Avir at Winnsboro

In the surveyor’s words

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

• Immediate jeopardy, widespreadF584Jun 23, 2023

  Based on observation, interview, and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment including comfortable and safe temperatures for 5 of 6 residents (Resident #'s 1, 3,4,5 and 6) and 5 of 6 zones (Zone 6, Zone 5, Zone 5/11, Zone 5/7 and Zone 10) reviewed for environment. 1.The facility did not ensure facility temperatures were below 81 degrees Fahrenheit after a power outage on 6/16/23. Staff interviews corroborated the temperature in the building was up to 92 degrees on Saturday 6/17/23. Despite having a cooler area in the building for Residents to gather. Residents slept in their rooms exposed to higher temperatures for 4 days. 2. Resident #1 was hospitalized on [DATE] with signs and symptoms of heat exposure and dehydration. […]

• Immediate jeopardy, isolatedF689Jun 25, 2025

  Based on observation, interview and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 21 residents (Resident #170) reviewed for supervision.The facility failed to ensure Resident #170 eloped (via foot) from the facility to a local energy service company (0.7 miles) on the night of 06/13/25 at 7:45 PM. Resident was found 4 1/2 hours later at 12:24 am on 6/14/25.The noncompliance was identified as PNC. The IJ began on 6/13/25 and ended on 6/14/25. […]

• Immediate jeopardy, isolatedF689Mar 6, 2025

  Based on observation, interview, and record review, the facility failed to ensure that the resident environment remained as free of accident hazards as possible and provide supervision to prevent avoidable accidents for 1 of 2 residents (Resident #1) reviewed for quality of care. The facility failed to ensure Resident #1 was adequately supervised which resulted in Resident #1 leaving the facility on 08/12/24, walking approximately 0.5 miles , and crossing a busy 2 lane road. The facility failed to ensure the ADON put measures in place to keep Resident #1 from leaving the facility when she said she saw Resident #1 climb the fence. The facility failed to monitor and put measures in place to keep Resident #1, who was high risk for elopement, from eloping after voicing wanting to go home. […]

• Immediate jeopardy, isolatedF689May 1, 2023

  Based on observation, interview, and record review the facility failed to ensure residents received adequate supervision and assistance to prevent accidents for 1 of 6 residents (Resident #1) reviewed for smoking safety. RN A did not ensure Resident #1 was not using Oxygen while smoking. RN A lit a cigarette for Resident #1 while Oxygen was on and being delivered thought a nasal cannula causing second degree burns to Resident #1's face. An Immediate Jeopardy (IJ) situation was identified on 04/30/23 at 2:15 p.m. […]

• Actual harm, isolatedF760Mar 19, 2021

  Based on interviews and record reviews the facility failed to ensure residents were free from significant medication error for 1 of 6 residents reviewed for administration of medication. (Resident #1) RN A administered the wrong medication (Neurontin 900 mg and [MEDICATION(S)] 25 mg.) to Resident #1. Resident #1 had a [CONDITION(S)], was admitted to the hospital for somnolence (state of being drowsy or sleepy) adverse effect of drug and [CONDITION(S)]. This was determined to be past non-compliance with actual harm due to the facility having implemented actions that corrected the non-compliance prior to the beginning of the survey. This failure could place residents requiring assistance with medication administration at risk for adverse effects. […]