Avir at River Valley

In the surveyor’s words

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

• Immediate jeopardy, patternF686Apr 12, 2022

  Based on observations, interviews, and record reviews, the facility failed to ensure a resident with a pressure ulcer received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for two (Resident #1 and Resident #2) of nine residents reviewed for pressure ulcers. 1. The facility failed to ensure Resident #1 received wound assessments, care for change of condition, and on-going skin assessments in that: LVN A, LVN D, LVN E, LVN F, LVN G, and LVN H did not document weekly accurate and/or descriptive assessments of wound for Resident #1 from 02/15/2022 through 3/27/22. […]

• Immediate jeopardy, isolatedF580Apr 12, 2022

  Based on interview and record review, the facility failed to notify the resident's physician and responsible party when there was a significant change in the physical status for one (Resident #1) of nine residents reviewed for notification of changes. LVN N failed to notify the physician of Resident #1's change of condition in her coccyx wound on 03/24/22. On 03/27/22, Resident #1 was admitted to ICU in hospital for severe [CONDITION(S)] and [CONDITION(S)] (flesh eating bacteria) to the sacral wound. […]

• Immediate jeopardy, isolatedF684Jan 25, 2022

  Based on interview and record review, the facility failed to provide the necessary care and services to attain or maintain the highest, practicable physical, mental and psychosocial well-being in accordance with the comprehensive assessment and plan of care for one (Resident #1) of six residents reviewed for quality of care. 1. The facility staff failed to weight Resident #1 weekly per physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . 2. The facility failed to notify the Physician and Resident #1's family on [DATE] when the resident had an increase in agitation, was refusing all meals and supplements, and on [DATE] when the resident became unresponsive upon standing and his blood pressure dropped to ,d+[DATE] for a short time. 3. […]

• No harm, potential for more than minimal, widespreadF727Jul 27, 2026

  Based on interview and record review, the facility failed to use the services of a Registered Nurse (RN) for at least 8 consecutive hours a day, 7 days a week for 1 of 1 facility (Facility #1) reviewed for nursing services. The facility did not have RN coverage for two days on 06/13/26 or 06/14/26. This failure could place the residents at risk of not receiving necessary care and services.Findings included: Record review of June 2026 Time Sheets and July 2026 Time Sheets reflected the facility did not have the required coverage of an RN on 06/13/26 or 06/14/26. During an interview with the Director of Nursing on 07/27/26 at 1:10PM, she stated the staff member who typically provided weekend RN coverage was on vacation on 06/13/26 and 06/14/26. […]

• No harm, potential for more than minimal, widespreadF727Dec 22, 2023

  Based on interview and record review, the facility failed to use the services of a registered nurse for at least 8 consecutive hours a day, 7 days a week for 1 of 1 facility reviewed for nursing services. The facility failed to provide RN coverage for 8 consecutive hours daily for 10 of 16 weekends (09/02/23, 09/03/23, 09/16/23, 09/17/23, 09/30/23, 10/01/23, 10/14/23, 10/15/23, 10/28/23, 10/29/23, 11/11/23, 11/12/23, 11/17/23, 11/18/23, 12/02/23, 12/03/23, 12/09/23, 12/10/23, 12/16/23 and 12/17/23) from September to December 2023. […]