Avenue at Medina

In the surveyor’s words

From the most serious findings on record at Avenue at Medina, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Nov 23, 2022

  Based on observation, interview, and record review the facility failed to perform proper hand hygiene during wound dressing; failed to provide hand hygiene during blood glucose monitoring and failed to disinfect the glucometer; failed to properly prepare the skin prior to blood glucose sampling. This affected one Resident #38 of one observed for wound dressing; affected two Residents #36 and #46 of five residents who receive glucose monitoring and affected three residents #16, #36, #46 out of five residents who received glucose monitoring The facility census was 64. Finding Include: 1. Review of the medical record for Resident #34 revealed an admitted [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF658Feb 18, 2026

  Based on record reviews, interviews, review of the State Board of Pharmacy investigation and facility policy review, the facility failed to ensure medications were safeguarded in accordance with accepted professional standards of practice when a licensed nurse diverted (stole) non-narcotic medications belonging to 10 residents without knowledge of facility administration. This affected 10 (Residents #6, #39, #43, #78, #79, #80, #81, #82, #83, #84) of 65 residents reviewed for medications.Findings include:1. Review of medical record for Resident #6 noted an admission date of 04/25/25. Diagnoses included generalized anxiety disorder and major depressive disorder. […]

• No harm, potential for more than minimal, patternF684Jan 26, 2024

  Based on record review, interview, smart watch data review, and policy review the facility failed to check on Resident #69 every two hours as care planned, and failed to ensure residents receiving skilled services were weighed upon admission and vitals signs were obtained daily affecting Residents #23, #30 and #46. This affected four of nine sampled residents, Residents #69, #30, #23, and #46. Facility census was 66. Findings include: 1. Review of Resident #69's closed medical records revealed an admitted [DATE] and a discharge (deceased ) date of [DATE]. Diagnoses included left femur fracture and high blood pressure. Review of the care plan dated [DATE] revealed Resident #69 had bowel and bladder incontinence. […]

• No harm, potential for more than minimal, patternF761Nov 23, 2022

  Based on observation, interview and record review the facility failed ensure medications were stored securely. This affected two residents #15 and #31 and had the potential to affect an additional 33 Residents, #1, #5, #6, #9, #10, #14, #15,#16, #18, #19, #20,#21, #27,#28, #29, #31, #34, #38,#42, #45, #46, #47,#106, #107,#108, #110, #160, #161, #162, #163, #168, #259, and #260 The census was 64. Finding include: 1. Record for Resident #31 revealed an admitted [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the annual Minimum Data Set (MDS) 3.0 assessment for Resident #31, dated 10/01/22, revealed the resident had impaired cognition. […]

• No harm, potential for more than minimal, patternF812Nov 23, 2022

  Based on interview and observation, the facility failed to ensure the kitchen was clean and sanitary. This had the potential to affect all residents who received food from the kitchen. The facility census was 64. At the time of the annual survey the facility had all resident's receiving food from the kitchen. Findings include: Observation of the kitchen on 11/21/22 at 10:30 A.M. revealed some areas of concern regarding cleanliness: These areas included: The side of the deep fryer had grease splattered on it. On floor on the side of deep fryer was crumbs of food and grease. Behind the stove top was grease, crumbs of food and paper The steam tray doors were splattered with brown spots as was the base of the door frame. […]