Average — CMS composite of the measures below.
The next survey window likely opens around November 2026
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 Jacksonville during CMS and state inspections, most recent first.
Unclean Nourishment Room Microwave: A microwave in one of two nourishment rooms was observed with black substances of unknown origin resembling fungal growth on the inside ceiling during repeated observations. Staff interviews showed confusion about who was responsible for cleaning the microwave, with the CDM, EVS, and CNA staff roles described inconsistently. Facility policy required food service equipment to be clean and sanitary, and the FDA Food Code requires microwave cavities and door seals to be cleaned at least every 24 hours.
A resident reported missing two pairs of pants and said she told the ES Account Manager, but nothing was done. The grievance log did not show a grievance for the resident, and the ES Account Manager said he checked inventory and looked for the items before notifying Social Services, rather than initiating a grievance when the concern was first reported. Facility policy required staff receiving a lost or missing item concern to start a Complaint/Grievance form or electronic equivalent.
Failure to report an abuse allegation immediately to the administrator and other officials. A resident filed a grievance after a kitchen employee allegedly told the resident he could make the resident's life harder, and the CDM documented speaking with the employee and issuing an ECA. The ED stated she was not aware of the incident and confirmed it was not reported as required, while the CDM said he thought Social Services would notify the ED.
A resident's dietary preference was not followed when pork items continued to be served despite the resident stating they do not eat pork. During tray line observation, meal tickets did not match plated meals, with incorrect protein portions and missing ordered items such as fruit, a nectar shake, bread, and gravy. Staff gave inconsistent explanations of portion standards, and the cook reported using visual estimation for pork roast because the scale was broken.
Food was not consistently prepared or served in an appealing manner. During tray line service, a Cook and Dietary Aide identified discolored carrots with black spots that were unsuitable for consumption, and several bowls were discarded. Multiple residents also reported hard grilled cheese sandwiches, black broccoli that was described as rotten, and other overcooked items such as tater tots and peas. The CDM confirmed the Cook was responsible for preparing meals according to recipes and for ensuring food appearance and quality.
Incomplete behavior documentation for psychotropic medication monitoring: Two residents had physician orders for every-shift behavior monitoring related to antipsychotic use, but MAR entries did not match the required behavior code key. One resident had NA documented on multiple shifts, while the other had only check marks recorded across the reviewed period. An LPN stated behaviors should be entered using the corresponding code with a progress note, and the DON stated staff were expected to document behaviors according to the key.
Unclean Nourishment Room Microwave
Penalty
Summary
The facility failed to follow proper sanitation and food handling practices to prevent the outbreak of foodborne illness by failing to clean one of two microwaves located in a unit nourishment room. During a follow-up tour on 12/10/2025 at 10:55 am, the microwave in one of the two nourishment rooms on the 100-300 unit was observed to have black substances of unknown origin resembling fungal growth on the inside ceiling. The same black substances were observed again on 12/11/2025 at 11:42 am, and photographic evidence was obtained. During interviews, the Certified Dietary Manager reported the facility had two nourishment rooms and that Environmental Services was responsible for cleaning the microwaves in the nourishment rooms. However, staff interviews showed uncertainty about who was responsible for cleaning the microwaves: a Dietary Aide was unsure, a Manager in Training was unsure, and another staff member stated he was not sure. The Certified Dietary Manager later confirmed that CNA staff were responsible for cleaning the nourishment room microwave. The facility policy stated that all food service equipment would be clean and sanitary, that food contact equipment would be cleaned and sanitized after every use, and that non-food contact equipment would be clean and free of debris. The cited FDA Food Code also states that microwave cavities and door seals shall be cleaned at least every 24 hours.
Failure to Document and Respond to Resident Grievance About Missing Clothing
Penalty
Summary
The facility failed to document and respond appropriately to a resident grievance regarding missing clothing items for one resident reviewed. The resident reported that two pairs of pants were missing and stated that she had told the Environmental Services Account Manager about the issue, but nothing had been done. Review of the grievance log for the previous 12 months did not show a grievance filed for the resident. During interview, the Environmental Services Account Manager stated he remembered the resident mentioning a missing pair of pants a few months earlier, but he only checked the inventory and looked for the item before notifying Social Services. He said he did not initiate a grievance until after trying to find the item and relied on morning meetings and daily reports to track verbal reports, but he was unable to provide the report for review. The resident’s inventory sheet showed one pair of black sweatpants on June 13, 2025, and facility policies stated that an employee receiving a concern regarding lost or missing items must initiate a Complaint/Grievance form or electronic equivalent.
Failure to Report Abuse Allegation
Penalty
Summary
The facility failed to ensure that an allegation involving abuse was reported immediately to the administrator and other officials for one resident. A grievance filed by the resident on August 25, 2025 stated that kitchen staff told the resident he could make the resident's life harder, and the grievance documentation showed the Certified Dietary Manager documented speaking with the identified employee about abuse toward residents and issuing an Employee Corrective Action. The grievance was marked resolved and the complainant was documented as satisfied with the resolution. During interviews, the resident stated the employee was not supposed to leave the kitchen, but was seen leaving the kitchen and standing around, and that the employee told the resident, "I can make your life harder than it already is." The Executive Director stated she was not aware the incident had happened and confirmed the allegation had not been reported as required. The Certified Dietary Manager stated he spoke with the employee and provided abuse training, believed Social Services would notify the Executive Director, and denied knowing the employee was leaving the kitchen during work hours. The facility policy required any allegation of abuse to be reported immediately, and no later than two hours if abuse was involved or 24 hours if it did not involve abuse, to the administrator and other officials.
Meal Tray Accuracy and Dietary Preference Failure
Penalty
Summary
The facility failed to ensure residents were provided with a nourishing, palatable, well-balanced diet that met daily nutritional and special dietary needs and resident preferences. During observation of the tray line, meal tickets did not match the plated meals, including inaccurate protein portions and trays missing ordered items such as apple/cranberry, nectar shake, bread, and gravy. These items were removed from the meal cart and corrected during the observation. An additional concern involved a resident who reported not eating pork but continued to receive pork items. The report states there was no attempted resolution for the resident's issue with food. Interviews with dietary staff and management showed differing explanations of the tray line process and portioning standards, including inconsistent statements about required protein portions for regular, double, and large servings. The cook stated the scale used to measure protein was broken during lunch service and that pork roast had been portioned by eye during that meal. The CDM confirmed there had been no scale in the past and that protein portions were often visual or based on pieces rather than weight. The facility policy required menus to be planned in advance to meet nutritional needs and food to be prepared according to the menu, production guidelines, and standardized recipes.
Food Served Discolored, Overcooked, and Unappetizing
Penalty
Summary
The facility failed to ensure food served was prepared by methods that conserve nutritive value and appearance and was palatable, attractive, and served at a safe and appetizing temperature. During a kitchen tour on 12/10/2025 at 10:55 am, carrots on the tray line were observed to be discolored with black spots and were deemed unsuitable for consumption, resulting in five bowls being removed and discarded. During tray line service, a Dietary Aide stated that all staff working on the tray line were responsible for ensuring food components were appealing and suitable for meal consumption, while a Cook stated that he was responsible for this and acknowledged that he did not notice the discolored carrots right away before they were removed from service. Additional resident complaints were reported during the survey. One resident said a grilled cheese sandwich was too hard to consume. Another resident reported receiving black broccoli, stating it was rotten, had been taken out of the bag that way, steamed, and served, and also reported that food was overcooked. Two other residents reported overcooked food, including grilled cheese, tater tots, and peas. The Certified Dietary Manager confirmed that the Cook was responsible for ensuring meals were prepared by methods that conserve nutritive value and appearance and for following recipes when preparing meals, and stated that carrots with dark spots were to be discarded.
Incomplete behavior documentation for psychotropic medication monitoring
Penalty
Summary
The facility failed to appropriately document side effects and behaviors for psychotropic medications in accordance with the corresponding key on the Medication Administration Record for two residents reviewed for psychotropic medication monitoring. Resident #15 had a physician order for behavior monitoring every shift for antipsychotic agents beginning January 24, 2022, with a code key that included behavior categories such as no behavior, agitation, combative, verbally inappropriate, crying, calling out, screaming, hallucinations, delusions, resists care, socially inappropriate, and other. On the MAR for November 2025, NA was documented on multiple dates, and on the MAR for December 2025, NA was documented on several dates as well. Resident #72 also had a physician order for behavior monitoring every shift for antipsychotic agents beginning July 26, 2025, with the same code key for documenting behaviors. On the MAR for November 2025, only a check mark was documented for each day of the month, and on the MAR for December 2025, only a check mark was documented for December 1 through December 10, 2025. During interviews, an LPN stated that behaviors should be documented on the MAR using the number that corresponds to the behavior and that a progress note should accompany any behavior, and the DON stated that staff were expected to document behaviors in accordance with the corresponding key.
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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 Jacksonville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Woodland Grove Healthcare & Rehabilitation Center | 0.3 mi | ★★★★★ | 0 | 0 |
| Life Care Center Of Jacksonville | 1 mi | ★★★★★ | 0 | 0 |
| Riverwood Center | 1.2 mi | ★★★★★ | 0 | 0 |
| Palm Garden Of Jacksonville | 1.5 mi | ★★★★★ | 12 | 0 |
| Regents Park Of Jacksonville | 1.7 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.