Avir at Kingsland

In the surveyor’s words

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

• Actual harm, isolatedF684Nov 11, 2025

  Based on interviews and record review, the facility failed to ensure that a resident receives treatment and care in accordance with professional standards of practice for 1 of 2 nurses (LVN A) reviewed for nursing services.The facility failed to ensure LVN A assessed and performed necessary interventions to stop Resident #1 from bleeding from skin tears on 09/13/25.This failure could place residents with wounds at risk for bleeding related complications.Findings included: Record review of Resident #1's face sheet dated 10/08/25 revealed a [AGE] year-old female admitted to the facility on [DATE]. Her diagnoses included shortness of breath, Alzheimer's disease, muscle weakness, chronic pain, hypertension and other abnormalities of gait and mobility. […]

• Actual harm, isolatedF684Oct 8, 2025

  Based on interviews and record review, the facility failed to ensure that a resident receives treatment and care in accordance with professional standards of practice for 1 of 2 nurses (LVN A) reviewed for nursing services.The facility failed to ensure LVN A assessed and performed necessary interventions to stop Resident #1 from bleeding from skin tears on 09/13/25.This failure could place residents with wounds at risk for bleeding related complications.Findings included: Record review of Resident #1's face sheet dated 10/08/25 revealed a [AGE] year-old female admitted to the facility on [DATE]. Her diagnoses included shortness of breath, Alzheimer's disease, muscle weakness, chronic pain, hypertension and other abnormalities of gait and mobility. […]

• No harm, potential for more than minimal, widespreadF656Aug 19, 2021

  Based on observations, interview and record reviews the facility failed to provide services that are furnished to maintain the resident's highest practicable physical, mental and psychological well-being for 11 of 18 residents (#7, #20, #22, #23, #33, #36, #43, #56, #57, #64 and #265) reviewed for person-centered comprehensive care plans in that: 1. Resident #7's care plan did not include active diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . 2. Resident #20's care plan was inaccurate, did not include pacemaker,pressure reducing cushion, suprapubic catheter care and inaccurate diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . 3. Resident #22's care plan revealed that active diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] 4. […]

• No harm, potential for more than minimal, patternF727May 28, 2026

  Based on interview and record review, the facility failed to use the services of a registered nurse for at least 8 consecutive hours a day, 7 days a week for 10 of (10/05/25, 10/15/25, 10/18/25, 10/19/25, 10/23/25, 11/01/25, 11/06/25, 11/16/25, 12/27/25 and 12/28/25) of 15 days reviewed for RN coverage.The facility failed to ensure they had an RN coverage for the facility on 10/05/25, 10/15/25, 10/18/25, 10/19/25, 10/23/25, 11/01/25, 11/06/25, 11/16/25, 12/27/25 and 12/28/25.This failure could place residents at risk of missed nursing assessments, interventions, care and treatment. […]

• No harm, potential for more than minimal, patternF804May 28, 2026

  Based on observation, interview and record review the facility failed to ensure each resident was provided and received food and drink that was palatable, attractive, and at a safe and appetizing temperature for 1 of 1 kitchen reviewed for palatable food. 1. The facility failed to provide meal services in a manner to ensure palatable food served was appetizing to residents.2. The facility failed to provide palatable food served at an appetizing temperature or taste to Residents #7, #13, and #28.These failures could place residents at risk of weight loss, altered nutritional status, and diminished quality of life. Findings include:During an interview on 5/26/26 at 8:30 a.m., Resident #7 said the food at the facility was not good. […]