Avir at Abilene

In the surveyor’s words

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

• Immediate jeopardy, patternF600Aug 29, 2025

  Based on interviews and record review the facility failed to ensure residents were free from neglect for 1 of 7 (Resident $1) reviewed for neglect in that: The facility staff neglected Resident #1 when staff identified Resident #1 as having a cut to the right side of his head after an unwitnessed fall on [DATE], and did not communicate with the nurse to assess resident and begin doing neurological assessments a subdural hematoma (brain bleed) and death on [DATE]. An Immediate Jeopardy (IJ) situation was identified on 8.28.25. The IJ template was provided to the facility on 8.28.25 at 3:05 pm. […]

• Immediate jeopardy, patternF684Aug 29, 2025

  Based on interview and record review, the facility failed to provide treatment and care in accordance with professional standards of practice for 1 of 7 (Resident #1) residents reviewed for quality of care in that: The facility staff failed to assess and monitor Resident #1, when Resident #1 was identified [DATE] as having a cut to the right side of his head, after an unwitnessed fall, which resulted in the resident being sent to the emergency room and diagnosed with a subdural hematoma (brain bleed) and death on [DATE]. An Immediate Jeopardy (IJ) situation was identified on 8.28.25. The IJ template was provided to the facility on 8.28.25 at 3:05 pm. […]

• Actual harm, isolatedF686Oct 1, 2021

  Based on observation, interview and/or record review the facility failed to provide the necessary treatment and services, based on the comprehensive assessment and consistent with professional standards of practice, to prevent development of new pressure ulcers/injuries for 1 of 6 residents (Resident #61) reviewed for pressure injuries, in that: 1. The facility failed to assess Resident #61 for skin abrasions, pressure ulcer &/or wounds. 2. The facility failed to ensure Resident #61 did not develop pressure ulcer/wounds. This failure could place residents at risk for [CONDITION(S)] and hospitalization . […]

• No harm, potential for more than minimal, widespreadF812Apr 9, 2026

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety, for 1 of 1 kitchen as evidence by: The facility failed to ensure:The low-temperature dishwasher failed to reach the required hot water minimum temperature of 120 degrees in the kitchen.This failure placed the residents at risk for foodborne illness from dishes not being sterilized properly. The findings included:In an observation of the initial tour of the kitchen on 04/07/2026 at 9:25 a.m., the low-temperature dishwasher was being utilized by [NAME] A. The hot water temperature was observed at 100 degrees on the bottom thermometer attached to the dishwasher. The top thermometer was observed at 90 degrees. […]

• No harm, potential for more than minimal, widespreadF812Feb 5, 2025

  Based on observations, interviews, and record reviews, the facility failed to properly store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed. The facility failed to ensure food stored in the kitchen were sealed and/or labeled properly in the facilities refrigerator #1 and freezers (#1, #2, and #4). These failures could place residents that eat out of the kitchen at risk for contamination and food borne illnesses. Findings included: During an observation on 2/3/25 at 10:05 AM of facility kitchen revealed; Refrigerator #1: 1 bag of shredded cheese was unsealed and open to air. Freezer #1: 1 box of hamburger patties was unsealed and open to air. Freezer #2: 1 box of egg omelets was unsealed and open to air. […]