Avir at Converse

In the surveyor’s words

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

• Immediate jeopardy, isolatedF678Jul 27, 2024

  Based on interview and record review the facility personnel failed to provide basic life support, including CPR, to a resident requiring such emergency care prior to the arrival of emergency medical personnel and subject to related physician orders and the resident's advance directives for 1 of 6 residents (Resident #1) whose records were reviewed for code status. The facility failed to ensure nursing staff followed emergency protocol and failed to ensure staff provided Resident #1, who had a Full Code in place, CPR, after the resident was found unresponsive with no pulse or respirations, according to professional standards of practice. On [DATE] at 4:51 p.m., and Immediate Jeopardy (IJ) was identified. […]

• Immediate jeopardy, isolatedF689Apr 9, 2024

  47564 Based on observation, record review, and interviews, the facility failed to provide adequate supervision, for 1 of 4 residents (Resident #3) reviewed for accidents, hazards, and supervision. Resident #3 walked out of the facility through an alarming door without staff responding. This deficient practice placed residents at risk for being unsupervised, accidents, and injury. This failure resulted in the identification of an Immediate Jeopardy (IJ) on 4/8/2024 at 2:05 PM. While the immediacy was removed on 4/9/2024, the facility remained out of compliance at a severity level of potential for more than minimal harm that was not an Immediate Jeopardy and a scope of isolated due to the facility's need to monitor the implementation of the plan of removal. […]

• Immediate jeopardy, isolatedF578Feb 25, 2024

  Based on interviews and record reviews, the facility failed to ensure residents had the right to request, refuse, and/or discontinue treatment, to participate in experimental research, and to formulate an advance directive for 1(Resident #69) of 24 residents reviewed for advanced directives. The facility failed to honor the rights of Resident #69's wishes to die a dignified death by failing to honor a signed OOH DNR order on [DATE] at 9:30 AM when Resident #69 was found unresponsive without a pulse and had a full code initiated to include CPR for approximately 25 minutes. An IJ was identified on [DATE]. The IJ template was provided to the facility on [DATE] at 5:55 p.m. […]

• Immediate jeopardy, isolatedF678Feb 25, 2024

  Based on interviews and record reviews, the facility failed to provide basic life support , including CPR, to a resident requiring such emergency care prior to the arrival of medical personnel and subject to related physician orders and the resident's advanced directives for 1(Resident #69) of 24 residents reviewed for advanced directives. The facility failed to provide emergency care subject to physician orders and the resident's advanced directives when Resident #69 was readmitted to the facility. On [DATE] at 09:30 AM Resident #69 was found unresponsive without a pulse and had a full code initiated to include CPR for approximately 25 minutes when he had an OOH DNR. An IJ was identified on [DATE]. The IJ template was provided to the facility on [DATE] at 5:55 p.m. […]

• Immediate jeopardy, isolatedF580Dec 21, 2022

  Based on observation, interviews and record reviews the facility failed to immediately inform the physician of a significant change of condition to a resident's physical status for 1 of 8 residents (Resident#1) reviewed for change in condition in that: The facility failed to implement their process for ongoing monitoring of residents on oxygen and notify the physician when Resident #1's O2 saturations remained at 81% on oxygen. This change of condition resulted in Resident #1 expiring. This failure resulted in identification of Immediate Jeopardy (IJ) on [DATE] at 12:18 p.m. […]