Avir At Western Hills

Inspection history (32)

• March 21, 2024 · E

  Citation F0758

  Federal surveyors cited this nursing home on 2024-03-21 under CMS tag F0758 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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 l…. The deficiency was recorded as corrected on 2024-04-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-21.GOV

• March 21, 2024 · E

  Citation F0656

  Federal surveyors cited this nursing home on 2024-03-21 under CMS tag F0656 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2024-04-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-21.GOV

• March 21, 2024 · D

  Citation F0554

  Federal surveyors cited this nursing home on 2024-03-21 under CMS tag F0554 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Allow residents to self-administer drugs if determined clinically appropriate. The deficiency was recorded as corrected on 2024-04-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-21.GOV

• March 21, 2024 · D

  Citation F0657

  Federal surveyors cited this nursing home on 2024-03-21 under CMS tag F0657 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2024-04-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-21.GOV

• June 20, 2023 · H

  Citation F0580

  Federal surveyors cited this nursing home on 2023-06-20 under CMS tag F0580 (CMS scope/severity H: pattern, actual harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2023-07-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-20.GOV

• June 20, 2023 · H

  Citation F0684

  Federal surveyors cited this nursing home on 2023-06-20 under CMS tag F0684 (CMS scope/severity H: pattern, actual harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2023-07-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-20.GOV

• February 8, 2023 · C

  Citation F0577

  Federal surveyors cited this nursing home on 2023-02-08 under CMS tag F0577 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. The deficiency was recorded as corrected on 2023-03-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-02-08.GOV

• February 8, 2023 · F

  Citation F0812

  Federal surveyors cited this nursing home on 2023-02-08 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2023-03-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-02-08.GOV

• February 8, 2023 · E

  Citation F0695

  Federal surveyors cited this nursing home on 2023-02-08 under CMS tag F0695 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2023-03-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-02-08.GOV

• February 8, 2023 · E

  Citation F0583

  Federal surveyors cited this nursing home on 2023-02-08 under CMS tag F0583 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Keep residents' personal and medical records private and confidential. The deficiency was recorded as corrected on 2023-03-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-02-08.GOV

• February 8, 2023 · E

  Citation F0755

  Federal surveyors cited this nursing home on 2023-02-08 under CMS tag F0755 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2023-03-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-02-08.GOV

• February 8, 2023 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2023-02-08 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2023-03-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-02-08.GOV

Penalties

Total fines on file: $16,562

Staffing

Latest: 2.90 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Corporation

1. Parent organization: Stratford Hospital District

   parent · PAC 0648172171