Avir at Itasca

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Sep 15, 2021

  Based on observation, interviews and record reviews the facility failed to ensure that each resident received adequate supervision to prevent accidents and hazards for one (Resident #1) of 11 residents reviewed for accidents and hazards. The facility failed to provide adequate supervision and routine resident checks for Resident #1 on the secure unit. The facility failed to have sufficient staffing in secure unit to meet residents' needs. The facility failed to provide adequate supervision or monitoring of residents in secure unit to prevent elopement risk. On 09/09/2021 on or around 3:00 a.m., Resident #1 climbed out of a window of the secure unit dining area. Resident #1 got a ride from a male stranger and was located 30 miles away on or around 9:00 am on 09/09/2021. […]

• No harm, potential for more than minimal, widespreadF812Aug 24, 2023

  Based on observation, interview, and record review, the facility failed to store and prepare food in accordance with professional standards for food service safety in the facility's only kitchen reviewed for food and kitchen safety. The facility failed to label and date food products io the refrigerator and thaw foods appropriately. There failures could place residents at risk for food-born illness. Findings included: Observations on 8-22-2023 at 8:30 AM of the facility's refrigerator revealed parmesan cheese and sliced American cheese loosely wrapped, exposed to the air, without labels to signify the date in which the product was opened and when it was supposed to expire. […]

• No harm, potential for more than minimal, widespreadF812Jun 9, 2022

  Based on observation, interview, and record review, the facility failed to store, prepare, and serve food under sanitary conditions in 1 of 1 kitchen when they failed to: A. Ensure kitchen staff used proper hand washing and sanitation procedures when handling food. B. Ensure stored food was properly labeled and dated. These failures placed residents who ate food served by the kitchen at risk of cross contamination and food-borne illness. Findings include: An observation of the kitchen freezer on 6/7/22 at 9:05 a.m. revealed the following: 1. 4 bags of French fries, no label or date, and not in the original box. 2. 1 package of meat, no label or date, and not in the original box. 3. 1 package of fish, no label or date, and not in the original box. 4. […]

• No harm, potential for more than minimal, widespreadF812Jan 24, 2022

  Based on observation, interview, and record review the facility failed to store, prepare, distribute and serve food in accordance with professional standards for one of one kitchen. The facility failed to ensure the water temperature of the dishwasher was checked daily and failed to verify the temperature met safety standards. The deficient practice placed residents who were served from the kitchen at risk for health complications and foodborne illnesses. Findings included: Observation on 1/24/22 at 1:28 PM, revealed kitchen staff checked the pH level of the automatic dishwasher and the result was within the correct range. The staff ran the dishwasher four (4) times and the temperature gage never went higher than 92 degrees. […]

• No harm, potential for more than minimal, patternF603Jul 30, 2026

  Based on observation, record review, and interview the facility failed to ensure 3 of 7 residents, Resident 1, Resident #2, and Resident #3 reviewed for admission to the secured unit were free from involuntary seclusion.The facility failed to ensure Resident #1, Resident #2, and Resident #3, had no physician's order for admission to the secured unit. The failures placed all residents on the secured unit at risk of not being assessed properly, not meeting the criteria to be placed on the unit, diminished quality of life and involuntary seclusion.Findings included:Record review of Resident #1's face sheet, 07/30/2026, revealed a sixty-eight year old male who was admitted to the facility on [DATE] with a diagnosis that included drug induced subacute dyskinesia (a movement disorder causing… […]