Aviston Countryside Manor

In the surveyor’s words

From the most serious findings on record at Aviston Countryside Manor, in the surveyor’s own words.

• Immediate jeopardy, isolatedF686Jan 19, 2023

  Based on interview and record review, the facility failed to assess, monitor, and provide treatment to prevent the development of pressure ulcers for 1 of 4 residents (R2) reviewed for pressure ulcers in the sample of 12. This failure resulted in R2 developing a Stage IV pressure ulcer and being admitted to the hospital with a diagnosis of Osteomyelitis. The Immediate Jeopardy began on 12/14/22 when due to the facility's failure to assess and monitor and provide progressive treatment, R2 developed excoriated buttocks. R2's excoriation worsened without progressive treatment and R2 developed osteomyelitis, and an unstageable pressure ulcer which required hospitalization and surgical debridement. […]

• Actual harm, isolatedF600Jan 16, 2026

  Based on interview and record review the facility failed to ensure residents were free from verbal and mental abuse from staff for 3 of 5 residents (R2, R4, and R5) review for abuse and neglect in the sample of 10.This failure resulted in harm to R2 and R4 who were observed crying and emotionally distressed at the time of the said incidents, along with R5 who was scared, feeling of being unsecure and wanting to move.The findings include:1.R2's admission Record documents an admission date of 11/23/24 and diagnoses including malignant neoplasm of overlapping [NAME] of left female breast, cerebral infarction, depression, generalized anxiety, unspecified mood disorder, and mild cognitive impairment. […]

• Actual harm, isolatedF689May 2, 2023

  Based on record review and interview, the facility failed to ensure a 2-person assist when providing bathing and bed mobility and preventing fall for one of 4 residents (R2) reviewed for accidents and supervision. This failure resulted in R2's fall and was transferred to a local hospital after sustaining multiple skin tears to left upper arm, left lower leg and right neck, ecchymosis on the right neck, left hand and forearm. Findings include: R2's Minimum Data Set, (MDS), dated [DATE] documents R2's cognitive skills for daily decision making is moderately impaired. R2 requires extensive assistance 2-person assist in bed mobility, transferring and bathing. […]

• No harm, potential for more than minimal, widespreadF812Aug 18, 2023

  Based on observation, interview, and record review, the facility failed to store food in a manner that prevents foodborne illness. This has the potential to affect all 63 residents living in the Facility. Findings include: On 8/15/23 at 8:07 AM, in the walk-in refrigerator, there was a pitcher containing brown liquid labeled tea and 8/1/23. There was a cart with one tray of individual cups of fruit and three trays with individual cups of dessert. Each tray was covered with another tray, and none were labeled or dated. There was a bag of crumbled sausage that was previously opened and tied up in a knot but was not labeled or dated. There were three bags of shredded cheese that were previously opened and resealed but were not dated. […]

• No harm, potential for more than minimal, widespreadF727Jul 12, 2023

  Based on interview and record review, the facility failed to provide consecutive 8 hour Registered Nurse (RN) coverage daily in the facility. This has the potential to affect all 64 residents in the facility. Findings include: On 7/12/2023 at 3:00 PM, the Nursing Working staffing schedule from 6/1/23 through 7/10/23 was reviewed with V2, Director of Nurses and V3, Staffing Coordinator. There was no consecutive 8-hour RN coverage in 24 hours in the Month June 2023 for the following dates: 6/3, 6/6, 6/8, 6/17, and 6/18. There was no consecutive 8-hour RN coverage in 24 hours in the Month July 2023 for the following dates: 7/1, 7/8, and 7/9. On 7/10/2023 at 9:45 AM V2 stated that the facility has had some staffing problems but no more than anyone else. […]