Avir at Arbor Terrace

In the surveyor’s words

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

• Immediate jeopardy, patternF760Aug 10, 2024

  Based on interview and record review the facility failed to ensure residents were free from of any significant medication errors for 1 of 11 residents (Resident #1) reviewed for medication regimen. The facility did not administer physician ordered medications to Resident #1 that included handheld nebulizer breathing treatments, inhalers, nasal sprays, and tablets for diagnosed respiratory diseases. This resulted in the need for Resident #1 to be transferred to ED on 08/04/2024 at 8:55 PM and admitted to hospital with diagnosis of acute exacerbation of chronic obstructive pulmonary disease (lung disease causing breathing problems) and symptoms of shortness of breath. An Immediate Jeopardy was identified on 08/09/2024. […]

• Immediate jeopardy, patternF689Mar 29, 2024

  Based on observations, interview, and record review the facility failed to ensure the environment remained free of accidents hazards and provided adequate supervision to prevent accidents for 5 of 9 (Resident #1, #8, #9, #10 and #11) residents reviewed. 1. The facility failed to ensure Resident #1, #8, #9, and #10 were provided direct supervision of staff when smoking. Residents #1, #8, #9, and #10 were allowed to sign out and go outside to smoke in an undesignated smoking area unsupervised in an area with flammable objects of dry grass and dry wood. Residents #1 and #8 were observed to cross the street in front of the facility to the picnic table at the park and smoke in their wheelchairs unsupervised near a creek with an 8-foot drop off. 2. […]

• Immediate jeopardy, isolatedF678Dec 1, 2023

  Based on interviews, and record reviews the facility failed to provide basic life support, including CPR to a resident requiring such emergency care and subject to related physician orders and the resident's advance directives for 1 (Resident #1) of 9 residents reviewed for CPR, in that; The facility failed to ensure Resident #1 received life saving measures including CPR (Cardiopulmonary Resuscitation) when she was found unresponsive on [DATE]. The non-compliance was identified as past non-compliance. The IJ began on [DATE] and ended on [DATE]. The facility had corrected the noncompliance before survey began. This failure could place residents at risk of not receiving life saving measures including CPR and could lead to death. […]

• Immediate jeopardy, isolatedF600Apr 10, 2021

  Based on observation, interview, and record review the facility failed to ensure the resident's right to be free from abuse and neglect for 1 (Resident #2) of 2 residents reviewed for abuse and neglect. The facility failed to timely assess or transfer Resident #2 to the hospital after changes in condition were observed. The resident was found with a pool of blood under her head and on the bed. Resident #2 was not assessed until about 7 hours later. She was transferred to the hospital with presentation of a widespread infection causing organ failure and dangerously low blood pressure and fracture of the cervical nerves. […]

• Immediate jeopardy, isolatedF684Apr 10, 2021

  Based on observation, interview, and record review the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice for 1 (Resident #2) of 2 residents reviewed for abuse and neglect. The facility failed to timely assess or transfer Resident #2 to the hospital after changes in condition were observed. The resident was found with a pool of blood under her head and on the bed. Resident #2 was not assessed until about 7 hours later. […]