Avir at Portland

In the surveyor’s words

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

• Immediate jeopardy, patternF580Apr 11, 2024

  Based on interviews and record reviews the facility failed to immediately inform the physician and/or resident/responsible party when there was a need to alter treatment significantly (that is, a need to discontinue an existing form of treatment due to adverse consequences, or to commence a new form of treatment) for one (Resident #1) of five residents reviewed for physician notification of changes. 1.The facility failed to notify the physician of Resident #1's wounds when she was admitted to the facility on [DATE]. 2.The facility did not consult with Resident #1's physician to reconcile Resident #1's hospital discharge wound treatment orders for specific wound care instructions upon admission on 12/16/23. […]

• Immediate jeopardy, patternF684Apr 11, 2024

  Based on record review and interview, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan for one (Resident #1) of five residents reviewed for quality of care. 1. Upon admission on 12/16/23 at 03:43 PM, the facility failed to perform a thorough, comprehensive head to toe assessment and correctly identify, describe, and document the multiple wounds of Resident #1. 2. Provide Resident #1 with wound care to her wounds as indicated in her hospital discharge orders on 12/16/23. Resident #1 did not receive wound care orders until 11 days later on 12/27/23. 3. […]

• Actual harm, isolatedF760Jul 26, 2024

  Based on interview and record review, the facility failed to ensure residents were free of significant medication errors for 1 of 1 residents (Resident # 1) reviewed for significant medication errors, in that; The facility administered Resident #1's Clonidine outside of physician ordered parameters which resulted in Resident #1 being transferred to the hospital due to low blood pressure. This failure placed residents at risk for not receiving therapeutic dosages and placed them at risk for a decline in health. The noncompliance was identified as Past Non-Compliance. […]

• No harm, potential for more than minimal, widespreadF812Aug 16, 2024

  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 for the facility's only kitchen and two of two resident nutrition rooms reviewed for dietary services in that: 1. The facility failed to ensure that both of the reach- in refrigerators and both of the reach- in freezers had separate thermometers inside and/ or at the front near the door per facility policy. 2. The facility failed to ensure that the dry storage room had a thermometer in it per facility policy. 3. The facility failed to ensure that refrigerator and freezer temperatures were recorded three times per day per facility policy. 4. […]

• No harm, potential for more than minimal, patternF760Mar 19, 2026

  Based on interview and record review, the facility failed to ensure residents were free from significant medication errors for 1 of 5 residents (Resident #1) reviewed for pharmacy services. The facility failed to ensure Resident #1's blood pressures were assessed prior to administering Metoprolol (a medication used to treat high blood pressure) per the prescribed order and blood pressure parameters in February and March of 2026. This failure could have placed residents at risk for complications and jeopardized their health and safety.The findings Included: Record review of Resident #1's face sheet, dated 03/18/2026, revealed a [AGE] year-old female with an admission date of 02/24/2026 and a discharge date of 03/11/2026 at 6:55 PM. […]