Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Keeneland during CMS and state inspections, most recent first.
A resident with multiple complex medical conditions and a high risk for pressure ulcers did not have weekly skin assessments documented as required by facility policy. Nursing staff and the DON confirmed that these assessments were the responsibility of charge nurses and should have been recorded in the clinical software, but documentation was missing for two weeks.
Two residents in the facility experienced deficiencies in tube feeding management. A resident with severe cognitive impairment had unlabeled feeding bags and improper head elevation during feeding. Another resident's feeding setup was also unlabeled and not connected when observed. The DON and ADON attributed these issues to an educational gap among nursing staff.
The facility failed to maintain an effective infection control program during wound care for two residents. A resident with severe cognitive impairment received care with unclean shears, and another resident's wound was contaminated by placing her hand on her gown without a barrier. The DON acknowledged these actions as cross contamination, contrary to facility policy.
The facility failed to ensure the Dietary Manager (DM) met the certification requirements, as the DM did not have a Dietary Manager Certificate despite being in the role for two years. The DM confirmed the lack of certification and planned to start online classes. The Administrator expected the DM to have completed a food service manager's course and hold certification. This deficiency could risk residents' nutritional needs and increase the risk of foodborne illnesses.
Failure to Document Weekly Skin Assessments
Penalty
Summary
The facility failed to maintain complete and accurate medical records for one resident, specifically by not documenting weekly skin assessments as required. Record reviews showed that a female resident with multiple diagnoses, including cerebral palsy, stroke, vascular dementia, diabetes, schizophrenia, and muscle wasting, was at risk for pressure ulcers according to her care plan and MDS assessment. The care plan directed weekly skin assessments and documentation, but there was no evidence that these assessments were performed or recorded on two specific weeks. Interviews with nursing staff and the DON confirmed that charge nurses were responsible for conducting and documenting weekly skin assessments, and that the facility's electronic system highlighted when assessments were due. Staff acknowledged that the assessments may have been performed but were not documented in the resident's chart. The facility's policy required weekly skin assessments to be documented in the clinical software, but this was not done for the identified periods.
Deficiencies in Tube Feeding Management
Penalty
Summary
The facility failed to ensure proper management of tube feeding for two residents, leading to deficiencies in care. Resident #8, a female with severe cognitive impairment and dysphagia following a stroke, was observed with her tube feeding formula and water not properly labeled. Additionally, her head of bed was not elevated to the required 30 degrees while her tube feeding was infusing, which is against the physician's orders and facility policy. Resident #23, a male with a history of stroke and dysphagia, also had issues with tube feeding management. His tube feeding formula and water bags were found without labels indicating the date prepared or resident information. This was observed when the resident was not in the room, and the feeding setup was hanging but not connected to him. The facility's policy requires that all feeding bags be labeled with specific information, which was not adhered to in this case. Interviews with the Director of Nursing (DON) and Assistant Director of Nursing (ADON) revealed that these issues were attributed to an educational gap among the nursing staff, particularly with newly hired nurses. The DON acknowledged that the head of the bed should be elevated during and after tube feeding, and that all feeding bags should be properly labeled. The facility's policy on enteral feeding administration was not followed, leading to these deficiencies.
Inadequate Infection Control During Wound Care
Penalty
Summary
The facility failed to establish and maintain an effective infection prevention and control program, as evidenced by the improper wound care provided to two residents. Resident #26, a female with severe cognitive impairment and a stage 3 pressure ulcer, received wound care where the DON used shears that were not cleaned prior to use. This action was contrary to the facility's infection control policy, which requires reusable items to be cleaned and disinfected between residents. The DON acknowledged that the shears had been out of his sight and could not guarantee they were clean, recognizing the potential for cross contamination. Similarly, Resident #32, who had a pressure injury and was unable to communicate effectively, was subjected to wound care where her hand was placed on her gown without a barrier after cleansing. The DON admitted that normally someone would hold the resident's hand to prevent contamination, but this was not done as the resident was not in pain. The DON recognized this as cross contamination. These actions demonstrate a failure to adhere to infection control policies, potentially placing residents at risk for infection.
Deficiency in Dietary Manager Certification
Penalty
Summary
The facility failed to employ sufficient staff with the appropriate competencies and skills to conduct the functions of the food and nutrition service. Specifically, the Dietary Manager (DM) did not meet the requirements for a certified dietary manager. A review of the DM's employee file revealed a hire date of January 20, 2021, but no documented evidence of a Dietary Manager Certificate was found. In an interview, the DM confirmed she did not have her dietary manager certification and had been working in the role for two years after starting in Housekeeping. She mentioned plans to start online classes after the New Year and held a current food handlers' certificate. The facility's Administrator stated the expectation that the DM should have completed a food service manager's course and hold a current certification as a Dietary Manager. The job description for the Dietary Manager included managing the operations of the dietary department, which requires successful completion of the Certified Dietary Manager exam. The lack of certification could place residents at risk of not having their nutritional needs met and increase the risk of foodborne illnesses.
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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 Weatherford
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Peach Tree Place | 0.9 mi | ★★★★★ | 8 | 5 |
| College Park Rehabilitation And Care Center | 1.8 mi | ★★★★★ | 0 | 0 |
| Avir At Weatherford | 1.9 mi | ★★★★★ | 12 | 2 |
| Santa Fe Health & Rehabilitation Center | 2 mi | ★★★★★ | 3 | 0 |
| Holland Lake Rehabilitation And Wellness Center | 2.2 mi | ★★★★★ | 3 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.