Above average — CMS composite of the measures below.
The next survey window likely opens around December 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 University Hills during CMS and state inspections, most recent first.
The facility did not maintain a working call light system in 8 rooms, with multiple residents reporting unreliable or nonfunctioning call lights. Staff provided bells as an alternative, and the call light panels at nurse stations often failed to indicate when assistance was needed. The Maintenance Director cited frequent electrical malfunctions and outdated equipment as contributing factors.
The facility failed to maintain a sanitary and orderly environment in 11 of 32 sampled rooms and 2 common areas, with issues such as broken blinds, stained floors, and missing furniture parts. Observations included black film on ceilings, rusted towel racks, and stained privacy curtains. Interviews confirmed these deficiencies, and photographic evidence was obtained.
A resident with hemiparesis and high aspiration risk was observed struggling to feed herself without assistance, despite a care plan requiring staff presence and adaptive equipment during meals. Family and staff interviews revealed a lack of adherence to the care plan, resulting in unmet needs during mealtimes.
A facility failed to provide necessary ROM services for a resident who was supposed to be in a wheelchair for meals. Despite staff documentation, observations showed the resident remained in bed. A CNA noted the resident was too stiff for the wheelchair, and a nurse confirmed the resident's care plan was not updated. The resident's daughter also reported never seeing her mother out of bed during visits.
A facility failed to maintain communication with a dialysis center for a resident receiving dialysis care. The resident's communication binder had not been updated since early August, despite regular dialysis sessions. The facility's policy required communication forms to be completed and reviewed, but interviews revealed these procedures were not followed, leading to a lapse in care coordination.
A resident with end-stage renal disease missed multiple doses of scheduled medications due to being out of the facility for dialysis. The medications, crucial for the resident's health, were not administered as they were marked as Leave of Absence (LOA) by an LPN. The family nurse practitioner and the DON were unaware of the missed doses, which were expected to be given before the resident's departure for dialysis.
A resident was found with a Spiriva inhaler in their possession without proper authorization, violating the facility's medication storage policy. The inhaler was observed at the bedside and in an open drawer, and staff were unaware of its presence. The facility's policy requires medications to be centrally stored in a locked area, which was not followed.
The facility failed to maintain a functional resident call system in a bathroom, as observed in one room. A CNA confirmed the malfunction, noting the resident could toilet independently. The facility's policy requires maintenance to address such failures, but no corrective actions were mentioned.
Failure to Maintain Functioning Call Light System in Resident Rooms and Bathrooms
Penalty
Summary
The facility failed to maintain a functioning call light system in 8 out of 67 resident rooms, specifically in rooms 101, 127, 151, 201, 204, 209, 231, and 252. During a walkthrough with the Maintenance Director, nonfunctioning call lights were observed in both the beds and bathrooms of these rooms. Residents reported that their call lights were unreliable or not working, leading staff to provide bells as an alternative means for residents to call for assistance. One resident stated she needed a bell at her bedside because the call light was sometimes nonfunctional, while another explained that although her call light was currently working, it was not reliable, prompting her to keep a bell nearby. Staff interviews revealed that the call light panel at the nurse stations did not always illuminate when a resident activated their call light, making it difficult for staff to identify which room required assistance. The Maintenance Director acknowledged frequent electrical malfunctions and outdated bulbs in the system, which could not be replaced. Staff reported that when the call lights failed, they relied on bells and moved residents who could not use bells closer to the nurse station for observation. At the time of the survey, the Maintenance Director stated that no broken call lights had been reported through the facility's maintenance request system.
Facility Fails to Maintain Sanitary and Orderly Environment
Penalty
Summary
The facility failed to maintain a sanitary and orderly environment in 11 of 32 sampled rooms and 2 common areas, as observed during a tour of the locked memory care unit and other areas. Specific deficiencies included blinds in disrepair, dark stains on bathroom floors, unlabeled wash basins, bulging fire dampers, missing doors from armoires, and missing curtains or blinds. Additionally, the locked unit day room had a missing cove base, and several rooms had broken or twisted mini blinds, gashes in drywall, and stained privacy curtains. Photographic evidence was obtained to document these deficiencies. Further observations revealed environmental issues such as black film on ceilings, rusted towel racks, dusty ceiling tiles, broken blinds, missing dresser drawers, and dirty safety floor mats. The unit one hallway had multiple ceiling tiles with greenish and black spots. Interviews with the Administrator and Regional Maintenance Director confirmed the deficiencies, and the facility's maintenance policy, effective since 2014, was reviewed, indicating a lack of adherence to preventive maintenance and prompt repair actions.
Failure to Implement Care Plan for Resident's Meal Assistance
Penalty
Summary
The facility failed to implement the care plan to meet the nursing and physical needs of a resident, identified as Resident #95, to maintain her highest functional well-being. Observations revealed that the resident, who has a history of hemiparesis/hemiplegia and is at high risk for aspiration, was left to feed herself without assistance, despite having a physician's order for assistance during meals. On multiple occasions, the resident was seen struggling to feed herself, dropping food, and unable to open her milk, with no staff present to assist her. Interviews with the resident's family and staff highlighted a lack of adherence to the care plan. The resident's brother expressed concerns about the lack of assistance during meals, which he had previously reported to the facility's administration. A grievance was filed regarding this issue, but the necessary changes were not observed. Staff interviews indicated a misunderstanding or lack of awareness of the resident's need for assistance and adaptive equipment during meals, as outlined in her care plan. The care plan for Resident #95 included specific interventions such as the use of a divided plate and adaptive utensils, and the presence of staff during meals to assist and cue the resident. However, these interventions were not consistently implemented, as evidenced by the observations and staff interviews. The Director of Nursing acknowledged the oversight and the requirement for staff presence during meals, but the deficiency persisted, leading to the resident's unmet needs during mealtimes.
Failure to Provide Range of Motion Services
Penalty
Summary
The facility failed to provide necessary range of motion services for a resident, identified as Resident #68, who was supposed to be up in a wheelchair for every meal according to an order dated 4/03/2024. Despite staff signing off on the resident being in her wheelchair for meals on specific dates, observations on 09/16/2024 and 09/17/2024 revealed that the resident was in bed during meal times. On 09/17/2024, the resident was observed semi-reclined in bed while being fed lunch by a CNA, who indicated that the resident was too stiff to sit in the wheelchair and would slide forward. Further interviews revealed that the resident's daughter had never seen her mother out of bed during her visits, which typically occurred on weekends or after work. A registered nurse acknowledged that the resident, who is fully dependent for care, had not been getting out of bed for every meal and that this issue needed to be updated. These observations and interviews indicate a failure to adhere to the prescribed care plan for maintaining or improving the resident's range of motion.
Failure in Dialysis Communication and Coordination
Penalty
Summary
The facility failed to maintain ongoing communication and collaboration with the dialysis center for a resident requiring dialysis care. Resident #43, who was receiving dialysis treatment from an outside facility every Monday, Wednesday, and Friday, had a communication binder that was not updated since 8/9/2024. This lack of communication was identified during a review on 9/19/2024. The facility's policy required that a dialysis communication form be completed and sent with the resident to the dialysis center, and upon the resident's return, the facility was to review and acknowledge the communication from the dialysis center to ensure continuity of care. Interviews with the Director of Nursing (DON) and a unit manager revealed that the facility's procedures were not followed. The DON stated that the night shift nurse was responsible for initiating the communication sheet, which was then supposed to be sent with the resident to the dialysis center. The dialysis center was expected to complete their portion of the form and return it with the resident, or provide treatment information to the facility. However, the last recorded communication was on 8/9/2024, indicating a lapse in the facility's responsibility to ensure proper communication and coordination of care for the resident receiving dialysis services.
Failure to Administer Scheduled Medications for Dialysis Resident
Penalty
Summary
The facility failed to provide scheduled medications for a resident who was undergoing dialysis, resulting in multiple missed doses. The resident, who has a diagnosis of end-stage renal disease, abnormal weight loss, and protein-calorie malnutrition, was not receiving medications scheduled for 9:00 AM and 1:00 PM on Mondays, Wednesdays, and Fridays due to being out of the facility for dialysis. The medications missed included a protein supplement, vitamin D, an antiplatelet drug, a medication for heart failure, a multivitamin for dialysis patients, and others critical for the resident's health management. The issue was identified through a review of the medication administration record and interviews with facility staff. A licensed practical nurse indicated that medications scheduled during the resident's absence were marked as Leave of Absence (LOA) and not administered. The family nurse practitioner was unaware of the missed doses and stated that the expectation was for the resident to receive medications before leaving for dialysis. The Director of Nursing was also unaware of the situation and confirmed that the expectation was for the resident to receive their medications before departure.
Medication Storage Deficiency
Penalty
Summary
The facility failed to ensure the safe and secure storage of medications for a resident, identified as Resident #108. On multiple occasions, a Spiriva inhaler, which is used to prevent wheezing and shortness of breath, was observed in the resident's possession without proper authorization. Initially, the inhaler was found at the resident's bedside, and later, another inhaler was discovered in an open drawer. The resident confirmed the presence of the inhaler in the drawer during an interview, and subsequent observations verified this. Staff interviews revealed that the licensed practical nurse (LPN) was unaware of the inhaler's presence in the resident's possession, and the Assistant Director of Nursing (ADON) confirmed that there was no physician's order for the resident to store or self-administer medications. A review of the medication administration record (MAR) showed that Spiriva was administered as ordered, but there was no order for self-administration in the electronic medical record (EMR) or the care plan. The facility's policy requires central storage of medications in a locked area, accessible only to licensed personnel, which was not adhered to in this case.
Non-Functional Resident Call System in Bathroom
Penalty
Summary
The facility failed to ensure that the resident call system was functional in one of the observed rooms. During an observation conducted on September 16, 2024, at 1:31 PM, it was noted that the call system in the bathroom of a specific room was not operational. A follow-up observation on September 18, 2024, at 8:41 AM confirmed that the call system remained non-functional. Employee L, a Certified Nursing Assistant, verified the malfunction and mentioned that the resident occupying the room was able to toilet independently. The facility's policy on Communication Systems, Maintenance Inspection Testing, and Safety, effective since November 30, 2014, states that communication systems and components should be properly maintained to function reliably and ensure operator safety. In the event of a system or component failure, maintenance personnel should be notified, and if they are unable to resolve the issue, an approved contractor should be contacted. However, the report does not mention any corrective actions taken to address the non-functional call system.
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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 Pensacola
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Willowbrooke Court At Azalea Trace | 0.1 mi | ★★★★★ | 0 | 0 |
| Arcadia Health And Rehabilitation Center | 0.1 mi | ★★★★★ | 0 | 0 |
| Solaris Healthcare Pensacola | 1.7 mi | ★★★★★ | 0 | 0 |
| Olive Branch Health And Rehabilitation Center | 1.8 mi | ★★★★★ | 1 | 0 |
| Life Care Center Of Pensacola | 2.2 mi | ★★★★★ | 1 | 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.