Avir at Carthage

In the surveyor’s words

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

• Immediate jeopardy, patternF689Apr 12, 2023

  Based on observations, interviews, and record review the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 4 of 5 residents (Resident #1, Resident #2, Resident #3 and Resident #4) reviewed for smoking. The facility failed to ensure Resident #1 was not provided with smoking paraphernalia by Resident #2. Resident #1 had a history of attempting to smoke while in room. On 02/27/2023, Resident #1 was given a cigarette and lighter by Resident #2 and lit the cigarette in her room and set the lit cigarette on the over bed table causing a napkin to catch fire, and minutes later lit a brief on fire catching the residents blanket on fire. […]

• Immediate jeopardy, isolatedF689Jul 15, 2025

  Based on observations, interviews and record review the facility failed to ensure the resident environment remained free of accident hazards as possible, and each resident received adequate supervision to prevent elopement for 1 of 8 residents (Resident #1) reviewed for accident hazards and supervision.The facility failed to supervise and put measures in place to keep Resident #1 from eloping on 6/13/25.The facility failed to complete Resident #1's quarterly elopement risk assessment due after 12/27/25. Resident #1's elopement risk assessment was not completed until 06/13/25, after she had eloped from the facility.The noncompliance was identified as PNC. The IJ began on 06/13/25 and ended on 06/17/25. The facility had corrected the noncompliance before the survey began. […]

• Immediate jeopardy, isolatedF678Aug 16, 2024

  Based on observation, interview, and record review the facility failed to provide basic life support, including CPR to a resident requiring emergency care prior to the arrival of emergency medical personnel and subject to related physician orders and the residents advanced directives for 1 of 4 residents reviewed for emergency care ( Resident #1) The facility failed to assess and immediately initiate CPR when Resident #1, who was a full code, was found unresponsive in the dining room on [DATE] at 7:10 a.m. CPR was not initiated until EMS arrived (12 minutes after the resident was found unresponsive). Resident #1 was transported to the hospital, found to have large amounts of solid food in his airway, and pronounced deceased on [DATE] at 9:18 a.m. […]

• Immediate jeopardy, isolatedF600Jul 10, 2024

  Based on interview and record review, the facility failed to ensure residents were free from abuse for 2 of 10 residents (Resident #1 and Resident #2) reviewed for abuse. The facility failed to prevent LVN A, on 12/10/23, from verbally and physically abusing Resident #1 when she used foul language and threw ice at Resident #1. The facility failed to prevent LVN A, on or about 12/10/23, from verbally and physically abusing Resident #2 when she used foul language and threw an object at Resident #2. The noncompliance was identified as PNC. The IJ began on 12/10/2023 and ended on 12/15/2023. The facility had corrected the noncompliance before the survey began. […]

• Immediate jeopardy, isolatedF607Jul 10, 2024

  Based on interview and record review, the facility failed to implement written policies and procedures that prohibit mistreatment, neglect, and abuse of residents, for 2 of 10 residents (Resident #1 and Resident #2) reviewed for abuse. 1. The facility failed to ensure [NAME] B, DA C, and MA D immediately reported witnessed abuse towards Resident #1 to the abuse coordinator. 2. The facility failed to ensure Resident #1, and Resident #2 was free from abuse per the policy. 3. The facility failed to ensure the abuse coordinator obtained in writing or electronic format witness statements from [NAME] B, DA C, and MA D. 4. The facility failed to ensure, per their policy, to report alleged allegation of abuse towards Resident #2 to HHSC. The noncompliance was identified as PNC. […]