Avir at Johnson City

In the surveyor’s words

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

• Immediate jeopardy, patternF697Oct 30, 2024

  Based on interview and record review, the facility failed to ensure that pain management was provided to residents who required such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for one (Resident #1) of four residents reviewed for pain. The facility failed to provide effective pain management or investigate the reason for the increased pain for Resident #1 when he complained of pain to his lower abdomen/groin area from 09/01/24 - 09/03/24. He was sent to theER on [DATE] and diagnosed with a UTI, sepsis, and a blood clot in his bladder. This failure resulted in an identification of an Immediate Jeopardy (IJ) on 10/29/24 at 3:56 PM and an IJ template was given. […]

• Immediate jeopardy, patternF600Jan 13, 2023

  Based on observation, interview, and record review, the facility failed to ensure residents were free from abuse and neglect for 4 of 16 residents (Residents #2, 12, 18, and 28 ) reviewed for abuse/neglect. The facility failed to take sufficient protective measures after Resident #18 physically assaulted Resident #2 on 04/27/22, verbally assaulted Resident #28 on 08/10/22, or after Resident #18 physically assaulted Resident #12 on 12/28/22. This failure resulted in an identification of an Immediate Jeopardy (IJ) on 01/10/23 at 11:25 AM. […]

• Immediate jeopardy, patternF695Oct 27, 2021

  Based on observations, interviews, and record reviews, the facility failed to ensure that a resident who needed respiratory care was provided with such care, consistent with professional standards of practice for nine of thirty-three residents (Residents #4, #11, #20, #26, #27, #28, #32, #33, and #34) reviewed for respiratory care, in that: The facility failed to: - have a system in place for residents who utilize oxygen concentrators ,d+[DATE] and PRN (Resident #4, Resident #11, Resident #20, Resident #26, Resident #27, Resident #28, Resident #32, Resident #33, and Resident #34) should the facility lose power. - educate staff to be aware of where the crash cart was at all times and ensuring all necessary supplies and a full oxygen tank were available on the crash cart. […]

• Immediate jeopardy, isolatedF689Dec 31, 2024

  Based on interview, and record review, the facility failed to ensure the resident environment remained as free of accident hazards as was possible and each resident received adequate supervision and assistance devices to prevent accidents for one (Resident #1) of three residents reviewed for accidents and hazards. NA A failed to have another staff assist while providing care for Resident #1 in the bed on 12/29/2024. Resident #1 rolled out of the bed, fell to the floor face down, was transferred to the ER and was diagnosed with laceration on left forehead, a subdural hematoma (collection of blood outside the brain that can be life threatening), a subarachnoid hemorrhage(bleeding in the space below the arachnoid layer of the brain) and possible C6/T1 fractures (C6 is the 6th cervical… […]

• Immediate jeopardy, isolatedF689Oct 30, 2024

  Based on observation, interview, and record review, the facility failed to ensure the resident environment remained as free of accident hazards as was possible and each resident received adequate supervision and assistance devices to prevent accidents for one (Resident #2) of three residents reviewed for accidents and hazards. The facility failed to have consistent documentation for Resident #2's transfer status and failed to ensure she was properly transferred on 10/27/24. Her left leg foot caught on the wheelchair while being transferred by one person assistance to her bed which resulted in multiple fractures to her tibia and fibula (spiral fractures). This failure resulted in an identification of an Immediate Jeopardy (IJ) on 10/29/24 at 3:56 PM and an IJ template was given. […]