Avir at Keeneland

Inspectors wroteBased on observation, interview and record review the facility failed to store, prepare, distribute and in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for food and nutrition services. 1. The facility failed to ensure floors were not soiled with food, grease, and white dried substances. 2. The facility failed to ensure food items in the refrigerator were dated and not opened to air. 3. The facility failed to ensure appliances were not greasy and did not contain food particles. 4. The facility failed to ensure food items were stored properly per the manufacturer. These failures could place residents at risk for foodborne illness and a decline in health status.

Inspectors wroteBased on observation, interview and record review the facility failed to determine that drug records were in order and that an account of all controlled drugs were maintained and periodically reconciled for 3 of 4 residents (Resident #13, 20, 30) reviewed for pharmacy services. 1. The facility failed to accurately and timely complete documentation of controlled drug administration for Resident #13, #20 and #30). 2. The facility failed to monitor controlled medications stored on 1 of 2 medication carts checked for narcotic reconciliation and the narcotic locked box in the refrigerator. 3. The facility failed to ensure medications were not missing. These failures could place residents at risk of medication overdose, medication under-dose, and ineffective therapeutic outcomes. [...]

Inspectors wroteBased on interview and record review, the facility failed to ensure the resident had the right to be informed in advance, by the physician or other practitioner or professional, of the risks and benefits of proposed care, of treatment and treatment alternatives or treatment options, and to choose the alternative option he or she preferred for 1 of 5 residents (Resident #3) reviewed for resident rights.1. The facility failed to ensure Resident #3 had a signed consent form for Trazadone, an antidepressant medication, which was ordered by her physician on 12/23/2025.2. The facility failed to ensure Resident #3 had a signed consent form for Alprazolam, an antianxiety medication, which was ordered by her physician on 01/29/2026.3. The facility failed to ensure Resident #3 had a signed consent form for Effexor, an antidepressant medication, which was ordered by her physician on 03/17/2026.4. [...]

Inspectors wroteBased on interview and record review the facility failed to ensure conduct initially and periodically a comprehensive, accurate, standardized reproducible assessment of each resident's functional capacity for 1 of 4 residents (Resident #13) reviewed for assessments. The MDS Coordinator did not complete Resident #13's Annual Minimum Data Set (MDS) Assessment. This deficient practice could place residents at risk of not meeting the residents needs with inaccurate and incomplete MDS assessments.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure drugs and biological used in the facility were labeled in accordance with currently accepted professional principles, and include the appropriate accessory cautionary instructions, and the expiration date when applicable for 1 of 1 medication rooms reviewed for medication storage and 1 of 2 medication carts reviewed for medication storage. The facility failed to ensure the Medication Room did not have expired medication and biologicals. The facility failed to ensure that medications were stored properly in the medication carts. This failure could place residents who at risk of receiving expired medications. During an observation on 03/19/2026 9:25 AM, of the medication cart for South Hall, revealed several loose pills in the second drawer. [...]

Inspectors wroteBased on interviews and record reviews, the facility failed to maintain medical records on each resident that were complete and accurately documented for 1 (Resident #7) of 4 residents reviewed for medical records. The facility failed to document Resident #7's weekly skin assessments. These failures place residents at risk of health and safety due to inaccurate assessments.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents fed by enteral means received the appropriate treatment and services for 2 of 2 residents (Residents #8 and #23) reviewed for tube feeding management. 1. The facility failed to ensure that Resident #8 and Resident #23 had properly labeled formula and water for their tube feedings on 12/17/24 and 12/18/24. 2. The facility failed to ensure that Resident #8's head of bed was elevated while her tube feeding was infusing on 12/18/24. These failures could place residents at risk of aspiration and not receiving adequate nutrition by way of enteral feeding.

Inspectors wroteBased on observations, interviews, and record reviews, 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 2 of 5 residents (Resident #26, Resident #32) reviewed for infection control. The facility failed to ensure staff followed infection control policies and procedures while providing Resident #26 and Resident #32 with wound care. This failure could place residents at risk for cross contamination and infection.

Inspectors wroteBased on interview and record review, the facility failed to employ sufficient staff with the appropriate competencies, and skills set to conduct the functions of the food and nutrition service for 1 of 1 (DM) reviewed for qualified dietary staff. The facility failed to ensure the facility's DM met the requirements for a certified dietary manager. This failure could place residents at risk of not having their nutritional needs met and place them at risk for food born illnesses.

Inspectors wroteBased on interviews, the facility failed to ensure residents had a right to organize and participate in resident groups in the facility and provide 7 out of 7 Residents private space to conduct group meetings without facility staff present or continued interruptions by facility staff walking through the meeting to and from the kitchen and outside breakroom. The facility failed to provide a private area for confidential resident group meeting. This failure placed all residents that could participate in a resident council at risk of not having the right to voice their concerns without staff being present or overhearing their concerns and to conduct resident council meetings without interference.

Inspectors wroteBased on interview, and record review the facility failed to provide an ongoing program to support residents in their choice of activities, both facility-sponsored group and individual activities and independent activities, designed to meet the interests of and support the physical, mental, and psychosocial well-being of each resident, encouraging both independence and interaction in the community for 2 of 2 (Resident #31 & Resident #36) residents reviewed for individual activities. The facility failed to provide one-on-one visits to Resident #31 & Resident #36 as care planned. This failure could result in residents having a diminished quality of life.

Inspectors wroteBased on observation, interview and record review the facility failed to accurately assess each resident's status for 1 of 4 Residents (Resident #36) reviewed for assessment accuracy in that: Resident #36's admission MDS dated [DATE] did not have Section H (bowel and bladder) coded correctly. This failure could place residents at risk of not receiving the proper care and services due to inaccurate records.

Inspectors wroteBased on interview and record review, the facility failed to develop the comprehensive care plan with the participation of the resident and the IDT (Interdisciplinary Team) for 2 of 6 residents (Resident #36 and #37) reviewed for care plans. The facility's failure could affect residents by placing them at risk for individual needs not being identified and addressed in the IDT meeting and decreased feelings of self-determination and psychosocial well-being within their living environment.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medications were secured on 1 of 2 medication carts reviewed for pharmacy services. The facility did not ensure medications carts were secured and locked. This failure could place the residents who resided in the facility at risk of a drug diversion.

Inspectors wroteBased on observation and interview, the facility failed to post the daily nurse staffing information with the current date, resident census, and numbers of staff actual hours worked at the beginning of each shift in a place readily accessible to residents and visitors, in that: 1. The facility failed to update and post the daily nurse staffing information on 10/25/2023. This failure could affect residents, their families, and facility visitors by placing them at risk of not having access to information regarding staffing data and facility census.