Avir at Graham

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jul 20, 2024

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in one of one kitchen., in that: The reach-in freezer was not maintained at an interior temperature of zero degrees or below and food stored in the freezer was not frozen solid. The reach-in-freezer temperature was documented on a Refrigerator and Freezer Temperature Log and 10 degrees F was recorded two times daily during May 2024, June 2024, and July 1 - 15, 2025. This failure placed the residents at risk for foodborne illness from being served food that had not been stored at the proper temperature. […]

• No harm, potential for more than minimal, widespreadF908Jul 20, 2024

  Based on observation, interview, and record review, the facility failed to ensure the maintenance of mechanical and electrical equipment in safe operating condition in 1 of 1 kitchen, in that: The reach-in freezer was not maintained at an interior temperature of zero degrees or below and food stored in the freezer was not frozen solid. This failure placed the residents at risk for foodborne illness from being served food that had not been stored at the proper temperature. The findings included: Observation on 7/16/24 at 9:52 AM revealed a commercial stainless steel freezer unit in the dietary department. The reach-in freezer had 2 doors. The interior thermometer measured a temperature of 22 degrees F and food items were not frozen solid. […]

• No harm, potential for more than minimal, widespreadF812Jun 7, 2023

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen, in that: 1. The manual can opener food contact surface was soiled with a dark-colored substance. 2. The electric mixer stand was soiled with a dried, splattered white colored substance. 3. The wooden shelf units in the kitchen and dry food storage area had gouged and scraped paint surfaces, which were not sealed surfaces. 4. The wooden shelf units in the kitchen were covered with vinyl shelf liner in various patterns, sizes, and layers, which were soiled with grease and dust. 5. […]

• No harm, potential for more than minimal, widespreadF812May 10, 2022

  Based on observation, interview, and record review the facility failed to store food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for sanitation The facility failed to ensure raw meats were stored properly below other foods. This failure placed residents at risk of food-borne illnesses. Findings include: Observations on 5/8/2022 at 09:30 AM, during initial kitchen tour two freezers located in the kitchen had two boxes of raw hamburger and two boxes of raw chicken stored above frozen rolls, cookie dough and frozen pre-cooked pancakes, frozen mixed vegetables in a zip-lock type bag and frozen biscuit dough. […]

• No harm, potential for more than minimal, patternF804Aug 14, 2025

  Based on observation, interview, and record review, the facility failed to ensure each resident received food prepared by methods that conserve nutritive value, flavor, and appearance and was provided food that was palatable, attractive and at a safe and appetizing temperature for meals prepared and served from 1 of 1 kitchen. 1. Mechanically altered chicken and macaroni and cheese were not reheated prior to being placed on the steamtable during observation of the lunch meal preparation on 8/14/2025.2. Cold milk was used while preparing pureed hot food items during the lunch meal preparation on 8/14/2025.3. Hot food item holding temperatures were not maintained at a minimum of 140 degrees Fahrenheit on the steamtable for the lunch meal on 8/14/2025.4. […]