Facility profile · CCN 455785
Avir At Western Hills
32 federal citations on record , including 2 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $8,281.
Record summary
Federal record · Q1 202632
Total citations
26
Last 3 years
5
Actual harm+
1
Federal penalties
$8,281
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
32 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 29, 2025 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Complaint |
| Dec 29, 2025 | 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. | E | Complaint |
| Nov 20, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Jul 2, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| May 8, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| May 8, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| May 8, 2025 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard |
| May 8, 2025 | F732 | Post nurse staffing information every day. | C | Standard |
| Apr 30, 2025 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint |
| Jan 22, 2025 | F809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Complaint |
| Jan 22, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint |
| Jan 22, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Jan 22, 2025 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | Complaint |
| Jan 22, 2025 | 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. | D | Complaint |
| Oct 16, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Mar 21, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Mar 21, 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 |
| Mar 21, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Mar 21, 2024 | F758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Standard |
| Mar 21, 2024 | F732 | Post nurse staffing information every day. | C | Standard |
| Mar 21, 2024 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard |
| Mar 21, 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. | D | Standard |
| Mar 21, 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 |
| Mar 21, 2024 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Jun 20, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | H | Complaint |
| Jun 20, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | H | Complaint |
| Feb 8, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Feb 8, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Feb 8, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Feb 8, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Feb 8, 2023 | F583 | Keep residents' personal and medical records private and confidential. | E | Standard |
| Feb 8, 2023 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $8,281 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Nov 20, 2025 | Fine | $8,281 | — |
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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