Avir at Beaumont

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Jun 20, 2025

  Based on observation, interview and record review, the facility failed to ensure residents had the right to be free from abuse and neglect for 2 of 3 residents (Resident # 47, Resident #87, and Resident #106) reviewed for abuse. The facility failed to ensure Resident #47 was free from sexual abuse when Resident #106 touched her face, hair, and breast area inappropriately on 05/28/2025. The facility failed to ensure Resident #87 was free from physical abuse when Resident #87 and Resident #106 had a physical altercation on 06/05/2025. The noncompliance was identified as PNC. The IJ began on 05/28/2025 and ended on 06/05/2025. The facility had corrected the noncompliance before the survey began. […]

• Immediate jeopardy, isolatedF689Jun 20, 2025

  Based on observation, interview, and record review, the facility failed to ensure that each resident received adequate supervision and assistance devices to prevent accidents for 2 of 3 resident (Residents #87 & #106) reviewed for accidents hazards and supervision. 1. The facility failed to provide adequate supervision on the facility's memory care unit, to prevent Resident #87, who had severe cognitive impairment from wandering into Resident #106 room at approximately 4:00 a.m. on 06/05/25. 2. The facility did not implement interventions to include adequate supervision prior to the incident or following the incident for all residents at risk for injuries related to wandering behaviors. An Immediate Jeopardy (IJ) was identified on 06/19/25 at 4:50 p.m. […]

• Immediate jeopardy, isolatedF689Aug 18, 2022

  Based on observation, interview and record review the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 8 residents (Resident #1) reviewed for accidents and supervision. The facility did not prevent Resident #1 who had a history of elopement prior to admission from leaving the facility unsupervised. Resident #1 was founf one road over from facility in a neighborhood area. The facility was not aware the resident was missing until time for medications. An Immediate Jeopardy (IJ) situation was determined to have existed on 8/8/22 to 8/9/22. […]

• Actual harm, isolatedF773Dec 9, 2022

  Based on interview and record review the facility failed promptly notify the ordering physician or nurse practitioner of laboratory results that fell outside of clinical reference ranges in accordance with facility policies and procedures for notification of a practitioner or per the ordering physician's orders for 1 of 10 residents (Resident #1) reviewed for laboratory services. The facility did not immediately report to Resident #1's physician when a STAT lab was ordered in response to a reported change in condition noted by a family member and facility nursing staff and lab results showed high Na (sodium). The critical high out-of-range laboratory results were not reported to the physician or NP for more than 8 hours after they were resulted causing a delay in treatment. […]

• Actual harm, isolatedF689Jun 3, 2022

  Based on interview, and record review, the facility failed to ensure the resident environment was free of accident hazards and failed to ensure each resident received adequate supervision and assistance to prevent accidents for 2 of 8 residents (Resident #1 and CR #2) reviewed for accidents and supervision. The facility failed to ensure Resident#1 and CR#2 who had a history of physical altercations with each other, were supervised and remained separated to prevent an altercation between them in less than 24 hours where CR #2 entered the smoking area and slapped Resident #1 in the face. These failures could place residents at risk of physical harm, injury, or emotional distress. […]