Aviata at Oakfield
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 154 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (14 vs median 6.0)
Bottom 25% in FL · Below recommended RN staffing · $43,222 in fines
What this means for your family
While the facility's therapy department is frequently praised for helping patients regain mobility, the high volume of reports regarding basic neglect and unresponsiveness is a critical red flag. If you choose this facility, you must be prepared to visit daily to monitor hygiene, medication administration, and nutrition, as the staff-to-patient ratio appears insufficient to meet basic needs independently.
Google Reviews
Google Reviews
154 reviews on Google“Aviata at Oakfield (formerly Brandon Health and Rehab) receives highly polarized feedback, with many families reporting severe neglect, poor communication, and hygiene issues. While a subset of reviewers praises the physical and occupational therapy departments and specific staff members, the recurring reports of patients being left in soiled conditions, medication errors, and unresponsiveness are deeply concerning.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical and occupational therapy teams
- Select compassionate and attentive nursing staff
- Cleanliness in specific areas noted by some visitors
Concerns
- Neglect of basic hygiene (soiled diapers/linens left for hours) (mentioned by 24 reviewers)
- Unresponsive staff and failure to answer call lights (mentioned by 18 reviewers)
- Poor communication and difficulty reaching staff by phone (mentioned by 14 reviewers)
- Medication management errors and delays (mentioned by 9 reviewers)
- Inadequate nutrition or failure to follow dietary restrictions (mentioned by 8 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 142 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed that your facility is very active in responding to online feedback; how do you use that family input to improve daily operations and communication?
- 2Given the current staffing levels, what is your specific protocol for ensuring that call lights are answered promptly and that residents receive timely assistance with hygiene needs?
- 3Can you walk me through your current process for medication administration to ensure accuracy and prevent delays for residents with complex health needs?
- 4How do you monitor and document that dietary restrictions and nutritional requirements are being met for each resident during meal times?
- 5While I understand the facility has faced recent challenges with health inspections, what specific steps are you taking to improve your current CMS ratings and overall quality of care?
- 6Beyond the physical and occupational therapy programs—which I hear are quite strong—what does a typical day look like for a resident in terms of social engagement and activities?
Personalized based on this facility's data
Key Review Excerpts
“The entire therapy team, however, were absolutely fantastic, and there were two nurses I remember that worked day shift who were awesome as well.”
“My mother left Brandon Regional able to sit up & walk 15 feet & left this facility COMPLETELY bed-ridden after 14 days with pressure ulcers on both heels.”
“The nurses provided a caring and wonderful experience for my great aunt. The staff's dedication and compassion made her stay truly comfortable.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
12
measures
2
measures
3
measures
Residents needing more daily help over time
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has a concerning pattern of complaint-driven deficiencies, with families filing 17 reports over multiple surveys leading to citations for resident protection from abuse and neglect, care planning, and safety issues. The most recurring problems involve care planning and assessment, medication management, and resident protection - with protection from abuse appearing across multiple complaint investigations. While the facility has corrected past violations, the ongoing pattern of family complaints and repeat issues in critical care areas suggests persistent quality concerns that warrant careful consideration before placement.
Jan 5, 2026Complaint3
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Jun 3, 2025Complaint1
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.
Jan 22, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Jan 19, 2024Complaint4
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Jul 27, 2023Routine15
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
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.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Egress Deficiencies
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.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Jun 8, 2023Complaint4
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.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Federal Penalties
Fine
Feb 6, 2024
$3,418
Fine
Jan 19, 2024
$25,910
Ownership & Operations
Who Operates This Facility
Aviata at Oakfield
for profit
Chain Affiliation
Aviata Health Group
52 facilities nationwide
Chain avg rating: 2.1/5 · Rank 22 of 52
Ownership & Management
Owners
1465 Oakfield Dr Opco Parent LLC
Owner · Organization
1465 Oakfield Dr Opco Holdco LLC
Owner (parent company) · Organization
Dagan, Amitai
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Goldberger, Abraham
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Goldberger, Faigy
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Herskowitz, Eliezer
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Herskowitz, Yaakov
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Travitsky, Aaron
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
154 reviews from families & visitors
Official Website
Visit centers.aviatahg.com
Medicare data downloads
Original nursing home datasets
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