Avir at Arden Wood

In the surveyor’s words

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

• Immediate jeopardy, widespreadF600Dec 23, 2023

  Based on observation, interview, and record review, the facility failed to ensure each resident was free from neglect for 13 of 15 residents (Resident #1, Resident #16,Resident #20, Resident #25, Resident #37, Resident #39, Resident #49, Resident #51, Resident #61, Resident #84, Resident #100, Resident #107, Resident #109) across 3 out of 3 units (100-Hall, 200-Hall and 300 Hall) reviewed for neglect. - The facility failed to take the appropriate actions of: retaining an IP with qualified training, complete tracking and trending of infections from August to October of 2023, treat diagnosed and presumptive scabies ( an infestation with the scabies mite), isolate of resident's with presumptive and diagnosed scabies, implement of environment controls to limit the spread of scabies and… […]

• Immediate jeopardy, widespreadF880Dec 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 and follow accepted national standards for 13 out of 15 residents (Resident #1, Resident #16,Resident #20, Resident #25, Resident #37, Resident #39, Resident #51, Resident #61, Resident #81, Resident #84, Resident #95, Resident #100, Resident #107, Resident #109) and 4 of 5 Staff ( CNA AA, CNA BB, CNA CC, CNA D and CNA S) reviewed for infection control. - The facility failed to implement environment controls and surveillance to prevent a scabies outbreak. […]

• Immediate jeopardy, widespreadF882Dec 23, 2023

  Based on interview and record review, the facility failed to ensure a person designated as the infection preventionist had completed specialized training in infection prevention and control for 1 of 1 staff (DON) reviewed for Infection Preventionist qualifications and role. - The facility failed to ensure the DON had completed the required Nursing Facility Infection Preventionist training course IP which resulted in failure to implement an effective Infection Control Program, resulting in Residents #107, #39, #25, #37, #100, #51, #61, #81, #16, #84, #109, #20, and #1 contracting and being treated for scabies. […]

• Immediate jeopardy, patternF600Feb 19, 2024

  Based on observation, interview, and record review, the facility failed to ensure each resident was free from neglect for one (Resident #1) of eight residents whose records were reviewed for abuse and neglect. The facility failed to supervise Resident #3 and Resident #2, which ended in an unwitnessed resident to resident altercation. Resident #3 was struck on the head with a trashcan and sustained a laceration and hematoma to the forehead which required a hospital visit. On 02/14/24 at 10:45 am an Immediate Jeopardy (IJ) was identified. […]

• Immediate jeopardy, patternF656Feb 19, 2024

  Based on observations, interviews, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that included measurable objectives and time frames to meet residents' mental and psychosocial needs, for two (Resident #2 and #3) of eight residents reviewed for care plans. 1.) The facility failed to update Resident #2's care plan after he demonstrated a history of aggressive behaviors regarding resident care and his personal space to staff and residents. 2.) The facility failed to include that Resident #3 was a fall risk in the care plan. On 02/12/24 at 01:50 pm an Immediate Jeopardy (IJ) was identified. […]