Avir at Pilot Point

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF583Jun 5, 2025

  Based on observations, interviews, and record review, the facility failed to ensure personal privacy was provided for treatment and confidential records for seven (Resident #3, Resident #17, Resident #27, Resident #29, Resident #43, Resident #54, and Resident #100) of sixteen residents reviewed for Privacy and Confidentiality. 1. The facility failed to ensure LVN B would not check Resident #17's blood sugar and administer her insulin in the hallway on 06/04/2025. 2. The facility failed to ensure LVN A secured Residents #3, #27, #29, #43, #54, and #100's medical information when he left his cart unattended on 06/04/2025. […]

• No harm, potential for more than minimal, patternF657Jun 5, 2025

  Based on interviews and record reviews, the facility failed to ensure the timeliness of each resident's person-centered, comprehensive care plan, and to ensure that the comprehensive care plan is reviewed and revised by an interdisciplinary team for five (Residents #3 #5, #21, #29, and #50) of twelve residents reviewed for Care Plans Revision. The facility failed to complete a quarterly care plan for Residents #3, #5, #21, #29, and #50. This failure could place the residents at risk of care and needs not being met. Findings included: Resident #3 Record review of Resident #3's Face Sheet, dated 06/04/2025, reflected a [AGE] year-old male admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF812Jun 5, 2025

  Based on observation, interviews, and record reviews the facility failed to ensure food was stored, prepared, distributed, and served in accordance with professional standards for food service safety for the facility's only kitchen, reviewed for food storage, labeling, dating, and kitchen sanitation. The facility failed to ensure food being served to residents was covered. This failure could place residents at risk for cross contamination and other air-borne illness. Findings included: Observation on 06/05/25 at 12:30 PM of three test trays presented to the Health & Human Services investigators, reflected: Observation of the lunch test tray containing the regular diet, included the dish of food was covered with a cloche (a dome shaped cover used in food service to keep food warm);… […]

• No harm, potential for more than minimal, patternF656Nov 10, 2022

  Based on observation, 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 timeframes to meet a resident medical, nursing, mental, and psychosocial needs for 2 (Resident #1, Resident #2) of 5 residents reviewed for care plans. The facility failed to develop a care plan with measurable objectives and timeframes to address Resident #1's bladder and bowel needs, nicotine dependence, ADL dependence, and advanced directives. The facility failed to develop a care plan with measurable objectives and timeframes to address Resident #2's active diagnoses, wound care, ADL dependence, mobility status, and advance directive. […]

• No harm, potential for more than minimal, patternF880Jul 11, 2022

  Based on observation, interview and record review, the facility failed to establish and maintain an infection control policy and procedure designated to provide a safe, sanitary and comfortable environment and to help prevent the development and transmissions of disease and infection for two (Housekeeper A and Housekeeper B) of two housekeepers observed for infection control. The facility failed to ensure Housekeepers A and B utilized proper infection control practices when cleaning residents' rooms. This failure placed residents at risk of communicable diseases, hospitalization and even death. […]