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

AVIATA AT FLETCHER

TAMPA, FL · 120 certified beds · Last Life Safety survey July 11, 2024

CMS Certification Number 105644 · first certified March 1989

Ownership

Operated by AVIATA HEALTH GROUP · For profit - Individual

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

7 citations — more than 50% 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 1 citation; the earlier surveys in the window averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (October 2025 to May 2026), and past the point by which nine in ten FL facilities have been surveyed. This facility’s last Life Safety survey was July 2024. 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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1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

4 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 7 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0926 Have policies on smoking.
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	7
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
February 26, 2021	6
April 21, 2022	0
July 11, 2024	1

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	2	2024-07-11
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	1	2021-02-26
K-0100	Meet other general requirements.	1	2021-02-26
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	1	2021-02-26
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	1	2021-02-26
K-0353	Inspect, test, and maintain automatic sprinkler systems.	1	2021-02-26

What the citations cover

Citations by CMS category

Miscellaneous Deficiencies 2
Egress Deficiencies 1
Construction Deficiencies 1
Smoke Deficiencies 1
Other 2

Citations by CMS category
Category	Citations
Miscellaneous Deficiencies	2
Egress Deficiencies	1
Construction Deficiencies	1
Smoke Deficiencies	1
Gas, Vacuum, and Electrical Systems Deficiencies	1
Services Deficiencies	1

Every citation on file

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

July 11, 2024 — 1 citation

Citations issued on July 11, 2024
Tag	What the surveyor checks	Status
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (August 11, 2024)

February 26, 2021 — 6 citations

Citations issued on February 26, 2021
Tag	What the surveyor checks	Status
K-0100	Meet other general requirements.	Deficient, Provider has date of correction (March 26, 2021)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (March 26, 2021)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 26, 2021)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (March 26, 2021)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (March 26, 2021)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (March 26, 2021)

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