Avir at Town Creek

In the surveyor’s words

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

• Immediate jeopardy, patternF656Apr 5, 2024

  47339 49017 Based on observations, 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's medical, nursing, mental, and psychosocial needs for 4 of 14 residents (Residents #15, Resident #24, Resident #25, and Resident #33 ) reviewed for care plans. On 4/1/24 the facility failed to implement care plan interventions for Resident #15 of providing physical help with meals and notifying MD of changes in abilities . […]

• Immediate jeopardy, patternF692Apr 5, 2024

  46273 47339 49017 Based on observations, interviews, and record review the facility failed to maintain acceptable parameters of nutritional status, such as usual body weight or desirable body weight range, and offered a therapeutic diet when there was a nutritional problem and the healthcare provider orders a therapeutic diet for 15 of 34 residents (#33, #24, #29, #9, #25, #34, #22, #17, #15, #18, #35, #6, #13, #31, and #1) reviewed for weight loss and nutrition. 1. The facility failed to communicate with dietary staff on dietary changes. 2. The facility failed to ensure systems were in place to monitor for weight changes. 3. The facility failed to ensure residents were weighed according to physician orders and dietary recommendations for Resident #33, #24, #29 and #9. 4. […]

• Immediate jeopardy, patternF600Jun 28, 2023

  Based on observation, interview and record review the facility failed to ensure residents were free from abuse for 2 of 5 residents (Resident #1 and Resident #3) reviewed for Resident Abuse. 1. The facility failed to protect Resident #1 from abuse by Resident #2. On 04/05/2023 Resident #1 wandered into Resident #2's room on the secured unit, and Resident #2 threw water on Resident #1 and then grabbed Resident #1 causing a skin tear to Resident #1's right mid arm. 2. The facility failed to protect Resident #3 from abuse by Resident #2. On 04/15/2023 Resident #2 stabbed Resident #3 with a pen causing a puncture wound to Resident #3's left forearm. 3. The facility failed to protect Resident #3 from abuse by Resident #2. […]

• Immediate jeopardy, patternF607Jun 28, 2023

  Based on observation, interviews, and record reviews, the facility failed to implement written policies and procedures that prohibit abuse/neglect for 2 of 5 (Resident #1 and Resident #3) of residents reviewed for incidents. The facility failed to ensure the residents right to be free from abuse, neglect, misappropriation, of resident property and exploitation. The facility failed to implement their policy by not consulting psychiatric services for resident-to-resident altercations after Resident #2 threw water on and then grabbed Resident #1 causing a skin tear to Resident #1's arm. The facility failed to implement their policy by not consulting psychiatric services for resident-to-resident altercations after Resident #2 Stabbed Resident #3 in the arm with a pen. […]

• Immediate jeopardy, patternF740Jun 28, 2023

  Based on observation, interview, and record review, the facility failed to provide the necessary behavioral health care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being 1 of 3 resident (Resident #2) reviewed for behavioral health. 1. The facility failed to assess and implement interventions on 3 separate occasions when Resident #2 had behaviors of aggression. On 04/05/2023 Resident #1 wandered into Resident #2's room on the secured unit, and Resident #2 threw water on Resident #1 and then grabbed Resident #1 causing a skin tear to Resident #1's right mid arm. 2. The facility failed to assess and implement interventions on 3 separate occasions when Resident #2 had behaviors of aggression. […]