Avir At Bradburn

Penalties

• Sep 25, 2025 — Fine ($136,027)

Inspection findings

1. May 21, 2026 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0553 Resident Rights Deficiencies

     Allow resident to participate in the development and implementation of his or her person-centered plan of care.

     Corrected Jun 15, 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 15, 2026 · CMS health inspection

   • Not serious Scope/severity D 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 Jun 15, 2026 · CMS health inspection

2. Dec 12, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jan 15, 2026 · CMS health inspection

3. Nov 24, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Nov 26, 2025 · CMS health inspection

4. Sep 25, 2025 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 Sep 26, 2025 · CMS health inspection

   • Serious Scope/severity J 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 Sep 26, 2025 · CMS health inspection

5. May 29, 2025 Health · 7 findings
   • 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 Jun 5, 2025 · CMS health inspection

   • Not serious Scope/severity B

     F0912 Environmental Deficiencies

     Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

     Corrected Jun 5, 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 Jun 5, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Jun 5, 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 Jun 5, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Jun 5, 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.

     CMS fire safety

6. Apr 16, 2024 Health · 6 findings
   • Not serious Scope/severity B

     F0912 Environmental Deficiencies

     Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

     Corrected May 2, 2024 · 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 May 22, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected May 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.

     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 May 22, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0929 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

     Corrected May 22, 2024 · CMS fire safety

7. Mar 15, 2023 Health · 4 findings
   • Not serious Scope/severity B

     F0912 Environmental Deficiencies

     Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

     Corrected Apr 17, 2023 · CMS health inspection

   • Not serious Scope/severity D

     K0281 Egress Deficiencies

     Install proper backup exit lighting.

     Corrected Jun 1, 2023 · CMS fire safety

   • 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 Jun 1, 2023 · 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.

     CMS fire safety

Owners and managers (as published by CMS)

• FREUND, NOCHUM — operational/managerial control, NOT APPLICABLE, since 04/01/2025
• HOLDERREAD, LYNN — operational/managerial control, NOT APPLICABLE, since 04/01/2025
• HOLDERREAD, LYNN — adp of the snf, NOT APPLICABLE, since 04/01/2025
• TRAVITSKY, AARON — operational/managerial control, NOT APPLICABLE, since 04/01/2025
• 520 BRADBURN ROAD HOLDINGS, LLC — 5% or greater direct ownership interest, 100%, since 04/01/2025
• 520 BRADBURN ROAD PROPERTY OWNER, LLC — 5% or greater security interest, NOT APPLICABLE, since 04/01/2025
• 520 BRADBURN ROAD PROPERTY OWNER, LLC — adp of the snf, NOT APPLICABLE, since 04/01/2025
• TX SNF HOLDINGS ,LLC — 5% or greater indirect ownership interest, 100%, since 04/01/2025
• WELLTOWER INC — 5% or greater security interest, NOT APPLICABLE, since 04/01/2025
• WELLTOWER INC — adp of the snf, NOT APPLICABLE, since 04/01/2025
• WELLTOWER NNN GROUP, LLC — adp of the snf, NOT APPLICABLE, since 04/01/2025
• WELLTOWER NNN GROUP, LLC — 5% or greater security interest, NOT APPLICABLE, since 04/01/2025
• WELLTOWER OP, LLC — adp of the snf, NOT APPLICABLE, since 04/01/2025