Aviata at Lakeside Oaks

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Tag F0585 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Nov 14, 2025

Respond appropriately to all alleged violations.

Tag F0610 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · from a complaint inspection · Deficient, Provider has date of correction Nov 14, 2025

Provide care or services that was trauma informed and/or culturally competent.

Tag F0699 · CMS scope and severity G (actual harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Nov 14, 2025

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Tag F0627 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · from a complaint inspection · Deficient, Provider has date of correction Sep 26, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Tag F0684 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Sep 26, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Tag F0755 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · from a complaint inspection · Deficient, Provider has date of correction Sep 26, 2025

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

Tag F0582 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Feb 12, 2024

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

Tag F0756 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Feb 12, 2024

Reasonably accommodate the needs and preferences of each resident.

Tag F0558 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jan 21, 2022

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Tag F0676 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jan 21, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

Tag F0677 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jan 21, 2022

Provide activities to meet all resident's needs.

Tag F0679 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jan 21, 2022

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Tag F0688 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Jan 21, 2022

Provide safe, appropriate pain management for a resident who requires such services.

Tag F0697 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Mar 21, 2022

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Tag F0758 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jan 21, 2022

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

Tag F0812 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Mar 21, 2022

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Tag F0867 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Mar 21, 2022

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

Tag F0689 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jun 11, 2020

Have exits that are accessible at all times.

Tag K0271 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jan 25, 2024

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Tag K0321 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Jan 25, 2024

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Tag K0741 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jan 26, 2024

Establish roles under a Waiver declared by secretary.

Tag E0026 · CMS scope and severity F (no actual harm, potential for more than minimal harm; widespread) · Deficient, Provider has date of correction Jan 21, 2022

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Tag K0222 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jan 21, 2022

Have exits that are accessible at all times.

Tag K0271 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jan 21, 2022

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Tag K0741 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jan 21, 2022

Inspect, test, and maintain automatic sprinkler systems.

Tag K0353 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jun 11, 2020

Properly select, install, inspect, or maintain portable fire extinguishes.

Tag K0355 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jun 11, 2020

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Tag K0741 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jun 11, 2020