Avir at Monahans

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jul 29, 2025

  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 kitchen sanitation and food storage. The facility failed to ensure foods were properly stored, labeled and dated.The facility failed to dispose of spoiled food items properly.The facility failed to prevent possible cross contamination.The facility failed to ensure dietary staff used hair restraints properly. […]

• No harm, potential for more than minimal, widespreadF812Apr 20, 2023

  Based on observation and 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 kitchen sanitation. 1. The facility failed to ensure stored foods were properly labeled and dated. 2. The facility failed to ensure expired foods were discarded. This places residents at risk of receiving outdated foods. The findings included: Observation of the dry storage on [DATE] at 8:15 AM revealed the following: - 1, 1-lb bag jet puffed mini marshmallows expired [DATE] - 6 white plastic bags with very small labels that read banana cake mix, no expiration date - 4, 1-gallon containers of Golden Italian dressing with packaged date of [DATE], no expiration date - 2,… […]

• No harm, potential for more than minimal, patternF757May 11, 2026

  Based on interviews and record review, the facility failed to ensure each resident's drug regimen was free from unnecessary drugs for 4 of 12 residents (Resident #2, Resident #4, Resident #5, Resident #10) reviewed for pharmacy services.The facility failed to ensure the hypertensive medication orders included adequate indications for its use to include parameters to administer or hold medications for Resident #2, Resident #4, Resident #5, and Resident #10. This failure could place the residents at risk of inadequate care and services. Findings included :Record review of Resident #2's Face Sheet reviewed on 5/10/2026 reflected a [AGE] year-old female, with an admission date of 01/21/2026. […]

• No harm, potential for more than minimal, patternF656Jul 29, 2025

  Based on interview and record review, the facility failed to develop and implement a comprehensive, person-centered care plan for each resident that included measurable objectives and time frames to meet, attain, and/or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 3 of 7 residents (Residents #5, #6, and #33) reviewed for care plans in that: The facility failed to ensure Resident #5 had a care plan for Activities of Daily Living, Incontinence, Insulin, Psychotropic Medication, or Hospitalization. The facility failed to ensure Resident #6 had a care plan for Activities of Daily Living, Psychotropic Medications, Opiate Medications, and Hospice Care. […]

• No harm, potential for more than minimal, patternF761Jul 29, 2025

  Based on observation, interview, and record review, the facility failed to ensure drugs and biologicals used in the facility were labeled with currently accepted professional principles, and included the appropriate accessory and cautionary instructions, and the expiration date when applicable for and 1 of 3 medication carts (Hall 100 and 200 nurse medication cart) and 1 out of 1 med room reviewed for medication storage. The facility failed to ensure the nurses cart #1 for 100 and 200 halls did not contain insulin, that were opened and not labeled with the open date. The medication room had an open vial of tuberculosis (a bacterial infection that affects the lungs and can spread to other organs) solution that was not labeled with an open date. […]