Avir at Burnet

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Nov 17, 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 safety in the facility's only kitchen reviewed for dietary services. 1.The facility failed to ensure expired meat and cheese were discarded appropriately. 2.The facility failed to ensure cheese in the kitchen was dated and labeled appropriately. These failures could place residents at risk for food contamination and food-borne illness. Findings include: During an observation on [DATE] at 12:15 PM in the walk-in refrigerator revealed, the following items: 1. One plastic bag contained a chunk of pork loin with open date of [DATE] and used by date of [DATE]. 2. […]

• No harm, potential for more than minimal, patternF812Apr 29, 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 reviewed for sanitation. The facility failed to properly label food containers stored in refrigerator with contents and use by date. This failure could place residents at risk of foodborne illness.Findings include: During initial kitchen observation and interview on 04/27/2026 at 6:10 AM revealed the following:*five small single serve condiment containers holding diced green onions that were not labeled or dated in the walk in refrigerator.*two bags of shredded lettuce that had expired on 04/22/2026.DM removed and disposed of these items and stated the containers were for garnish the… […]

• No harm, potential for more than minimal, patternF880Apr 29, 2026

  Based on observation, interview, and record review, the facility failed to provide a safe and sanitary environment to prevent the development and transmission of communicable diseases and infections for 3 of 7 residents (Resident #36, Resident #49, and Resident #54) reviewed for infection control. CNA B did not change contaminated gloves prior to Resident #49's repositioning; contact with clean supplies; and she did not wash her hands after removing gloves post perineal care. ADON did not sanitize her hands between changing gloves and before exiting a room while performing wound care on Resident #54. LVN A did not sanitize hands after removing gloves and touching medication cart and documenting on the computer after completing blood sugar check on Resident #36. […]

• No harm, potential for more than minimal, patternF812Feb 19, 2025

  Based on observation, interview, and record review, the facility failed to distribute and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen. The facility failed to ensure Dietary Aide A and Dietary Aide B's hair was completely contained with an effective hair restraint. This failure could place residents at risk of being served unsanitary food and foodborne illness. Findings Included: During an observation in the Kitchen on 02/17/25 at 7:35 a.m., Dietary Aide B had approximately 3-4 inches of hair in the nape (back of her head) and wisps of her hair (around front profile of face) not covered with hair net. […]

• No harm, potential for more than minimal, patternF695Nov 17, 2023

  Based on observation, interview and record review the facility failed to ensure that a resident who needed respiratory care was provided with such care, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for three of five residents reviewed (Resident #1, #2, and #3) for respiratory care. 1. The facility failed to ensure Resident #1's humidifier for the oxygen concentrator had water. 2. The facility failed to ensure Resident #1's nebulizer mask was bagged while not in use. 3. The facility failed to ensure Resident #2's oxygen tubing was changed weekly as ordered. 4. The facility failed to ensure Resident #3 had an oxygen sign posted outside her bedroom. […]