Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

AVIATA AT BROOKSVILLE

BROOKSVILLE, FL · 120 certified beds · Last Life Safety survey April 24, 2025

CMS Certification Number 105413 · first certified August 1982

Ownership

Operated by AVIATA HEALTH GROUP · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within FL

40 citations — more than 100% of the 694 certified nursing homes in FL. Compared within FL rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 12.7. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: August 2026 to March 2027. This facility’s last Life Safety survey was April 2025. Facilities in FL are typically surveyed 15–23 months after the last one (median 17), measured over 729 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Emergency preparedness

25 of the 40 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 40 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

How that compares

Citations on file over three years

Compared with the median facility in FL, and nationally. Surveyors differ markedly between states, so the FL figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	40
Median facility in FL	7
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
August 18, 2022	22
October 13, 2023	1
February 1, 2024	15
April 24, 2025	2

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
E-0035	Provide family notifications of emergency plan.	2	2024-02-01
E-0032	Provide primary/alternate means for communication.	2	2024-02-01
E-0018	Establish procedures for tracking staff and patients during an emergency.	2	2024-02-01
E-0030	List the names and contact information of those in the facility.	2	2024-02-01
E-0025	Create arrangements with other facilities to receive patients.	2	2024-02-01
E-0007	Address patient/client population and determine types of services needed.	2	2024-02-01
E-0039	Conduct testing and exercise requirements.	2	2024-02-01
E-0009	Include a process for Emergency Preparedness collaboration.	2	2024-02-01

What the citations cover

Citations by CMS category

Emergency Preparedness Deficiencies 25
Gas, Vacuum, and Electrical Systems Deficiencies 7
Egress Deficiencies 3
Smoke Deficiencies 3
Other 2

Citations by CMS category
Category	Citations
Emergency Preparedness Deficiencies	25
Gas, Vacuum, and Electrical Systems Deficiencies	7
Egress Deficiencies	3
Smoke Deficiencies	3
Miscellaneous Deficiencies	1
Construction Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

April 24, 2025 — 2 citations

Citations issued on April 24, 2025
Tag	What the surveyor checks	Status
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (June 11, 2025)
K-0928	Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled.	Deficient, Provider has date of correction (June 11, 2025)

February 1, 2024 — 15 citations

Citations issued on February 1, 2024
Tag	What the surveyor checks	Status
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (March 7, 2024)
E-0007	Address patient/client population and determine types of services needed.	Deficient, Provider has date of correction (March 7, 2024)
E-0009	Include a process for Emergency Preparedness collaboration.	Deficient, Provider has date of correction (March 7, 2024)
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (March 7, 2024)
E-0018	Establish procedures for tracking staff and patients during an emergency.	Deficient, Provider has date of correction (March 7, 2024)
E-0025	Create arrangements with other facilities to receive patients.	Deficient, Provider has date of correction (March 7, 2024)
E-0029	Develop a communication plan.	Deficient, Provider has date of correction (March 7, 2024)
E-0030	List the names and contact information of those in the facility.	Deficient, Provider has date of correction (March 7, 2024)
E-0032	Provide primary/alternate means for communication.	Deficient, Provider has date of correction (March 7, 2024)
E-0033	Establish methods for sharing information.	Deficient, Provider has date of correction (March 7, 2024)
E-0035	Provide family notifications of emergency plan.	Deficient, Provider has date of correction (March 7, 2024)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (March 7, 2024)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (March 7, 2024)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (March 7, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (March 7, 2024)

October 13, 2023 — 1 citation

Citations issued on October 13, 2023
Tag	What the surveyor checks	Status
K-0100	Meet other general requirements.	Deficient, Provider has date of correction (November 22, 2023)

August 18, 2022 — 22 citations

Citations issued on August 18, 2022
Tag	What the surveyor checks	Status
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (October 4, 2022)
E-0007	Address patient/client population and determine types of services needed.	Deficient, Provider has date of correction (October 4, 2022)
E-0009	Include a process for Emergency Preparedness collaboration.	Deficient, Provider has date of correction (October 4, 2022)
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (October 4, 2022)
E-0018	Establish procedures for tracking staff and patients during an emergency.	Deficient, Provider has date of correction (October 4, 2022)
E-0025	Create arrangements with other facilities to receive patients.	Deficient, Provider has date of correction (October 4, 2022)
E-0029	Develop a communication plan.	Deficient, Provider has date of correction (October 4, 2022)
E-0030	List the names and contact information of those in the facility.	Deficient, Provider has date of correction (October 4, 2022)
E-0032	Provide primary/alternate means for communication.	Deficient, Provider has date of correction (October 4, 2022)
E-0033	Establish methods for sharing information.	Deficient, Provider has date of correction (October 4, 2022)
E-0035	Provide family notifications of emergency plan.	Deficient, Provider has date of correction (October 4, 2022)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (October 4, 2022)
E-0042	Meet the requirements of an integrated health system.	Deficient, Provider has date of correction (October 4, 2022)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (October 4, 2022)
K-0222	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.	Deficient, Provider has date of correction (October 4, 2022)
K-0281	Install proper backup exit lighting.	Deficient, Provider has date of correction (October 4, 2022)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (October 4, 2022)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (October 4, 2022)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (October 4, 2022)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (October 4, 2022)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (October 4, 2022)
K-0926	Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.	Deficient, Provider has date of correction (October 4, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.