Avir at Burkburnett

In the surveyor’s words

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

• Immediate jeopardy, patternF689Oct 27, 2023

  Based on observation, interview, and record review, the facility failed to ensure the resident environment remained as free of accident hazards as possible and each resident received adequate supervision and assistance devices to prevent accidents for 1 of 5 residents (Resident #13) whose records were reviewed for quality of care. 1. The facility failed to ensure a physician-ordered wander guard was in place for Resident #13. 2. The facility failed to prevent Resident #13 from leaving the facility unaccompanied on 10/05/23. This failure resulted in Immediate Jeopardy on 9/30/23. The noncompliance was determined to be past noncompliance (PNC). The noncompliance began on 9/30/23 at 6:37 PM and ended on 10/06/23. […]

• Actual harm, patternF580Apr 11, 2024

  Based on observation, interview, and record review, the facility failed to consult with the resident's physician, or the resident's representatives regarding a change in condition for 1 (Resident #1) of 3 residents reviewed for notification of changes. The facility did not consult with Resident #1's Physician or Resident Representative regarding a pressure ulcer that was identified on 03/04/2024 and re-assessed on 04/07/2024. This failure could place residents who presented with pressure ulcers at risk for not receiving appropriate care and interventions. Findings were: Record review of Resident #1's admission record revealed she was [AGE] years old. […]

• Actual harm, patternF686Apr 11, 2024

  Based on observation, interview, and 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 pressure injuries for 1 of 7 (Residents #1) residents reviewed for pressure injuries. The facility failed to notify Resident #1's Physician, Resident Representative and Hospice services after identification of wound on Resident #1's right heel. The facility failed to obtain orders for wound care for Resident #1's right heel. The facility failed to perform routine wound care for Resident #1's right heel. The facility failed to complete weekly skin assessments for Resident #1. […]

• No harm, potential for more than minimal, widespreadF812Feb 19, 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:A. Kitchen Aide F wore a hair restraint for his moustache and goatee/beard. B. The shelves throughout the kitchen were clean and not soiled.C. The stove and oven were clean and not soiled with working knobs and all parts working. D. The grease fryer was clean and not soiled with grease buildup.E. The vent hood was clean and free of dust.F. The food cart that drinks were being prepared on was clean and not soiled.G. The food disposal was free of food.H. The food thicker was in a sealed container. […]

• No harm, potential for more than minimal, widespreadF812Aug 17, 2022

  Based on observation, interview, record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for one of one kitchen. The facility failed to date and label food stored in the refrigerator. The facility failed to ensure a kitchen staff wore a hair net during the food temperature check. This failure could place residents at increased risk of exposure to food-borne illnesses. Findings included: During initial tour observation on 08/15/2022 at 7:10 AM revealed a zip top bag with two elongated sausage sticks that were not labeled or dated; and uncovered sandwich was lying exposed on a box without being in a bag or dated; and one sandwich used for snacks was not dated but only had a M labeled (marked in black ink) in the refrigerator… […]