Avir at Heritage

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF802Oct 27, 2021

  Based on interview and record review, the facility failed to employ staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service for 1 of 5 dietary aides (Dietary Aide G) reviewed for competencies, in that: Dietary Aide G worked in the facility kitchen and did not have a Food Handling Certificate. This deficient practice could place residents who consume food prepared in the facility kitchen at risk of foodborne illness due to being served by improperly trained staff. The findings were: Record review of Dietary Aide G's personnel record revealed he was hired as a dietary aide on 08/27/2021 and worked in the facility on 36 days between 08/27/2021 and 10/26/2021. […]

• No harm, potential for more than minimal, widespreadF812Oct 27, 2021

  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 for 1 of 1 kitchen reviewed for kitchen sanitation reviewed, in that: 1. Refrigerated food items were unlabeled and undated. 2. Cook M's hairnet did not cover all of her hair. 3. Cook F was not wearing a beard restraint or a hairnet and allowed Resident #55 to enter the kitchen without a hairnet. 4. A dietary staff member's personal lunch was stored in the facility refrigerator. 5. There was no trash can with a foot release near the handwashing sink in the dish washing section of the kitchen. 6. The dish sanitizing machine was soiled with food crumbs. 7. […]

• No harm, potential for more than minimal, patternF550Jun 19, 2026

  Based on observation, interview, and record review, the facility failed to ensure residents were treated with respect and dignity and to provide care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life for 1 of 1 dining area reviewed for dining and 1 of 6 residents (Resident #34) reviewed for resident rights. The facility failed to ensure all residents at one table, to include Resident #65, were served their meals before moving on to the next table for 06/16/2026 lunch.The facility failed to ensure CNA N knocked on 4 residents' rooms, to include Resident #34, before entering. These failures could result in the loss of dignity of residents and decreased quality of life. 1. […]

• No harm, potential for more than minimal, patternF755Jun 19, 2026

  Based on observation, interview, and record review, the facility failed to provide pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispending, and administering of all drugs and biologicals, to meet the needs of each resident for 3 of 8 residents (Resident #9, # 117 and #22) reviewed for pharmacy services. 1. The facility failed to ensure Resident #22's propylene-glycol (MiraLAX) was administered as ordered by a physician. 2. The facility failed to ensure Resident #9's glucosamine-chondroitin was administered as ordered by a physician. 3. The facility failed to ensure Resident #117 had blood pressure parameters set up as a prompt to complete before administering Midodrine and Amiodarone. […]

• No harm, potential for more than minimal, patternF809Jun 19, 2026

  Based on observation, interview, and record review, the facility failed to ensure there were no more than 14 hours between a substantial evening meal and breakfast the following day, except when a nourishing snack is served at bedtime, up to 16 hours may elapse between a substantial evening meal and breakfast the following day if a resident group agrees to this meal span for one of one kitchen. The facility failed to ensure that there was no more than 14 hours between dinner and breakfast the following day or offer a snack when mealtimes span was greater than 14 hours. […]