Avir at Haskell

Inspectors wroteBased on observations, interview, and record review, the facility failed to ensure all drugs and biologicals were stored properly for 1 of 2 medication carts (Medication Cart B) and 1 of 1 medication rooms, reviewed for medication storage.-The facility failed to ensure there were no expired items in the medication room.-LVN C left Medication Cart B unlocked and unattended in Hall 2. These failures could place residents at risk of receiving expired supplies and drug diversion.

Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for dietary services, in that: The facility failed on 07/15/2025 to seal and date food stored in the refrigerator and dry storage room. These failures could place residents at risk for food contamination and foodborne illness. The following observations were made on 07/15/2025 beginning at 9:29 AM during initial tour of the kitchen: Observation of the following stored in the dry storage room: Bag of powdered milk open. Container of rice with lid open. Container of elbow macaroni with lid open. Observation of the following stored in the refrigerator:Bowl of watermelon with no date. Cheese slices open with no date. Butter sticks open with no date. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 3 of 6 residents (Residents #4, #5, and #16) reviewed for infection control.1. CNA B failed to wash hands with soap and water after gloves became visibly soiled when providing incontinence care for Resident #16. 2. CNA E failed to utilize proper hand hygiene between glove changes when providing incontinence care for Resident #5.3. LVN C failed to follow Enhanced Barrier Precautions (EBP) and wear a gown when providing wound care to Resident #4. These failures could place residents at risk for cross contamination and infection.

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure each resident was treated with respect, dignity, and care for each resident in a manner and in an environment that promotes the maintenance or enhancement of their quality of life, recognizing each resident's individuality and the facility failed to protect and promote the rights of the resident for 2 of 18 residents (Resident #5 and Resident #11) reviewed for resident rights in that:-CNA A stood next to Resident #5 while feeding him during lunch services on 07/15/25.-CNA D stood next to Resident #11 while feeding her during lunch services on 07/15/25. These failures could place residents at risk for weight-loss, diminished quality of life and loss of dignity and self-worth.

Inspectors wroteBased on observations, interviews, and record reviews the facility failed to ensure the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences for 1 of 18 residents (Resident #45) reviewed for call light placement. The facility failed to ensure the resident call light system was within reach for Resident #45. This failure could place residents at risk of not receiving the necessary assistance they need to maintain their highest level of well-being. Record review of Resident #45's face sheet dated 07/16/2025 revealed an [AGE] year-old-male admitted on [DATE] with the following diagnoses: diabetes (high blood sugar), glaucoma (eye disease), muscle spasm, cervical (neck) fracture, gastro-esophageal reflux disease (digestive disease), and hyperlipidemia (high cholesterol). [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to follow their policy on personal resident refrigerators for 3 of 16 personal resident refrigerators reviewed for food safety (room [ROOM NUMBER], #28, and #31) in that the refrigerators located in room [ROOM NUMBER], #28, and #31 were not being monitored for internal temperature and expiration/used by dates. The refrigerators located in room [ROOM NUMBER], #28, and #31 were not being monitored for internal temperature and expiration/used by dates. These failures could place residents at risk for food borne illnesses.

Inspectors wroteBased on interview and record review, the facility failed to ensure that drugs and biologicals used in the facility were secured properly for 1 of 5 (Resident #1) residents in that: 1. LVN A failed to ensure medications for Resident #1 were secure when she left Resident #1's medications in a cup on the bedside table and walked out of the room. This failure could place residents at risk for harm and result in drug diversion due to medications not being properly secured.

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure each resident was treated with respect, dignity, and care for each resident in a manner and in an environment that promotes the maintenance or enhancement of their quality of life, recognizing each resident's individuality and the facility failed to protect and promote the rights of the resident for 3 of 15 residents (Resident #7, Resident #17, and Resident #23) reviewed for resident rights in that: 1. The facility failed to have a privacy cover over the catheter drainage bag for Residents #7 and #17. 2. CNA B failed to provide complete privacy for Resident #7 during catheter care. 3. CNA C failed to provide complete privacy for Resident #23 during incontinence care. These failures could place residents at risk for diminished quality of life and loss of dignity and self-worth.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles and included the appropriate accessory and cautionary instructions, and the expiration date when applicable and the facility failed to ensure, in accordance with State and Federal laws, all drugs and biologicals were stored in locked compartments under proper temperature controls, and permitted only authorized personnel to have access to the keys for 2 of 2 medication carts for 5 of 8 residents (Residents #3, #4, #8, #26, and #34) reviewed for medication administration. 1. LVN B failed to ensure Resident #34's medications were properly labeled as the medications were stored in an open medication cup in the medication cart top drawer. 2. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for dietary services. 1) The facility failed to keep freezer handles and microwave handles clean. These failures could place residents at risk for food contamination and foodborne illness.

Inspectors wroteBased on observation, interview and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 7 of 7 residents (Residents #4, #7, #10, #18, #20, #26, and #34) reviewed for infection control 1. The facility failed to ensure LVN B washed her hands or used hand sanitizer prior to medication preparation or administration for Residents #4 during medication administration. 2. CNA B failed to wash her hands prior to gathering supplies for incontinent care for Resident 7. CNA B failed to wash her hands properly before providing incontinent care for Resident 7. 3. [...]

Inspectors wroteBased on interviews and record review, the facility failed to ensure all residents had the right to formulate advance directives for 3 of 15 residents (Residents #12, #17, and #34) reviewed for advanced directives, in that: The facility failed to ensure Residents #12, #17, and #34, who are listed as DNR (Do Not Resuscitate), had Out-of-Hospital Do Not Resuscitate (OOH-DNR) forms that were correctly filled out and did not have missed required information on the OOH-DNR. These failures could place residents at risk for not having their end of life wishes honored and incomplete records.

Inspectors wroteBased on interview and record review the facility failed to ensure in accordance with accepted professional standards and practices, medical records maintained on each resident were accurately documented for 3 of 3 residents (Residents #3, #8 and #34) reviewed for accuracy of records. LVN A and LVN B failed to protect Residents #3, #8 and #34 information by leaving the computer screen up or halfway open with the resident's information up on the screen, while administering medications, and leaving the screen unattended. This failure could place residents at risk of having medical information exposed to others.

Inspectors wroteBased on observation, interview, and record review, the facility failed to offer, based on a resident's comprehensive assessment, a therapeutic diet when there was a nutritional problem, and the health care provider ordered a therapeutic diet for 6 of 6 residents (Residents #1, 2, 10, 14, 20 and 28), in that: The facility failed to provide Residents #1, 2, 10, 14, 20 and 28 with their physician ordered therapeutic diets that included fortified foods, a renal diet, and/or large portions for the noon meal on 04/26/23. This failure could place residents at risk for hunger, weight loss, and chemical imbalances.

Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for 2 of 2 staff (Dietary Manager and Dietary staff A) and 1 of 1 kitchen, in that: [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff and the public, in 2 of 2 common resident baths (#1 and #2), 3 of 4 halls (1, 2 and 3) in that: 1)The facility failed to ensure resident rooms, resident use equipment and common areas were clean and maintained in good repair 2) The facility failed to ensure chemicals were not accessible to residents. These failures could lead to resident injuries, spread of infections, and cause the facility to have an unsightly appearance.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents who were incontinent of bladder or had a urinary catheter received appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible for 1 of 2 Residents (Resident #17) reviewed for incontinent care. - CNA A failed to maintain appropriate technique and wiped Resident #17's buttocks from back to front. This failure had the potential to affect residents by placing them at an increased risk of exposure to communicable diseases and infections.

Inspectors wroteBased on observation, interview, and record review, the facility failed to establish and maintain an Infection Control Program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of disease and infection for 1 of 3 residents (Resident #88) and in 1 of 2 common baths (#1) reviewed for infection control, in that: 1)The facility failed to use proper infection control precautions when providing care for Resident #88 who was COVID positive, and 2)The facility failed to ensure clean linens were stored in a sanitary manner. These failures could place residents at risk for infections.