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 Lakeside Oaks during CMS and state inspections, most recent first.
A resident with a history of PTSD and trauma experienced re-traumatization after being assisted by a male CNA despite her preference for female caregivers, which was not documented in her care plan or nurse aide Kardex. Staff interviews revealed a lack of awareness of her trauma triggers and care preferences, and the facility failed to update individualized interventions following the adverse event, contrary to its trauma-informed care policy.
Two residents' allegations of abuse were not thoroughly investigated, as required by facility policy. In one case, a resident with PTSD reported inappropriate conduct by a male CNA during personal care, but the facility lacked documentation of key staff interviews, did not update the care plan to reflect the resident's preferences, and failed to document skin assessments. In the second case, a resident reported an inappropriate comment by a staff member, but the investigation file contained only one undated witness statement and no documentation of required skin sweeps or additional interviews.
A resident with multiple psychiatric and medical conditions reported feeling unsafe due to alleged rough handling by CNA staff, but the facility failed to document or initiate a grievance as required by policy. Staff interviews revealed inconsistent understanding of the grievance process, and training records showed many staff had not received recent grievance training.
A resident was not adequately prepared for a safe transfer or discharge, and the facility did not ensure that the process met the resident's needs and preferences, resulting in a deficiency related to proper transition planning.
The facility did not provide pharmaceutical services to meet the needs of each resident and failed to employ or obtain the services of a licensed pharmacist, resulting in noncompliance with regulatory requirements.
A resident did not receive treatment and care in accordance with physician orders and their personal preferences and goals, resulting in a deficiency for not following the established care plan.
Failure to Update Care Plan and Document Trauma-Informed Interventions After Adverse Event
Penalty
Summary
A resident with a history of significant trauma, including kidnapping, sexual assault, and multiple family suicides, was admitted to the facility with diagnoses such as PTSD, bipolar disorder, and anxiety. The resident was cognitively intact and had documented triggers, including loud noises and a need for control and choices in her care. Despite these documented needs, the care plan did not include the resident's preference for female caregivers only, even though this preference was relevant to her trauma history. On a specific date, the resident experienced an adverse event when she required assistance with personal care and requested a female staff member. She was informed by a male CNA that a female staff member was unavailable and would not be able to assist her for several hours. The resident, uncomfortable with a male caregiver, ultimately received care from the male CNA, during which she reported feeling re-traumatized due to the manner in which care was provided. She later disclosed the incident to a nurse, who reported it according to facility policy. Subsequent review of the resident's care plan, electronic medical record, and nurse aide Kardex revealed no documentation of her preference for female caregivers or avoidance of male caregivers, despite her trauma history and the recent incident. Interviews with staff indicated a lack of awareness regarding the resident's PTSD triggers and care preferences, particularly among float staff who were not regularly assigned to her care. The facility's trauma-informed care policy required identification of trauma history and triggers, as well as the development of individualized care plans and interventions, but these were not fully implemented for this resident.
Failure to Thoroughly Investigate Abuse Allegations
Penalty
Summary
The facility failed to thoroughly investigate two separate allegations of abuse involving two residents. In the first case, a resident with a history of trauma and PTSD reported that a male CNA was sexually inappropriate during incontinence care. The resident expressed discomfort with male caregivers and described feeling violated during the incident. Although the incident was reported to law enforcement, DCF, and the abuse hotline, the facility's documentation of the investigation was incomplete. There was a lack of documented staff interviews for those present during the alleged incident, and the facility did not have documentation of the roommate's statement specific to the event. Additionally, the care plan was not updated to reflect the resident's request for only female caregivers, and there was no documentation of skin assessments in the investigation file, despite claims that they were performed. In the second case, another resident with a history of trauma and psychiatric diagnoses reported that a staff member made an inappropriate personal comment regarding reproductive health. The facility's investigation documentation was insufficient, with only one undated staff witness statement provided and no documentation of interviews with other staff or residents. The facility did not complete or document skin sweeps as part of the investigation, despite indicating in their FEDREP information that such checks were conducted. The DON confirmed that weekly skin checks are expected but are not always documented in the context of abuse investigations. The facility's policy requires that statements be taken from the victim, the accused, and all possible witnesses, as well as securing physical evidence and preparing a detailed report upon completion of the investigation. However, in both cases, the facility did not follow its own policy, as evidenced by missing documentation of interviews, incomplete investigation files, and lack of thoroughness in addressing the allegations. These deficiencies were identified through interviews and record reviews conducted by surveyors.
Failure to Document and Address Resident Grievance Regarding Staff Conduct
Penalty
Summary
The facility failed to follow its grievance process by not documenting or initiating a grievance for a resident who reported feeling unsafe and uncomfortable due to alleged rough handling by CNA staff. The resident, who was cognitively intact and had multiple psychiatric and medical diagnoses, voiced her concerns to a registered nurse, but there was no documentation in the grievance log or in the resident's progress notes regarding the incident. Staff interviews revealed inconsistent understanding and application of the grievance process, with some staff indicating they only document grievances at their own discretion and others admitting to never having received grievance training. Training records confirmed that a significant portion of staff, including direct care staff, had not attended recent grievance training. Further interviews with facility leadership indicated a lack of clear parameters for what constitutes a grievance and inconsistent practices in documenting and addressing resident concerns. The facility's grievance policy requires that all complaints or grievances be documented and acted upon promptly, with follow-up and communication to the resident. However, in this case, the policy was not followed, and the resident's expressed concerns were not formally addressed or investigated as required.
Failure to Ensure Resident-Centered and Safe Transfer/Discharge
Penalty
Summary
The facility failed to ensure that the transfer or discharge process met the resident's needs and preferences, and did not adequately prepare the resident for a safe transfer or discharge. The report identifies that the necessary steps to assess and address the resident's individual requirements and preferences during the transfer or discharge process were not completed, resulting in a deficiency related to resident-centered care and safe transition planning.
Failure to Provide Pharmaceutical Services and Licensed Pharmacist Oversight
Penalty
Summary
The facility failed to provide pharmaceutical services to meet the needs of each resident and did not employ or obtain the services of a licensed pharmacist. This deficiency was identified during the survey process, indicating that the required pharmaceutical oversight and services were not in place for residents as mandated by regulations. No additional details regarding specific residents, their medical history, or their condition at the time of the deficiency are provided in the report.
Failure to Provide Care According to Orders and Resident Preferences
Penalty
Summary
A deficiency was identified when appropriate treatment and care were not provided according to physician orders, as well as the resident’s preferences and goals. The report notes a failure to ensure that care was delivered in alignment with the established plan, which is required to meet the individual needs and wishes of the resident. This lapse resulted in the resident not receiving care as specified, but the report does not provide further details about the resident’s medical history or condition at the time of the deficiency.
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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 Dunedin
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Meadowpark Health And Rehabilitation Center | 0.4 mi | ★★★★★ | 1 | 0 |
| Willowbrooke Court Skilled Care Center At Mease Li | 0.6 mi | ★★★★★ | 0 | 0 |
| Lake Haven Nursing And Rehab Center | 0.8 mi | ★★★★★ | 1 | 0 |
| Aviata At Sand Key | 1.8 mi | ★★★★★ | 0 | 0 |
| Kensington Gardens Rehab And Nursing Center | 2.8 mi | ★★★★★ | 12 | 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.