Avir At Jeffrey Place

Penalties

• Jul 11, 2025 — Fine ($14,361)
• Apr 8, 2024 — Fine ($8,021)
• Apr 8, 2024 — Payment Denial · payment denial 3 days

Inspection findings

1. Apr 9, 2026 Health · 4 findings
   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected May 8, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected May 8, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected May 8, 2026 · CMS health inspection

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     CMS fire safety

2. Jul 29, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Aug 29, 2025 · CMS health inspection

3. Jul 11, 2025 Health · 2 findings
   • Serious Scope/severity J Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected May 31, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Jul 20, 2025 · CMS health inspection

4. Feb 6, 2025 Fire Safety · 13 findings
   • Not serious Scope/severity F

     E0004 Emergency Preparedness Deficiencies

     Develop and maintain an Emergency Preparedness Program (EP).

     Corrected Feb 10, 2025 · CMS fire safety

   • Not serious Scope/severity D

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Feb 10, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0559 Resident Rights Deficiencies

     Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

     Corrected Feb 10, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0584 Resident Rights Deficiencies

     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.

     Corrected Feb 10, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Feb 10, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0676 Quality of Life and Care Deficiencies

     Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

     Corrected Feb 10, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Feb 10, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Feb 10, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0761 Pharmacy Service Deficiencies

     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.

     Corrected Feb 10, 2025 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Feb 10, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Feb 10, 2025 · CMS health inspection

   • Not serious Scope/severity F

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Feb 10, 2025 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Feb 6, 2025 · CMS fire safety

5. Jan 22, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0624 Resident Rights Deficiencies

     Prepare residents for a safe transfer or discharge from the nursing home.

     Corrected Feb 12, 2025 · CMS health inspection

6. Jul 19, 2024 Health · 2 findings
   • Not serious Scope/severity E Complaint

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Jul 21, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0761 Pharmacy Service Deficiencies

     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.

     Corrected Jul 21, 2024 · CMS health inspection

7. Jun 27, 2024 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0580 Resident Rights Deficiencies

     Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

     Corrected Jul 1, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Jul 1, 2024 · CMS health inspection

8. May 7, 2024 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Apr 24, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0761 Pharmacy Service Deficiencies

     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.

     Corrected May 10, 2024 · CMS health inspection

9. Apr 8, 2024 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Apr 9, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0626 Resident Rights Deficiencies

     Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

     Corrected Apr 9, 2024 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Apr 9, 2024 · CMS health inspection

10. Jan 24, 2024 Health · 14 findings
    • Not serious Scope/severity E

      F0565 Resident Rights Deficiencies

      Honor the resident's right to organize and participate in resident/family groups in the facility.

      Corrected Feb 22, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0584 Resident Rights Deficiencies

      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.

      Corrected Feb 22, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0656 Resident Assessment and Care Planning Deficiencies

      Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      Corrected Feb 22, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0730 Nursing and Physician Services Deficiencies

      Observe each nurse aide's job performance and give regular training.

      Corrected Feb 22, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0813 Nutrition and Dietary Deficiencies

      Have a policy regarding use and storage of foods brought to residents by family and other visitors.

      Corrected Feb 22, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Feb 22, 2024 · CMS health inspection

    • Not serious Scope/severity F

      K0324 Smoke Deficiencies

      Provide properly protected cooking facilities.

      Corrected Feb 22, 2024 · CMS fire safety

    • Not serious Scope/severity D

      K0351 Smoke Deficiencies

      Install an approved automatic sprinkler system.

      Corrected Mar 8, 2024 · CMS fire safety

    • Not serious Scope/severity D

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected Mar 8, 2024 · CMS fire safety

    • Not serious Scope/severity D

      K0355 Smoke Deficiencies

      Properly select, install, inspect, or maintain portable fire extinguishes.

      Corrected Mar 8, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0363 Smoke Deficiencies

      Install corridor and hallway doors that block smoke.

      Corrected Feb 22, 2024 · CMS fire safety

    • Not serious Scope/severity C

      K0521 Services Deficiencies

      Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

      Corrected Jan 26, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0741 Miscellaneous Deficiencies

      Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

      Corrected Feb 22, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0918 Gas, Vacuum, and Electrical Systems Deficiencies

      Have generator or other power source capable of supplying service within 10 seconds.

      Corrected Feb 22, 2024 · CMS fire safety

11. Oct 17, 2023 Health · 1 finding
    • Not serious Scope/severity E Complaint

      F0695 Quality of Life and Care Deficiencies

      Provide safe and appropriate respiratory care for a resident when needed.

      Corrected Oct 27, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• ALEXANDER, MACI — adp of the snf, NOT APPLICABLE, since 10/01/2025
• DAGAN, AMITAI — indirect ownership interest, NOT APPLICABLE, since 10/01/2025
• FREUND, NOCHUM — indirect ownership interest, NOT APPLICABLE, since 10/01/2025
• FREUND, NOCHUM — corporate officer, NOT APPLICABLE, since 10/01/2025
• GOLDBERGER, ABRAHAM — indirect ownership interest, NOT APPLICABLE, since 10/01/2025
• GOLDBERGER, FAIGY — indirect ownership interest, NOT APPLICABLE, since 10/01/2025
• PETTIT, JAMES — adp of the snf, NOT APPLICABLE, since 10/01/2025
• TRAVITSKY, AARON — indirect ownership interest, NOT APPLICABLE, since 10/01/2025
• TRAVITSKY, AARON — operational/managerial control, NOT APPLICABLE, since 10/01/2025
• 820 JEFFREY ST HOLDINGS LLC — indirect ownership interest, NOT APPLICABLE, since 10/01/2025
• 820 JEFFREY ST PROPERTY OWNER LLC — adp of the snf, NOT APPLICABLE, since 10/01/2025
• ANA TX HOLDINGS, LLC — indirect ownership interest, NOT APPLICABLE, since 10/01/2025
• GRAF HOLDINGS LLC — indirect ownership interest, NOT APPLICABLE, since 10/01/2025
• TX SNF HOLDINGS III LLC — indirect ownership interest, NOT APPLICABLE, since 10/01/2025
• TX SNF HOLDINGS MEMBER, LLC — indirect ownership interest, NOT APPLICABLE, since 10/01/2025
• WELLTOWER INC — adp of the snf, NOT APPLICABLE, since 10/01/2025
• WELLTOWER NNN GROUP, LLC — adp of the snf, NOT APPLICABLE, since 10/01/2025
• WELLTOWER OP, LLC — adp of the snf, NOT APPLICABLE, since 10/01/2025