Palm Coast, FL

Aviata At Grand Oaks

2-star overall rating with 2-star inspections with $15,646 in total fines with 2 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle

3001 Palm Coast Parkway Se, Palm Coast, FL

(386) 446-6060

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

107

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Aviata Health Group

Operator or chain grouping

Approved since

1997-05-16

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.34

Registered nurse staffing

LPN hours / resident day

1.07

Licensed practical nurse staffing

Aide hours / resident day

2.06

Nurse aide staffing

Weekend hours

3.35

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.4
2.1
0.7 pts better
1.9
0.5 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.5
1.2
0.7 pts better
1.8
1.3 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.6%
97.8%
1.8 pts better
93.4%
6.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
99.2%
0.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 1.9%
2.6%
0.7 pts better
3.3%
1.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 2.4%
3.7%
1.3 pts better
11.4%
9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 6.6%
5.9%
0.7 pts worse
5.4%
1.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 15.6%
15.7%
0.1 pts better
19.6%
4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 3.7%
9.8%
6.1 pts better
16.7%
13 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 15.0%
11.7%
3.3 pts worse
16.3%
1.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 7.4%
9.8%
2.4 pts better
14.9%
7.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.4%
0.4 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.0%
0.8%
0.8 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 16.5%
12.5%
4 pts worse
19.8%
3.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.9%
5.1%
1.2 pts better
5.1%
1.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
94.3%
5.7 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 4.0%
9.3%
5.3 pts better
12.0%
8 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.5%
1.5%
1 pts better
1.6%
1.1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100.0%
94.7%
5.3 pts better
79.7%
20.3 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 16.6%
26.2%
9.6 pts better
23.9%
7.3 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-08 · Fire 2025-05-08

2 health deficiencies

Top issue: Infection Control (1 deficiency)

13 fire-safety deficiencies

Top issue: Emergency Preparedness (6 deficiencies)

Cycle 2 Health 2024-02-08 · Fire 2024-02-08

7 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2022-03-03 · Fire 2022-03-03

11 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-05-08

E25 · Emergency Preparedness Deficiencies

Fire Safety

Create arrangements with other facilities to receive patients.

Corrected 2025-06-15

D · Potential for more than minimal harm 2025-05-08

E33 · Emergency Preparedness Deficiencies

Fire Safety

Establish methods for sharing information.

Corrected 2025-06-15

D · Potential for more than minimal harm 2025-05-08

E34 · Emergency Preparedness Deficiencies

Fire Safety

Provide a means of sharing information on occupancy/needs.

Corrected 2025-06-15

D · Potential for more than minimal harm 2025-05-08

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2025-06-15

D · Potential for more than minimal harm 2025-05-08

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-06-15

D · Potential for more than minimal harm 2025-05-08

E9 · Emergency Preparedness Deficiencies

Fire Safety

Include a process for Emergency Preparedness collaboration.

Corrected 2025-06-15

D · Potential for more than minimal harm 2025-05-08

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-06-15

D · Potential for more than minimal harm 2025-05-08

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-06-15

D · Potential for more than minimal harm 2025-05-08

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2025-06-15

D · Potential for more than minimal harm 2025-05-08

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-06-15

D · Potential for more than minimal harm 2025-05-08

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-06-15

D · Potential for more than minimal harm 2025-05-08

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-06-15

D · Potential for more than minimal harm 2025-05-08

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-06-15

E · Potential for more than minimal harm 2024-02-08

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-02-08

D · Potential for more than minimal harm 2024-02-08

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2024-03-08

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-05-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-15

E · Potential for more than minimal harm 2025-05-08

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-06-15

J · Immediate jeopardy 2024-06-07

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-07-01

J · Immediate jeopardy 2024-06-07

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2024-07-01

E · Potential for more than minimal harm 2024-02-08

F924 · Environmental Deficiencies

Health

Put firmly secured handrails on each side of hallways.

Corrected 2024-03-08

D · Potential for more than minimal harm 2024-02-08

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-03-08

D · Potential for more than minimal harm 2024-02-08

F638 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-03-08

D · Potential for more than minimal harm 2024-02-08

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-08

D · Potential for more than minimal harm 2024-02-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-08

F · Potential for more than minimal harm 2022-03-03

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2022-04-12

E · Potential for more than minimal harm 2022-03-03

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2022-04-12

D · Potential for more than minimal harm 2022-03-03

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2022-04-12

D · Potential for more than minimal harm 2022-03-03

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2022-04-12

D · Potential for more than minimal harm 2022-03-03

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-04-12

D · Potential for more than minimal harm 2022-03-03

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-04-12

D · Potential for more than minimal harm 2022-03-03

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2022-04-12

D · Potential for more than minimal harm 2022-03-03

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-04-12

D · Potential for more than minimal harm 2022-03-03

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-04-12

D · Potential for more than minimal harm 2022-03-03

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2022-04-12

D · Potential for more than minimal harm 2022-03-03

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2022-04-12

Penalties and ownership

What sits behind the stars

$7,823 2024-06-07

Fine

Fine · fine $7,823

Fine

$7,823 2024-06-07

Fine

Fine · fine $7,823

Fine

Ownership

Freund, Nochum

Operational/Managerial Control · Individual

0% 109 facilities 2023-11-02
Freund, Nochum

Corporate Officer · Individual

0% 109 facilities 2023-11-02
Kinne, Sandford

Operational/Managerial Control · Individual

0% 1 facilities 2024-08-12
Mckinney, Kimberly

Operational/Managerial Control · Individual

0% 1 facilities 2024-07-15

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