Avir at Golfcrest
CMS
Documentation Failure
Immediate Jeopardy
Medication Error
Resident Neglect
Penalty
$8,021
Outcome
Avir at Golfcrest in Houston, TX was fined $8,021 by CMS following 20 deficiency citations identified during federal surveys.
Details
Avir at Golfcrest (Houston, TX) — $8,021 in CMS Fines
Outcome: Avir at Golfcrest in Houston, TX was fined $8,021 by CMS following 20 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Provide safe and appropriate respiratory care for a resident when needed.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Ensure each resident receives an accurate assessment.
- Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Ensure medication error rates are not 5 percent or greater.
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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