Avir at Jacksonville

In the surveyor’s words

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

• Immediate jeopardy, isolatedF684Feb 10, 2023

  Based on interview and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive care plan, and resident choices for 1 of 17 residents reviewed for treatment and services. (Resident #93) The facility failed to follow MD orders to obtain a CT (Computed Tomography) for Resident #93 on 8/11/22 and on 8/17/22. Resident #93 did not have a CT while she was in the facility. She had to have surgery for an abscess on 8/26/22. This failure could place residents at risk of not receiving care as required and could result in further decline of condition and possible death. An IJ was identified on 2/9/23. The IJ template was provided to the facility on [DATE] at 12:07 p.m. […]

• No harm, potential for more than minimal, widespreadF812Mar 13, 2024

  Based on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food under sanitary conditions in the facility's only kitchen. The dietary staff did not accurately test the dish machine for chlorine sanitizing with the correct test strips from 02/27/24 until 03/11/24. This failure could place residents who ate food from the kitchen at risk of foodborne illness. Findings included: During an observation and interview in the kitchen on 03/11/2024 at 09:45 AM, DA A was going to demonstrate checking the sanitizing on the dish machine and she had a container of testing strips on top of the machine. She said she had not tested the machine yet this morning. She was finished with washing the breakfast dishes. […]

• No harm, potential for more than minimal, patternF812Jun 24, 2026

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food under sanitary conditions in 1 of 1 facility kitchen in that: There were open to air items stored in a facility freezer. There were open to air items and unlabeled items stored in a facility refrigerator. These failures could place residents at risk for food borne illness.Findings included: During an observation on 6/22/26 at 9:46 a.m. a facility refrigerator revealed an open bag of shredded cheese stored with no date or labeling, the item was stored open to air. During an observation on 6/22/26 at 9:48 a.m. a facility freezer revealed an open bag of frozen pork patties, the item was stored open to air with date received labeling During an observation on 6/22/26 at 9:55 a.m. […]

• No harm, potential for more than minimal, patternF812Apr 23, 2025

  Based on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food under sanitary conditions for 1 of 1 main facility kitchen. The facility failed to ensure thickened liquids and therapeutic beverage containers were dated when opened. The facility failed to ensure the leftovers in the reach in cooler were discarded after 3 days. These failures could place residents who ate food from the kitchen at risk of foodborne illness. Findings included: During observations and on 04/21/25 of the kitchen the following was noted: at 9:50 AM in the 2 door reach in cooler there were the following: one 46 oz. Honey Thick Sweet Tea had no open date. Packaging indicated After opening, may be kept up to 7 days under refrigeration. one 32 oz. […]

• No harm, potential for more than minimal, patternF760Jan 29, 2024

  Based on interviews, and record reviews, the facility failed to ensure residents are free of any significant medication errors, for 1 of 7 residents (Resident #7) reviewed for medication administration The facility gave Resident #7 medications belonging to another resident on 07/15/2023 at 5:15 PM. The non-compliance was identified as past non-compliance. The noncompliance began on 7/15/23 and ended on 7/16/23. The facility had corrected the noncompliance before the investigation began. This failure could place residents at risk for inaccurate drug administration resulting in decline in health and decreased quality of life. […]