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 The Harbor during CMS and state inspections, most recent first.
The facility failed to maintain proper food storage and sanitation standards. The walk-in refrigerator was out of service, leading to overpacking of a reach-in refrigerator, which could not maintain safe temperatures for cold foods. Temperature logs were incomplete, and a microwave was found dirty. Staff interviews confirmed the refrigerator issue and expectations for daily log completion. Observations showed cold food items above safe temperatures, requiring disposal.
A facility failed to deliver oxygen according to physician orders for a resident with a tracheostomy, with discrepancies in FIO2 settings and incomplete emergency supplies at the bedside. Another resident also lacked essential emergency tracheostomy supplies, with staff unable to access necessary equipment promptly. The facility's lack of clear policies and staff training contributed to these deficiencies.
The facility failed to ensure safe medication storage, with an inhaler found unsecured on a resident's bedside table, an unlocked treatment cart accessible to residents, and a medication room with improper refrigerator temperatures. Medication carts contained expired medications and personal items, indicating lapses in protocol adherence. A resident with COPD and dementia had an inhaler without an order to self-administer, highlighting deficiencies in medication management.
The facility failed to serve food at appetizing temperatures, as reported by several residents who expressed dissatisfaction with the quality and temperature of meals. A test tray confirmed the food was served below the expected temperature, and the Nursing Home Administrator acknowledged the issue.
The facility failed to implement an effective infection control program, particularly regarding Enhanced Barrier Precautions (EBPs) and PPE use. Observations showed staff did not consistently wear gowns, masks, and gloves during high-contact care activities. Residents with MRSA and gastrostomy tubes reported inadequate PPE use, and staff were often unaware of the required precautions. The facility's policies on EBPs were not followed, leading to inconsistent infection control practices.
The facility's smoking area was found to have significant structural hazards, including bowing wooden planks and beams, overgrown plant-like substances, and a missing light fixture cover. Additionally, a drainage area had an exposed section, and the vertical foundation beams were cracked and splintered. These issues were observed while two residents and family members were present, highlighting a failure to maintain a safe environment.
A facility failed to maintain a medication error rate below 5%, resulting in an 11.43% error rate. Observations revealed that an LPN was unable to provide prescribed medications due to unavailability and administered an incorrect dosage of Guaifenesin. Interviews with staff indicated a lack of clarity and communication regarding medication availability and ordering, and the facility's procedures for handling medication shortages were not effectively followed.
Deficiencies in Food Storage and Sanitation Practices
Penalty
Summary
The facility failed to maintain proper food storage and sanitation standards, as evidenced by several observations and interviews. The walk-in refrigerator was out of service, leading to all food being transferred to a three-door reach-in refrigerator, which was overpacked and unable to maintain safe temperatures for cold foods. Temperature logs for the freezer, reach-in refrigerator, and three-compartment sink were not completed for two consecutive days. Additionally, a microwave in the 200 Hallway Nourishment room was found to be dirty, with a sticky brown substance inside, indicating a lack of regular cleaning by the responsible staff. Interviews with staff revealed that the walk-in refrigerator had been non-functional since the previous day, and the issue was reported to administration. The Interim Dietary Manager and the new Dietary Manager both acknowledged the expectation for daily completion of temperature logs. Observations of food temperatures showed that several cold food items were above the safe temperature of 41 degrees Fahrenheit, necessitating their disposal. The facility's policies on food storage and preventing foodborne illness were not adhered to, as evidenced by the lack of temperature monitoring and unsanitary equipment.
Deficiencies in Oxygen Delivery and Emergency Tracheostomy Supplies
Penalty
Summary
The facility failed to ensure that oxygen was delivered according to physician orders for a resident with a tracheostomy tube. Resident #91 was observed receiving oxygen via a trach collar connected to an air compressor with varying FIO2 settings, which did not match the physician's order for continuous 2 liters per minute (LPM) of oxygen. The staff confirmed discrepancies in the oxygen delivery settings and acknowledged the absence of a physician order for the FIO2 settings. Additionally, the emergency tracheostomy supplies at the resident's bedside were incomplete, lacking a smaller trach size and a full oxygen tank. Another deficiency was identified regarding the availability of emergency tracheostomy supplies for Resident #83. During an observation, it was noted that essential emergency supplies, such as a bag-valve device, oxygen, and a tracheostomy device one size smaller, were not present at the resident's bedside. The DON stated that these items were available on the code carts in the hallway, but staff were unable to access them promptly during the observation. The facility's lack of a clear policy on emergency tracheostomy supplies and the inconsistent adherence to physician orders for oxygen delivery contributed to these deficiencies. Interviews with staff revealed uncertainty about the necessary supplies and settings for residents with tracheostomies, highlighting a gap in training and protocol adherence. The absence of readily accessible emergency equipment at the bedside poses a risk to residents requiring immediate respiratory intervention.
Medication Storage and Handling Deficiencies
Penalty
Summary
The facility failed to ensure the safe storage of medications, as evidenced by multiple observations of improper medication handling and storage. An inhaler was found on a resident's bedside table without the resident present, indicating a lack of secure storage. Additionally, a treatment cart was observed unlocked in an area accessible to residents, with medications for wound care inside. The medication room on the west wing was found in poor condition, with a refrigerator temperature significantly higher than recommended, and a large piece of ice hanging inside, indicating improper maintenance and monitoring. Further deficiencies were noted in the handling of medication carts. A medication cart on the west wing contained a vial of Novolog past its expiration date, and another cart on the east wing had personal items mixed with medications, as well as insulin pens without proper documentation of opening dates. These observations highlight a lack of adherence to protocols for medication labeling and storage, which are critical for ensuring resident safety and compliance with professional standards. Resident #38, who has a primary diagnosis of COPD and secondary diagnoses including dementia and chronic respiratory failure, was found to have an inhaler on their bedside table without an order to self-administer medication. The resident's care plan did not include a focus area for self-administration of medications, further indicating a lapse in the facility's medication management practices. The facility's pharmacist had previously noted issues with the medication room's refrigerator, but these concerns were not adequately addressed, contributing to the observed deficiencies.
Deficiency in Food Service Temperature and Quality
Penalty
Summary
The facility failed to serve food at an appetizing temperature for five residents, as observed during a survey. Resident #90 expressed frustration with the lack of fresh fruits and vegetables, and the repetitive, over-processed meals. He reported that the food was often cold, and he had difficulty obtaining alternatives from the Always Available Menu. Despite voicing his concerns to the facility, no changes were made, and he continued to receive meals that were not to his satisfaction, such as cold scrambled eggs without toast. Resident #95, who is diabetic, reported not receiving a proper diabetic diet and described the food as having a chemical taste, being cold, and contributing to his weight loss and acid reflux. His weight records showed a significant decrease from June to July. Resident #18 also complained about the food quality, stating that the hot food was cold and the cold food was hot. Similarly, Resident #29, another diabetic resident, mentioned that the food was often not what was on the menu, was burned, and served at incorrect temperatures. Resident #51 echoed these sentiments, describing the food as unappetizing and repetitive. A test tray was requested to assess the food temperature, but it was delivered late and to the wrong location. The Food Service Director measured the food temperatures, which were below the expected 140 degrees Fahrenheit, with items like pork loin and pinto beans being cool to the touch. The Nursing Home Administrator acknowledged that the test tray food was not palatable or at appetizing temperatures, confirming the residents' complaints.
Inadequate Infection Control and PPE Use
Penalty
Summary
The facility failed to ensure an effective infection control program, particularly concerning Enhanced Barrier Precautions (EBPs) and the use of personal protective equipment (PPE). Observations revealed that staff did not consistently wear gowns, masks, and gloves when required, particularly during high-contact resident care activities. For instance, Resident #203, who had a gastrostomy tube, reported that staff did not wear gowns during her care, and there was no signage indicating EBPs were in place. Similarly, Resident #202, who was on contact isolation due to MRSA, noted that staff rarely wore the necessary PPE, despite having a PICC line and a wound vac. Further observations highlighted that staff members, including a Licensed Practical Nurse (LPN) and the Activities Director, entered rooms without the required PPE. The LPN administered medication to Resident #83 without proper gown and gloves, acknowledging the mistake. The Activities Director was unaware of the PPE requirements when entering Resident #202's room, indicating a lack of training and communication regarding infection control protocols. The facility's policies on EBPs, revised in August 2022, require specific PPE use during high-contact activities and proper signage to indicate the type of precautions needed. However, the facility did not adhere to these guidelines, as evidenced by the absence of EBP signage for Resident #203 and inconsistent PPE use by staff. Interviews with the Assistant Director of Nursing (ADON) and the Regional Nurse Consultant confirmed discrepancies in the facility's infection control practices, with the ADON needing to review guidelines to determine proper isolation measures.
Structural Hazards in Smoking Area
Penalty
Summary
The facility failed to ensure a safe environment free from potential accident hazards in the designated smoking area. During an observation, it was noted that two residents and two family members were present under a gazebo with structural issues. Specifically, two wooden planks in the gazebo ceiling were not connected to a foundation beam and were bowing down onto the smoking patio. Additionally, other beams above the table used by residents during smoking times were also bowing, though they appeared to be connected to a foundation beam. The gazebo was overgrown with plant-like substances on numerous beams, and three light foundations were similarly affected, with one light fixture missing a cover. A family member expressed surprise that the structure had not already collapsed. Further observations revealed additional hazards, including a drainage area in the center of the gazebo with a metal grate that had an exposed area approximately one to one and one-half inches wide and about one inch in height. The vertical foundation beams were observed to have numerous cracks and splintered wood. Despite these observations, the facility's policy was not provided during the survey, indicating a lack of documentation or adherence to safety protocols.
Medication Error Rate Exceeds Acceptable Threshold
Penalty
Summary
The facility failed to maintain a medication error rate below 5%, as evidenced by an 11.43% error rate observed during a medication administration review. Thirty-five medication administration opportunities were observed, and four errors were identified for one resident. The errors included the unavailability of prescribed medications such as B12, Lansoprazole, and Metoprolol, as well as the incorrect dosage of Guaifenesin being administered. During the medication administration observation, it was noted that the Licensed Practical Nurse (LPN) was unable to provide certain medications as they were not available in the medication cart. The LPN stated that requests for refills had been made, but the medications were still unavailable. The facility's pharmacist confirmed that the pharmacy supplier had received requests for these medications, but there was a delay in delivery. Additionally, the LPN administered an incorrect dosage of Guaifenesin, giving 5 ml of a 200mg/10ml solution instead of the prescribed 200mg/5ml solution. Interviews with facility staff, including the Director of Nursing (DON) and other nursing staff, revealed a lack of clarity and communication regarding the availability and ordering of medications. The facility's policies and procedures for handling medication shortages and errors were reviewed, highlighting the need for immediate action when medications are unavailable. However, the staff did not follow these procedures effectively, leading to the medication errors observed.
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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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A prioritized, do-first checklist
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Safety Harbor
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Regency Oaks Health Center | 1.9 mi | ★★★★★ | 0 | 0 |
| Westchester Gardens Health & Rehabilitation | 2.6 mi | ★★★★★ | 1 | 0 |
| Aviata At Oldsmar | 2.8 mi | ★★★★★ | 0 | 0 |
| Advanced Care Center | 3 mi | ★★★★★ | 5 | 0 |
| Palm Garden Of Clearwater | 3 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.