Avir at Citizens Trail

In the surveyor’s words

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

• Immediate jeopardy, patternF600Feb 24, 2024

  Based on observation, interview, and record review, the facility failed to ensure the right of the residents to be free from abuse for 6 of 7 residents reviewed for abuse and neglect. (Resident #2, Resident #3, Resident #5, Resident #6, Resident #7, Anonymous Resident) The facility failed to ensure Resident #7 and AR did not suffer physical pain when CNA B provided ADL care to them. The facility failed to ensure Resident #3, Resident #5, Resident #7, and an AR did not suffer verbal and mental abuse, and mistreatment when CNA B would cuss and say hurtful things towards them. The facility failed to ensure CNA B did not remove Resident #5's food from him so he would not have a bowel movement on her. […]

• Immediate jeopardy, patternF607Feb 24, 2024

  Based on observation, interview, and record review, the facility failed to develop and implement written policies and procedures that prohibit mistreatment, neglect, and abuse of residents, and misappropriation of resident property and establish policies and procedures to report and investigate such allegations, for 6 of 7 residents (Resident #3, Resident #5, Resident #7, Resident #2, Resident #6, Anonymous Resident) reviewed for abuse/neglect. The facility failed to follow the facility's policy to ensure CNA B did not verbally and mentally abuse Resident #7, Resident #5, Resident #3, and Anonymous Resident. […]

• Immediate jeopardy, patternF609Feb 24, 2024

  Based on interview and record review, the facility failed to ensure all alleged violations involving mistreatment, neglect, abuse, or misappropriation of resident property were reported immediately, but not later than 2 hours after the allegation is made, if the event that cause the allegation involved abuse to the administrator of the facility and to other officials (including to the State Agency) for 2 of 7 residents (Resident #3 and Resident #4) and 6 of 9 staff members (ADM, CNA E, CNA J, CNA F, LVN G, and AE #1) reviewed for reporting of abuse, neglect and mistreatment. […]

• Immediate jeopardy, isolatedF600Jul 17, 2024

  Based on interview and record review, the facility failed to ensure residents had the right to be free from abuse, neglect, misappropriation of resident property, and exploitation for 1 (Resident #1) of 7 residents reviewed for abuse and/or neglect. The facility failed to prevent CNA A from physically and verbally abusing Resident #1 when she intentionally shoved and used derogatory language towards Resident # 1. The noncompliance was identified as PNC. The IJ noncompliance began on 10/7/23 and ended on 10/8/23. The facility had corrected the noncompliance before the investigation began. This failure could place residents at risk of abuse and neglect. […]

• Immediate jeopardy, isolatedF607Jul 17, 2024

  Based on interview and record review the facility failed to implement written policies and procedures that prohibit and prevent abuse of residents for 1 of 7 Residents (Resident #1) whose records were reviewed for abuse. CNA B failed to report an allegation of resident abuse within 2 hours after learning about the allegation per facility policy. The facility failed to conduct a thorough investigation when the DON completed only 4 safe surveys and did not interview the resident. The facility failed to prevent CNA A from physically and verbally abusing Resident #1 when she intentionally shoved and used derogatory language towards Resident # 1. The noncompliance was identified as PNC. The IJ noncompliance began on 10/7/23 and ended on 10/8/23. […]