All citations for Avir at The Lakes

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

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Last standard health inspection on record

December 4, 2025

Showing 1 to 25 of 29 citations

  1. Immediate jeopardy to resident health or safety

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

    Isolated (one or a few residents). CMS level J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of November 24, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection.

  2. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of September 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 4, 2024).

  3. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of June 5, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 7, 2024).

  4. No harm, with potential for more than minimal harm

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Widespread (many residents). CMS level F.

    Health citation F-0925, Environmental Deficiencies. Inspection of June 5, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 7, 2024).

  5. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of August 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 3, 2023).

  6. No harm, with potential for more than minimal harm

    PASARR screening for Mental disorders or Intellectual Disabilities

    Pattern (more than a few residents). CMS level E.

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 4, 2026).

  7. No harm, with potential for more than minimal harm

    Ensure services provided by the nursing facility meet professional standards of quality.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 4, 2026).

  8. No harm, with potential for more than minimal harm

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 4, 2026).

  9. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 4, 2026).

  10. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 4, 2026).

  11. No harm, with potential for more than minimal harm

    Provide bedrooms that don't allow residents to see each other when privacy is needed.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0914, Environmental Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 4, 2026).

  12. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of November 26, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

  13. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of September 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 4, 2024).

  14. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of September 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 4, 2024).

  15. No harm, with potential for more than minimal harm

    Provide or obtain dental services for each resident.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0791, Quality of Life and Care Deficiencies. Inspection of September 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 4, 2024).

  16. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of August 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 3, 2023).

  17. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of August 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 3, 2023).

  18. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 4, 2026).

  19. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 4, 2026).

  20. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of September 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 4, 2024).

  21. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0622, Resident Rights Deficiencies. Inspection of June 5, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 7, 2024).

  22. No harm, with potential for more than minimal harm

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of August 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 3, 2023).

  23. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of August 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 3, 2023).

  24. No harm, with potential for more than minimal harm

    PASARR screening for Mental disorders or Intellectual Disabilities

    Isolated (one or a few residents). CMS level D.

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of August 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 3, 2023).

  25. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of August 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 3, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.