Avir at Park Bend

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Aug 21, 2023

  Based on observation and interview the facility failed to ensure 1 of (Resident #1) 4 resident was free from abuse. The facility failed to keep a resident free from verbal and physical abuse as staff were observed committing physical and verbal abuse to a resident. These failures could place residents at risk of injury, intimidation, punishment resulting in physical harm, pain, and mental anguish. An IJ (Immediate Jeopardy) was identified on 08/18/2023. While the IJ was removed on 08/21/2023 the facility remained out of compliance at a scope of isolated and severity level of no actual harm with potential for more than minimal harm, due to the facility's need to evaluate the effectiveness of the corrective systems. […]

• Immediate jeopardy, isolatedF686Aug 1, 2023

  Based on interview and record review, the facility failed to ensure residents with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote wound healing, prevent infection and prevent new pressure ulcers from developing for 1 (Resident #1) of 6 residents reviewed for pressure injuries, in that: The facility failed to: 1. Ensure newly admitted residents were assessed, monitored and documented for significant risk factors for developing pressure ulcers. 2. Describe and document/report the location, stage, measurements (length, width and depth) and conditions of pressure ulcers. 3. Properly clean the resident and inspect for the development pressure ulcers. 4. […]

• Actual harm, isolatedF600Dec 7, 2023

  Based on observation, interview, and record review, the facility failed to ensure staff did not use physical or psychological abuse on a resident for 1 of 5 residents (Resident #1) reviewed for abuse in that: The facility failed to ensure CNA A did not raised a fist at Resident #1 stating, stop touching me and pointed her finger while stating, stop it while providing peri-care to Resident #1. This failure could place residents at risk of fear and physical/psychosocial injury. […]

• Actual harm, isolatedF697May 18, 2022

  Based on observation, interview, and record review the facility failed to ensure that pain management was provided to residents who required such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for one of six residents reviewed (Resident #1) for pain management. The facility failed to ensure Resident #1 received [MEDICATION(S)] for pain according to physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . This failure could place residents at risk of facility staff not recognizing resident pain symptoms resulting in worsening pain. […]

• No harm, potential for more than minimal, widespreadF727Mar 16, 2023

  Based on interview, and record review the facility failed to designate a registered nurse to serve as the director of nursing on a full-time basis for the entire facility reviewed for DON coverage for 30 days 2/13/23-3/13/23. 1. DON A did not work full time hours while working as interim DON in the facility. This failure could result in a decrease in quality care for residents. Findings included: Record review of the previous DON's employee file, DON B revealed she was hired on 11/2022 and terminated on 2/15/23. Record review of the timecard for DON B revealed she did not work at the facility after 2/10/23. Record review of the employee file for DON A revealed she was hired 12/30/19. […]