Nursing HomeMedicaid Investigative

Aviata at Arbor Springs

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1501 Se 24th Rd, Ocala, FL 34471|180 beds|Licensed & Active

1/5

Medicare

Inspection

Quality

Staffing

Google rating

3.5/5

based on 77 Google reviews

(352) 629-8900 Directions Website

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6/ 10

high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Low overall rating (1/5 stars)
Low staffing rating (1/5 stars)
Above-median deficiencies (15 vs median 6.0)
High staff turnover (61%)
High RN turnover (55%)

Bottom 25% in FL · Critically understaffed (RN) · Worst in AVIATA HEALTH GROUP chain · No penalties on record

Source: Medicare data

What this means for your family

While the therapy and activities teams are clearly dedicated and effective, the facility faces severe, recurring issues with basic sanitation (roaches) and patient care consistency. If you choose this facility, you must be prepared to visit daily to advocate for your loved one, as multiple families report that residents are neglected unless a family member is physically present to oversee care.

Google Reviews

77 reviews analyzed

“Aviata at Arbor Springs presents a deeply polarized experience for families, with high praise for the physical therapy and activities departments contrasted by severe, recurring reports of neglect. While many reviewers highlight specific staff members as compassionate and helpful, others describe a facility struggling with chronic understaffing, poor hygiene, and significant communication failures. Families should be aware of serious allegations regarding patient care, including delayed response times to call lights, medication errors, and sanitation issues.”

Quality Themes

Tap a score for details

Strengths

Highly effective and motivated physical therapy team
Engaging and cheerful activities department
Specific staff members noted for individual compassion
Clean and welcoming common areas (noted by some)

Concerns

Chronic understaffing leading to long wait times for assistance (mentioned by 12 reviewers)
Poor hygiene and sanitation, specifically regarding urine odors and soiled linens (mentioned by 6 reviewers)
Pest infestation (roaches) (mentioned by 4 reviewers)
Medication management errors and lack of transparency (mentioned by 4 reviewers)
Unresponsive management and difficulty reaching staff by phone (mentioned by 5 reviewers)

Rating Trends

Tap a year to see what changed

Distribution

⚡10 reviews posted between Nov 18, 2025 – Nov 22, 2025 · 7 were 5-star

How They Respond to Reviews

97%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

1I noticed the activities department receives a lot of praise; could you walk me through what a typical week of social engagement looks like for a resident?
2With the physical therapy team being such a standout here, how is their progress communicated to families, and how do they coordinate with the nursing staff?
3I see that management is very active in responding to feedback online; what is the best way for families to reach leadership if they have a concern that needs immediate attention?
4Given the importance of a clean environment for resident health, what is your current protocol for room sanitation and laundry turnover to ensure the highest standards of hygiene?
5Could you explain the process for medication administration and how you ensure accuracy and transparency when there are changes to a resident's prescription plan?
6What steps are currently being taken to ensure that residents receive timely assistance when they use their call lights, especially during shift changes?

Personalized based on this facility's data

Key Review Excerpts

“The physical therapy department has been outstanding! They have consistently worked with my very resistant family member.”

Long-term resident's family · 2026★★★★★

“I observed several people standing around the desk, that I would soon discovered one of them was his caretaker. I could smell old urine fumes coming from the hallway before I entered the room.”

Long-term resident's family · 2025★☆☆☆☆

“I’ve seen one or two in the past but today was too much to fathom when a roach was crawling on top of the food lid with my mother’s lunch.”

Long-term resident's family · 2025★☆☆☆☆

Source: 77 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.29hrs

39%

Registered nurses for medical care

Total Nursing

3.51hrs

86%

All nurses + aides combined

Staff Turnover

61%

Lower is better (< 30% = good)

RN Turnover

55%

Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

4/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

😔

Residents with depression symptoms

↓ Lower is better

This Facility34.5%

Worse than Avg

Here

34.5%

12.1%

4.1%

Marion

22.1%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility3.7%

Better than Avg

Here

3.7%

15.4%

8.7%

Marion

11.7%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility4.5%

Better than Avg

Here

4.5%

14.4%

9.1%

Marion

9.5%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

93.4%

98.1%

Marion

93.4%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility9.2%

Better than Avg

Here

9.2%

15.3%

10.6%

Marion

12.7%

💉

Residents vaccinated for the flu

↑ Higher is better

This Facility99.3%

Better than Avg

Here

99.3%

95.5%

99.2%

Marion

93.7%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility98.2%

Better than Avg

Here

98.2%

79.7%

94.7%

Marion

76.6%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility99.6%

Better than Avg

Here

99.6%

81.8%

94.8%

Marion

81.5%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility1.5%

Worse than Avg

Here

1.5%

1.6%

1.5%

Marion

1.1%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

15deficiencies

Well above state avg (7.3)

17 complaint-triggered

This facility has faced recurring quality concerns across multiple years, with families filing 14 complaint reports that triggered federal inspections. The most persistent issues involve infection control, care planning and assessments, and medication management, with these problems appearing consistently from 2023 through 2025. While the facility has corrected each identified deficiency, the pattern of repeated violations in core care areas suggests ongoing operational challenges that families should carefully consider.

Mar 6, 2026Complaint3 findings

0761ModerateCorrected

Pharmacy Service Deficiencies

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.

0584MinorCorrected

Resident Rights Deficiencies

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.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Dec 10, 2025Complaint2 findings

0628ModerateCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Aug 22, 2025Routine8 findings

0761ModerateCorrected

Pharmacy Service Deficiencies

0842ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0578MinorCorrected

Resident Rights Deficiencies

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.

0582MinorCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0645MinorCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0684MinorCorrected

Quality of Life and Care Deficiencies

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

0695MinorCorrected

Quality of Life and Care Deficiencies

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

May 9, 2025Complaint4 findings

0881MinorCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0684MinorCorrected

Quality of Life and Care Deficiencies

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

0757MinorCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Mar 6, 2025Complaint1 finding

0695MinorCorrected

Quality of Life and Care Deficiencies

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

Feb 6, 2025Complaint1 finding

0732MinorCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Aviata at Arbor Springs

Organization Type

for profit

Chain Affiliation

Chain Name

Aviata Health Group

Chain Size

52 facilities nationwide

Chain avg rating: 2.1/5 · Rank 38 of 52 (Worst)

Ownership & Management

Owners

24th Road Parent LLC

Owner · Organization

Asp FL LLC

Owner (parent company) · Organization

Dagan, Amitai