Below average — CMS composite of the measures below.
The next survey window likely opens around March 2027
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 The Gardens - Tallahassee during CMS and state inspections, most recent first.
A resident with decreased mobility, cerebral palsy, and flaccid paralysis had a care plan for partial/moderate assist with bathing, but the plan did not address her refusal of showers, bathing, or ADL care. Staff confirmed she sometimes refused these services, while observations showed oily, uncombed hair, overgrown fingernails, and odor, and the resident stated she had not had a bath or shower since early April and had not been offered hair brushing or nail care that week.
Pest Control Program Failure in Nutritional Pantry: Small dark pellets and live roaches were observed inside pantry cabinets and along the baseboard in 1 of 2 nutritional pantries. The Dietary Manager identified the insects as roaches, and the Maintenance Director confirmed the pellets were from cockroaches. The Facility Administrator stated the Dietary Manager was responsible for keeping the pantry clean and stocked, and the Dietary Manager acknowledged the cabinets were not cleaned properly.
Surveyors found that the facility failed to provide a clean, safe, and homelike environment, with persistent urine odors in hallways, unsanitary conditions for a resident reported by family and hospice aides, ongoing cockroach infestations in resident rooms, and inadequate housekeeping and linen services for another resident. Facility staff acknowledged ongoing issues with pest control and cleaning schedules.
Surveyors found that medication carts contained loose and unidentified tablets, expired insulin pens, and multi-use vials without proper dating. Narcotic medication cards for discharged residents were not promptly removed, and staff were unclear about medication identification and removal procedures. These deficiencies were observed across multiple units and involved both nursing staff and the DON.
Surveyors observed that the kitchen food cart storage area had damaged walls, broken sheetrock, a hole exposing metal grate, a split main door, chipped and dirty door frames, and a dirty, deteriorating floor with missing tiles and an uncovered drain. These issues were confirmed by dietary and maintenance staff, as well as documented evaluations, all indicating that repairs were pending and the area was not maintained in a safe or functional condition.
A resident reported persistent cockroach infestations in her room, with glue pads placed under the AC unit capturing both dead and live roaches on repeated observations. The Maintenance Director acknowledged ongoing pest issues despite recent changes in pest control methods and regular service visits. Pest Sighting Logs documented numerous roach sightings across multiple halls, demonstrating that the facility's pest control program was ineffective.
A resident with multiple chronic conditions was not promptly assessed for new or worsening pressure ulcers following re-admission. Wounds on the heels and right posterior lower leg were not identified during routine skin checks and were only discovered later, leading to hospital transfer where multiple severe wounds were documented. Facility staff interviews revealed delays and lapses in wound identification and assessment.
The facility failed to provide routine medications to a resident in a timely manner and did not maintain accurate controlled substance records. Nurses were observed signing out narcotics for each other and leaving medication count sheets blank, while a resident reported delays and omissions in receiving prescribed pain medication. The DON was unable to account for numerous narcotic cards belonging to discharged residents that remained on medication carts, and staff interviews confirmed improper documentation practices.
A resident was not invited to participate in care plan meetings, as confirmed by both the resident and a review of medical records. Although care plan meetings were held and documented by staff, there was no evidence that the resident was invited or attended, contrary to facility policy requiring advance invitations and documentation.
Persistent strong urine odors were observed in two hallways, with multiple residents reporting inconsistent housekeeping services, especially on weekends. Housekeeping staff confirmed limited coverage and increased workload when short-staffed, while the DON acknowledged no housekeeping presence during certain hours. The housekeeping manager could not provide documentation of daily cleaning, indicating a failure to ensure a clean and comfortable environment.
The facility failed to maintain proper isolation precautions and hand hygiene practices. Two residents requiring Enhanced Barrier Precautions did not receive care with appropriate PPE, as staff did not don isolation gowns during catheter and wound care. Additionally, two nurses failed to perform proper hand hygiene during medication administration, violating infection control policies.
A facility failed to create a comprehensive care plan for a resident, resulting in unmet needs for maintaining physical functioning. The resident reported difficulty with their wheelchair and right-sided weakness, preventing them from getting out of bed. Despite communicating these issues, no action was taken. The Unit Manager was unaware of the resident's needs, and the care plan lacked recommended restorative programs.
A resident with contractures in the left arm, wrist, and hand did not receive necessary equipment and restorative services to prevent further decline in range of motion. Despite recommendations for a Restorative Splint and Brace program, no orders for restorative services were found, and the resident confirmed not receiving splints. A lack of communication between nursing services and therapy contributed to the oversight.
A resident with a urinary catheter did not receive appropriate care, as staff failed to clean the catheter regularly and did not follow proper procedures during care. The resident, with a history of paraplegia and urinary tract infections, had physician orders for catheter care every shift. However, a CNA was unaware of how to perform catheter care, and an observation revealed improper techniques, such as using gloves from a pocket and not using a catheter securement device. The DON acknowledged concerns about staff competencies in catheter care.
The facility failed to maintain accurate medical records and manage medical equipment properly for three residents. A resident had outdated oxygen tubing, another lacked a care plan for oxygen use, and a third had an overdue PICC line dressing change. Documentation inaccurately reflected care activities, and staff interviews revealed a lack of accountability and verification in executing these tasks.
The facility failed to maintain vaccination consent forms for four residents who refused Influenza and Pneumococcal vaccines. The ADON confirmed the absence of these forms, which were supposed to be documented and retained according to facility policy. The missing documentation resulted from the disposal of original forms after scanning.
The facility failed to maintain COVID-19 vaccination consents for three residents who refused the vaccine. The missing consent forms were discovered during a review of the residents' electronic medical records. An interview with the ADON revealed that the facility's process of scanning and disposing of forms may have contributed to the deficiency.
The facility failed to ensure resident safety during smoking times, as staff were not dedicated to supervise smoking, leading to unsupervised smoking by residents, including those with impairments. Residents were observed with lighters and cigarettes, contrary to policy, and a temporary staff member left residents unsupervised. The facility's smoking policy was not followed, with incomplete evaluations and care plans for residents who smoke.
Two residents reported filing grievances about staff behavior and lack of assistance, but the facility failed to address these issues. The grievance logs showed no record of these complaints, and the Regional Director confirmed the previous administrator did not follow up on them. The facility's grievance policy was not adhered to, resulting in unresolved grievances.
Failure to Care Plan Refusal of Bathing and ADL Care
Penalty
Summary
The facility failed to develop a comprehensive care plan to address refusal of bathing and ADL care for one resident. Resident #138 was admitted with decreased mobility, cerebral palsy, and flaccid paralysis, and her care plan included partial/moderate assistance with bathing/showering using 1 staff assist. However, the current care plans did not indicate that she refused showers, bathing, or ADL care, even though staff later confirmed that she had refused these services at times since admission. Observations of Resident #138 on multiple occasions showed oily, uncombed hair, fingernails extending about 1/2 centimeter past the nail bed, and an odor noted on 4/16/26. During interview, the resident stated her last bath or shower was Saturday 4/4/26 and that staff had not offered to brush her hair or trim her fingernails during the week. The Subacute Unit Manager stated the resident would refuse showers/bathing at times, and the MDS Coordinator reviewed the care plans and confirmed there was no care plan for refusal of bathing or ADL care, stating the issue should have been care planned.
Pest Control Program Failure in Nutritional Pantry
Penalty
Summary
The facility failed to maintain an effective pest control program in 1 of 2 nutritional pantries reviewed, resulting in a clean, safe, and homelike environment not being maintained. During observation of the nutritional pantries on the general and restorative care sides of the building with the Dietary Manager, small dark cylindrical pellets were seen inside the pantry cabinets, and live brown fast-moving insects about half an inch long were observed in the cabinets and at the baseboard below the cabinets. The Dietary Manager identified the insects as roaches. During a later observation with the Maintenance Director, the small dark cylindrical pellets were again shown and confirmed to be from a cockroach. The Facility Administrator stated that the Dietary Manager was responsible for keeping the pantry clean and stocked, and the Dietary Manager stated that pantry staff stocked and cleaned the area but acknowledged the cabinets were not cleaned properly.
Failure to Maintain Clean, Safe, and Homelike Environment
Penalty
Summary
Surveyors observed that the facility failed to maintain a safe, clean, comfortable, and homelike environment for multiple residents. During facility tours on several dates, a strong odor of urine was present throughout multiple hallways, persisting over several days. Interviews with a resident's family member revealed that the resident was found dirty, soaking wet, and in unsanitary conditions, with hospice aides also reporting the resident being found in a mess. The family member attributed the persistent urine odor to staff leaving soiled linens at the foot of beds for extended periods before removal. Another resident reported a cockroach infestation in her room, confirmed by direct observation of glue pads containing multiple roaches and live roaches present. The Maintenance Director acknowledged ongoing pest control efforts but admitted they had not been effective, as evidenced by pest sighting logs documenting numerous recent roach sightings in various halls. Additionally, an observation of a specific room revealed a visibly soiled privacy curtain, dirty pillows without pillowcases, and a resident who reported not receiving linen changes or housekeeping services for a week despite repeated requests. The Housekeeping Director confirmed that the cleaning schedule for the month was not yet posted and described the general cleaning procedures, but did not address the lack of regular cleaning in the affected room. These findings demonstrate a failure to provide a clean and comfortable environment for residents, as required.
Medication Labeling, Storage, and Removal Deficiencies Identified
Penalty
Summary
Surveyors observed multiple deficiencies in the facility's medication management practices. On several medication carts across different units, there were loose tablets and unidentified medications, including medicine cups with unknown substances and tablets without proper labeling or identification. Expired insulin pens were found on the carts, with labels indicating they should have been discarded 28 days after first use, but they remained accessible. Multi-use vials, such as an opened Haldol injection, were present without any indication of the date they were first accessed. Additionally, medication carts contained narcotic medication cards for residents who had been discharged from the facility, some for over a month or two, and these were not promptly removed from the carts. Interviews with nursing staff and the DON revealed that nurses were instructed not to remove empty or discontinued medication cards from the carts due to a previous drug diversion incident. The DON stated she checks and removes narcotics from the carts every other week, but a significant backlog of narcotic cards for discharged residents was still present, particularly on the 600 unit. Despite these issues, recent pharmacy consultant reports did not document any problems with medication carts or controlled substance logs. The observed failures included improper labeling, failure to date multi-use vials, not following expiration instructions, and inadequate storage and removal of controlled substances.
Kitchen Area Not Maintained in Safe and Functional Condition
Penalty
Summary
The facility failed to maintain the kitchen food cart storage area in a safe and functional condition, as evidenced by direct observation of significant physical damage and uncleanliness. The walls in the kitchen storage area were found to have scuffed marks, deep scratches, scrapes, and broken sheetrock, including a fist-sized hole and exposed metal grate. The main door was damaged with split wood, and door frames had chipped paint and were dirty. The floor was dirty, with chipping material exposing concrete, and in the mop area, floor tiles were missing and the floor drain cover was absent. These deficiencies were confirmed through interviews with the Regional Dietary Manager and Maintenance Director, as well as documented evaluations by the Registered Dietician and Regional Dietary Manager, all indicating that the condition of floors and walls was unsatisfactory and repairs were pending.
Failure to Maintain Effective Pest Control Program
Penalty
Summary
The facility failed to maintain an effective pest control program, resulting in the presence of cockroaches in resident rooms and throughout multiple halls. One resident reported ongoing issues with cockroaches in her room, leading her family to purchase and place a glue pad under the air conditioner, which was observed to contain several dead and live cockroaches on multiple occasions. The Maintenance Director confirmed that pest control methods had recently changed from spray to dust and that glue strips were placed in resident rooms, but could not explain the continued presence of live roaches. Pest control invoices showed that services were performed twice monthly in resident rooms and monthly in common areas, kitchens, and other facility locations. Pest Sighting Logs documented numerous recent sightings of roaches across several halls, indicating the pest control measures in place were not effective in eliminating the infestation.
Failure to Timely Identify and Assess Pressure Ulcers
Penalty
Summary
The facility failed to provide adequate care and services to prevent the worsening of wounds for a resident with multiple comorbidities, including Peripheral Autonomic Neuropathy, COPD, Rheumatoid Disease, AFIB, and Chronic Respiratory Failure. Upon re-admission, the resident was identified as being at risk for pressure ulcers, and initial wound assessments documented two wounds that were subsequently resolved. However, additional wounds on the heels were not identified or assessed until several weeks after re-admission, and a significant wound on the right posterior lower extremity was not detected during weekly skin checks but was later found during wound care rounds. The resident was eventually transferred to an acute care hospital due to altered consciousness and concerns about worsening wounds. Hospital assessments revealed multiple chronic wounds, including unstageable pressure injuries with necrotic tissue and foul odor, as well as areas of tissue loss and discoloration on the sacrum, hips, and lower extremities. Interviews with facility staff indicated that there were lapses in timely wound identification and assessment, and the wound care nurse was unable to explain the delays in recognizing and treating the resident's wounds.
Failure to Ensure Timely Medication Administration and Proper Controlled Substance Documentation
Penalty
Summary
The facility failed to provide routine medications to residents in a timely manner and did not ensure that controlled drug records were properly maintained and signed out by administering staff. During an observation of medication carts, a nurse was seen removing multiple narcotic cards from the narcotic medication drawer, where a loose tablet was also found. The medication count sheet for these narcotics was blank, yet the nurse admitted to signing it out at the instruction of another nurse. Additionally, a resident reported not receiving her prescribed pain medication over a weekend and experiencing a significant delay in receiving her pain pill in the morning. Review of her medication administration record confirmed that she only received Tylenol for pain during the period in question, despite having orders for other pain medications. Further investigation revealed discrepancies in the documentation and administration of controlled substances. The Director of Nursing (DON) acknowledged that a medication prescription label on a narcotic card had been altered, with the original dosage crossed out and a new dosage handwritten above. The DON described a process for removing controlled substances from medication carts after resident discharge, but was unable to account for a large number of medication cards belonging to discharged residents still present on the carts. Interviews with nursing staff revealed that nurses were signing out narcotics for each other, contrary to facility policy and regulations, and that signatures on narcotic count sheets did not always correspond to the nurse who administered the medication. Staff interviews and documentation review indicated a lack of adherence to established protocols for controlled substance handling, including proper documentation and timely removal of discontinued or discharged medications. Despite these issues, pharmacy consultant reports from the previous three months did not identify any problems with medication carts or controlled substance logs during their inspections.
Resident Not Invited to Participate in Care Plan Meetings
Penalty
Summary
A resident reported not having participated in any care plan meetings since admission and stated she had not been invited to attend. Review of the resident's medical record, conducted with the MDS coordinator, confirmed that care plan meetings had occurred on multiple occasions, but there was no documentation indicating the resident's attendance. Meeting forms were signed only by staff members. The MDS coordinator confirmed the resident did not participate in the meetings and was unsure of the reason. Facility policy requires that residents and/or their representatives be invited to care plan conferences, with invitations delivered 7-14 days in advance and a copy placed in the medical record, but there was no evidence this process was followed for the resident in question.
Failure to Maintain Clean and Homelike Environment Due to Inadequate Housekeeping
Penalty
Summary
The facility failed to maintain a clean and homelike environment in two out of four observed hallways, as evidenced by persistent strong urine-like odors in hallways 100 and 300. During the initial and follow-up tours, surveyors noted these odors, and interviews with residents confirmed that housekeeping services were inconsistent, particularly on weekends. Residents reported that housekeeping staff were not present on weekends, and when they did come, their cleaning was limited to picking up trash rather than mopping or wiping surfaces. One resident noted that housekeeping only came every two to three days, and during an interview, the floor in her room was found to be sticky with a strong urine odor in the bathroom. Staff interviews revealed that housekeepers were sometimes assigned additional hallways when other staff were absent, and one housekeeper stated she did what she could but did not work weekends. The Director of Nursing confirmed that no housekeeping staff were available in the facility during the evening, as they had already left for the day. The Manager of Housekeeping/Laundry stated that the expectation was for daily cleaning of rooms, including sweeping, mopping, and wiping surfaces, but was unable to provide documentation verifying that these tasks were completed daily.
Inadequate Infection Control and Hand Hygiene Practices
Penalty
Summary
The facility failed to maintain proper isolation precautions for two residents who required Enhanced Barrier Precautions (EBP). Resident #97, who had a urinary catheter, reported that staff did not clean the catheter regularly. During an observation, two CNAs performed catheter care without donning an isolation gown, despite the presence of orders for catheter care every shift and EBP. Similarly, Resident #67, who had multiple pressure injuries, received wound care from a Licensed Practical Nurse and a Nurse Practitioner who also failed to don an isolation gown, contrary to the facility's EBP policy. Additionally, the facility did not ensure proper handwashing practices during medication administration. Nurse J was observed dispensing medications to Resident #71 without washing her hands or using hand sanitizer, and then proceeded to prepare medications for another resident without sanitizing her hands. Nurse K, while administering an IV antibiotic to Resident #563, used contaminated gloves to handle medication equipment and did not wash or sanitize her hands between residents. These actions were in violation of the facility's infection prevention and control policies.
Failure to Develop Comprehensive Care Plan for Resident
Penalty
Summary
The facility failed to develop a comprehensive person-centered care plan for a resident, resulting in unmet needs for maintaining the resident's highest practicable level of physical functioning. The resident expressed difficulty in maneuvering their wheelchair due to its size and reported right-sided weakness and pain, which prevented them from getting out of bed. Despite the resident's communication of these issues to the staff, no action was taken to address the need for a more suitable wheelchair. The Unit Manager, who was new to the position, was unaware of the resident's equipment needs and could not provide documentation of any refusal by the resident to get out of bed. The resident's medical record included a recommendation for a Restorative Splint and Brace program and a Bed Mobility Program, but these were not incorporated into the care plan. The care plan only referenced the resident's independent wheelchair use without addressing the recommended restorative nursing or splint and brace program for contracture prevention.
Failure to Provide Restorative Services for Resident with Contractures
Penalty
Summary
The facility failed to provide necessary equipment and restorative services to prevent further decline in range of motion for a resident with contractures. The resident, who had contractures in the left arm, wrist, and hand, was observed without supportive devices in the room. Despite having been discharged from therapy with recommendations for a Restorative Splint and Brace program, no orders or tasks for restorative services or application of splints were found in the resident's medical records. The resident confirmed that she had never been offered or received splints for her wrist or legs. The deficiency was further compounded by a lack of communication between nursing services and therapy. The Director of Physical Therapy stated that he had not received any requests for equipment needs for the resident and was unaware of the extent of the resident's contractures. The Licensed Practical Nurse confirmed that equipment needs are provided through PT/OT, but the nurse must inform them if the resident is not receiving therapy. This breakdown in communication and lack of follow-through on therapy recommendations led to the resident's condition potentially deteriorating due to insufficient staffing and oversight.
Deficiency in Urinary Catheter Care
Penalty
Summary
The facility failed to provide appropriate urinary catheter care for a resident with a urinary catheter, leading to a deficiency. During a facility tour, the resident reported that staff did not clean his catheter regularly. The resident's medical record indicated a history of paraplegia, hematuria, and urinary tract infections, with physician orders for catheter care every shift. However, a Certified Nursing Assistant (CNA) assigned to the resident was unaware of how to perform catheter care, despite having cared for other residents with catheters. An observation of catheter care revealed improper techniques, such as using gloves from a pocket, raising the catheter bag above the bladder level, and failing to use a catheter securement device. The CNA, assisted by another CNA, performed catheter care without following proper procedures. They used the same washcloth area repeatedly, did not initially replace the resident's foreskin, and only did so after the resident's reminder. The Director of Nursing (DON) acknowledged concerns about staff competencies in catheter care, particularly for uncircumcised residents. The facility's policy outlined specific steps for catheter care, including using a catheter securement device, which were not followed during the observed care.
Inaccurate Medical Records and Equipment Management
Penalty
Summary
The facility failed to maintain complete and accurate medical records for three residents, leading to deficiencies in care. Resident #92 was observed receiving oxygen via a nasal cannula with tubing dated from two weeks prior, despite physician orders to change the tubing weekly. The Treatment Administration Record (TAR) inaccurately documented that the tubing was changed recently, contradicting the physical evidence. Resident #5 also had outdated oxygen tubing, and there was no care plan addressing his oxygen use, despite his medical history of chronic respiratory conditions. The TAR similarly showed incorrect documentation of tubing changes. Resident #105 had a peripherally-inserted central catheter (PICC) line with a dressing dated over a week old, contrary to the physician's orders for weekly changes. The Medication Administration Record (MAR) inaccurately indicated a recent dressing change, which was not supported by physical evidence. Interviews with staff revealed a lack of clarity and accountability regarding the documentation and execution of these care tasks, with staff assuming tasks were completed without verification. The Director of Nursing (DON) confirmed that the facility's expectations were not met, as staff failed to accurately document care activities in the residents' medical records. The facility's policies required regular changes and proper labeling of medical equipment, which were not adhered to, resulting in incomplete and inaccurate medical records for the residents involved.
Failure to Maintain Vaccination Consent Forms
Penalty
Summary
The facility failed to ensure vaccination consents were obtained and maintained for four out of five residents reviewed for Influenza and Pneumococcal vaccinations. Specifically, Resident #101, #51, #105, and #96 were missing consent forms for vaccines they had refused. Resident #101 and #105 were missing consent forms for the Pneumococcal vaccine, while Resident #51 was missing a consent form for the Influenza vaccine. Resident #96, who had been readmitted after an extended hospitalization, was also missing a consent form for the Pneumococcal vaccine from his initial admission. The Assistant Director of Nursing (ADON) confirmed the absence of these consent forms after reviewing the records with the Medical Records Department. The facility's policy requires that refusals of vaccines be documented and placed in the resident's medical record. However, the ADON revealed that after documents are scanned into the residents' charts, the original forms are disposed of and not retained, leading to the missing documentation. This oversight indicates a failure to adhere to the facility's vaccination policies and procedures.
Failure to Maintain COVID-19 Vaccination Consents
Penalty
Summary
The facility failed to ensure that vaccination consents were obtained and maintained for three residents who were reviewed for COVID-19 vaccinations. Each of these residents had refused the COVID-19 vaccine, but their medical records were missing the required consent forms indicating their refusal. The absence of these forms was discovered during a review of the residents' electronic medical records and the facility's immunization consent forms. An interview with the Assistant Director of Nursing (ADON) revealed that the facility's process for handling consent forms may have contributed to the deficiency. The ADON explained that after forms are scanned into residents' charts, they are disposed of and not retained. Additionally, it was noted that sometimes documents might get stuck together, potentially leading to the missing consents. The facility's policy requires staff to review the COVID-19 consent with residents or their representatives, obtain a signature for acceptance or declination, and file the consent form in the resident's electronic health record, which was not adhered to in these cases.
Inadequate Supervision and Policy Adherence During Resident Smoking Times
Penalty
Summary
The facility failed to ensure the safety of residents during smoking times, as observed through staff and resident interviews, record reviews, and policy reviews. Staff members, including CNAs, reported that there was no dedicated staff assigned to supervise smoking, leading to residents, including those with impairments, going outside unsupervised. Residents were observed with lighters and cigarettes in their possession, contrary to the facility's smoking policy, which mandates that such items be stored at the nursing station. During observations, several residents were seen waiting at the door to the smoking area with lighters and cigarettes, and some began smoking without supervision. A temporary staff member, unfamiliar with the location of safety aprons and smoking supplies, left residents unsupervised for a brief period. The Assistant Director of Nursing later confirmed that residents should not have lighters and collected them from several residents. Additionally, a resident with impaired vision was not properly evaluated for smoking safety, and her care plan did not initially reflect her smoking habits or need for supervision. The facility's smoking policy, dated 2014, requires evaluations for residents who wish to smoke and mandates supervision for those identified as needing assistance. However, the policy was not followed, as evidenced by the lack of supervision, improper storage of smoking supplies, and incomplete evaluations and care plans for residents who smoke. This oversight led to residents smoking unsupervised and possessing lighters, posing potential safety risks.
Failure to Resolve Resident Grievances Promptly
Penalty
Summary
The facility failed to promptly resolve grievances for two residents, as evidenced by interviews and a review of the grievance log and policy. The husband of one resident reported filing two grievances with the previous administrator in July and August 2024, but no action was taken. Another resident reported filing grievances about disrespectful behavior and lack of assistance from two CNAs, but these issues were not addressed, and the same staff continued to work in the resident's hallway. The resident also experienced retaliation when a CNA skipped serving meal trays to her room after she had complained about the CNA's behavior. A review of the grievance logs from March 2024 to the present showed no recorded grievances for the two residents in question, despite their claims of having filed them. The Regional Director confirmed that these grievances were submitted to the previous administrator, who claimed to have followed up on them, but the failure to address these grievances was only discovered after the administrator's departure. The facility's grievance policy outlines a process for handling grievances, including a 14-day timeframe for follow-up, but this process was not followed in these cases.
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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 Tallahassee
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Tallahassee Memorial Hospital Extended Care | 1.1 mi | ★★★★★ | 0 | 0 |
| Centre Pointe Health And Rehab Center | 1.2 mi | ★★★★★ | 10 | 0 |
| Aviata At Tallahassee | 1.3 mi | ★★★★★ | 26 | 0 |
| Seven Hills Health & Rehabilitation Center | 1.5 mi | ★★★★★ | 7 | 0 |
| Westminster Oaks | 2.5 mi | ★★★★★ | 14 | 0 |
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