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Nursing HomeMedicaid Investigative

Aviata at Oakfield

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

1465 Oakfield Dr, Brandon, FL 33511120 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
2.4/5

based on 154 Google reviews

5
4
3
2
1
Aviata at Oakfield Nursing Home in Brandon, FL — Street View
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4/ 10
moderate Risk

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

Source: Medicare data

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 details
Food2.0Staff3.0Clean3.0Activities5.0Meds1.0MemoryN/AComms1.0ValueN/A

Strengths

  • 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

234'11(1)'15(4)'17(9)'19(9)'21(9)'23(19)'25(19)'26(17)

Distribution · 142 analyzed

5
43
4
6
3
2
2
5
1
86

How They Respond to Reviews

100%response rate

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.

Rehab patient · 2025★★☆☆☆

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.

Long-term resident's family · 2022☆☆☆☆

The nurses provided a caring and wonderful experience for my great aunt. The staff's dedication and compassion made her stay truly comfortable.

Memory care family member · 2023★★★★★
Source: 154 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.54hrs
73%
Registered nurses for medical care
Total Nursing
3.23hrs
79%
All nurses + aides combined
Staff Turnover
48%
Lower is better (< 30% = good)
RN Turnover
61%
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

Quality Measures

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

Medicare Rating
5/ 5
Better Than Avg

12

measures

Worse Than Avg

2

measures

Mixed Results

3

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility5.6%
Better than Avg
Here
5.6%
US
14.4%
FL
9.1%
Hillsborough
13.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility7.3%
Better than Avg
Here
7.3%
US
15.5%
FL
8.7%
Hillsborough
11.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility22.6%
Worse than Avg
Here
22.6%
US
19.5%
FL
15.0%
Hillsborough
18.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility4.5%
Mixed vs Avgs
Here
4.5%
US
12.1%
FL
4.1%
Hillsborough
6.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.1%
Better than Avg
Here
8.1%
US
15.3%
FL
10.6%
Hillsborough
13.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
FL
98.1%
Hillsborough
98.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility99.6%
Better than Avg
Here
99.6%
US
79.8%
FL
94.7%
Hillsborough
93.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.7%
Better than Avg
Here
98.7%
US
81.8%
FL
94.8%
Hillsborough
95.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.7%
Worse than Avg
Here
1.7%
US
1.6%
FL
1.5%
Hillsborough
1.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies
2penalties
Well above state avg (7.3)
13 complaint-triggered
$43,222 in fines

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, 2026Complaint
3
0627Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0691Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Jun 3, 2025Complaint
1
0600Potential for harm · IsolatedCorrected

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, 2025Complaint
1
0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Jan 19, 2024Complaint
4
0600Immediate jeopardy · IsolatedCorrected

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.

0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0656Potential for harm · IsolatedCorrected

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.

0867Potential for harm · IsolatedCorrected

Administration Deficiencies

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

Jul 27, 2023Routine
15
0657Potential for harm · PatternCorrected

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0585Potential for harm · IsolatedCorrected

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.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0655Potential for harm · IsolatedCorrected

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

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0688Potential for harm · IsolatedCorrected

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.

0690Potential for harm · IsolatedCorrected

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.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0849Potential for harm · IsolatedCorrected

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.

0222Potential for harm · IsolatedCorrected

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.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0914Potential for harm · IsolatedCorrected

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.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

Jun 8, 2023Complaint
4
0656Potential for harm · PatternCorrected

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.

0580Potential for harm · IsolatedCorrected

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.

0600Potential for harm · IsolatedCorrected

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.

0607Potential for harm · IsolatedResolved (past non-compliance)

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

Owner / Operator

Aviata at Oakfield

Organization Type

for profit

Chain Affiliation

Chain Name

Aviata Health Group

Chain Size

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

Freund, NochumOfficer / DirectorFreund, NochumManagerNarcisse, SharlaManagerVeve, VanessaManagerAspire Mgt LLCAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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