Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 675452

Avir At Converse

43 federal citations on record , including 4 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $64,590.

4 Immediate Jeopardy

Record summary

Federal record · Q1 2026
43
Total citations
41
Last 3 years
4
Actual harm+
4
Federal penalties
$64,590
Total fines
1
Overall ★ rating

Most common violation categories here

Care Planning14 Quality of Care8 Resident Rights5 Administration5 Medication & Pharmacy4

Most common F-tags at this facility

F7613 F8423 F6563 F6413 F5832

Citation history

43 on record
SurveyF-TagViolationSeveritySource
Sep 4, 2025F761Ensure 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.DComplaint
Apr 4, 2025F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.EStandard
Apr 4, 2025F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard
Apr 4, 2025F946Provide training in compliance and ethics.EStandard
Apr 4, 2025F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.EStandard
Apr 4, 2025F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.EStandard
Apr 4, 2025F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.EStandard
Apr 4, 2025F880Provide and implement an infection prevention and control program.DStandard
Apr 4, 2025F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.DStandard
Apr 4, 2025F761Ensure 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.EStandard
Apr 4, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Apr 4, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Apr 4, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Apr 4, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Apr 4, 2025F641Ensure each resident receives an accurate assessment.DStandard
Apr 4, 2025F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard
Apr 4, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Mar 28, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Mar 28, 2025F583Keep residents' personal and medical records private and confidential.DComplaint
Mar 23, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Sep 6, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Jul 27, 2024F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JComplaint
May 22, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Apr 9, 2024F761Ensure 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.DComplaint
Apr 9, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Apr 9, 2024F641Ensure each resident receives an accurate assessment.DComplaint
Apr 9, 2024F583Keep residents' personal and medical records private and confidential.DComplaint
Feb 25, 2024F880Provide and implement an infection prevention and control program.DComplaint
Feb 25, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Feb 25, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
Feb 25, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Feb 25, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Feb 25, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Feb 25, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Feb 25, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DComplaint
Feb 25, 2024F641Ensure each resident receives an accurate assessment.DComplaint
Feb 25, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Feb 25, 2024F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DComplaint
Feb 25, 2024F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JStandard
Feb 25, 2024F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.JStandard
Aug 18, 2023F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DComplaint
Jan 10, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jan 10, 2023F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 3 civil money penalties totaling $64,590 and 1 payment-denial actions spanning 15 days.

DateTypeFinePayment denial
Jul 27, 2024Fine$23,845—
Feb 25, 2024Fine$15,440—
Feb 25, 2024Fine$25,305—
Feb 25, 2024Payment Denial—Mar 26, 2024 · 15 days
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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