CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Avir at Cowhorn Creek
View the most recent health deficiencies and inspection results for Avir at Cowhorn Creek. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Avir at Cowhorn Creek. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Assist a resident in gaining access to vision and hearing services. | Health | 2026-02-12 | 2026-02-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-02-12 | 2026-02-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-02-12 | 2026-02-13 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2026-02-12 | 2026-02-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2026-02-12 | 2026-02-13 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2026-02-12 | 2026-02-13 | N |
| Assess the resident when there is a significant change in condition | Health | 2026-02-12 | 2026-02-13 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2026-02-12 | 2026-02-13 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2026-02-12 | 2026-02-13 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2026-02-12 | 2026-02-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2026-02-12 | 2026-02-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-12 | 2026-02-13 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2026-02-12 | 2026-02-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-02-12 | 2026-02-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2026-02-12 | 2026-02-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2026-02-12 | 2026-02-13 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2026-02-12 | 2026-02-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-02-12 | 2026-02-13 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2026-02-12 | 2026-02-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-02-12 | 2026-02-13 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2026-02-12 | 2026-02-11 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-08-15 | 2025-08-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-08-15 | 2025-08-18 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-08-15 | 2025-08-18 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-08-15 | 2025-08-18 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2025-08-15 | 2025-08-18 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2025-08-15 | 2025-08-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-08-15 | 2025-08-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-04-09 | 2025-04-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-04-09 | 2025-04-10 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-04-09 | 2025-04-10 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-12-04 | 2024-12-06 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-12-04 | 2024-12-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-04 | 2024-12-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-12-04 | 2024-12-06 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-12-04 | 2024-12-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-12-04 | 2024-12-06 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-12-04 | 2024-12-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-12-04 | 2024-12-06 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-12-04 | 2024-12-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-12-04 | 2024-12-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-12-04 | 2024-12-06 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-12-04 | 2024-12-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-29 | 2024-11-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-29 | 2024-10-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-10-29 | 2024-10-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-10-29 | 2024-10-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-29 | 2024-10-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-10-29 | 2024-10-30 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-03-13 | 2024-03-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-13 | 2024-03-15 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-16 | 2024-02-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-16 | 2024-02-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-16 | 2024-02-08 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-11-16 | 2023-11-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-16 | 2023-11-22 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-11-16 | 2023-11-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-16 | 2023-11-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-16 | 2023-11-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-16 | 2023-11-17 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-11-16 | 2023-11-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-16 | 2023-11-17 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-11-16 | 2023-11-17 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-11-16 | 2023-11-17 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-11-16 | 2023-11-17 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-11-16 | 2023-11-17 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2023-11-16 | 2023-11-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-16 | 2023-11-17 | Y |