Avir at Western Hills

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Nov 20, 2025

  Based on interview and record review, the facility failed to ensure that each resident received adequate supervision and assistance devices to prevent accidents for 1 of 1 residents (Resident #1) reviewed for supervision:The facility failed to put effective measures in place to prevent Resident #1 from eloping. Resident #1 was found outside the facility across the street in the parking lot of the convenience store on Saturday, 11/12/25 at 7:45 AM. The facility had a plan in place to monitor the front door, but the lock was not working to prevent Resident #1's elopement. The noncompliance was identified as PNC. The IJ began on 11-12-2025 and ended on 11-14-2025. […]

• Immediate jeopardy, isolatedF689Jul 2, 2025

  Based on interview, and record review, the facility failed to ensure that resident received adequate supervision to prevent accidents for 1 of 1 resident (Resident #2) reviewed for elopement.On 06/11/2025 Resident #2 eloped from the facility; On 06/25/2025 a Record Review of the Facility Incident report was completed. According to the Report, it was estimated that Resident #2 left the facility between 5:30PM and 6:00PM, was found on the grounds of a nearby apartment complex, and taken to the ER with an admission time around 7:10PM. The noncompliance was identified as PNC . The Immediate Jeopardy began on 6/11/25 and ended on 6/12/25. […]

• Actual harm, patternF580Jun 20, 2023

  Based on interview and record review, the facility failed to immediately notify the resident's representative(s) when there was a significant change in the resident's physical status for one (Resident #1) of four residents reviewed for changes in condition, in that: The facility failed to ensure Resident #1's NP was notified that she had missed doses of her prescribed Prednisone (normally prescribed for a short term in order to control acute flare-ups of Chron's disease) for eight days which exacerbated her symptoms of pain, nausea, vomiting, and diarrhea. […]

• Actual harm, patternF684Jun 20, 2023

  Based on observation, interview, and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one (Resident #1) of five residents reviewed for quality of care, in that: The facility failed to ensure Resident #1 received her prescribed Prednisone (normally prescribed for a short term in order to control acute flare-ups of Chron's disease) for eight days which exacerbated her symptoms of pain, nausea, vomiting, and diarrhea. […]

• Actual harm, isolatedF689Jan 22, 2025

  Based on interviews and record reviews, the facility failed to ensure the resident environment remained as free of accident hazards as is possible for 1 (Resident #8) of 15 residents reviewed for accidents and hazards. The facility failed to ensure CNA G performed appropriate incontinent care on Resident #8 when she asked her to hold onto the bed, which subsequently led to Resident #8 losing grip of the bed, falling to the ground, and sustaining a skin tear to her right forearm and bump to the left side of her forehead. This deficient practice could place residents at risk of injuries. Findings include: Review of Resident #8's admission record, dated 01/22/25, reflected she was a [AGE] year-old female who was admitted to the facility on [DATE] and readmitted on [DATE]. […]