Avir at Temple East

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for foodservice safety in 1 of 1 kitchen. The facility failed to ensure food safety on 02/04/2026 by failing to consistently monitor and discard expired food, failing to label and/or date food items, and failing to keep bins, where serving utensils and dishes were stored, clean. These failures could place residents who received meals from the main kitchen at risk for foodborne illnesses.

Inspectors wroteBased on interview and record review, the facility failed to ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 1 of 1 resident (Resident #1) reviewed for personal hygiene. The facility failed to provide Resident #1 with 2 scheduled showers between 01/24/2026 and 02/04/2026. This failure could place residents who require assistance from staff for personal hygiene at risk of not receiving care and services contributing to overall poor hygiene, risk of experiencing a diminished quality of life, and possible skin infections.

Inspectors wroteBased on observations, interviews, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, which included measurable objectives and time frames to meet a resident's medical, nursing, and mental and psychosocial needs for 3 (Resident #135, #79 and 72) 8 residents reviewed for comprehensive care plans. The facility failed to ensure Residents #135, #79, and #72's comprehensive care plans reflected the residents were at a high risk for wandering and them residing in the memory care unit. This deficient practice could place residents at risk for receiving improper care and services due to inaccurate care plans.

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 the facility's only kitchen reviewed for food and nutrition services. The facility failed to ensure food items in both refrigerators, in the kitchen, were dated and labeled. The facility failed to ensure personnel items were not stored in facility refrigerator with resident food. This failure could place the residents at risk for food borne illness and cross contamination.

Inspectors wroteBased on interviews, and record review, the facility failed to ensure the right to be free from misappropriation of resident property for one of three residents (Resident #1) reviewed for misappropriation. The facility failed to prevent a diversion (misappropriation) of Resident #1's Hydrocodone-Acetaminophen (Norco) 10-325mg, 30 tablets (a narcotic pain reliever) received from the pharmacy on 12/19/23 and reported missing on 12/20/23. This failure could place residents at risk for decreased quality of life, unrelieved pain, misappropriation of property, and dignity.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure storage and/ or label of medications used in the facility in accordance with currently accepted professional principles and include the appropriate expiration dates for 2 of 4( unit 300, and unit 500) medication carts reviewed for medication storage. -The facility failed to date Insulin Injections ( unit 100/200, ) when the product was first opened according to manufacture and professional standards. -The facility failed to ensure expired medications were removed from the medication carts ( unit 300, and unit 500). These failures could place residents at risk of not receiving the intended therapeutic effect of the medications or a contaminated medication. Findings Included: [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to post in a place readily accessible to residents, and family members and legal representatives of residents, the results of the most recent survey of the facility for one of one facility. The facility failed to ensure the survey result from the previous recertification surveys were readily available to the residents and family. This failure could place residents and visitors at risk of not being aware of the facility's past deficiencies.

Inspectors wroteBased on observation, interview, and record review the facility failed to post nurse staffing information to include the facility name, current date, total number, and actual hours worked by registered nurses, licensed practical or licensed vocational nurses, certified nurse aides per shift and the resident census on a daily basis for one of two days (09/26/23) reviewed for nurse staffing information. The facility did not post the required current nurse staffing information on 09/26/2023. This failure could place residents at risk of not having access to information regarding staffing data and the facility census.

Inspectors wroteBased on observation, interview and record review, the facility failed to store and prepare food in accordance with professional standards for food safety in the facility's only kitchen. 1. The facility failed to ensure food items in the refrigerator were dated, labeled, and sealed appropriately. 2. The facility failed to discard food stored in the refrigerator that should no longer be consumed. These failures could affect the residents who received their meals from the facility's only kitchen, by placing them at risk for food-borne illness and food contamination.

Inspectors wroteBased on observation, interview, and record review, the facility failed to 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 disease and infection for 1 of 6 residents (Resident #44) reviewed for infection control, in that: CNA A failed to wash or sanitize her hands or change gloves before touching the package of wipes and after cleaning Resident #44's buttock area. This deficient practice could place residents at-risk for infection due to improper care practices.