Avir at El Paso

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Aug 18, 2025

  Based on observation, interview and record review the facility failed to ensure each resident receives adequate supervision to prevent accidents for 1 (Residents #1) of 8 resident reviewed for accidents and supervision. The facility failed to ensure adequate supervision to prevent accidents for Resident #1 when, on 8/3/25, Receptionist A allowed him to leave the building without confirming with staff whether he could be outside independently or verifying if he was a visitor. Resident #1 made it across the border to another state and then to the port of entry to another country. Resident #1 required hospital treatment for dehydration. The noncompliance was identified as PNC. The IJ began on 8/3/25 and ended 8/4/25. The facility had corrected the noncompliance before the survey began. […]

• Immediate jeopardy, isolatedF658Nov 8, 2024

  Based on interview and record review, the facility failed to ensure that services provided or arranged by the facility met professional standards of quality for 1 of 8 (Resident #1) residents reviewed for care, in that: The facility failed to provide care that included but not limited to assessing, evaluating, and responding to residents needs for Resident #1. On [DATE], LVN D did not conduct a thorough assessment of Resident #1 when informed by CNA C that Resident #1's family informed her the resident had stopped talking while eating and spit out a piece of meat. LVN D did not have her stethoscope to check lung sounds. LVN D, when the family requested 911 be called, responded that they (the family) could call 911 if they wanted. […]

• Immediate jeopardy, isolatedF684Nov 8, 2024

  Based on interview and record review, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for 1 of 5 residents (Resident #1) reviewed for change in condition. On [DATE] around 2PM, CNA B failed to report to LVN D that CNA B observed Resident #1 had blue lips and difficulty breathing. CNA B failed to report Resident #1's change in condition to LVN D so that LVN D could reassess Resident #1. LVN D, when notified by the family that they were requesting 911 called responded that they (the family) could call 911 if they wanted. […]

• Immediate jeopardy, isolatedF689Jul 27, 2024

  Based on observation, interview, and record review, the facility failed to provide adequate supervision to prevent accidents for 1 (Resident #1) of 5 residents reviewed for accidents. The facility failed to place Resident #1's bed low to the ground and place the fall mat next to the bed while Resident #1 was in bed. This led to Resident #1 on 06/22/24 having her left arm/hand caught in between the grab bars (enablers) and the mattress, her right back shoulder hit the tray table, her right arm hit the trash can, and her rear hit the ground while her legs slid underneath the bed. An Immediate Jeopardy (IJ) was identified on 07/26/24 at 4:24 PM. […]

• Immediate jeopardy, isolatedF689Jul 12, 2023

  Based on observation, interview and record review the facility failed to ensure the resident environment remains as free of accident hazards as is possible; and Each resident receives adequate supervision and assistance devices to prevent accidents for 1 of 14 (Resident #13) residents reviewed for supervision. The facility failed to respond to door alarm that resulted in Resident #13 elopement on [DATE]. Resident #1, who had dementia and a history of wandering, was last seen by CNA at 5 pm and left the facility through an alarmed door on [DATE] at unknown time. Staff did not hear or respond to the alarm. CNA B realized Resident #1 was missing when they were unable to locate her at 5:45 pm and a search was initiated. […]