Avir at River Ridge

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Nov 10, 2025

  Based on interview and record review the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 3 residents (Resident #1) reviewed for supervision.1. The facility failed to ensure CNA A followed 2-person assist as stated on Resident #1's care plan when she transferred Resident #1 from her wheelchair to bed on 11/01/25 at around 7:00 PM.2. The facility failed to ensure CNA A followed Resident #1's care plan and used a 2 person assist when she provided incontinent care on 11/01/25 around 8:30 PM and on 11/02/25 around 4:00AM. Which resulted in acute proximal and mid left lower leg fractures.An Immediate Jeopardy (IJ) was identified on 11/08/25. […]

• Immediate jeopardy, isolatedF580Sep 20, 2024

  Based on interviews and record reviews, the facility failed to immediately notify the resident's physician when there was a significant change in the resident's physical, mental, or psychosocial status (that is, a deterioration in health, mental or psychosocial status in either life threatening conditions or clinical complications) for 1 (Resident #21) of 3 residents reviewed for change in condition. 1. The facility failed to immediately notify Resident #21's physician on 11/27/23 when Resident #21 had a substantial increase in pain to her left leg and left shoulder two days after Resident #21 fell in the facility's dining room and landed on her left side on 11/25/23. 2. […]

• Immediate jeopardy, isolatedF777Sep 20, 2024

  Based on interviews and record reviews, the facility failed to promptly notify the ordering physician, physician assistant, nurse practitioner, or clinical nurse specialist of results that fall outside of clinical reference ranges in accordance with facility policies and procedures for notification of a practitioner or per the ordering physician's orders for 1 (Resident #21) of 3 residents reviewed for diagnostic services. 1. The facility failed to immediately notify Resident #21's physician before 11/29/23 at 8:30am when Resident #21's radiology report dated 11/28/23 at 5:51pm revealed that Resident #21 had a displaced fracture of her left femur neck (top of the thigh bone at the hip) that occurred when Resident #21 fell in the facility's dining room on 11/25/23. […]

• No harm, potential for more than minimal, patternF580Feb 21, 2026

  Based on interview and record review, the facility failed to notify the physician for two (Resident#1 and Resident #2), of five residents reviewed for care management, that was consistent with professional standards of practice, comprehensive person-centered care plan, and goals and preferences.On 02/16/2026 the facility failed to notify Resident #1's physicians' team when a MRSA critical laboratory result.On 02/18/2026 the wound care nurse failed to notify the physician when she was made aware of a skin irregularity on Resident #2 right big toe.This failure could place residents at risk of not receiving prompt medical intervention management.The findings included:1. […]

• No harm, potential for more than minimal, patternF684Feb 21, 2026

  Based on interview and record review, 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 (Resident #2) of five residents reviewed for wound care orders.The facility failed to ensure wound care orders were obtained for Resident #2's abdominal area wound from 02/12/2026 to 02/15/2026.This failure could place residents at risk for wound care complications or at risk of not receiving necessary wound care. Findings include: Record review of Resident #2's admission record date 02/20/2026 revealed Resident #2 was a [AGE] year-old female, who was admitted to the facility on [DATE]. […]