Avir at Keller

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Nov 19, 2025

  Based on observation, interview, and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 5 residents (Resident #1) reviewed for transfers. CNA failed to safely transfer Resident #1 on 11/09/25, when she did not use a gait-belt to assist the resident on or off the toilet. As a result, Resident #1 fell when being transferred from the toilet to the wheelchair, and the resident sustained a 10th rib fracture and a right tibia spiral fracture (break that twists around the right shin bone) as well as a proximal (where the limb begins) and distal (where the limb ends) right fibula (bone on the outside of your lower leg) fracture to Resident #1's right leg. […]

• Immediate jeopardy, isolatedF689Oct 24, 2023

  Based on observation, interview and record review, the facility failed to ensure an environment that was free of accident hazards and that each resident received adequate supervision to prevent elopement for two (Residents #1 and#2) of four residents reviewed for elopement. 1. The facility failed to ensure Resident #1 was provided with adequate supervision to prevent him from eloping from the facility on 09/25/23. 2. The facility failed to ensure Resident #2 was provided with adequate supervision to prevent him from eloping from the facility on 09/28/23. The non-compliance was identified as past non-compliance. The Immediate Jeopardy (IJ) began 09/25/23 and ended on 09/30/23. The facility corrected the non-compliance before surveyor's entrance. […]

• No harm, potential for more than minimal, widespreadF812Mar 5, 2021

  Based on observation, interview and record review the facility failed to store, prepare and distribute food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation. The facility failed to ensure sanitary practices to include the improper sanitization of the dish wash machine, cross-contamination during meal prep by the Culinary Manager, and failure to air-dry cookware. These failures could affect residents by placing them at risk for cross contamination and food-borne illness. Findings include: 1. […]

• No harm, potential for more than minimal, patternF584Aug 25, 2026

  Based on observation, interview, and record review, the facility failed to ensure the resident has a right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely for 3 of 5 shower rooms (Halls 300, 400 and 500) reviewed for environmental conditions.The facility failed to ensure the shower rooms on Halls 300, 400, and 500 were maintained in a clean, safe, and orderly manner. The failure placed residents at risk of decreased quality of life. […]

• No harm, potential for more than minimal, patternF677Aug 29, 2024

  Based on observations, interviews, and record reviews, the facility failed to ensure a resident who is unable to carry out activities of daily living receives the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for three (Residents #36, #107, and #69) of eight residents reviewed for ADL care. 1. The facility failed to provide two female residents, Residents #36 and #107, with grooming to ensure their facial hair was shaved. 2. The facility failed to provide Resident #69 assistance with timely incontinence care. These failures could place the residents at risk for decreased feelings of self-worth, skin breakdown, and infection. Findings included: 1. […]