Avir at Temple West

In the surveyor’s words

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

• Immediate jeopardy, patternF600May 1, 2025

  Based on observation, interview, and record review, the facility failed to ensure the residents had the right to be free from psychosocial abuse and neglect for one (Resident #1) of four residents reviewed for abuse and neglect. The facility failed to ensure staff were not willfully abusing and neglecting Resident #1 as they did not assist her out of bed at a reasonable time which caused her to miss breakfast and lunch and remain in a soiled brief for long periods of time on a regular basis (no specific time frame), causing her to feel hungry and neglected. Resident #1 was consistently neglected and left in her bed for most of the day. An IJ was identified on 04/30/25. The IJ template was provided to the facility on [DATE] at 4:19 PM. […]

• Immediate jeopardy, patternF835May 1, 2025

  Based on observation, interview, and record review, the facility failed to be administered in a manner that enabled it to use its resources effectively and efficiently to maintain the highest practicable well-being of each resident for one (Resident #1) of four residents reviewed for administration. The facility Administrator failed to ensure staff were not willfully abusing and neglecting Resident #1 as they did not assist her out of bed at a reasonable time which caused her to miss breakfast and lunch on a regular basis (no specific time frame). She was consistently neglected and left in her bed for most of the day. An IJ was identified on 04/30/25. The IJ template was provided to the facility on [DATE] at 4:19 PM. […]

• Immediate jeopardy, patternF925Oct 9, 2021

  Based on observations, interviews, and record reviews, the facility failed to maintain an effective pest control program for 7 (Resident #1 thru Resident #7) of 20 residents reviewed, in that: The facility failed to ensure the building was free of ants as Resident #1 was found with ants crawling on her, causing severe ant bites and [CONDITION(S)]. This failure resulted in an immediate jeopardy on 10/06/21. While the IJ was removed on 10/8/21 the facility remained out of compliance at a scope of isolated and a severity of actual harm due to the facility requiring more time to monitor the plan of removal for effectiveness. The IJ template was provided to facility staff at this time. This failure placed residents at risk for pain, disease, infection, harm, and a diminished quality of life. […]

• No harm, potential for more than minimal, widespreadF727Aug 9, 2023

  Based on interview and record review, the facility failed to use the services of a registered nurse 8 consecutive hours a day, 7 days a week for 1 (7/9/23) of 60 days reviewed. The facility failed to ensure they had an RN was on duty on 7/9/23. The failure places residents at risk for missed nursing assessment, interventions, care, and treatment. Findings included Record review of daily staffing sheets for May 1st , 23 thru August 7, 23 indicate d that no RN was on the schedule on 6/17,6/18,7/8,7/9 and 8/6. Time sheets revealed an RN was present for 8 hours on 6/17,6/18,7/8, and 8/6. […]

• No harm, potential for more than minimal, patternF812Dec 18, 2025

  Based on observation, interview and record review, the facility failed to store, prepare, distribute, serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation.The facility failed to ensure hair restraints were used by all Kitchen staff when entering the kitchen.The facility failed to ensure foods were properly distributed with professional standards for food service safety.This failure could place residents who ate food served by the kitchen at risk of cross contamination and food-borne illness. Findings include:Observation of the facility kitchen on 12/16/25 at 9:14 AM, revealed the DM was not wearing a hair restraint while testing the dishwasher temperature. […]