Crestview, FL

Aviata At Shoal Creek

4-star overall rating with 4-star inspections with $102,080 in total fines with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

500 Hospital Drive, Crestview, FL

(850) 689-3146

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

110

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Aviata Health Group

Operator or chain grouping

Approved since

2000-04-27

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

52 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.77

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.49

Licensed practical nurse staffing · state 0.79 · national 0.87

Aide hours / resident day

1.99

Nurse aide staffing · state 2.34 · national 2.35

Total nurse hours

3.26

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.27

RN + LPN hours · state 1.52 · national 1.54

Weekend hours

3.02

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.53

Weekend registered nurse coverage · state 0.53 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.82

CMS adjusted RN staffing hours

Adjusted total hours

3.45

CMS adjusted total nurse staffing hours

Case-mix index

1.29

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

10,871

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

18.81

Composite VBP score used to determine payment impact.

Payment multiplier

0.9820

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.74

Baseline 20.20% · Performance 19.70% · Measure score 3.74 · Achievement 3.74 · Improvement 1.08

Healthcare-associated infections

1.29

Baseline 7.55% · Performance 7.45% · Measure score 1.29 · Achievement 1.29 · Improvement 0

Total nurse turnover

0

Baseline 62.70% · Performance 62.90% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

2.49

Baseline 3.68 hours · Performance 3.79 hours · Measure score 2.49 · Achievement 2.49 · Improvement 0.01

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.26%
10.72%
0.5 pts worse
No Different than the National Rate · Eligible stays 177 · Observed rate 11.86% · Lower 95% interval 8.49%
Discharge to community 51.32%
50.57%
0.8 pts better
No Different than the National Rate · Eligible stays 155 · Observed rate 46.45% · Lower 95% interval 41.33%
Medicare spending per beneficiary 1.04
1.02
About the same
Drug regimen review with follow-up 98.56%
95.27%
3.3 pts better
Numerator 137 · Denominator 139
Falls with major injury 0.72%
0.77%
0.1 pts better
Numerator 1 · Denominator 139
Discharge self-care score 47.13%
53.69%
6.6 pts worse
Numerator 41 · Denominator 87
Discharge mobility score 51.72%
50.94%
0.8 pts better
Numerator 45 · Denominator 87
Pressure ulcers or injuries, new or worsened 5.76%
2.29%
3.5 pts worse
Numerator 8 · Denominator 139 · Adjusted rate 4.75%
Healthcare-associated infections requiring hospitalization 7.45%
7.12%
0.3 pts worse
No Different than the National Rate · Eligible stays 103 · Observed rate 7.77% · Lower 95% interval 4.05%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 55
Staff flu vaccination coverage 61.06%
42%
19.1 pts better
Numerator 69 · Denominator 113
Discharge function score 51.72%
56.45%
4.7 pts worse
Numerator 45 · Denominator 87
Transfer of health information to provider 98.04%
95.95%
2.1 pts better
Numerator 50 · Denominator 51
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 39 · Denominator 39
Resident COVID-19 vaccinations up to date 0%
25.2%
25.2 pts worse
Numerator 0 · Denominator 68

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.5
2.1
0.4 pts worse
1.9
0.6 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 1.9 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.1
1.2
0.9 pts worse
1.8
0.3 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.7 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
97.8%
2.2 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 3.2%
2.6%
0.6 pts worse
3.3%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 3.3% · Q3 2.0% · Q4 3.0% · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 11.0%
3.7%
7.3 pts worse
11.4%
0.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 3.7% · Q3 17.8% · Q4 19.4% · 4Q avg 11.0%
Percentage of long-stay residents who lose too much weight 7.9%
5.9%
2 pts worse
5.4%
2.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 11.2% · Q2 8.4% · Q3 5.7% · Q4 6.5% · 4Q avg 7.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.1%
15.7%
6.4 pts worse
19.6%
2.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 26.8% · Q2 26.4% · Q3 17.4% · Q4 18.8% · 4Q avg 22.1%
Percentage of long-stay residents who received an antipsychotic medication 20.8%
9.8%
11 pts worse
16.7%
4.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 19.4% · Q3 20.0% · Q4 24.4% · 4Q avg 20.8% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 21.7%
11.7%
10 pts worse
16.3%
5.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 20.2% · Q2 18.6% · Q3 20.6% · Q4 26.8% · 4Q avg 21.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 9.2%
9.8%
0.6 pts better
14.9%
5.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 8.6% · Q3 12.9% · Q4 5.9% · 4Q avg 9.2% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 15.3%
12.5%
2.8 pts worse
19.8%
4.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 22.5% · Q2 16.6% · Q3 15.1% · Q4 7.9% · 4Q avg 15.3%
Percentage of long-stay residents with pressure ulcers 2.0%
5.1%
3.1 pts better
5.1%
3.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 1.7% · Q3 0.7% · Q4 2.2% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.2%
94.3%
3.9 pts better
81.7%
16.5 pts better
Short Stay · 2024Q4-2025Q3 · Q1 99.1% · Q2 99.1% · Q3 97.8% · Q4 96.0% · 4Q avg 98.2%
Percentage of short-stay residents who had an outpatient emergency department visit 9.9%
9.3%
0.6 pts worse
12.0%
2.1 pts better
Short Stay · 20240701-20250630 · Adjusted 9.9% · Observed 10.0% · Expected 11.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 3.6%
1.5%
2.1 pts worse
1.6%
2 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 5.0% · Q3 3.4% · Q4 4.1% · 4Q avg 3.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 99.1%
94.7%
4.4 pts better
79.7%
19.4 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 24.7%
26.2%
1.5 pts better
23.9%
0.8 pts worse
Short Stay · 20240701-20250630 · Adjusted 24.7% · Observed 26.0% · Expected 25.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-01-07 · Fire 2026-01-07

2 health deficiencies

Top issue: Administration (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-08-29 · Fire 2024-08-29

3 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-05-19 · Fire 2023-05-19

9 health deficiencies

Top issue: Nutrition and Dietary (5 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2026-01-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Not marked corrected

D · Potential for more than minimal harm 2026-01-07

K355 · Smoke Deficiencies

Fire Safety

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

Not marked corrected

D · Potential for more than minimal harm 2026-01-07

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Not marked corrected

D · Potential for more than minimal harm 2023-05-19

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-07-10

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-07

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Not marked corrected

D · Potential for more than minimal harm 2026-01-07

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.

Not marked corrected

E · Potential for more than minimal harm 2024-08-29

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 2024-09-13

D · Potential for more than minimal harm 2024-08-29

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-09-13

D · Potential for more than minimal harm 2024-08-29

F756 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-09-13

J · Immediate jeopardy 2023-05-19

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2023-06-23

J · Immediate jeopardy 2023-05-19

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2023-06-23

J · Immediate jeopardy 2023-05-19

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2023-06-23

J · Immediate jeopardy 2023-05-19

F867 · Administration Deficiencies

Health

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

Corrected 2023-06-23

E · Potential for more than minimal harm 2023-05-19

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2023-06-23

E · Potential for more than minimal harm 2023-05-19

F800 · Nutrition and Dietary Deficiencies

Health

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2023-06-23

E · Potential for more than minimal harm 2023-05-19

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 2023-06-23

D · Potential for more than minimal harm 2023-05-19

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-06-23

D · Potential for more than minimal harm 2023-05-19

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-06-23

Penalties and ownership

What sits behind the stars

$102,080 2023-05-15

Fine

Fine · fine $102,080

Fine

Ownership

Christopher, Indumathi

Operational/Managerial Control · Individual

0% 1 facilities 2023-12-05
Freund, Nochum

Operational/Managerial Control · Individual

0% 109 facilities 2023-12-01
Freund, Nochum

Corporate Officer · Individual

0% 109 facilities 2023-12-01
Rimmer, Anthony

Operational/Managerial Control · Individual

0% 1 facilities 2023-12-01

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