Avir at Commerce

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF727Feb 12, 2026

  Based on interview and record review the facility failed to designate a registered nurse to serve as the director of nursing on a full-time basis or have a registered nurse for at least 8 consecutive hours a day, 7 days a week for 1 of 1 facility reviewed for nursing services.The facility did not have 8 hours of RN coverage for 17 of 121 days (10/10/25, 10/11/25, 10/12/25, 10/16/25, 10/17/25, 10/18/25, 10/19/25, 11/15/25, 12/01/25, 12/14/25, 12/21/25, 12/25/25, 01/18/26, 01/24/26, 01/27/26, 01/28/26 and 02/06/26).The facility did not have a designated DON to work full time of at least 40 hours a week from 01/20/26 till current (02/12/26).This deficient practice could place 49 residents at risk of not receiving adequate care by not having staff available with the ability to perform… […]

• No harm, potential for more than minimal, widespreadF725May 8, 2025

  Based on interview and record review, the facility failed to provide sufficient number of nursing staff on a 24-hour basis to provide nursing care to all residents in accordance with resident care plans and the facility assessment for 1 of 1 facility reviewed for care and services. The facility failed to provide sufficient CNAs according to the facility assessment on 02/01/2025, 02/04/2025, 02/05/2025, 02/06/2025, 02/07/2025, 02/08/2025, 03/01/2025, 03/07/2025, 03/10/2025, 03/12/2025, 03/25/2025, 03/29/2025, 04/01/2025. This failure placed residents at risk of inadequate supervision, an unsafe environment, falls, serious harm and injury, exacerbations of disease processes, abuse, and death. […]

• No harm, potential for more than minimal, widespreadF812Oct 11, 2023

  Based on observation, interviews 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 kitchen sanitation in that: 1. Expired food was not disposed of. 2. Food was not labeled or dated. 3. Kitchen equipment was not kept free of carbon buildup. These deficient practices could place residents who received meals from the kitchen at risk for food borne illness. The findings were: During an observation on [DATE] at 9:00 a.m., a cast iron skillet was on the stove that was used to cook breakfast. The cast iron skillet was observed with a thick layer of carbon buildup. The cast iron stove top had a thick layer of carbon buildup. […]

• No harm, potential for more than minimal, widespreadF812Aug 24, 2022

  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. The facility failed to ensure: food items were dated, labeled, and sealed appropriately. expired food item was discarded. the was toaster clean and free of food debris. Damaged cans were stored in a designated area for return to vendor. Chlorine test strips were not expired Refrigerators were free of leaks the juice machine spigot was clean These failures could place residents at risk for foodborne illness. Findings include: During an observation in the refrigerators and freezers on [DATE] starting at 10:15 a.m. […]

• No harm, potential for more than minimal, widespreadF802Oct 6, 2021

  Based on observation, interview, and record review the facility failed to employ sufficient staff with the appropriate competencies and skills set to carry out the functions of the food and nutrition service department for 1 of 4 food handlers reviewed for qualified dietary staff. The facility failed to ensure dietary aide A had a food handler certification. This failure could place residents at risk of not having their nutritional needs met and place them at risk for staff not having proper training. Findings: During an interview and observation on 10/5/21 at 4:15 p.m. dietary aide A was in the kitchen. She said she prepared the resident trays for meals and provided the health shakes and the magic cups for residents who required them. […]