Avir At Rose Trail

Penalties

• Aug 15, 2025 — Fine ($12,038)
• Aug 15, 2025 — Fine ($105,739)
• Mar 18, 2024 — Fine ($230,484)
• Dec 18, 2023 — Fine ($44,590)

Inspection findings

1. Jun 26, 2026 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0602 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from the wrongful use of the resident's belongings or money.

     Corrected Jun 30, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Jun 30, 2026 · CMS health inspection

2. Jun 3, 2026 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Jun 10, 2026 · CMS health inspection

3. Mar 5, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Mar 16, 2026 · CMS health inspection

4. Jan 2, 2026 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0583 Resident Rights Deficiencies

     Keep residents' personal and medical records private and confidential.

     Corrected Jan 3, 2026 · CMS health inspection

5. Dec 4, 2025 Health · 12 findings
   • Not serious Scope/severity D

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Dec 5, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0644 Resident Assessment and Care Planning Deficiencies

     Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

     Corrected Dec 5, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0655 Resident Assessment and Care Planning Deficiencies

     Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

     Corrected Dec 8, 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 Dec 24, 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 Dec 5, 2025 · CMS health inspection

   • 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 Dec 5, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Dec 5, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Dec 5, 2025 · 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 Dec 5, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Dec 11, 2025 · CMS health inspection

   • Not serious Scope/severity E

     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 Dec 8, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Dec 8, 2025 · CMS fire safety

6. Nov 18, 2025 Health · 2 findings
   • Not serious Scope/severity E Complaint

     F0655 Resident Assessment and Care Planning Deficiencies

     Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

     Corrected Nov 19, 2025 · CMS health inspection

   • Not serious Scope/severity E 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 Nov 19, 2025 · CMS health inspection

7. Oct 2, 2025 Health · 5 findings
   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Oct 4, 2025 · 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 Oct 4, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Oct 4, 2025 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0695 Quality of Life and Care Deficiencies

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

     Corrected Oct 4, 2025 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Oct 4, 2025 · CMS health inspection

8. Aug 15, 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 Aug 12, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0695 Quality of Life and Care Deficiencies

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

     Corrected Aug 18, 2025 · CMS health inspection

9. Mar 25, 2025 Health · 3 findings
   • 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 Mar 28, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Mar 28, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Mar 28, 2025 · CMS health inspection

10. Sep 25, 2024 Fire Safety · 7 findings
    • Not serious Scope/severity F

      E0039 Emergency Preparedness Deficiencies

      Conduct testing and exercise requirements.

      Corrected Sep 27, 2024 · CMS fire safety

    • Not serious Scope/severity E

      F0641 Resident Assessment and Care Planning Deficiencies

      Ensure each resident receives an accurate assessment.

      Corrected Sep 27, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0644 Resident Assessment and Care Planning Deficiencies

      Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

      Corrected Sep 27, 2024 · CMS health inspection

    • Not serious Scope/severity E

      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 Sep 27, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0759 Pharmacy Service Deficiencies

      Ensure medication error rates are not 5 percent or greater.

      Corrected Sep 27, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Sep 27, 2024 · CMS health inspection

    • Not serious Scope/severity E

      K0374 Smoke Deficiencies

      Install smoke barrier doors that can resist smoke for at least 20 minutes.

      Corrected Sep 27, 2024 · CMS fire safety

11. Aug 25, 2024 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0770 Administration Deficiencies

      Provide timely, quality laboratory services/tests to meet the needs of residents.

      Corrected Aug 25, 2024 · CMS health inspection

12. Jul 10, 2024 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0850 Administration Deficiencies

      Hire a qualified full-time social worker in a facility with more than 120 beds.

      Corrected Jul 15, 2024 · CMS health inspection

13. May 17, 2024 Health · 2 findings
    • Serious Scope/severity G 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 May 18, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Respond appropriately to all alleged violations.

      Corrected May 18, 2024 · CMS health inspection

14. Apr 3, 2024 Health · 2 findings
    • Serious Scope/severity K Complaint

      F0684 Quality of Life and Care Deficiencies

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

      Corrected Apr 22, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0690 Quality of Life and Care Deficiencies

      Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      Corrected Apr 22, 2024 · CMS health inspection

15. Mar 18, 2024 Health · 3 findings
    • Not serious Scope/severity D Complaint

      F0622 Resident Rights Deficiencies

      Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

      Corrected Apr 2, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0623 Resident Rights Deficiencies

      Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

      Corrected Apr 2, 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 2, 2024 · CMS health inspection

16. Jan 9, 2024 Health · 1 finding
    • Not serious Scope/severity F Complaint

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Jan 10, 2024 · CMS health inspection

17. Dec 18, 2023 Health · 3 findings
    • Not serious Scope/severity D Complaint

      F0585 Resident Rights Deficiencies

      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.

      Corrected Dec 19, 2023 · CMS health inspection

    • Serious Scope/severity G 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 Dec 19, 2023 · CMS health inspection

    • Serious Scope/severity G 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 Dec 19, 2023 · CMS health inspection

18. Nov 2, 2023 Health · 3 findings
    • Not serious Scope/severity D Complaint

      F0641 Resident Assessment and Care Planning Deficiencies

      Ensure each resident receives an accurate assessment.

      Corrected Nov 7, 2023 · 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 Nov 7, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0791 Quality of Life and Care Deficiencies

      Provide or obtain dental services for each resident.

      Corrected Nov 7, 2023 · CMS health inspection

19. Sep 22, 2023 Health · 3 findings
    • Not serious Scope/severity E Complaint

      F0550 Resident Rights Deficiencies

      Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      Corrected Sep 23, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0690 Quality of Life and Care Deficiencies

      Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      Corrected Sep 23, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0693 Quality of Life and Care Deficiencies

      Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

      Corrected Sep 23, 2023 · CMS health inspection

20. Aug 18, 2023 Health · 9 findings
    • 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 Aug 21, 2023 · CMS health inspection

    • Serious Scope/severity J 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 Aug 21, 2023 · CMS health inspection

    • Serious Scope/severity J Complaint

      F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Develop and implement policies and procedures to prevent abuse, neglect, and theft.

      Corrected Aug 21, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      Corrected Aug 21, 2023 · CMS health inspection

    • Serious Scope/severity J Complaint

      F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Respond appropriately to all alleged violations.

      Corrected Aug 21, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0640 Resident Assessment and Care Planning Deficiencies

      Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

      Corrected Aug 21, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0641 Resident Assessment and Care Planning Deficiencies

      Ensure each resident receives an accurate assessment.

      Corrected Aug 21, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0677 Quality of Life and Care Deficiencies

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

      Corrected Aug 21, 2023 · CMS health inspection

    • Not serious Scope/severity C

      F0732 Nursing and Physician Services Deficiencies

      Post nurse staffing information every day.

      Corrected Aug 21, 2023 · CMS health inspection

21. Aug 4, 2023 Health · 2 findings
    • Not serious Scope/severity E Complaint

      F0606 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

      Corrected Aug 5, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Develop and implement policies and procedures to prevent abuse, neglect, and theft.

      Corrected Aug 5, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• AUGUSTUS, LAZEL — adp of the snf, NOT APPLICABLE, since 03/01/2025
• AUGUSTUS, LAZEL — operational/managerial control, NOT APPLICABLE, since 03/01/2025
• BELL, ROBBIN — operational/managerial control, NOT APPLICABLE, since 03/01/2025
• BELL, ROBBIN — adp of the snf, NOT APPLICABLE, since 03/01/2025
• DAGAN, AMITAI — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/25/2025
• FREUND, NOCHUM — operational/managerial control, NOT APPLICABLE, since 03/01/2025
• GOLDBERGER, ABRAHAM — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/25/2025
• THOMPSON, JOHNNY — corporate director, NOT APPLICABLE, since 05/15/2024
• TRAVITSKY, AARON — operational/managerial control, NOT APPLICABLE, since 03/01/2025
• 930 S BAXTER OPCO, LLC — adp of the snf, NOT APPLICABLE, since 04/25/2025
• 930 S BAXTER OPCO, LLC — operational/managerial control, NOT APPLICABLE, since 03/01/2025
• 930 S BAXTER PROPERTY OWNER, LLC — adp of the snf, NOT APPLICABLE, since 03/01/2025
• 930 S BAXTER PROPERTY OWNER, LLC — 5% or greater security interest, NOT APPLICABLE, since 03/01/2025
• WELLTOWER INC — adp of the snf, NOT APPLICABLE, since 03/01/2025
• WELLTOWER INC — 5% or greater security interest, NOT APPLICABLE, since 03/01/2025
• WELLTOWER NNN GROUP, LLC — adp of the snf, NOT APPLICABLE, since 03/01/2025
• WELLTOWER NNN GROUP, LLC — 5% or greater security interest, NOT APPLICABLE, since 03/01/2025
• WELLTOWER OP, LLC — 5% or greater security interest, NOT APPLICABLE, since 03/01/2025
• WELLTOWER OP, LLC — adp of the snf, NOT APPLICABLE, since 03/01/2025