Avir At Dallas
AVIR AT DALLAS in Dallas, TX — inspection on May 9, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
F-F686 Skin Integrity, p. 298. https://www.cms.gov/medicare/provider-enrollment-and-certification/gu idanceforlawsandregulations/downloads/appendix-pp-state-operations-manual.pdf
Review of the facility's Skin Integrity Monitoring System policy and procedure, effective date 12/2018 indicated:
Policy:
It is the policy of this home that: 1) A system will be in place to assure that all residents will be assessed and monitored for any type of skin breakdown; 2) A system will be in place to assure that all residents will be assessed and preventative measures will be in place to prevent the development of pressure injuries; and 3) A system will be in place to assure any type of skin conditions that do not constitute pressure injuries, will be monitored closely for any type of complications.
Procedures included:
Assessment and Monitoring
1) Braden Scale will be completed within 24 hours of admission / readmission and every week times 4 weeks for new admits/readmits; then quarterly and with any significant change in condition in software.
2) Residents will be screened daily through direct care provided and any deficits identified will be reported.
3) All residents will be assessed weekly using the Weekly Skin Assessment form for any type of skin integrity complications; this will include pressure injury and non-pressure related complications.
4) When a pressure injury or non-pressure skin deficit is identified, treatment orders are obtained from physician.
5) When a skin deficit is identified, dietary is to be notified .
6) When a skin deficit is identified, the Interdisciplinary Care Plan and the CNA Kardex (document that helps nursing staff organize and access key resident information for care/care planning) are to be updated to communicate [NAME] [TRUNCATED]
676215
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.