Avir At Rose Trail

During an interview with the DON on 1/2/2026 at 2:00 p.m., he stated PHI was information was not available to the public as residents at the facility had a right to privacy. He stated all staff were trained to protect this information in their new hire training as well as frequent refresher in-services throughout the year. He stated he was in this position for a couple of weeks and would ensure staff were trained to safeguard this information. He stated this was important so residents felt safe and that their information was kept confidential from those without a valid reason to access this information.

During an interview with the ADON on 12/31/2025 at 2:15 p.m., she stated PHI was to be safe-guarded by all staff and that they were trained initially on the importance of this in their onboarding process and were reminded frequently in in-service training.

She stated it was important to keep PHI protected as there was information included that others might use to exploit the resident, such as their name, DOB, SSN, and health diagnoses as residents had a right to privacy.

The ADON stated disclosure of this information would be a violation if HIPAA.

Record review of the facility's HIPAA Policy, dated April 2025, indicated, All patient, personnel, and financial information are considered privileged and confidential.

Access should not be granted to these confidential documents without proper authorization or in accordance with the Resident/Patient [NAME] of Rights.in accordance with HIPAA regulations, access to personal medical information is limited to qualified, designated personnel.your personal medical information will be maintained as confidential unless you allow the release of the information.