting multiple residents without performing proper hand hygiene, and one CNA was observed standing and reaching across a resident to provide assistance, which is not conducive to proper feeding techniques. Interviews with the Director of Nursing and the Maintenance Director revealed that there were no written policies for assisting residents with meals, and the kitchen floor drains were cleaned infrequently. The Director of Hospitality did not enforce hand hygiene or the use of facial hair coverings among staff. These deficiencies in food safety, sanitation, and resident assistance practices had the potential to affect all residents and staff in the facility.
Deficiencies in Personal Hygiene Care for Residents
Penalty
Summary
The facility failed to provide necessary care and services to maintain personal hygiene for two residents, leading to deficiencies in activities of daily living (ADLs). Resident #11, who was readmitted with diagnoses including falls, acute respiratory failure, heart failure, and anxiety, was dependent on staff for bathing and had moderately impaired cognitive skills. Despite being scheduled for showers twice a week, Resident #11 was observed unshaven with long, dirty fingernails and food crumbs on his clothing. The CNA assigned to him admitted to a scheduling error, resulting in missed showers and shaving. Resident #16, admitted with severe cognitive impairment and dependent for all ADLs, was also observed with poor personal hygiene. The resident had a history of cerebrovascular disease, hemiplegia, and other conditions, requiring full assistance for transfers and personal care. Despite being scheduled for showers twice a week, Resident #16 was frequently unshaven with long, dirty fingernails. The resident's wife expressed concerns about the lack of bathing, shaving, and nail care, which she had communicated to the staff multiple times. The facility's policy required that residents unable to perform ADLs independently receive necessary services to maintain hygiene. However, both residents were not receiving adequate care as per their care plans and schedules. The CNAs failed to provide the scheduled showers and did not notify the nurses when showers were missed, contributing to the deficiencies observed during the survey.
Failure to Prevent Falls and Document Investigations
Penalty
Summary
The facility failed to document a thorough investigation, including a root cause analysis, to prevent future falls for Resident #16, who was reviewed for falls. The facility also did not coordinate care and implement interventions to minimize the risk of avoidable falls and fall-related injuries for this resident, who had a history of multiple falls. Resident #16 was admitted with several diagnoses, including cerebrovascular disease, hemiplegia, and severe cognitive impairment, and was dependent on staff for all activities of daily living. Despite a physician's order for fall mats at the bedside, the mats were not in place when the resident was found on the floor with injuries on multiple occasions. The facility's incident investigations lacked documentation of fall preventive measures in place at the time of the incidents, and the care plan was not updated promptly to include the order for fall mats. The Director of Nursing verified that the fall mats were not in place as ordered and that there was a lack of documentation reviewing the resident's falls to determine their root cause. The care plan was only updated to include a review of past falls and an attempt to determine the cause of the resident's multiple falls after several incidents had occurred.
Failure to Update Care Plan for Fall Risk Resident
Penalty
Summary
The facility failed to revise and update the care plan for a resident who was at risk for falls, as required by their Falls Management Program. The resident, who had severe cognitive impairment and was dependent on staff for all activities of daily living, experienced multiple falls resulting in injuries. Despite a physician's order for fall mats to be placed at the bedside, the care plan was not updated to include this intervention until several weeks later. During this period, the resident sustained falls, including one where a fall mat was not properly placed, leading to a laceration and swelling on the forehead, necessitating a transfer to the emergency room. The resident's medical history included cerebrovascular disease, hemiplegia, and other conditions that increased the risk of falls. The facility's policy required a comprehensive approach to fall management, including immediate interventions and monitoring. However, the care plan was not promptly updated to reflect the necessary safety measures, contributing to the resident's repeated falls and injuries. Interviews with the resident's spouse and the Director of Nursing confirmed the delay in implementing the fall mat order and the incomplete adherence to the facility's fall management protocol.
Failure to Provide Personalized Activity Programs
Penalty
Summary
The facility failed to provide an ongoing program of activities tailored to meet the interests and needs of residents, specifically for two residents reviewed for involvement in activities. Resident #11, who was readmitted with diagnoses including falls and anxiety, expressed a strong interest in outdoor activities, religious services, and reading materials. However, the care plan did not document any activities to address these needs. Observations revealed that Resident #11 was often found alone in his room, not engaged in any activities, despite the activity calendar listing scheduled events. Similarly, Resident #190, admitted with dementia, Alzheimer's disease, and depression, was identified as having a strong interest in outdoor activities, religious services, and group involvement. Despite these interests, there was no documented care plan to address her activity needs. Observations showed that Resident #190 spent significant time sitting in the hallway without engagement in activities, even when activities were scheduled according to the calendar. The resident was noted to be unresponsive to questions and attempted to get out of her wheelchair unassisted, indicating a lack of engagement and supervision. The Activities Director acknowledged that there was no documentation of either resident attending activities since the beginning of the month. The director also confirmed that neither resident was included in the list for one-on-one room visits, which were intended to provide personalized engagement. This lack of documentation and personalized activity planning contributed to the deficiency in meeting the residents' physical, mental, and psychosocial well-being needs.
Failure to Administer Dialysis-Related Medication as Ordered
Penalty
Summary
The facility failed to coordinate care and services for a resident receiving dialysis by not ensuring that medications related to dialysis were administered as ordered by the physician. The resident, who was admitted with end-stage renal disease and dependence on renal dialysis, was scheduled for dialysis three times a week. The resident's care plan indicated dialysis days as Tuesday, Thursday, and Saturday, but did not address the need for phosphorus-binding medication to be sent with the resident to the dialysis unit to be taken with breakfast. The resident was ordered Sevelamer Carbonate 800 mg to be taken three times a day with meals, including breakfast. However, the medication was scheduled for 8:00 a.m., a time when the resident was not in the facility but at the dialysis unit. The Medication Administration Record (MAR) showed that the resident did not receive the medication on several occasions. Interviews with staff revealed that the medication was not given because the resident left the facility early for dialysis, and the Director of Nursing was unaware that the medication was not being administered as required.
Failure to Address Decline in Urinary Continence
Penalty
Summary
The facility failed to provide appropriate care and services to prevent a decline in urinary continence for Resident #21, who was identified as occasionally incontinent of bladder upon admission. Over time, the resident's condition worsened to frequent incontinence, as documented in the Quarterly MDS assessments. Despite this decline, there was no documentation indicating that the facility addressed the resident's worsening continence status, nor was there any evidence that the physician was notified or that a bladder evaluation was conducted. Interviews with staff revealed that Resident #21 was aware of the need to urinate and used the call bell for assistance, but often had to wait for staff to respond, resulting in episodes of incontinence. The CNAs and LPNs confirmed that the resident was checked every two hours, but she was usually found to be wet by the time assistance was provided. The resident expressed embarrassment over the situation, and staff noted that she drank a lot of coffee, which might have contributed to her incontinence. The MDS coordinator acknowledged that the resident's continence status had declined and admitted to not updating the care plan interventions accordingly. The Director of Nursing stated that the facility should have completed a patterning assessment and notified the doctor to identify possible causes for the decline, but this was not done. The lack of action and communication among staff and with the physician contributed to the deficiency in care for Resident #21.
Failure to Secure and Document Controlled Substances
Penalty
Summary
The facility failed to implement a process to minimize the loss or diversion of controlled narcotic medications. According to the facility's policy for Controlled Substances: Documentation/Destruction/Storage, discontinued drugs should be stored in a double-locked area accessible only to the Director of Nursing (DON) and the administrator. However, it was observed that the DON stored unused controlled substances in her desk drawer, which was not double-locked, and she did not maintain a list to reconcile the narcotics stored there. The Licensed Practical Nurse (LPN) reported that she handed over unused controlled substances to the DON for destruction, who then locked them in her drawer. During an interview, the DON admitted to not knowing which narcotics were in her drawer and lacking a list for reconciliation. The consultant pharmacist, who visits the facility for controlled substance disposal, also confirmed that there was no existing list of narcotics in the drawer, although he acknowledged that having such a log would be beneficial. This lack of documentation and secure storage led to the deficiency identified by the surveyors.
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What surveyors actually found near you
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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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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Venice
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Capri Health And Rehabilitation Center | 0.4 mi | ★★★★★ | 0 | 0 |
| Aviata At Venice | 1.1 mi | ★★★★★ | 6 | 0 |
| Venice Health And Rehabilitation Center | 1.7 mi | ★★★★★ | 0 | 0 |
| Village On The Isle | 1.8 mi | ★★★★★ | 0 | 0 |
| Sunset Lake Healthcare And Rehabilitation Center | 1.9 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 July 2026) and official state health department websites.