Avir At Belton

jeopardy to resident health or safety

neglect, identifying typed of abuse, safe lifting and movement of residents and dated 10/27/2025 reflected the signature of CNA A.

Record review of facility staff in-services titled Safe lifting and movement of residents, abuse, neglect, exploitation and misappropriation prevent program and dated 10/17/2025 reflected the signatures of CNA B,

Record review of facility in-service titled Abuse, neglect policy dated 10/20/2025 reflected the signatures of the DON, ADON, and administrator.

The facility implemented interventions prior to the entrance of the investigation on 10/28/2025 to correct the non-compliance.

Confirmed through a record review of the facility Investigation Report and confirmed during an interview with RNC, in-service training was implemented with all direct care staff on Safe Lifting and Movement of Residents and Abuse, Neglect.

One on one training was conducted for CNA A over safe lifting and movement of residents policy. RN A after the incident.

Other corrective actions included the implementation of the QAPI Ad Hoc Committee that included Root cause and corrected actions.

Root cause indicated two staff members lacked knowledge of proper transfer techniques involving the use of a gait belt which contributed to an assisted fall.

Corrected Actions included Interview with all staff involved to determine the root cause of the assisted fall.

Inservice: Abuse/Neglect, Proper Transfer and Use of Gait belts, Assessment for suspected fracture, and how to find transfer status in PCC.

Each team member is to be issued a gait belt and instructed on it's proper use.

Care plan audit to ensure transfer status is accurate for all residents.

Skills check- off for transfers for all direct care staff.

Facility ID: