Avir at Longview

In the surveyor’s words

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

• Immediate jeopardy, patternF689Mar 29, 2024

  Based on observation, interview and record review the facility failed to ensure residents environment remained as free of accident hazards as possible and each resident received adequate supervision and assistance devices to prevent accidents for 4 of 8 residents (Resident #38, Resident #17, Resident #110, and Resident #35) reviewed for accidents and supervision. 1.The facility failed to put interventions in place to keep Resident #38 from all harmful items. *On 02/18/24, LVN E documented Resident #38 was on the floor, face down with the call light cord wrapped around her neck x4. No harmful items were removed after the incident, from Resident #38's room to ensure her safety. *On 03/09/24, CNA S reported Resident #38 was stabbing herself in the abdomen with scissors. […]

• Immediate jeopardy, patternF740Mar 29, 2024

  Based on observation, interview, and record review the facility failed to ensure each resident received necessary behavioral health care services to maintain the highest practicable mental and psychosocial wellbeing for 1 of 3 residents (Resident #38) reviewed for behavioral services. The facility did not ensure Resident #38 was seen after a counseling evaluation and treatment order was placed on 02/15/24 and a psych evaluation referral was signed by Resident #38 on 03/04/24. The facility failed to comprehensively address Resident #38's behaviors and mental distress. The facility failed to update Resident #38's care plan to reflect her increased anxiety medication needs and behaviors. An IJ was identified on 03/28/2024 at 3:45 p.m. […]

• Immediate jeopardy, patternF600Feb 15, 2024

  Based on observation, interview and record review the facility failed to ensure residents were free from abuse, neglect, misappropriation of resident property, and exploitation for 3 of 7 residents (Resident #2, Resident #5, and Resident #6) reviewed for abuse and neglect. The facility neglected to oversee the implementation of resident care policies and staff responsibilities. Resident #6 was transferred using a bearhug method by a sitter on 12/2/23 and an RN heard a pop during the transfer. Resident #6 had a left hip fracture. Sitters were providing care to residents that had not been trained, facility staff were aware the sitters were providing care and allowed the practice to continue. […]

• Immediate jeopardy, patternF689Feb 15, 2024

  Based on observation, interview and record review the facility failed to ensure residents environment remained as free of accident hazards as possible and each resident received adequate supervision and assistance devices to prevent accidents for 3 of 7 residents ( Resident #2, Resident #5 and Resident #6) and 5 of 7 sitters (Sitters BB, CC, EE, DD and ZZ ) reviewed for accidents and supervision. 1. The facility failed to ensure Resident #6 was appropriately transferred. The resident was transferred using a bearhug method by Sitter ZZ on 12/2/23 and an RN heard a pop during the transfer. Resident #6 had a left hip fracture. 2. The facility failed to have a policy and procedure in place for private sitters outlining the care they could provide. 3. […]

• Immediate jeopardy, isolatedF740Feb 15, 2023

  Based on observation, interview, and record review, the facility failed to provide the necessary behavioral health care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being 1 of 1 residents (Resident #170) reviewed for behavioral health. 1.The facility failed to assess, provide safety intervention and immediate psychological services, per their policy, for Resident #170 who made a verbalization of suicidal ideation to the facilities on 02/09/23. 2. The facility failed to in-service staff on behavioral healthcare and services as a part of the person-centered environment. 3. […]