Avir at Caldwell

In the surveyor’s words

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

• Immediate jeopardy, patternF689Jul 31, 2026

  Based on observation, interviews, and record review the facility failed to ensure that the resident environment remained as free of accident hazards as was possible and each resident received adequate supervision and assistance devices to prevent fire affecting 44 of 44 Residents. The facility failed to implement effective interventions to prevent a second fire on [DATE] after a fire on [DATE] in the dining room. An Immediate Jeopardy (IJ) was identified on [DATE]. The IJ template was provided to the facility on [DATE] at 5:37 pm. While the IJ was removed on [DATE] at 3:45 pm, the facility remained out of compliance at a scope of widespread and severity level of no actual harm due to the facility's need to evaluate the effectiveness of the corrective systems. […]

• Immediate jeopardy, patternF684Aug 26, 2025

  Based on observation, interview, and record review, the facility failed to ensure based on the comprehensive assessment of a resident, the residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one (Resident #1) of five residents reviewed for quality of care. The facility failed to: 1. Ensure ants were not found on Resident #1's body on 08/13/25 and 08/15/25 which caused large papules (small bumps on the skin that contain fluid or pus) from his right shoulder to elbow, right hip to mid-thigh, abdomen, and between the toes of his feet.2. Accurately document in Resident #1's EMR regarding the presence of ants/ant bites on his body.3. […]

• Immediate jeopardy, patternF925Aug 26, 2025

  Based on observation, interview, and record review, the facility failed to maintain an effective pest control program so that the facility was free of pests and rodents for one (Resident #1) of five residents reviewed for physical environment. The facility failed to ensure ants were not found on Resident #1's body on 08/13/25 and 08/15/25 which caused papules (small bumps on the skin that contain fluid or pus) from his right shoulder to elbow, right hip to mid-thigh, abdomen, and between the toes of his feet. This failure resulted in an identification of an Immediate Jeopardy (IJ) on 08/25/25 at 7:10 PM and a template was provided. […]

• No harm, potential for more than minimal, widespreadF812Oct 16, 2024

  Based on observations, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for one of one kitchen reviewed for sanitation. 1. The facility failed to ensure sanitation practices (cleaning the ice machine, cleaning the ice machine scoop receptacle, storing, and stacking wet dishes on top of each other, ensure dish machine sanitizer levels are within the required range, utilization of an ice scoop receptacle with a lid, cleaning the walk-in cooler floor of food debris) for facility annual survey [DATE]-[DATE]. 2. The facility failed to ensure temperature logs were being completed for nourishment refrigerators for the facility annual survey [DATE]-[DATE]. 3. […]

• No harm, potential for more than minimal, widespreadF555Jul 19, 2024

  Based on observation, interview, and record review, the facility failed to honor the residents right to choose his or her attending physician for 4 of 4 residents (Resident #1, Resident #2, Resident #3, and Resident #4) and the entire facility reviewed for resident rights. The facility did not honor any residents right to choose his/her primary care physician as his/her attending physician after the facility terminated their Medical Director agreement and changed the attending physician without notice to the residents or their representatives effective 07/04/24. This deficient practice could place residents at risk of decreased quality of care and treatment due to their lack of free choice for their attending physician care while in the facility. […]