Avir at Madisonville

In the surveyor’s words

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

• Immediate jeopardy, patternF584Jan 2, 2023

  Based on observations, interviews, and record review, the facility failed to ensure that residents had comfortable and safe temperature levels for two of four halls, in that: The facility failed to ensure the facility was maintained at a comfortable and safe temperature level and maintain a temperature range of 71 to 81 F, when 5 of the 12 AC/Heater units were not functioning (since May 2022) and the mobile air units put into place on B and D halls were not able to heat the halls or resident rooms and the temperature in resident rooms was between 56-66 degrees. This failure placed residents at risk for loss of body heat, risk for hypothermia and an uncomfortable environment leading to a decreased quality of life. […]

• Immediate jeopardy, patternF835Jan 2, 2023

  Based on observations, interviews, and record review the facility failed to ensure the facility was administered in a manner that enabled it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. 1.The facility failed to ensure that an emergency transfer agreement was in place in the event an evacuation was necessary (The facility did not have operational heating units on 2 of the 4 halls and did not have enough rooms to move all the residents to rooms with functional heating units). 2. […]

• Immediate jeopardy, patternF880Jan 5, 2021

  Based on observation, interview, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for nine (9) of 10 residents reviewed for COVID 19. (Resident #1, #2, #3, #4, #5, #6, #7, #8 and #9) A) The Facility failed to ensure they had a plan to separate and ensure they separated COVID 19 unknown residents, COVID 19 positive residents and COVID 19 negative residents or have designated staff for each cohort. […]

• Immediate jeopardy, isolatedF689Oct 3, 2024

  Based on observation, interview and record review, the facility failed to ensure the residents environment remained as free of accident hazards as possible and ensure each resident received adequate supervision for one (Resident #1) of three residents reviewed for accidents and hazards. The facility failed to ensure Resident #1 did not elope from the front door of the facility and had adequate supervision. This failure could place residents at risk of accidents, and injuries due to a lack of supervision. The noncompliance was identified as PNC IJ. The IJ began on 08/12/2024 to 08/24/2024/ and ended on 08/24/2024. The facility had implemented actions that corrected the deficient practice prior to the beginning of the investigation. […]

• No harm, potential for more than minimal, widespreadF812Jan 2, 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 for one kitchen reviewed for kitchen sanitation. 1. The facility failed to properly thaw a pan of approximately 15 pork chops. 2. The facility failed to properly label food in one of two facilities refrigerators located in the kitchen. 3. The facility failed to ensure temperatures were monitored and logged in the white open front combined refrigerator and freezer and the open top white deep freezer in the kitchen. 4. […]