Avir at Kaufman

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Aug 7, 2024

  Based on observation, interview, and record review, the facility failed to provide adequate supervision to prevent accidents for 1 (Resident #1) of 5 residents reviewed for elopement risk. The facility failed to ensure Resident #1did not elope from the facility and cross a four-lane highway 04/24/2024. The noncompliance was identified as PNC. The IJ began on 04/24/2024 and ended on 04/24/2024. The facility had corrected the noncompliance before the survey began. This failure could place all 5 residents who used a wander guard at risk for serious injuries. […]

• No harm, potential for more than minimal, widespreadF812Jan 8, 2026

  Based on observations, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety for 1 of 1 kitchen reviewed. The facility did not ensure:1. Food items were labeled and dated.2. The microwave was clean and free of food debris.3. The juice machine spigot was free from a red gooey substance where the juice was dispersed4. The cups, bowls and plate domes were stacked with water pooled between them. 5. The outside of the ice machine was clean. 6. Ice scoop holder was clean. 7. eggs were pasteurized.8. Drinks and food temps not taken after heating or reheating. 9. The Dietary Manager checked the chlorine level in the correct dishwasher cycle. […]

• No harm, potential for more than minimal, widespreadF801Apr 7, 2021

  Based on interview and record review, the facility failed to ensure a person was designated as the director of food and nutrition services for the facility. The facility had not designate a person to serve as the director of food and nutrition services since February 2021. This failure could place the residents at risk for not receiving the appropriate food and nutrition services. Findings included: During an interview on 04/05/2021 at 09:55 AM Cook E said they had not had a dietary manager since January. During an interview on 04/06/2021 at 11:25 AM Cook F said they had not had a dietary manager for several months, so it had been hard to do some of the dietary manager's job as well as be the cook. She said she was the one who printed out the dietary slips and made the food orders. […]

• No harm, potential for more than minimal, widespreadF812Apr 7, 2021

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food under sanitary conditions in 1 of 1 kitchen. 1. The facility failed to ensure food items were dated and sealed appropriately. 2. The facility failed to ensure utensil storage and service area were kept clean. 3. The facility failed to ensure food being served to residents was not contaminated by dietary staff. This failure could place residents who ate food from the kitchen at risk of foodborne illness. […]

• No harm, potential for more than minimal, patternF695Jan 8, 2026

  Based on observation, interview, and record review the facility failed to ensure that a resident who needed respiratory care was provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences for 4 of 5 residents (Residents #11, # 36, #27, and #15) reviewed for respiratory care. 1. The facility failed to ensure Resident #11's oxygen was set at 2 liters per nasal cannula as ordered on 12/18/25. 2. The facility failed to have Resident #36's oxygen sign outside the door and the oxygen tube dated on 01/05/26 and 01/06/26. 3. The facility failed to have Resident #27 and Resident #15's nebulizer dated or bagged on 01/05/26 and 01/06/26. […]