Nursing HomeMedicaid Investigative

Aviata at Big Bend

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

207 Marshall Dr, Perry, FL 32347|120 beds|Licensed & Active

1/5

Medicare

Inspection

Quality

Staffing

Google rating

3.6/5

based on 22 Google reviews

(850) 584-6334 Directions Website

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9/ 10

critical Risk

Quality Concerns Identified

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

Special Focus Facility (under heightened CMS scrutiny)
Abuse citation on record
Low overall rating (1/5 stars)
Low staffing rating (2/5 stars)
Above-median deficiencies (9 vs median 6.0)

Bottom 25% in FL · Below recommended RN staffing · Worst in AVIATA HEALTH GROUP chain · No penalties on record · Special Focus Facility (CMS) · Abuse citation

Source: Medicare data

What this means for your family

While some families report positive experiences with specific nursing and therapy staff, the facility has recurring, serious issues with sanitation and administrative communication. If you are considering this facility, perform an unannounced weekend visit and specifically inspect the cleanliness of the bathrooms and common areas.

Google Reviews

22 reviews analyzed

“Aviata at Big Bend faces significant criticism regarding cleanliness, hygiene, and basic patient care, with multiple reports of foul odors, uncleaned bodily fluids, and neglect. While some reviewers praise individual nurses and therapy staff for their dedication, the facility suffers from recurring issues with communication, administrative responsiveness, and facility maintenance.”

Quality Themes

Tap a score for details

Strengths

Dedicated individual nursing staff
Effective physical therapy team
Responsive to specific resident needs for some families

Concerns

Poor sanitation and hygiene (foul odors, bodily fluids left in rooms/hallways) (mentioned by 3 reviewers)
Lack of administrative responsiveness and communication (mentioned by 3 reviewers)
Neglect or failure to provide basic care (meals, hydration, wound care) (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

1I noticed your team is very active in responding to online feedback; how do you use that family input to improve daily communication and transparency regarding my loved one's care?
2Given the recent challenges with facility cleanliness, what specific protocols and daily schedules are currently in place to ensure resident rooms and common areas are kept sanitary and odor-free?
3With the current staffing levels, how do you ensure that residents receive consistent support with daily essentials like hydration, timely meal assistance, and wound care?
4I see your physical therapy team is highly regarded; how do you integrate their work with the nursing staff to ensure a resident's mobility and health needs are met throughout the day?
5What is the facility's specific process for notifying family members if there is a change in a resident's health status or an urgent medical concern?
6Could you walk me through the current activities calendar and explain how you encourage residents to participate in social life, especially for those who may need extra assistance to get out of their rooms?

Personalized based on this facility's data

Key Review Excerpts

“Some days, they forgot to give him breakfast and forgot to get him something to drink. Wreaked of cigarette smoke like someone was smoking inside. Shared bathrooms and someone bled in the bathroom the night before and was still in there the next day along with blood on the hallway floor.”

Long-term resident's family · 2024★☆☆☆☆

“My brother currently resides at Aspired at Big Bend so far this is the only facility that has been able accommodate all of his needs.”

Long-term resident's family · 2023★★★★★

“Therapists were great, and her nurse Brittany is awesome.”

Long-term resident's family · 2019★★★☆☆

Source: 22 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.49hrs

65%

Registered nurses for medical care

Total Nursing

3.56hrs

87%

All nurses + aides combined

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 whose walking got worse

↓ Lower is better

This Facility4.9%

Better than Avg

Here

4.9%

15.3%

10.6%

Taylor

17.1%

😔

Residents with depression symptoms

↓ Lower is better

This Facility1.0%

Better than Avg

Here

1.0%

12.1%

4.1%

Taylor

5.9%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility9.1%

Better than Avg

Here

9.1%

19.4%

11.5%

Taylor

18.7%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility5.5%

Better than Avg

Here

5.5%

15.4%

8.7%

Taylor

14.1%

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility22.5%

Worse than Avg

Here

22.5%

19.5%

15.0%

Taylor

20.2%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility8.7%

Better than Avg

Here

8.7%

14.4%

9.1%

Taylor

15.7%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

79.7%

94.7%

Taylor

91.2%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility79.6%

Worse than Avg

Here

79.6%

81.8%

94.8%

Taylor

89.7%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.0%

Better than Avg

Here

0.0%

1.6%

1.5%

Taylor

1.2%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies

Above state avg (7.3)

12 complaint-triggered

This facility shows concerning patterns with multiple family complaints triggering inspections, including a recent abuse/neglect violation and repeated safety hazards. Key problem areas include accident prevention and safety supervision (cited multiple times), care planning, and nursing staff oversight. While all deficiencies show correction dates, the recurring nature of safety issues and the fact that families have filed eight complaint-triggered reports suggest ongoing care quality concerns that families should carefully consider.

Mar 26, 2026Routine4 findings

0584ModerateCorrected

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.

0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

0887MinorCorrected

Infection Control Deficiencies

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

0919MinorCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

Feb 11, 2026Complaint3 findings

0600MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0610MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Sep 11, 2025Complaint4 findings

0600SevereCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0865SevereCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

0689SevereCorrected

Quality of Life and Care Deficiencies

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

0656ModerateCorrected

Resident Assessment and Care Planning Deficiencies

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

Aug 7, 2025Complaint1 finding

0689MinorCorrected

Quality of Life and Care Deficiencies

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

Dec 18, 2024Routine6 findings

0926ModerateCorrected

Environmental Deficiencies

Have policies on smoking.

0926ModerateCorrected

Environmental Deficiencies

Have policies on smoking.

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.

0693MinorCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

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.

0693MinorCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Dec 18, 2024Complaint3 findings

0732MinorCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0732MinorCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0688MinorCorrected

Quality of Life and Care Deficiencies

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.

Federal Penalties

Fine

Aug 7, 2025

$26,685

Fine

Aug 7, 2025

$123,970

Ownership & Operations

Who Operates This Facility

Owner / Operator

Aviata at Big Bend

Organization Type

for profit

Chain Affiliation

Chain Name

Aviata Health Group

Chain Size

52 facilities nationwide

Chain avg rating: 2.1/5 · Rank 51 of 52 (Worst)

Ownership & Management

Owners

Marshall Parent LLC

Owner · Organization

Perry Holdco LLC

Owner (parent company) · Organization

Dagan, Amitai