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AVIATA AT LAKE MARY

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AVIATA AT LAKE MARY is a for profit - limited liability company facility in LAKE MARY, FL with 120 certified beds and a 3-star overall CMS rating. The facility has 22 deficiency records on file. Total penalties: $192K.

710 NORTH SUN DRIVE, LAKE MARY, FL 32746

Phone: 4078053131

Overall Rating

3/5

Health Inspection

2/5

Staffing

2/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
106029
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
120
Residents
117
In Hospital
No
County
Seminole
Last Inspection
Jul 25, 2024

Staffing Data

RN Hours
0.39 (nat'l avg: 0.68)
LPN Hours
0.99
CNA Hours
2.02
Total Nursing Hours
3.39 (nat'l avg: 3.89)
PT Hours
0.00

What the CMS Record Reveals About AVIATA AT LAKE MARY

AVIATA AT LAKE MARY operates 120 certified beds in LAKE MARY, FL with approximately 117 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (2★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 22 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $192K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.39 total nursing hours per resident day (national average 3.89), with RN coverage at 0.39 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, AVIATA AT LAKE MARY falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (22 most recent)

E — Pattern - Minimal harm Jul 25, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 25, 2024

E — Pattern - Minimal harm Jul 25, 2024 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Aug 25, 2024

E — Pattern - Minimal harm Jul 25, 2024 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 25, 2024

D — Isolated - Minimal harm Jul 25, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 25, 2024

E — Pattern - Minimal harm Jul 25, 2024 Tag: 0638

Assure that each resident’s assessment is updated at least once every 3 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 25, 2024

E — Pattern - Minimal harm Jul 25, 2024 Tag: 0636

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 25, 2024

D — Isolated - Minimal harm Apr 7, 2023 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 11, 2023

F — Widespread - Minimal harm Apr 7, 2023 Tag: 0835

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Category: Administration Deficiencies

Corrected: May 11, 2023

G — Isolated - Actual harm Apr 7, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: May 11, 2023

H — Pattern - Actual harm Apr 7, 2023 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: May 11, 2023

D — Isolated - Minimal harm Apr 7, 2023 Tag: 0635

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 11, 2023

F — Widespread - Minimal harm Apr 7, 2023 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 11, 2023

D — Isolated - Minimal harm Apr 7, 2023 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: May 11, 2023

D — Isolated - Minimal harm Dec 9, 2022 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Jan 9, 2023

D — Isolated - Minimal harm Dec 9, 2022 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 9, 2023

D — Isolated - Minimal harm Dec 9, 2022 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 9, 2023

D — Isolated - Minimal harm Dec 9, 2022 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 9, 2023

E — Pattern - Minimal harm Dec 9, 2022 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Jan 9, 2023

D — Isolated - Minimal harm Feb 4, 2021 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 4, 2021

D — Isolated - Minimal harm Feb 4, 2021 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Mar 4, 2021

D — Isolated - Minimal harm Feb 4, 2021 Tag: 0569

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Category: Resident Rights Deficiencies

Corrected: Mar 4, 2021

D — Isolated - Minimal harm Feb 4, 2021 Tag: 0568

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Category: Resident Rights Deficiencies

Corrected: Mar 4, 2021

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 12.1% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.0% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.3% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.4% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.5% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.3% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 99.1% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.2% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 14.1% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 23.3% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 100.0% No
Percentage of long-stay residents with pressure ulcers Long Stay 3.5% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 14.3% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 6.6% Yes

Penalty History 1 penalties totaling $192K

Date Type Amount
Apr 7, 2023 Fine $192K

Frequently Asked Questions

What is the overall CMS rating for AVIATA AT LAKE MARY?
AVIATA AT LAKE MARY has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (2★), staffing levels (2★), and quality measures (5★).
What are the staffing levels at AVIATA AT LAKE MARY?
AVIATA AT LAKE MARY reports 3.39 total nursing hours per resident day (national average: 3.89). RN hours are 0.39 per resident day (national average: 0.68).
How many beds does AVIATA AT LAKE MARY have?
AVIATA AT LAKE MARY has 120 certified beds with approximately 117 residents. The facility is located at 710 NORTH SUN DRIVE, LAKE MARY, FL 32746.
Does AVIATA AT LAKE MARY have any deficiencies on record?
Yes, AVIATA AT LAKE MARY has 22 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has AVIATA AT LAKE MARY received any fines or penalties?
Yes, AVIATA AT LAKE MARY has received 1 penalties totaling $192K.
Who owns AVIATA AT LAKE MARY?
AVIATA AT LAKE MARY is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was AVIATA AT LAKE MARY last inspected?
The most recent health inspection for AVIATA AT LAKE MARY was on Jul 25, 2024. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for AVIATA AT LAKE MARY?
AVIATA AT LAKE MARY is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial