Avante at Inverness Inc

In the surveyor’s words

From the most serious findings on record at Avante at Inverness Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF761Mar 20, 2024

  Based on observation, interview, and record review, the facility failed to ensure medications were labeled and stored in accordance with currently accepted professional principles in 4 of 4 medication carts reviewed for medication storage. Findings include: During an observation on [DATE] at 8:35 AM, Medication Cart #1 was unlocked and unattended. There were two residents walking by the medication cart. Staff B, Licensed Practical Nurse (LPN), returned to the medication cart at 8:38 AM. […]

• No harm, potential for more than minimal, widespreadF847Nov 9, 2022

  Based on record review and interview, the facility failed to ensure the binding arbitration agreements explicitly granted the resident or his or her representative the right to rescind the agreement within 30 calendar days of signing it for to 3 of 3 reviewed residents, Residents #29, #100, and #152. Findings include: Review of Voluntary Binding Arbitration Agreement presented to Resident #29 on 10/10/2022 reads, F. RIGHT TO CHANGE YOUR MIND: This Agreement may be cancelled by written notice sent certified mail, return receipt requested, to the Facility's Administrator within fifteen (15) calendar days of the Resident's date of admission. If alleged acts underlying the dispute are committed prior to the cancellation date, this Agreement shall be binding with respect to said alleged acts. […]

• No harm, potential for more than minimal, widespreadF812May 13, 2021

  Based on observation, record review, and interview, the facility failed to ensure food was stored in accordance with professional standards for food service safety. Findings: During an initial tour of the kitchen with the Certified Dietary Manager (CDM) on 5/10/2021 at 9:35 AM, there was one 2-quart container filled with sliced peaches and one 2-quart container filled with spaghetti and meat sauce in the refrigerator without any dates or labeling of product content. There was also a gallon container of mayonnaise and a jar of grape jelly without an opened or use by date on the products. […]

• No harm, potential for more than minimal, patternF756Jul 9, 2025

  Based on record review and interview, the facility failed to ensure the physician/prescriber documented the rationale for declining the pharmacist's recommendations for 2 (Residents #33 and #53) of 5 residents reviewed for unnecessary medications and failed to ensure the nursing department responded to the pharmacist's recommendation in a timely manner for 1 (Resident #54) of 5 residents reviewed for unnecessary medications. Findings include: 1) Review of Resident #33's consultation report showed a consultant pharmacist's recommendation dated 11/4/2024 that read, Comment: [Resident #33’s name] has received Cymbalta 30 mg [milligram] qd [once a day]; Alprazolam 0.5 mg qhs [every night at bedtime]; Trazadone 100 mg qhs. Recommendation: Please attempt a gradual dose reduction (GDR). […]

• No harm, potential for more than minimal, isolatedF641Jul 9, 2025

  Based on record review and interview, the facility failed to ensure resident assessments were accurate for 1 (Resident #54) of 6 residents reviewed for medication management.Findings include: Review of Resident #54's admission record showed the resident was admitted on [DATE] with the diagnoses including dementia, major depressive disorder, and other specified anxiety disorder, with the diagnosis date of 5/28/2025. Review of Resident #54's Minimum Data Set (MDS) assessment dated [DATE] showed anxiety disorder was not included as a diagnosis under Section I- Active Diagnoses. […]