Above average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Avir At Haskell during CMS and state inspections, most recent first.
Expired wound dressings were found in the medication room, and a medication cart was left unlocked and unattended by an LVN, despite staff training and facility policy requiring secure storage and removal of expired items. The DON and ADM confirmed these lapses, noting that expired supplies and unsecured carts were not in compliance with established procedures.
Surveyors found that food items in both dry storage and the refrigerator were not properly sealed or dated, including open powdered milk, rice, macaroni, watermelon, cheese slices, and butter sticks. Interviews with the DM and ADM confirmed that staff were trained to seal and date food, and that the facility's policy requires all opened food to be labeled and dated.
The facility did not establish or maintain an infection prevention and control program as required, resulting in a deficiency identified during the survey.
Two residents with cognitive and physical impairments were fed by CNAs who stood rather than sat at their level, contrary to facility policy and training. Staff interviews confirmed the expectation to sit while feeding, but a lack of available chairs led to the deficiency, impacting the residents' dining experience and dignity.
A resident with significant mobility limitations and multiple medical conditions was repeatedly left without the call light cord within reach while in bed. Staff admitted to forgetting to provide the call light due to being rushed or distracted, despite being trained on its importance. Facility leadership confirmed the expectation for call light accessibility, but observations and interviews showed this was not consistently followed.
The facility failed to have a policy in place for the use and storage of foods brought in by family and other visitors for a resident, as identified during the survey.
A resident's medications were left unattended by an LVN, who was called away to assist another resident. The medications, including Buspirone and Xarelto, were left unsecured on the bedside table for several minutes. The resident had multiple health conditions and moderate cognitive impairment. The facility's policy requires staff to remain with residents until medications are taken, which was not followed in this instance.
A facility failed to maintain resident privacy and dignity, as observed in two residents with uncovered catheter drainage bags and two instances of incomplete privacy during personal care. Staff acknowledged the lapses, citing reasons such as oversight and missing curtains, despite regular training on privacy policies.
The facility failed to properly label and store medications, with LVNs observed leaving medications in open cups and carrying them down the hall. This improper handling involved residents with various medical conditions, risking medication errors. Interviews revealed staff awareness of policies, but practices did not align with expectations.
The facility failed to maintain cleanliness in the kitchen, with surveyors observing sticky substances on freezer and microwave handles. Despite having a cleaning checklist and schedule, the Dietary Manager and Assistant Dietary Manager were unsure why the handles were dirty, noting that most staff were new but had received training. This failure could lead to food contamination and illness.
The facility failed to maintain an effective infection control program, with staff not adhering to hand hygiene protocols. Observations showed LVNs and CNAs did not wash hands or use sanitizer before and after resident care, including medication administration and incontinent care. Despite awareness of the policy, staff cited reasons like nervousness and fatigue for non-compliance, risking infection spread.
The facility failed to ensure that three residents had correctly completed Out-of-Hospital Do Not Resuscitate (OOH-DNR) forms, with missing physician details and inconsistent dates. Interviews revealed no system to monitor form accuracy, and the Director of Nursing acknowledged human error as the cause. The facility's policies lacked specific instructions for creating OOH-DNR forms, contributing to the oversight.
The facility failed to protect resident-identifiable information during medication administration, as LVNs left computer screens displaying sensitive data unattended. This breach involved three residents, where personal and medical information was exposed due to screens being left open on medication carts. Interviews revealed that staff were aware of the importance of confidentiality but cited inconvenience as a reason for the lapse.
Improper Storage and Expired Supplies in Medication Room and Cart
Penalty
Summary
The facility failed to ensure proper storage and labeling of drugs and biologicals, as required by professional standards and facility policy. During an observation, expired Xeroform Medicated Petrolatum Dressings were found in the medication room, with staff unable to explain why these expired items were present. The Director of Nursing (DON) stated that while the Assistant Director of Nursing (ADON) regularly checked for expired medications, it was not clear that wound supplies were also being checked for expiration. The facility policy required all expired medications to be removed from active supply and destroyed, but this was not followed in this instance. Additionally, a medication cart (Medication Cart B) was observed left unlocked and unattended in a hallway. The nurse responsible for the cart acknowledged being trained to lock the cart when unattended but admitted to leaving it open while retrieving another medication. Both the DON and the Administrator confirmed that staff were trained to keep medication carts secured and that expired supplies should be removed, but these procedures were not followed, resulting in the deficiencies observed.
Failure to Properly Store, Seal, and Date Food Items
Penalty
Summary
Surveyors observed that the facility failed to properly store, seal, and date food items in both the dry storage room and refrigerator. Specifically, an open bag of powdered milk, an open container of rice, and an open container of elbow macaroni were found in the dry storage room. In the refrigerator, a bowl of watermelon, cheese slices, and butter sticks were found open and without dates. These observations were made during an initial tour of the kitchen. Interviews with the Dietary Manager (DM) and Administrator (ADM) confirmed that all food placed in the pantry and refrigerator should be sealed and dated, and that staff had been trained on these procedures. The DM and ADM acknowledged that the observed food items were not stored according to facility policy, which requires all opened containers or leftover food to be tightly wrapped or covered, labeled, and dated. The facility's own policy was reviewed and reflected these requirements.
Failure to Implement Infection Prevention and Control Program
Penalty
Summary
The facility failed to provide and implement an infection prevention and control program. This deficiency was identified during the survey process, indicating that the required measures to prevent and control infections were not established or maintained as per regulatory standards. The report does not provide specific details about the actions or inactions of staff, nor does it mention any particular residents or events that led to the deficiency. The observation is limited to the absence or inadequacy of the infection prevention and control program itself.
Failure to Provide Dignified Dining Experience During Resident Feeding
Penalty
Summary
The facility failed to ensure that two residents were treated with respect and dignity during mealtime assistance. Certified Nursing Assistants (CNAs) were observed standing while feeding two residents who required partial or moderate assistance with eating, rather than sitting at the residents' level as per facility policy and training. Both CNAs acknowledged in interviews that they were trained to sit while feeding residents but did not do so because there were no available chairs in the dining room at the time. One CNA mentioned that an extra stool was available in the staff break room but was not brought out for use. The Director of Nursing (DON) and the Administrator confirmed that staff are expected to be at the resident's level when providing feeding assistance and recognized that standing could create a dignity issue and make it harder to monitor residents for eating difficulties. The residents involved had significant medical histories, including cerebral palsy with moderate cognitive impairment and Alzheimer's disease with severe cognitive impairment, and both required assistance with eating as documented in their Minimum Data Set (MDS) assessments. Facility policy on dignity, revised in February 2021, states that residents should be provided with a dignified dining experience and be treated with respect and dignity. The failure to follow this policy was directly observed and confirmed through staff interviews, indicating a lapse in maintaining a dignified environment for the residents during meal service.
Failure to Ensure Call Light Accessibility for Dependent Resident
Penalty
Summary
The facility failed to ensure that a resident who was unable to transfer or care for himself independently consistently had access to the call light system. The resident, who had a history of neck fracture, diabetes, glaucoma, and other medical conditions, was observed on multiple occasions without the call light cord within reach while in bed. Staff interviews revealed that certified nursing assistants (CNAs) and a licensed vocational nurse (LVN) acknowledged the importance of call light accessibility and confirmed that they had been trained to provide the call light to residents before leaving the room. However, both CNAs admitted to forgetting to place the call light within the resident's reach due to being rushed or distracted by other tasks. Observations documented the call light cord on the floor and hanging on the privacy curtain, both out of the resident's reach. The resident himself reported that he could not get out of bed or use the bathroom without assistance and that the call light cord was not always given to him. Facility leadership, including the DON and administrator, confirmed that all residents should have the call light within reach and were unaware that this was not being done for this resident. The facility's policy required that the call system be accessible to residents, but this was not consistently implemented for the resident in question.
Lack of Policy for Outside Food Brought by Visitors
Penalty
Summary
The facility did not have a policy regarding the use and storage of foods brought to residents by family members and other visitors. This lack of policy was identified during the survey, indicating that the facility had not established procedures to address how outside food items should be managed for residents.
Medication Security Lapse in Resident's Room
Penalty
Summary
The facility failed to ensure that medications were properly secured for a resident, leading to a potential risk of harm. LVN A, who was responsible for administering medications, left a cup of medications unattended on a resident's bedside table while she attended to another resident across the hall. This action left the medications unsecured and unsupervised for approximately five to ten minutes. The resident involved was an elderly female with multiple diagnoses, including Atherosclerotic Heart Disease, Paroxysmal Atrial Fibrillation, Hypertension, Anxiety, Gastro-Esophageal Reflux Disease, Altered Mental Status, and Age-Related Cognitive Decline. The resident had a BIMS score indicating moderate cognitive impairment. The medications left unattended included Buspirone, Colace, Diltiazem, Lisinopril, Omeprazole, Prednisone, and Xarelto, which were part of the resident's prescribed regimen. LVN A acknowledged that she had been trained to witness residents taking their medications and to secure medications properly. The Director of Nursing confirmed that staff were trained not to leave medications unattended and that LVN A should have locked the medications in the cart before leaving the room. The facility's policy required that medications be administered in a safe manner, with staff remaining with the resident until the medication was swallowed, highlighting the deviation from established procedures in this incident.
Privacy and Dignity Deficiencies in Resident Care
Penalty
Summary
The facility failed to ensure that residents were treated with respect and dignity, specifically in maintaining privacy during personal care. Observations revealed that two residents with indwelling catheters did not have privacy covers over their catheter drainage bags. This lack of privacy was noted for a resident who was sitting in a wheelchair and another who was in bed, both with their catheter bags visibly exposed. Interviews with staff indicated that they were aware of the requirement to cover catheter bags but failed to do so, potentially due to oversight or external factors such as hospice staff changing the bags without informing facility staff. Additionally, the facility did not provide complete privacy during personal care for two residents. One resident was left exposed during catheter care as the CNA did not close the blinds, leaving the resident visible from the parking lot. Another resident was left uncovered from the waist down during incontinence care, as the CNA did not have a curtain to close and only used a blanket to cover the resident's upper body. Both CNAs acknowledged their failure to provide adequate privacy, attributing it to factors such as fatigue and missing curtains. Interviews with the Director of Nursing (DON) and other staff confirmed that the facility's policy required maintaining resident privacy during care, including covering catheter bags and ensuring privacy during personal care. Despite regular in-service training, these lapses in privacy were observed, indicating a failure to adhere to the facility's dignity policy. The DON and other staff recognized the potential negative outcomes of these deficiencies, such as embarrassment and loss of dignity for the residents.
Improper Medication Storage and Labeling
Penalty
Summary
The facility failed to ensure that drugs and biologicals were labeled and stored according to professional principles and state and federal laws. Observations revealed that medications for several residents were improperly labeled and stored in open medication cups within the medication carts. This included medications for residents with various medical conditions such as Alzheimer's disease, Parkinson's disease, and chronic kidney disease. The medications were not stored in locked compartments, and there was a lack of proper labeling, including missing expiration dates and cautionary instructions. Licensed Vocational Nurses (LVNs) A and B were observed mishandling medications for multiple residents. LVN B left medications in an open cup on the medication cart while administering medication to another resident. Similarly, LVN A was seen carrying medications in an open cup down the hall to administer to residents. These actions were contrary to the facility's policy, which requires medications to be stored in their original containers and not in open cups. The improper handling and storage of medications could lead to medication errors, such as missed doses or administration to the wrong resident. Interviews with the LVNs and the Director of Nursing (DON) revealed that the staff was aware of the facility's policies regarding medication storage and administration. However, the LVNs admitted to storing medications in open cups due to residents' refusal to take them initially, intending to administer them later. The DON and the Administrator expected medications to be given immediately after preparation or destroyed if refused, highlighting a disconnect between policy and practice. The facility's policy emphasized the importance of storing medications securely and ensuring proper labeling to prevent medication errors.
Failure to Maintain Kitchen Cleanliness
Penalty
Summary
The facility failed to maintain cleanliness in the kitchen, specifically regarding the freezer and microwave handles, which were found to be sticky and covered with hard substances. During a kitchen tour, surveyors observed five freezer door handles with sticky substances and a microwave handle with several spots of hard substances. The Dietary Manager (DM) acknowledged that all dietary staff were responsible for kitchen cleanliness and that a checklist was in place for the night crew, while the day staff were expected to maintain cleanliness throughout the day. Despite this, the DM was unsure why the handles were dirty, noting that most of the staff, including herself, were new to the kitchen, although they had received training on kitchen cleanliness upon hire. The Assistant Dietary Manager (ADM) also expressed expectations for the dietary staff to maintain kitchen cleanliness and confirmed the existence of a cleaning schedule. However, the ADM was uncertain about the training provided to the kitchen staff, as she had been at the facility for less than two weeks. The facility's policy on kitchen sanitation emphasized the need for routine cleaning and sanitization of all surfaces and equipment. The failure to adhere to these standards could potentially lead to food contamination and foodborne illness, as acknowledged by both the DM and ADM.
Inadequate Hand Hygiene Practices in LTC Facility
Penalty
Summary
The facility failed to establish and maintain an effective infection prevention and control program, as evidenced by multiple instances of staff not adhering to hand hygiene protocols. Observations revealed that several Licensed Vocational Nurses (LVNs) and Certified Nursing Assistants (CNAs) did not wash their hands or use hand sanitizer before and after providing care to residents. This included medication preparation and administration, as well as providing incontinent care. The lack of proper hand hygiene was observed in interactions with multiple residents, including those with various medical conditions such as Alzheimer's disease, cerebral palsy, and rheumatoid arthritis. Specific instances included LVN B not washing hands before medication preparation for several residents, and CNA B failing to wash hands properly before providing incontinent care. Additionally, CNA A washed hands for significantly less time than the facility's policy required before and after providing care. These actions were contrary to the facility's hand hygiene policy, which mandates washing hands for at least 20 seconds and using hand sanitizer when appropriate. Interviews with staff members, including LVN B, CNA A, and CNA B, revealed awareness of the hand hygiene policy and the potential negative outcomes of not following it, such as the spread of infections. Despite this knowledge, the staff did not consistently adhere to the policy, citing reasons such as nervousness and fatigue. The Director of Nursing (DON) confirmed the expectation for staff to follow hand hygiene protocols and acknowledged the potential for germ transmission due to non-compliance.
Incomplete OOH-DNR Forms for Residents
Penalty
Summary
The facility failed to ensure that all residents had the right to formulate advance directives, specifically Out-of-Hospital Do Not Resuscitate (OOH-DNR) forms, for three residents reviewed. These residents were listed as Do Not Resuscitate (DNR) but had incomplete OOH-DNR forms. Resident #12's form lacked the physician's license number, printed name, and signature. Resident #17's form was missing a date and printed name next to the resident's signature, and the physician and notary signatures were dated inconsistently. Resident #34's form also lacked the physician's license number, printed name, and date associated with the physician's signature. Interviews with the Director of Nursing (DON) and the Administrator (ADM) revealed that there was no system in place to monitor the accuracy of OOH-DNR forms. The DON acknowledged responsibility for ensuring the forms were completed correctly but admitted that human error led to the missing information. Both the DON and ADM confirmed the missing information on the forms and stated that the OOH-DNR forms were not valid if not filled out correctly. They also mentioned that the nursing staff would rely on other documents in the residents' records to determine their end-of-life wishes. The facility's policies and procedures on advance directives did not include specific instructions for creating OOH-DNR forms. The Social Services Policies and Procedures Advanced Directives policy stated that residents have the right to execute an advance directive, and the Social Services Director is responsible for maintaining a list of residents with an advanced directive on file. However, the facility's undated policy on advance directives lacked information regarding the creation of OOH-DNR forms, contributing to the oversight in ensuring the forms were completed accurately.
Failure to Protect Resident Information During Medication Administration
Penalty
Summary
The facility failed to ensure the protection of resident-identifiable information and maintain medical records in accordance with accepted professional standards. This deficiency was observed in the cases of three residents, where Licensed Vocational Nurses (LVNs) left computer screens displaying sensitive resident information unattended during medication administration. Specifically, LVN A and LVN B were observed leaving computer screens halfway open with resident information visible, thus compromising the confidentiality of the residents' medical records. For Resident #3, the LVN left the computer screen exposed on the medication cart while administering medications, allowing personal information such as medications, resident name, physician, date of birth, and room number to be visible. Similarly, for Resident #8, the LVN left the computer screen up with the resident's information visible while attending to another resident. In the case of Resident #34, the LVN left the screen exposed while administering medications, with the cart parked out of sight, further risking exposure of sensitive information. Interviews with the LVNs revealed an understanding of the importance of protecting resident information, yet they admitted to lapses due to the inconvenience of logging in and out of the system. The Director of Nursing (DON) confirmed the expectation for staff to protect resident information by securing screens when away from the medication cart. The facility's policy on confidentiality, revised in October 2017, mandates the safeguarding of resident privacy and confidentiality, which was not adhered to in these instances.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Haskell
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Harmony Care At Stamford | 15.6 mi | ★★★★★ | 0 | 0 |
| Avir At Knox City | 18 mi | ★★★★★ | 12 | 0 |
| Munday Nursing Center | 21.5 mi | ★★★★★ | 0 | 0 |
| Stonewall Living Center | 28 mi | ★★★★★ | 2 | 0 |
| Homeplace Manor Healthcare Center | 29.4 mi | ★★★★★ | 25 | 0 |
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