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 Aviata At Green Cove Springs during CMS and state inspections, most recent first.
The facility failed to maintain proper sanitation and food handling practices, as observed during a kitchen inspection. The juice dispenser attachment and hoses were found with substances and buildup, indicating a lack of routine cleaning. Staff interviews revealed inconsistencies in cleaning responsibilities, contrary to the facility's policy requiring clean and sanitary equipment.
The facility failed to implement a comprehensive water management program to reduce the risk of Legionella and other pathogens. The program lacked documentation of annual reviews, control measures, and testing protocols. The Director of Maintenance confirmed no training or testing for pathogens had been conducted since August 2024, and no proof of testing was provided during the survey.
A resident's room was found to have unsecured hazardous materials, including hydrogen peroxide, isopropyl alcohol, and disinfectant spray, despite facility policies requiring secure storage and physician approval for self-administration. Staff interviews revealed inconsistencies in policy enforcement, and no documentation was provided to support the allowance of such items in resident rooms.
Improper Sanitation and Food Handling Practices in Kitchen
Penalty
Summary
The facility failed to adhere to proper sanitation and food handling practices, which are crucial to preventing foodborne illnesses among residents. During a kitchen inspection, surveyors observed that the juice dispenser attachment connected to the thickened water bag and the 100% apple blend juice had brownish-orange substances around the hose attachment area. Additionally, two juice dispenser hoses hanging from the juice rack were found with dusty substances and a greasy buildup on their external parts. These observations were made on two consecutive days, indicating a lack of routine cleaning and maintenance. Interviews with the dietary staff revealed inconsistencies in the cleaning responsibilities and practices. A dietary aide mentioned that the kitchen manager was responsible for cleaning the juice machine weekly, while the kitchen manager stated that the dietary aide was responsible for cleaning and sanitizing the nozzles. The facility's policy requires all food service equipment to be clean, sanitary, and maintained according to the manufacturer's directions, but this was not followed. The failure to maintain clean food-contact surfaces poses a risk of pathogen exposure to all residents consuming food from the facility's kitchen.
Deficiency in Water Management Program for Infection Control
Penalty
Summary
The facility failed to develop and implement a comprehensive water management program aimed at reducing the risk of Legionella and other opportunistic pathogens in its water system. During a review conducted from February 10 to February 13, 2025, it was found that the facility's water management program lacked documentation of an annual review and did not include necessary control measures such as monitoring critical points in the system, temperature management, disinfectant level control, and environmental testing for pathogens. The program also failed to specify testing protocols, acceptable ranges for control measures, and did not document results of testing for pH levels of disinfectant in the water. Additionally, there were no verification or validation procedures to ensure the program was being followed or was effective. The facility's policy on water management, effective since August 1, 2017, stated the need for establishing water safety control limits and intervention methods when measurements were outside established limits. However, during an interview, the Director of Maintenance confirmed a lack of training on the water management program and admitted that water testing for pathogens had not been conducted since her hiring in August 2024. She also stated that there were no water safety team members, no use of the CDC toolkit guide, and no water flow diagram available. Despite regular flushing of hot water heaters and testing water temperatures in resident rooms, no proof of testing was provided during the survey, indicating a significant gap in the facility's infection prevention and control measures.
Unsafe Storage of Hazardous Materials in Resident Room
Penalty
Summary
The facility failed to ensure a safe environment for Resident #84 by allowing hazardous materials to be stored unsecured in the resident's room. During observations, hydrogen peroxide, isopropyl alcohol, and disinfectant spray were found on the resident's chest of drawers. The resident's medical record did not contain any assessment or approval for self-administration of medication, which is a requirement according to the facility's policy. The resident had been admitted with diagnoses including adjustment disorder, anxiety, and major depressive disorder, and was receiving psychotherapy for depressed mood and insomnia. Interviews with facility staff revealed inconsistencies in the understanding and enforcement of the facility's policies regarding the storage of medications and hazardous materials. LPN A stated that residents could only keep medications in their rooms if approved by a doctor and the facility, but was unable to explain why the hazardous materials were present in Resident #84's room. CNA B indicated that residents were not allowed to keep medications in their rooms, but mentioned that the resident usually kept such items in the drawer. The Maintenance Director confirmed that aerosol sprays were not permitted in resident rooms, but no policy documentation was provided to the surveyors. The facility's policies on medication administration and storage, as well as hazardous material handling, were reviewed. The policies require medications to be stored securely and only self-administered if approved by the attending physician and care planning team. Hazardous materials are to be stored in a manner that minimizes risk, with Material Safety Data Sheets maintained for all materials. The failure to adhere to these policies resulted in the deficiency noted during the survey.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 147 citations issued within 25 miles in the last 12 months — including the 9 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Green Cove Springs
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Isle Healthcare & Rehabilitation Center | 5.8 mi | ★★★★★ | 0 | 0 |
| Pruitthealth - Fleming Island | 6.9 mi | ★★★★★ | 3 | 0 |
| Pavilion For Health Care, The | 7.8 mi | ★★★★★ | 0 | 0 |
| Westminster Woods On Julington Creek | 9.6 mi | ★★★★★ | 0 | 0 |
| Middleburg Rehabilitation And Nursing Center | 10.7 mi | ★★★★★ | 5 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.