Avir at Weatherford

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 kitchen reviewed for kitchen sanitation. The facility failed to ensure foods were properly stored, labeled, and dated in the refrigerator and freezer. The facility failed to ensure the floors in the pantry and back hallway were kept clean to avoid buildup of grease, dirt, and dust in the faculty's only pantryThe facility failed to keep the kitchen area maintained in a clean manner to keep the floors, food surfaces, and cooking areas free of debris. The facility failed to ensure the stove was maintained in a clean manner to avoid liquid from seeping from underneath, maintain the drip pans in a safe manner, and keep the back drop free of grease and food splatter. [...]

Inspectors wroteBased on interview and record review the facility failed to inform each Medicaid-eligible resident, in writing, at the time of admission to the nursing facility and when the resident became eligible for Medicaid of the items and services that were included in nursing facility services under the State plan and for which the resident may not be charged, those other items and services that the facility offered and for which the resident may be charged, and the amount of charges for those services, and inform each Medicaid-eligible resident when changes were made to the items and services for 2 of 3 residents (Resident #6 and Resident #32) reviewed for resident rights. [...]

Inspectors wroteBased on observation, interview and record review the facility failed to ensure residents had the right to be free from physical or chemical restraints imposed for purposes of discipline or convenience and not required to treat the resident's medical symptoms for 1 of 8 residents (Resident #3) reviewed for freedom from physical restraints. 1. The facility failed to obtain documentation and/or consent identifying the medical symptoms being treated and an order for a pommel cushion for Resident #3's pommel cushion.2. The facility failed to ensure Resident #3's movement was not restricted, due to a pommel cushion This failure could place residents at risk of unnecessary restriction of their freedom of movement (any change in place or position for the body or any part of the body that the person is physically able to control).

Inspectors wroteBased on observation, interview and record review the facility must ensure that a resident who is incontinent of bladder receives appropriate treatment and services to prevent urinary trach infections for 1 of 24 (Resident #8) residents reviewed for incontinent care. The facility failed to ensure CNA C performed proper peri-care (incontinent care) for Resident #8. This failure could place residents at risk of infections from incontinent care.

Inspectors wroteBased on observation, interview, and record review 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 1 of 6 medication carts (cart #1) reviewed for medication storage. The facility failed to ensure medication cart #1 was locked and secured while unattended. This failure could place residents at risk of a drug diversion.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents were free from abuse and neglect for one of seven (Resident #1) residents reviewed for abuse. On 10 /11/25 CNA A dragged Resident # 1 by her ankles approximately 40 feet down the hallway in the memory care unit when Resident # 1 refused to allow CNA A to perform incontinent care. The noncompliance was identified as PNC. The IJ began on 10/11/25 and ended on 10/16/25. The facility had corrected the noncompliance before the survey began. This failure could place residents at risk of serious physical injuries, fear and emotional trauma, decline in health and a decreased quality of life.

Inspectors wroteBased on interviews and record reviews, the facility failed to implement written policies and procedures that prohibit and prevent abuse of residents for 1 (Resident #1) of 7 residents reviewed for resident abuse. The facility failed to implement their policy and procedures to ensure Resident #1 was free from abuse when the facility failed to protect Resident #1 from CNA A on 10/11/25, when CNA A grabbed Resident # 1 by the ankles and dragged her approximately 40 feet down the hallway on the floor of the memory care unit. The facility failed to ensure staff immediately reported suspicions of abuse to the Abuse Coordinator when staff members CNA B, CNA C, and LVN D witnessed the abuse and failed to report or intervene immediately. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that each resident received food that was palatable, attractive, and at a safe and appetizing temperature for 1 of 1 lunch meal tested for nutritive value, flavor, and appearance: The facility failed to provide palatable food served at an appetizing temperature as evidenced by a sample tray tested on [DATE]. This failure could affect the residents who ate food from the facility's kitchen by placing them at risk of poor food intake and/or dissatisfaction of the meals served.

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 1 of 1 kitchen reviewed, in that: The facility failed to ensure open items in the freezer, refrigerator, and dry food storage were dated and labeled and free from expired foods. The facility failed to ensure kitchen staff followed proper hand hygiene during meal preparations. These failures could place residents at risk for food borne illness and cross-contamination.

Inspectors wroteBased on interview and record review, the facility failed to ensure residents' drug regimens were free from unnecessary drugs for 2 of 5 residents (Resident #'s 61 and 76) whose records were reviewed for psychotropic drugs, in that: 1. Resident #61 received an order for the antianxiety medication Valium PRN (as needed), and the order did not include an end date after 14 days. Valium was administered on 11/1/24, 11/2/24, 11/3/24, 11/4/24, 11/6/24, 11/8/24, 11/11/24, 11/12/24, 11/13/24, and 11/14/24 PRN. 2. Resident #76 had an order for the antipsychotic medication Seroquel was administered at bedtime11/1/24 thru 11/13/24 for a diagnosis of Unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance and anxiety which was not an appropriate indication for use. [...]

Inspectors wroteBased on observations, interviews and record reviews, 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 of communicable diseases and infections for 3 (Resident #'s 7, 33, and 61) of 4 residents reviewed for infection control , in that: Agency LVN failed to intervene and practice EBP (enhanced barrier precautions) to protect resident's from MDRO'S by not donning a gown when caring for and administering medications to Resident #7 on 11/12/24 via his gastrostomy (an opening into the stomach through the abdominal wall to provide medication and nourishment) tube. The facility failed to intervene and practice EBP when caring for Resident # 33 who had a pressure area on her coccyx. [...]

Inspectors wroteBased on interview and record review, the facility failed to ensure residents have the right to formulate an advance directive for 1 of 24 residents (Resident #81) reviewed for advanced directives. The facility failed to have an Advanced Directive, Out of Hospital Do Not Resuscitate (OOHDNR) consent form which include a Representative and physician signature and License # in the electronic charting or admission paperwork for Resident #81. This failure could affect residents by not having their preferences honored concerning advanced directives.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that drugs and biologicals used in the facility were secured and stored in accordance with current accepted professional principles for 1 of 1 Treatment Cart observed for medication storage. The facility did not ensure the Treatment Cart was locked and secured on 11/13/24 on 300 hallway with resident present and no nurse present. This failure could place the residents at risk of gaining access to unlocked medications not prescribed to them.

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 kitchens reviewed. 1. The facility failed to ensure the floors weren't soiled with food particles and grease beneath the appliances and stainless-steel shelf units throughout the kitchen. 2. The facility failed to ensure two of two refrigerators did not have what appeared to be spilled milk, dried liquids, and food crumbs on the bottom shelf. 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 ensure each resident had the right to a safe, clean, sanitary, comfortable, and homelike environment, including but not limited to receiving treatment and supports for daily living safely on one of six hallways (Hallway 200) and the smoking area for areas reviewed for environment. 1. The facility failed to ensure Hallway 200 did not have a strong odor of urine. 2. The facility failed to ensure the smoking area did not have a foul odor with a large, uncovered bin filled with dirty laundry and a large, uncovered bin filled with trash within the smoking area. These failures could place residents at risk for a diminished quality of life and a diminished clean, homelike environment.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure assessments accurately reflected the resident's status for 1 of 6 residents (Resident #6) reviewed for accuracy of assessments. The facility failed to ensure Resident #6's MDS accurately reflected the resident hearing loss. This failure could place residents at risk for not receiving care and services to meet their physical needs and promote feelings of well-being and quality of life.