Avir at Elkhart

In the surveyor’s words

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

• Immediate jeopardy, isolatedF678Feb 4, 2022

  Based on interview, observation, and record review, the facility failed to ensure basic life support, including cardiopulmonary resuscitation (CPR), was provided to a resident requiring such emergency care prior to the arrival of emergency medical personnel and subject to related physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . *The facility failed to ensure CPR was provided to Resident #1 who was a full code. On [DATE] CPR was not initiated by facility staff after Resident #1 was found not breathing, without a pulse, and unresponsive. EMS was notified by facility upon arrival that Resident #1 was expired and did not initiate CPR or transport to hospital. An Immediate Jeopardy (IJ) was identified to have occurred from [DATE] at 8:48 AM to [DATE] at 11:59 PM. […]

• Actual harm, isolatedF689Jan 11, 2023

  Based on observation, interview and record review the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 2 of 6 residents (Resident #1 and Resident #242) reviewed for adequate supervision. 1. The facility failed to transfer Resident #1 with a mechanical lift and 2 staff member assistance, resulting in a laceration to her right lower extremity requiring 16 sutures. 2. The facility did not ensure the brakes were engaged when Resident #242 was lifted and lowered with the Hoyer device (an assistive lift device that allows for transfer using electrical power). These failures could place residents at risk for injury, harm,or impairment. Findings included: 1. […]

• No harm, potential for more than minimal, widespreadF725Aug 6, 2025

  Based on observation, interview, and record review the facility failed to provide sufficient nursing staff to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care and considering the number, acuity and diagnoses of the facility's resident population in accordance with the facility assessment for 6 of 6 resident hallways (Halls #1, #2, #3, #4, #5, and #6) reviewed for sufficient staffing in that:The facility failed to ensure sufficient nursing staff when multiple residents and family members reported slow or no call light response.The facility failed to provide an additional support nurse to assist the… […]

• No harm, potential for more than minimal, widespreadF812Apr 9, 2025

  Based on observation, interview, and record review the facility failed to store and distribute food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for kitchen sanitation. 1. The facility failed to store and label foods in accordance with professional standards. 2. The facility failed to ensure there were no gaps under the air conditioning unit beside the handwashing sink. 3. The facility failed to maintain clean air vents on the air conditioner located near the clean dish station. […]

• No harm, potential for more than minimal, widespreadF812Feb 28, 2024

  Based on observation, interview, and record review the facility failed to store and distribute food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for kitchen sanitation. 1. DA C failed to follow the cleaning and sanitizing requirements for equipment when she dried wet plates from the dishwasher on 02/26/2024. 2. The facility failed to store foods in accordance with professional standards. 3. The facility failed to date opened items in the refrigerator. These failures could place residents who ate the food from the kitchen at risk for food-borne illness and/or transmission-based infections. Findings include: During an observation on 02/26/24 at 9:23 AM DA C was drying plates from the dishwasher with a cloth towel. […]