Avamere Rehabilitation Of Junction City

In the surveyor’s words

From the most serious findings on record at Avamere Rehabilitation Of Junction City, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jan 19, 2023

  Based on observation, interview and record review it was determined the facility failed to ensure residents were free from physical, verbal and emotional abuse for 2 of 4 sampled residents (#s 12 and 25) reviewed for abuse. This deficient practice was determined to be an immediate jeopardy situation. Resident 25 was verbally and emotionally abused by Resident 30. Resident 25 experienced psychosocial harm as a result of Resident 30's targeted aggressive behavior toward Resident 25. Findings include: Resident 30 admitted to the facility in 7/2022 with diagnoses including bipolar disorder and stroke. An 8/26/22 revised care plan revealed Resident 30 was at risk of injury to self or others related to bipolar manic episodes and interventions included one to one provided support as needed. 1. […]

• Actual harm, isolatedF760Jun 7, 2024

  Based on interview and record review it was determined the facility failed to ensure residents were free from significant medication errors for 2 of 3 sampled residents (#s 1 and 5) reviewed for medication. This failure resulted in Resident 1 sustaining a gastrointestinal (GI) bleed which required hospitalization , and placed residents at risk for adverse medication side effects. Findings include: 1. Resident 1 readmitted to the facility on [DATE] with diagnoses including pulmonary embolism (blood clot in the lungs). The 3/4/24 physician orders indicated Resident 1 was to receive apixaban (anticoagulant medication) 10 mg BID for six days, then 5 mg BID. […]

• Actual harm, isolatedF745Jan 19, 2023

  Based on observation, interview and record review it was determine the facility failed to provide counseling services, a revised care plan and interventions related to trauma care for 2 of 5 residents (#s 15 and 25) reviewed for abuse and care planning. Resident 25 experienced repeat traumatization and psychsocial harm associated with increased anxiety, fear and decreased socialization. Findings include: 1. Resident 25 was admitted to the facility in 3/2022 with diagnoses including depression and PTSD (post-traumatic stress disorder). The 3/2022 Admission CAA for Psychosocial Well-Being revealed Resident 25 had past trauma related to her/his ex-spouse and a strained relationship with family. […]

• No harm, potential for more than minimal, widespreadF880Jul 28, 2025

  Based on observation, interview and record review it was determined the facility failed to ensure infection control standards were implemented for facility laundry services. This placed residents at risk for exposure to and contraction of infectious diseases. Findings include: A 1/2014 facility Departmental (Environmental Services) Laundry and Linen policy indicated staff were to keep soiled and clean linen separated and follow standard precautions, which included the use of clean gowns and hand washing after glove use.A 2023 Rapid Multi Surface Disinfectant Cleaner data sheet revealed viruses and bacteria were killed with proper application as follows:-Influenza viruses after 30 seconds.-Methicillin-resistant Staphylococcus aureus (MRSA) bacteria after three to five minutes.-Soft surfaces… […]

• No harm, potential for more than minimal, widespreadF727Apr 5, 2024

  Based on interview and record review it was determined the facility failed to ensure a RN was available for at least eight consecutive hours, seven days a week for 19 of 60 days reviewed for RN coverage. This placed residents at risk for lack of RN oversight including nursing assessments. Findings include: Review of the facility's Direct Care Daily Staff Reports from 2/1/24 through 3/31/24 indicated there was no RN coverage on the following dates: -2/3/24 -2/4/24 -2/10/24 -2/11/24 -2/17/24 -2/18/24 -2/24/24 -2/25/24 -3/2/24 -3/3/24 -3/9/24 -3/10/24 -3/16/24 -3/17/24 -3/23/24 -3/24/24 -3/29/24 -3/30/24 -3/31/24 On 4/5/24 at 10:46 AM Staff 7 (Scheduling Coordinator) acknowledged the facility lacked RN coverage on the identified dates.