Avir at Petal Hill

In the surveyor’s words

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

• Immediate jeopardy, patternF686Jul 13, 2023

  Based on interview and record review the facility failed to ensure residents received care consistent with professional standards of practice to promote healing and prevent infection and new pressure sores from developing for 2 of 5 residents reviewed for pressure sores. (Resident #1 and Resident #2) The facility failed to provide nutritional interventions to promote wound healing for Resident #1. The facility failed to ensure Resident #1 received wound treatment as prescribed. The facility failed to identify signs and symptoms of infection for Resident #1 and she was admitted to the hospital due to septic shock. The facility failed to identify and treat wounds on Resident #2. They failed to educate Resident #2 on the consequences of wearing a shoe on a foot that had a pressure sore. […]

• Immediate jeopardy, patternF600Sep 20, 2021

  Based on interview and record review the facility failed to ensure the right to be free from abuse was provided for 2 of 7 residents reviewed for abuse and neglect. (Resident #1 and Resident #2) CNA C and HA J witnessed CNA A choke Resident #1; CNA A continued to work at the facility and approximately 2-3 days later CNA C and CNA H witnessed CNA A punch Resident #2 in the stomach and smash his head into the pillow. Resident #2 reported CNA B was rough and mistreated him on several occasions for about 2 months. Resident #2 was not protected from CNA B who continued to work with Resident #2 until surveyor intervention on 9/16/2021. CNA C, CNA H, HA J, RN I, CNA D, AA P, . […]

• Immediate jeopardy, patternF609Sep 20, 2021

  Based on interview and record review the facility to ensure that all alleged violations involving abuse or mistreatment were reported to the administrator and State Survey Agency immediately, but no later than 2 hours after the allegation was made for allegations that involved abuse for 2 of 7 residents (Resident #1 & Resident #2) reviewed for abuse. The facility failed to report and investigate all allegations of abuse when: -CNA C and HA J witnessed CNA A choke Resident #1 and did not report the abuse and this was not investigated and CNA A continued to work at the facility and approximately 2-3 days later CNA C and CNA H witnessed CNA A punch Resident #2 in the stomach and smash his head into the pillow. […]

• Immediate jeopardy, patternF610Sep 20, 2021

  Based on interview and record review the facility failed to ensure that all violations involving abuse were thoroughly investigated, failed to take corrective actions and prevent further potential abuse for 2 of 7 (Resident #1 and Resident #2) reviewed for abuse. CNA C and HA J witnessed CNA A choke Resident #1; CNA A continued to work at the facility and approximately 2-3 days later CNA C and CNA H witnessed CNA A punch Resident #2 in the stomach and smash his head into the pillow. […]

• Immediate jeopardy, isolatedF689May 13, 2026

  Based on observations, interviews, and record review, the facility failed to ensure residents received adequate supervision to prevent accidents for 1 of 19 residents reviewed for accidents. (Resident #1). The facility failed to ensure adequate supervision and implementation of safety interventions for Resident #1 who resided on a secured unit and was assessed to be at risk for elopement. This resulted in Resident #1 exiting the building on 04/30/2026 without staff knowledge or supervision, placing the resident at risk for harm.The noncompliance was identified as PNC (past noncompliance). The IJ began on 04/30/2026 and ended on 05/06/2026. […]