Avir at Knox City

In the surveyor’s words

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

• Actual harm, isolatedF689Jun 26, 2024

  Based on interview and record review, the facility failed to ensure each resident received adequate supervision and assistive devices to prevent accidents for 1 of 8 residents (Resident #2) reviewed for accidents. The facility failed to use an appropriate transfer for Resident #2 which resulted in a fall for Resident #2 and caused Resident #2's surgical wound from a below the right knee amputation to bleed. This failure could place residents at risk for harm and further injuries. The findings included: Record review of Resident #2's undated face sheet reflected Resident #2 was a [AGE] year-old male whose current admitted was on 2/4/2021, and a readmission to the facility on [DATE]. […]

• No harm, potential for more than minimal, widespreadF727Oct 4, 2024

  Based on interviews and record review, the facility failed to use the services of a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week in the facility for 34 (4/1, 4/3, 4/6, 4/7, 4/8, 4/10, 4/11, 4/12, 4/13, 4/14, 4/20, 4/21, 4/27, 4/28, 5/7, 5/10, 5/11, 5/12, 5/24, 5/25, 5/28, 5/29, 5/30, 5/31, 6/1, 6/2, 6/7, 6/8, 6/14, 6/15, 6/21, 6/22, 6/25, and 6/29/2024) of 91 days reviewed for RN coverage. The facility failed to maintain RN coverage of eight hours a day for 34 days. This failure could place residents at risk of not having their nursing and medical needs met and receiving improper care. Findings included: Record review of the facility's employee survey roster dated 10/2/24 revealed there were no RNs employed at the facility. […]

• No harm, potential for more than minimal, widespreadF727Sep 15, 2023

  Based on interview and record review, the facility failed to use the services of a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week for 9 of 30 days (08/13/23, 08/19/23, 08/20/23, 08/26/23, 08/27/23, 09/02/23, 09/03/23, 09/09/23, and 09/10/23) reviewed for RN coverage. The facility failed to ensure they had RN coverage 8 hours a day, 7 days a week for the following days: 08/13/23, 08/19/23, 08/20/23, 08/26/23, 08/27/23, 09/02/23, 09/03/23, 09/09/23, and 09/10/23 This failure could place residents at risk for inconsistency in care and services. Findings include: Record review of the facility's employee roster dated 08/04/23 revealed there were one RN employed at the facility. […]

• No harm, potential for more than minimal, widespreadF812Sep 15, 2023

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for dietary services, in that: 1) The facility failed to ensure to date and label all food. 2) Dietary staff failed to store foods in a manner to prevent contamination. 3) Dietary staff failed to clean two vents observed in the kitchen area and the inside dry storage area. 4) Dietary Staff stored dented cans with the remaining cans used for resident consumption (. 5) Dietary Staff used 1 of 2 dented cans for resident consumption on 09/13/23. […]

• No harm, potential for more than minimal, widespreadF727Jul 29, 2022

  Based on interview and record review, the facility failed to use the services of a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week for 6 out of 30 (06/27/22-07/27/22) days reviewed for RN coverage. The facility failed to ensure they had RN coverage 8 hours a day, 7 days a week for the following days: 07/03/2022, 07/09/2022, 07/10/2022, 07/17/22, 07/23/22, and 07/24/22. This failure could place residents at risk for inconsistency in care and services. Findings include: During an interview on 07/28/22 at 1:31 PM, the Infection Control Nurse stated her schedule changed but she would typically work every weekend except for the 4th weekend of every month. She stated due to personal reasons the DON would cover the 4th weekend for her. […]