Avir at Jacksboro

In the surveyor’s words

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

• Actual harm, patternF684Aug 26, 2023

  Based on interview and record review the facility failed to ensure, based on the comprehensive assessment of a resident, that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan and the residents' choices for one of one resident (Resident #40) reviewed for quality of care . The facility failed to ensure Resident #40 had physician orders regarding care of the surgery site, post hip replacement surgery, on 07/30/2023. […]

• Actual harm, patternF684Aug 26, 2023

  Based on interview and record review the facility failed to ensure, based on the comprehensive assessment of a resident, that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan and the residents' choices for one of one resident (Resident #40) reviewed for quality of care . The facility failed to ensure Resident #40 had physician orders regarding care of the surgery site, post hip replacement surgery, on 07/30/2023. […]

• No harm, potential for more than minimal, widespreadF727Jan 15, 2026

  Based on interview and record review, the facility failed to use the services of a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week for 1 of 12 months (July 2025) reviewed for RN Coverage. The facility failed to ensure they had RN coverage 8 hours a day, 7 days a week for 6 of 31 days in July of 2025. This failure placed all residents at risk for inconsistency in care, services and decisions made that would have required an RN to make in the management of the residents' healthcare needs and in managing and monitoring the direct care staff.Findings include: In a record review and interview on 01/15/2026 at 05:45 PM, with the Administrator regarding RN week-end coverage, she stated she knew there were days or weekends that were not covered as required. […]

• No harm, potential for more than minimal, widespreadF657Aug 26, 2023

  41871 45437 Based on interview and record review the facility failed to develop a comprehensive care plan within 7 days after completion of the comprehensive assessment for 12 of 12 residents (Resident #1, Resident #10, Resident #11, Resident #12, Resident #14, Resident #15, Resident #19, Resident #22, Resident #23, Resident #28, Resident #40, and Resident #193) reviewed for care plans. The facility failed to ensure resident care plans were developed and updated within 7 days following the completion of the MDS as well as having an Intradisciplinary Team present and at the care conference and involved in the care planning process. This failure could place residents at risk of not have having their care plans completed accurately and timely. Findings include: 1. […]

• No harm, potential for more than minimal, widespreadF802Jul 14, 2022

  Based on observation, interview, and record review, the facility failed to employ sufficient personnel to safely and effectively carry out the functions of the food and nutrition service. 1. Meals were not served on time at the scheduled time. 2. Cleaning in the kitchen was not being completed routinely. The facility's failure placed residents at risk of weight loss, decreased psycho-social well-being, receiving food that was not palatably warm and was not prepared under sanitary conditions. The findings include: Observation on 7/12/22 at 9:25 AM revealed the meal times were posted near the entrance to the dining room, on the wall to the left of the door to the kitchen, and were scheduled for 7:30 AM, 12:00 PM, and 5:00 PM. […]