Avir at Magnolia

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Nov 5, 2025

  Based on interview and record review, the facility failed to ensure the residents had the right to be free from physical abuse and neglect for two (Resident #1 and Resident #2) of five residents reviewed for abuse and neglect. 1. The facility failed to ensure Resident #1 was not physically abused by CNA A, on an unknown date, and witnessed by NA B and NA C, when CNA A put soap in Resident #1's eyes in the shower room.2. The facility failed to ensure Resident #2 was not physically abused by CNA A, on an unknown date, and witnessed by NA B and NA C, when CNA A physically restrained Resident #2 in his room while providing peri-care. The noncompliance was identified as PNC. The IJ began on 09/26/2025 and ended on 10/13/2025. […]

• Immediate jeopardy, isolatedF609Nov 5, 2025

  Based on observations, interviews, and record reviews, the facility failed to ensure that alleged violations involving abuse were reported immediately, but not later than 2 hours after the allegations are made to the abuse coordinator for two (Resident #1 and Resident #2) of five residents reviewed for abuse. The facility failed to notify the abuse and neglect coordinator (ADM) of the alleged abuse by CNA A towards Resident #1 and Resident #2 so it could be investigated and handled appropriately to ensure the residents' safety. The noncompliance was identified as PNC. The IJ began on 09/26/2025 and ended on 10/13/2025. The facility had corrected the noncompliance before the survey began on 10/14/2025. […]

• Immediate jeopardy, isolatedF689Jul 24, 2025

  Based on observation, interview, and record review, the facility failed to ensure the resident environment remained as free of accident hazards as was possible and each resident received adequate supervision and assistance devices to prevent accidents for one (Resident #1) of three residents reviewed for accidents and hazards.NA A failed to have another staff assist while providing a mechanical lift transfer for Resident #1 from chair to bed on 07/09/2025. Resident #1 fell out of the mechanical lift, fell to the floor hitting her head, was transferred to the ER and was diagnosed with a laceration to the back of her head that required staples. The noncompliance was identified as past noncompliance. The IJ began on 07/09/25 and ended on 07/10/25. […]

• Immediate jeopardy, isolatedF689Jun 27, 2025

  Based on observation, interview, and record review, the facility failed to ensure the resident environment remained as free of accident hazards as possible for 1 of 3 residents (Resident #1) reviewed for accidents and supervision, in that:The facility failed to ensure Resident #1, who ambulated with the help of a walker, received adequate supervision to prevent him from exiting the facility with a busy highway at the front, undetected on 06/09/25. The non-compliance was identified as Past Non-Compliance. The Immediate Jeopardy (IJ) began on 06/09/25 and ended on 06/11/25. The facility corrected the non-compliance before the investigation began on 06/25/25. […]

• Immediate jeopardy, isolatedF805Aug 29, 2024

  Based on interviews and record reviews the facility failed to ensure food was prepared in a form designed to meet individual needs for 1 of 5 residents (Resident #1) reviewed for dietary services. The facility failed to follow Resident #1's altered diet when CS A gave Resident #1 a peanut butter sandwich on [DATE]. Resident #1 expired on [DATE]. An Immediate Jeopardy (IJ) situation was identified on [DATE]. While the IJ was removed on [DATE], the facility remained out of compliance at no actual harm with potential for more than minimal harm that is not immediate jeopardy, due to the facility's need to evaluate the effectiveness of the corrective systems. […]