Avir at Lancaster

In the surveyor’s words

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

• Immediate jeopardy, isolatedF776Apr 11, 2026

  Based on interview and record review, the facility failed to provide or obtain radiology and other diagnostic services to meet the needs of its residents for 1 (Resident #1) of 3 residents reviewed for radiology services.The facility failed to obtain the x-ray and results for Resident #1's leg and knee in a timely manner, resulting in a delay to diagnoses of Resident #1's right femur and right knee. The STAT x-ray should be completed as soon as possible. On 04/11/26 at 2:14 PM an Immediate Jeopardy (IJ) was identified. […]

• Immediate jeopardy, isolatedF600Jun 19, 2025

  Based on observation, interview and record review the facility failed to ensure residents had the right to be free from abuse, neglect, misappropriation of resident property, and exploitation for one of six residents (Resident #1) reviewed for abuse. The facility failed to ensure Resident #1 had the right to be free from abuse when Resident #2 physically and allegedly sexually assaulted her on 06/18/25. An IJ was identified on 06/19/25. The IJ began on 06/18/25 and removed on 06/19/25. The facility took action to remove the IJ before the abbreviated survey began. […]

• Immediate jeopardy, isolatedF689Sep 18, 2024

  Based on record reviews, and interviews, the facility failed to ensure a resident's environment remained free of accidents or hazards and received adequate supervision and assistance devices to prevent accidents for 1 of 5 residents (Resident #22) reviewed for transfers in that: 1. The facility failed to ensure CNA O provided adequate supervision and transfer assistance for Resident #22 attempting to conduct a transfer without assistance or without an assistive device. 2. The facility failed to ensure that CNAs were knowledgeable about locating the resident's safe transfer status requirements for Resident #22. An immediate jeopardy existed from [DATE] - [DATE]. […]

• Actual harm, isolatedF656Jul 29, 2026

  Based on observations, interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that included describing the services to be furnished to attain or maintain measurable objectives to meet the resident's highest practicable physical, mental, and psychosocial well-being for 1 (Resident #1) of 7 residents reviewed for care plans. The facility failed to follow Resident #1's care plan to have staff near him during meals to ensure he did not take other residents' food when resident #1 choked and vomited on 05/07/26 resulting in staff performing the Heimlich.This failure could place residents at risk of not receiving individualized care and services to meet their needs.Findings included:Record review of Resident #1's Care… […]

• Actual harm, isolatedF689Apr 11, 2026

  Based on interview, observation and record review, the facility failed to provide a safe environment and adequate supervision for 1 (Resident #1) of 5 residents reviewed for falls. The facility failed to ensure Resident #1 received adequate supervision when she had a fall that resulted in a fractur to her right thigh and right knee. This failure could place residents at risk for injuries and a decline in health. Findings included:Record review of Resident #1's electronic admission record, 04/11/2026 revealed an [AGE] year-old female, admitted [DATE], with diagnoses that included traumatic hemorrhage of cerebrum (a life threatening, often fatal emergency caused by bleeding within the brain tissue), fracture of left femur (a severe injury causing intense, immediate thigh pain, inability to… […]