Avir at Adams

In the surveyor’s words

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

• Immediate jeopardy, widespreadF812Sep 23, 2023

  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 one of one kitchen reviewed for general sanitation. 1. The facility failed to ensure that wastewater from the toilet in the kitchen bathroom did not leak into the kitchen. 2. The facility failed to ensure that a bucket of waste material in the facility kitchen was disposed of properly. 3. The facility failed to ensure that the area around the ice machine was free of wastewater. An IJ was identified on 09/21/23. The IJ template was provided to the facility on [DATE] at 05:25 PM. […]

• Immediate jeopardy, widespreadF880Sep 23, 2023

  Based on observation, interview, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one of one kitchen reviewed for infection control. 1. The facility failed to ensure that wastewater from the toilet in the kitchen bathroom did not leak into the kitchen. 2. The facility failed to ensure that a bucket of waste material in the facility kitchen was disposed of properly. 3. The facility failed to ensure that the area around the ice machine was free of wastewater. An IJ was identified on 09/21/23. The IJ template was provided to the facility on [DATE] at 05:25 PM. […]

• Immediate jeopardy, patternF600May 3, 2023

  Based on observations, interviews, and record reviews, the facility failed to ensure the resident's right to be free from abuse for 3 (Resident #1, Resident #2, and Resident #3) of 68 residents reviewed for abuse. 1. Resident #1 grabbed Resident #2 by her hair and started punching her. 2. Residents #1 and #3 were pulling on each other's shirts, scratching, and punching the other. An IJ was identified on 4/29/23 at 6:21pm. Although the IJ was removed on 05/02/23 at 5:21pm, the facility remained out of compliance at a severity level of no actual harm and scoped at a pattern due to the facility continuing to monitor the implementation and effectiveness of the corrective systems. This failure place residents at risk for serious injury, emotional distress, and death. […]

• Immediate jeopardy, patternF689May 3, 2023

  Based on observations, interviews, and record reviews, the facility failed to ensure residents received adequate supervision to prevent accidents for 3 (Resident #1, Resident #2, and Resident #3) of 68 residents reviewed for incidents. 1. On 9/17/23, a nurse witnessed Resident #1 repeatedly strike Resident #2 in the head. 2. On 11/7/23, staff witnessed Resident #1 and Resident #3 pulling on each other's shirts, scratching, and punching each other. 3. On 3/21/23, HL A witnessed Resident #1 grab Resident #2 by her hair and repeatedly punch her. An IJ was identified on 4/29/23 at 6:21pm. […]

• Immediate jeopardy, isolatedF600Jan 3, 2026

  Based on interviews and record reviews, the facility failed to protect the resident's(s') right to be free from abuse, neglect, misappropriation of property, and exploitation for 2 of 6 residents (R#1 and R#2). The facility failed to ensure R#1 was not sexually assaulted by R#2 on 12/27/25. An IJ was identified on 12/31/25. The IJ template was provided to the facility on [DATE] at 9:04 p.m. While the IJ was removed on 01/02/26, the facility remained out of compliance at a scope of isolated and a severity level of no actual harm with the potential for more than minimal harm that is not immediate jeopardy because of the facility's need to evaluate the effectiveness of their corrective systems. […]