Avir at Irving

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Feb 26, 2026

  Based on observations, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety in the facility's only kitchen.1. The facility failed to ensure the stand-by freezer food items were sealed and labeled. 2. The facility failed to ensure the stand-by refrigerator food items were dated, labeled, and sealed.3. The facility failed to ensure the dry storage food items were sealed.4. The facility failed to ensure that canned good food items were free of dents.5. The facility failed to ensure that serving utensils were used when handling food items.6. […]

• No harm, potential for more than minimal, widespreadF880Feb 26, 2026

  Based on interviews and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections in 1 of 1 facility reviewed for water management. The facility failed to implement a water management program including: 1.) An assessment to identify where Legionella and other opportunistic waterborne pathogens could grow and spread; and2.) to implement measures to prevent the growth of opportunistic waterborne pathogens (control measures), and how to monitor them. This failure could place residents at risk of waterborne illness. […]

• No harm, potential for more than minimal, widespreadF812Dec 5, 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 1 of 1 kitchen. The facility failed to ensure food items in dry storage were dated, labeled, and securely stored. The facility failed to ensure frozen and refrigerated food items were dated, labeled, and securely stored. The facility failed to ensure that a metal container of butter was covered to avoid risk of contamination. A pastry brush was left inside the melted butter container. The facility failed to ensure that prepared foods were held correctly and maintained safe temperatures. The facility failed to ensure that prepared foods were free of cross-contamination risk. […]

• No harm, potential for more than minimal, patternF755Jan 16, 2026

  Based on observation, interview and record review, the facility failed to provide pharmaceutical services including procedures that assures the accurate dispensing and administering of all drugs and biologicals to meet the needs of each resident for one (Resident #1) of four residents reviewed for medication administration. The facility failed to ensure Resident #1 had received her medications as scheduled and as ordered by her physician. This failure placed residents at risk for decreased quality of life, unrelieved pain and misappropriation or property. […]

• No harm, potential for more than minimal, patternF727Dec 5, 2024

  Based on interview and record review, the facility failed to use the services of a Registered Nurse for a minimum of eight consecutive hours a day, seven days a week, for 13 of 26 weekend days. The facility failed to have RN coverage on the following dates in 2024: -April 6, 7, 13, 14, 20, and 21. -May 4, 5, 11, 12, 18, 19, and 26. This failure could place residents at risk of not having their nursing and medical needs met, and not receiving proper care. Findings included: Review of the CMS PBJ Staffing Data Report, a report reflecting data self-reported to CMS by the facility, dated 11/26/24, reflected the facility had not reported RN coverage hours for the weekend dates of April 6, 7, 13, 14, 20, 21, and May 4, 5, 11, 12, 18, 19, and 26. […]