Facility profile · CCN 455941
Avir At Enchanted Rock
44 federal citations on record , including 4 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $63,121.
Record summary
Federal record · Q1 202644
Total citations
35
Last 3 years
4
Actual harm+
2
Federal penalties
$63,121
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
44 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 8, 2026 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Jul 10, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Jul 10, 2025 | F732 | Post nurse staffing information every day. | C | Complaint |
| Jul 10, 2025 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint |
| Feb 12, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Feb 12, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Feb 12, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Feb 12, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard |
| Feb 12, 2025 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Feb 12, 2025 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Feb 12, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Feb 12, 2025 | F578 | Honor 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. | D | Standard |
| Feb 12, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Jan 19, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint |
| Jan 19, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint |
| Jan 19, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jun 22, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Jan 13, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard |
| Jan 13, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jan 13, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Jan 13, 2024 | F803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | B | Standard |
| Jan 13, 2024 | F761 | 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. | E | Standard |
| Jan 13, 2024 | F760 | Ensure that residents are free from significant medication errors. | E | Standard |
| Jan 13, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Jan 13, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jan 13, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard |
| Jan 13, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Jan 13, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard |
| Jan 13, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Jan 13, 2024 | F610 | Respond appropriately to all alleged violations. | J | Standard |
| Jan 13, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Jan 13, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | Standard |
| Jan 13, 2024 | F585 | 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. | D | Standard |
| Jan 13, 2024 | F584 | Honor 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. | E | Standard |
| Jan 13, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Nov 18, 2022 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard |
| Nov 18, 2022 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Nov 18, 2022 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Nov 18, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Nov 18, 2022 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Nov 18, 2022 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard |
| Nov 18, 2022 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Nov 18, 2022 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Nov 18, 2022 | F578 | Honor 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. | E | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $63,121 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jan 19, 2025 | Fine | $49,205 | — |
| Jan 13, 2024 | Fine | $13,916 | — |
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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