Avir at Jefferson

In the surveyor’s words

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

• Actual harm, isolatedF697Apr 23, 2024

  Based on observation, interview, and record review the facility failed to ensure pain management was provided to residents who require such services, consistent with professional standards of practice, pain management services for 1 of 5 residents reviewed for pain. (Resident #1) Resident #1 complained of pain in her heel prior to wound care. She complained of pain during the wound care treatment and at no time was the wound care held or pain medications offered. Review of Resident #1's physician orders indicated she did not have any PRN pain medications ordered. This failure caused the resident to experience pain during wound care. Findings included: Record review of Resident #1's face sheet dated 4/23/24 indicated she was a [AGE] year-old female admitted to the facility on [DATE]. […]

• Actual harm, isolatedF689Sep 20, 2023

  Based on observation, interview and record review the facility has failed to ensure the resident environment remained as free of accident hazards as possible and the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 2 residents (Residents #1) reviewed for accidents and supervision. The facility failed to ensure Resident #1's wheelchair brakes were functioning correctly to prevent a fall in her bathroom which resulted in a fracture. This failure could place residents at risk of injury from accidents and hazards. Findings include: Record review of Resident #1's face sheet, dated 09/19/23, indicated a [AGE] year-old female who was admitted to the facility on [DATE], with a readmission on 12/01/22. […]

• Actual harm, isolatedF684Jun 2, 2022

  Based on observation, interview and record review, the facility failed to ensure nursing staff demonstrated competencies and skill sets necessary to care for resident needs for 1 of 8 residents reviewed for competent nursing staff. (Resident #1) LVN A did not report Resident #1's skin tear to the resident's family, hospice company, physician, or other facility staff members. The resident's skin tear was found two days later by facility staff. Her arm was warm, red, and swollen, required wound care and an antibiotic. These failures could place all residents at risk for inadequate treatment and interventions based on inaccurate assessments of their medical needs and conditions. […]

• No harm, potential for more than minimal, widespreadF812Dec 3, 2025

  Based on observation, 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 reviewed for kitchen sanitation. The facility did not ensure: 1. Meat was thawing in the appropriate container and sink under constant flow of cool, running water during the initial tour on 02/26/2024.2. A container which held a thick pink liquid was labeled and dated. 3. A box of frozen biscuits, a box of frozen corn, a plastic bag of cheese, and a plastic bag of chicken nuggets were sealed appropriately in the refrigerator. 4. The potato freezer was free of rust on the bottom shelf inside the freezer. 5. The juice tubing was kept off the ground. […]

• No harm, potential for more than minimal, widespreadF812Sep 19, 2024

  Based on observation, interviews 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 in that: 1. Dietary Manager not properly securing facial hair. 2. Particles on top of dishwasher. 3. Grease buildup on the left side of gas stove and grease [NAME]. These deficient practices could place residents who received meals from the kitchen at risk for food borne illness. The findings were: 1. During an observation on 9/16/2024 at 8:55 AM, the dietary manager was not wearing proper facial covering upon entry into the kitchen. During an observation on 9/17/2024 at 8:19 AM, the dietary manager was not wearing facial covering. […]