South Pasadena, FL

Aviata At The Sea - Pasadena

3-star overall rating with 2-star inspections with $79,797 in total fines with 11 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

1820 Shore Dr S, South Pasadena, FL

(727) 384-9300

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

0 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

58

Certified beds

Average residents

0

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Aviata Health Group

Operator or chain grouping

Approved since

1979-03-01

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

0.00

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Total nurse hours

0.00

All reported nurse hours

Licensed hours

0.00

RN + LPN hours

Weekend hours

0.00

Weekend nurse staffing

Weekend RN hours

0.00

Weekend registered nurse coverage

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.00

CMS adjusted RN staffing hours

Adjusted total hours

0.00

CMS adjusted total nurse staffing hours

Case-mix index

0.00

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.1%
10.72%
0.4 pts worse
No Different than the National Rate · Eligible stays 27 · Observed rate 18.52% · Lower 95% interval 7.9%
Discharge to community Not Available
50.57%
Not Available · Eligible stays 8 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary 1.38
1.02
0.4 pts worse
Drug regimen review with follow-up 95%
95.27%
0.3 pts worse
Numerator 19 · Denominator 20
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 20
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 19 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 13 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage Not Available
8.2%
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Staff flu vaccination coverage Not Available
42%
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.7
2.1
1.4 pts better
1.9
1.2 pts better
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 1.9 · Expected 4.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.6
1.2
0.4 pts worse
1.8
0.2 pts better
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 2.8 · Expected 2.9 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 28.2%
97.8%
69.6 pts worse
93.4%
65.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 28.2% · 4Q avg 28.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 43.6%
99.2%
55.6 pts worse
95.5%
51.9 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 43.6%
Percentage of long-stay residents experiencing one or more falls with major injury 5.1%
2.6%
2.5 pts worse
3.3%
1.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · 4Q avg 5.1% · Used in QM five-star
Percentage of long-stay residents who received an antianxiety or hypnotic medication 13.8%
15.7%
1.9 pts better
19.6%
5.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · 4Q avg 13.8%
Percentage of long-stay residents who received an antipsychotic medication 4.5%
9.8%
5.3 pts better
16.7%
12.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · 4Q avg 4.5% · 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% · 4Q avg 0.0%
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% · 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% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with pressure ulcers 9.3%
5.1%
4.2 pts worse
5.1%
4.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · 4Q avg 9.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 11.4%
94.3%
82.9 pts worse
81.7%
70.3 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 16.7% · 4Q avg 11.4%

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-02-02 · Fire 2023-02-02

11 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

8 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 2 Health 2021-06-23 · Fire 2021-06-23

8 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2019-09-27 · Fire 2019-09-27

8 health deficiencies

Top issue: Resident Rights (3 deficiencies)

11 fire-safety deficiencies

Top issue: Emergency Preparedness (5 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-02-02

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2023-03-06

F · Potential for more than minimal harm 2023-02-02

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2023-03-06

F · Potential for more than minimal harm 2023-02-02

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-03-06

F · Potential for more than minimal harm 2023-02-02

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2023-03-06

F · Potential for more than minimal harm 2023-02-02

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-03-06

D · Potential for more than minimal harm 2023-02-02

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2023-03-06

D · Potential for more than minimal harm 2023-02-02

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-03-06

D · Potential for more than minimal harm 2023-02-02

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-03-06

D · Potential for more than minimal harm 2021-06-23

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2021-07-23

D · Potential for more than minimal harm 2021-06-23

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2021-07-23

D · Potential for more than minimal harm 2021-06-23

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2021-07-23

D · Potential for more than minimal harm 2021-06-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-07-23

D · Potential for more than minimal harm 2021-06-23

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2021-07-23

D · Potential for more than minimal harm 2021-06-23

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2021-07-23

D · Potential for more than minimal harm 2021-06-23

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2021-07-23

D · Potential for more than minimal harm 2019-09-27

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2019-10-11

D · Potential for more than minimal harm 2019-09-27

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2019-10-11

D · Potential for more than minimal harm 2019-09-27

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2019-10-11

D · Potential for more than minimal harm 2019-09-27

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2019-10-11

D · Potential for more than minimal harm 2019-09-27

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2019-10-11

D · Potential for more than minimal harm 2019-09-27

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2019-10-11

D · Potential for more than minimal harm 2019-09-27

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2019-10-11

D · Potential for more than minimal harm 2019-09-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-10-11

D · Potential for more than minimal harm 2019-09-27

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2019-10-11

D · Potential for more than minimal harm 2019-09-27

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2019-10-11

D · Potential for more than minimal harm 2019-09-27

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2019-10-11

Inspection history

Recent health citations

E · Potential for more than minimal harm 2023-05-15

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-06-14

E · Potential for more than minimal harm 2023-05-15

F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Corrected 2023-06-12

D · Potential for more than minimal harm 2023-05-15

F585 · Resident Rights Deficiencies

Health

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.

Corrected 2023-06-12

D · Potential for more than minimal harm 2023-05-15

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-06-14

E · Potential for more than minimal harm 2023-02-02

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-03-04

E · Potential for more than minimal harm 2023-02-02

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 2023-03-04

D · Potential for more than minimal harm 2023-02-02

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 2023-03-04

D · Potential for more than minimal harm 2023-02-02

F585 · Resident Rights Deficiencies

Health

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.

Corrected 2023-03-04

D · Potential for more than minimal harm 2023-02-02

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-03-04

D · Potential for more than minimal harm 2023-02-02

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-03-04

D · Potential for more than minimal harm 2023-02-02

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-03-04

D · Potential for more than minimal harm 2023-02-02

F660 · Resident Assessment and Care Planning Deficiencies

Health

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2023-03-04

D · Potential for more than minimal harm 2023-02-02

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 2023-03-04

D · Potential for more than minimal harm 2023-02-02

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2023-03-04

D · Potential for more than minimal harm 2023-02-02

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2023-03-04

E · Potential for more than minimal harm 2021-06-23

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 2021-07-23

D · Potential for more than minimal harm 2021-06-23

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2021-07-23

D · Potential for more than minimal harm 2021-06-23

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2021-07-23

D · Potential for more than minimal harm 2021-06-23

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2021-07-23

D · Potential for more than minimal harm 2021-06-23

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 2021-07-23

D · Potential for more than minimal harm 2021-06-23

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2021-07-23

D · Potential for more than minimal harm 2021-06-23

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-07-23

D · Potential for more than minimal harm 2021-06-23

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2021-07-23

F · Potential for more than minimal harm 2019-09-27

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 2019-10-10

E · Potential for more than minimal harm 2019-09-27

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2019-10-10

E · Potential for more than minimal harm 2019-09-27

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 2019-10-10

D · Potential for more than minimal harm 2019-09-27

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 2019-10-10

Penalties and ownership

What sits behind the stars

$13,635 2023-12-11

Fine

Fine · fine $13,635

Fine

$4,587 2023-11-20

Fine

Fine · fine $4,587

Fine

$4,587 2023-11-13

Fine

Fine · fine $4,587

Fine

$4,545 2023-11-06

Fine

Fine · fine $4,545

Fine

$4,545 2023-10-30

Fine

Fine · fine $4,545

Fine

$4,545 2023-10-23

Fine

Fine · fine $4,545

Fine

$4,545 2023-10-17

Fine

Fine · fine $4,545

Fine

$4,545 2023-10-10

Fine

Fine · fine $4,545

Fine

$4,545 2023-10-02

Fine

Fine · fine $4,545

Fine

$12,587 2023-09-11

Fine

Fine · fine $12,587

Fine

$3,496 2023-08-28

Fine

Fine · fine $3,496

Fine

$3,147 2023-08-21

Fine

Fine · fine $3,147

Fine

$2,797 2023-08-14

Fine

Fine · fine $2,797

Fine

$2,447 2023-08-07

Fine

Fine · fine $2,447

Fine

$5,244 2023-07-17

Fine

Fine · fine $5,244

Fine

Ownership

Shore Parent LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2023-09-01
Aih Holdings 10 LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 4 facilities 2023-09-01
Altranais Care Centers LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 4 facilities 2023-09-01
Aspire Investors Holdings Ii LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 4 facilities 2023-09-01
Aspire Investors Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 4 facilities 2023-09-01
Aspire Mgt LLC

Operational/Managerial Control · Organization

0% 4 facilities 2023-09-01
Dagan, Amitai

5% Or Greater Indirect Ownership Interest · Individual

0% 8 facilities 2023-09-01
Dolphins Holdco LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2023-09-01
Freund, Nochum

5% Or Greater Indirect Ownership Interest · Individual

0% 109 facilities 2023-09-01
Freund, Nochum

Operational/Managerial Control · Individual

0% 109 facilities 2023-09-01
Freund, Nochum

Corporate Officer · Individual

0% 109 facilities 2023-09-01
Goldberger, Faigy

5% Or Greater Indirect Ownership Interest · Individual

0% 7 facilities 2023-09-01
Graf Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 8 facilities 2023-09-01
Hautco Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 4 facilities 2023-09-01
Hautco LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 4 facilities 2023-09-01
Jackson, Marcia

W-2 Managing Employee · Individual

0% 3 facilities 2024-01-22
Leinen LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 4 facilities 2023-09-01
Thorngren, Daniel

Contracted Managing Employee · Individual

0% 4 facilities 2023-09-01

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