Avir at Heritage

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure a resident with pressure ulcers received necessary treatment and services, consistent with profession standards of practice, to promote healing, prevent infection, and prevent new ulcers from developing for 1 of 4 residents (Resident #1) reviewed for pressure ulcers. 1. The facility failed to provide wound care treatments/dressing change to Resident #1' left ischium according to professional standards; in that LVN E did not clean the wound prior to applying clean dressing and did not secure the clean dressing once applied on 4/3/25. 2. The facility failed to provide wound care treatments/dressing change to Resident #1's right glute according to physician order on 4/3/25; in that LVN E applied a wet-to-dry dressing to Resident #1's glute when the order stated to apply hydrofera blue dressing. These deficient practices could place residents at risk for worsening wounds and/or infections. Findings included: 1. Record review of Resident…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure medical records were kept in accordance with professional standards and practices and were complete and accurately documented for 1 of 4 residents (Resident #1) reviewed for accuracy of records. The facility failed to ensure Resident #1's treatments were documented per facility policy on (2) occasions on 4/3/25. These deficient practices could place residents at risk for improper care due to inaccurate records. Findings included: Record review of Resident #1's admission Record revealed the resident was re-admitted to the facility on [DATE] with diagnoses which included: Quadriplegia (paralysis from the neck down, affecting all four limbs), Morbid Obesity (disorder that involves having too much body fat), Type 2 diabetes (chronic condition that affects the way the body processes blood sugar), Neurogenic Bowel (lack bowel control due to a brain, spinal cord or nerve problem). Record review of Resident #1's quarterly MDS assessment, dated 1/31/25,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, the facility failed to ensure a resident's responsible party was informed in advance of the risks and benefits of proposed care, of treatment and treatment alternatives or treatment options and to choose alternative options is he or she preferred for 1 (Resident #3) of 6 residents reviewed for the right to be informed and make treatment decisions. The facility failed to notify Resident #3's responsible party on 09/20/2024, prior to Resident #3 being referred to a Wound Care Physician for an evaluation and received a wound debridement. This failure could affect residents and/or responsible parties by placing them at risk of not receiving treatments or being informed of treatment options. Findings included: Record review of Resident #3's undated face sheet revealed Resident #3 was an [AGE] year old female who admitted to the facility for hospice respite services on 09/18/2024 and discharged from the facility on 09/25/2024 with diagnoses that included Cerebral Atherosclerosis…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure the interdisciplinary team determined an individual may self-administer drugs in a safe practice for 1 of 6 residents (Resident #1) reviewed for administration of medications. The facility failed to ensure Resident #1 has a specific written order to self-administer her own medications on 03/18/2025 as per the facility policy for a nasal spray and eye drops. This failure could affect residents who self-administer medications by placing them at risk of not receiving their physician ordered medication treatment to meet their individual needs. Findings included: During an observation, 03/18/2025 at 9:39 a.m., Resident #1 was observed with Refresh Tears eye drops and Fluticasone Propionate (nasal spray) on Resident #1's bed side table. The Fluticasone Propionate had a pharmacy label and was prescribed to Resident #1. Record review of Resident #1's undated face sheet revealed Resident #1 was a [AGE] year old female who admitted to the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure the accurate administration of medications for 1 (Resident #1) of 6 residents reviewed for medication administration. MA A failed to administer Resident #1's medications and failed to observe Resident #1 take her medications on 03/18/2025. This failure could affect residents who receive medications from MAA by placing them at risk for medication errors and receiving less than therapeutic benefits from medications. Findings included: During an observation, 03/18/2025 at 9:39 a.m., Resident #1 was observed with a medication cup on her bedside table that contained 7 medications. The medications were Midodrine 10mg (prescribed for hypertension- the level of pressure of blood pushing against the heart arteries), Multivitamin (prescribed as a supplement), Tylenol 325mg (prescribed for general pain), Ferrous Sulfate 325mg (prescribed for anemia-reduced red blood cells), Docusate Sodium 100mg (prescribed for constipation), Vitamin C 500 mg…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure coordination of care with the Hospice agency, specific to each patient, for 1 Resident (R#3) of 6 residents reviewed for hospice services. Resident #3 was evaluated by a Wound Care Physician on 09/20/2024 and had a surgical wound debridement without hospice being notified of the evaluation and treatment. This failure could affect residents who received Hospice services by placing them at risk for services and treatments not being coordinated. Findings included: Record review of Resident #3's undated face sheet revealed Resident #3 was an [AGE] year old female who admitted to the facility for hospice respite services on 09/18/2024 and discharged from the facility on 09/25/2024 with diagnoses that included Cerebral Atherosclerosis (a buildup of plaque in the blood vessels of the brain), Dementia (a general term for impaired ability to remember, think, or make decisions) and Depression (a persistent feeling of sadness and loss of interest). Record…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable disease and infection for 2 of 2 residents (Resident #1 and #2) reviewed for infection control: 1. The facility failed to ensure CNA A wore a gown and gloves when feeding Resident #1 who had been identified as requiring contact isolation. 2. CNA D touched new and clean brief with his old and dirty gloves after cleaning Resident #2's bowel movement when CNA D provided incontinence care to Resident #2 on 02/13/2025. These failures could place residents at-risk for infection due to improper care practices. The findings included: 1. Record review of Resident #1's face sheet, dated 2/12/25, revealed a [AGE] year-old female admitted to the facility on [DATE] and re-admitted on [DATE] with diagnoses that included quadriplegia (a condition characterized by the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to provide pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals to meet the needs of each resident for 1 of 3 residents (Resident #71) reviewed for pharmaceutical services. The facility failed to follow up on a medication order resulting in the medication not being available for 10 days 02/13/2024-02/22/2024 and did not supply the medication out of the emergency kit for Resident #71. This failure could result in discomfort and pain, diminishing the resident's well-being and quality of life. The findings were: Record review of Resident #71's admission record dated 2/14/2024 revealed the resident was a [AGE] year old man readmitted to the facility on [DATE] (initial admission date 04/15/2023) with diagnoses that included: Type 2 Diabetes, below the knee amputation of the right leg, and hypertension . Record review of Resident #71's physician orders revealed…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to ensure that each resident received food that was served at a safe and appetizing temperature for 6 (Resident # 4, #8, #15, #19, #44, and #80) of 21 Residents reviewed for palatable food in that: Residents #4, #8, #15, #19, #44, and #80 reported receiving cold food at mealtimes. This failure could place residents at risk of not being satisfied with their food or encouraged to increase their personal food intake with an outcome of weight loss and a diminshed quality of life. The findings were: Record review of Resident #4's face sheet, dated 2/23/24, revealed the resident was last admitted to the facility on [DATE] with diagnoses including cerebrovascular disease with hemiplegia (a condition of impaired blood flow to the brain with body paralysis), major depressive disorder( a condition of persistent low mood), and hypertension( a condition of elevated blood pressure). Record review of Resident # 4's Quarterly MDS, dated [DATE], revealed…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, interviews, and record review the facility failed to, in accordance with State and Federal laws, store all drugs and biologicals in locked compartments and permit only authorized personnel to have access to the keys for 1 of 7 (Nurse cart 100) medication carts reviewed for drug storage. The facility failed to ensure staff locked the nurse 100 hall medication cart when it was left unattended. This failure could result in harm due to unauthorized access to medications, misappropriation, and drug diversion. The findings were: In an observation and interview on 2/22/24 at 2:10 p.m. the nurse medication cart 100 was against the wall across from the nursing station and around the corner to the entrance to 100 hall. The cart was unlocked, the computer was open, and the sleep screen was up. There was a password list on a piece of paper taped next to the keyboard. All drawers to the cart were unlocked and able to be opened by the state surveyor. Over the counter medications and resident prescription medication cards were visible. The narcotic box was locked. The…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record reviews, the facility failed to ensure, in accordance with accepted professional standards and practices , maintain medical records on each resident that accurately documented for 1 of 3 residents (Resident #1) reviewed for accurate medical records, in that: LVN A signed the Narcotic sheet for Resident #1 and had not initialed MAR (medication administration record), indicating inaccurate documentation. This deficient practice could result in misinformation about the professional care provided. The findings included: Record review of Resident #1's face sheet dated 2/1/2024 revealed a [AGE] year-old female who was admitted to the facility on 12//30/22 with diagnoses that included: [Left hemiplegia] paralysis of limbs on the left side of the body, [Schizoaffective disorder] a mental health problem where you experience psychosis as well as mood symptoms, and [ Anxiety] a feeling of fear, dread, and uneasiness. Record review of Resident #1's care plan, dated 7/14/23, revealed, focus…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to provide food that was palatable, attractive, and at an appetizing temperature, and prepared by methods which conserved the nutritive value, flavor, and appearance for 1 of 1 meal (Lunch 01/12/2023) reviewed for food palatability and temperature, in that: 1. Resident #57 complained the food was not good and the meats were tough. 2. Resident #65 complained the food was not appetizing and often did not have flavor. These failures can place residents at risk for possible weight loss, altered nutritional status, and diminished quality of life. The findings include: During an observation and taste test, with all survey team, of test tray on 01/12/2023 at 12:20 p.m., revealed items served: French onion pork chop, red potatoes, green beans, wheat bread and frosted (chocolate) cake. The topping to the French onion pork chop tasted like granulated Parmesan cheese and appeared that a bunch of Parmesan was clumped together as a pile. The flavor…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen (Main Kitchen), in that: 1. The facility failed to ensure an opened jar of cherries and an opened jar of sweet relish in the reach-in refrigerator were labeled with an opened date and or a used by date. 2. The facility failed to ensure an opened container of vanilla flavor, opened cooking [NAME], opened dry basil, opened apple cider vinegar, opened pancake syrup and 2 unopened jars of sweet relish in the dry storage area were labeled with an opened date, a used by date and/or received date or items were discarded due to being passed their usable dates. This deficient practice could place residents who ate food from the kitchen at risk for foodborne illness. The findings were: 1. During an observation with the DM, in the reach-in refrigerator, on 01/10/2023 at 9:54 am., revealed an opened jar of cherries (received…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure residents' right to formulate an advance directive for 1 of 26 residents (Resident #3) reviewed for advanced directives, in that: The facility failed to ensure Resident #3's Out-of-Hospital Do Not Resuscitate (OOHDNR) was completely signed 08/10/2022 at the bottom of the form. This deficient practice could place residents at-risk for residents' rights not being honored. The findings were: Record review of Resident #3's face sheet, dated 01/12/2023, revealed re-admission date of 09/07/2020, originally 12/13/20007, with diagnoses that included: dementia (loss of memory, language, problem-solving and other thinking abilities that are severe enough to interfere with daily life), major depressive disorder and anxiety disorder, insomnia, and other chronic pain. Further record review revealed resident noted as a DNR*COVID Vaccine-Up-to-Date* under the Advance Directive section. Record review of Resident #3's annual MDS, dated [DATE], revealed a…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to provide a housekeeping and maintenance services necessary to maintain a sanitary comfortable interior for 1 of 8 Residents (Resident #2) whose equipment was observed for cleanliness. Maintenance and nursing staff failed to clean Resident #2's wheelchair. Resident #2's wheelchair had built up residue underneath the cushion on his wheelchair, on the frame and on the spokes of the wheels. This deficient practice could affect residents and place them at risk of unsanitary equipment. The findings were: Record review of Resident #2's face sheet, dated 1/13/23, revealed he was admitted to the facility on [DATE] with diagnoses including Alzheimer's Disease (mental deterioration due to general degeneration of the brain), Multiple Sclerosis (chronic, progressive damage to parts of the nerve cells in the brain) and Parkinson's Disease (progressive disorder that affects the nervous system and the parts of the body controlled by the nerves). Record…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review revealed the facility failed to conduct an accurate assessment of each resident's functional capacity for 2 of 8 Residents (Resident #62 & Resident #18) whose records were reviewed for comprehensive assessments, in that: 1. MDS staff did not code on Resident #62's quarterly MDS that he had psoriasis on his upper and lower extremities. 2. MDS staff did not code on Resident #18's quarterly MDS that he had significant weight loss. This deficient practice could affect any resident and contribute to residents not receiving the care and services as needed. The findings were: 1. Record review of Resident #62's face sheet, dated 1/13/23 revealed he was admitted to the facility on [DATE] with diagnoses including Acute Kidney Failure (kidneys are unable to filter waste from your blood), Cognitive Communication Deficit (impairment in organization/ thought organization, sequencing, attention, memory, planning, problem-solving, and safety awareness) and Psoriasis (skin…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review revealed the facility failed to ensure a resident who was unable to carry out activities of daily living received the necessary services to maintain good grooming, personal and oral hygiene for 1 of 8 Residents (Resident #62) reviewed for ADL care, in that: Nursing staff failed to provide daily oral care, nail care as needed and to shower Resident #62 according to his shower schedule. These deficient practices could affect residents and could contribute to overall poor hygiene. The findings were: Record review of Resident #62's face sheet, dated 1/13/23 revealed he was admitted to the facility o 1/22/22 with diagnoses including Acute Kidney Failure (kidneys are unable to filter waste from your blood), Cognitive Communication Deficit (impairment in organization/ thought organization, sequencing, attention, memory, planning, problem-solving, and safety awareness) and Psoriasis (skin disease). Record review of Resident #62's quarterly MDS, dated [DATE], revealed…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review revealed the facility failed to ensure residents proper treatment and care to maintain good foot health for 1 of 8 Residents (Resident #62) reviewed for foot care, in that: Nursing staff failed to ensure Resident #62 was on the list for podiatry care. As a result Resident #62 did not receive podiatry care at least 5 months. This deficient practice could affect residents and could contribute to overall poor foot hygiene and a decline in residents physical condition. The findings were: Record review of Resident #62's face sheet, dated 1/13/23 revealed he was admitted to the facility o 1/22/22 with diagnoses including Acute Kidney Failure (kidneys are unable to filter waste from your blood), Cognitive Communication Deficit (impairment in organization/ thought organization, sequencing, attention, memory, planning, problem-solving, and safety awareness) and Psoriasis (skin disease). Record review of Resident #62's quarterly MDS, dated [DATE], revealed Resident #62 was…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review revealed the facility failed to ensure that residents who require dialysis received such services, consistent with professional standards of practice, the comprehensive person-centered care plan for 1 of 2 Residents (Resident #18) whose records were reviewed for Dialysis services, in that: Resident #18 did not receive Dialysis on 1/10/23 and nursing staff was not checking Resident #18's shut site as ordered per facility policy. These deficient practices could affect residents and result in a decline in physical health. The findings were: Record review of Resident #18's face sheet, dated 1/13/23, revealed he was initially admitted to the facility on [DATE] with diagnoses including unspecified Protein and Calorie Malnutrition, End Stage Renal Disease (gradual loss of kidney function) and Deficiency of Other Vitamins. Further review revealed he was re-admitted to the facility on [DATE]. Record review of Resident #18's reentry MDS, dated [DATE], revealed Resident…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to obtain routine dental care for 1 of 1 Resident (Resident #62) whose records were reviewed for dental care, in that: Resident #62 was not provided or referred for routine dental care This deficient practice could affect residents and contribute to a decline in resident's oral health. The findings were: Record review of Resident #62's face sheet, dated 1/13/23 revealed he was admitted to the facility on [DATE] with diagnoses including: Acute Kidney Failure (kidneys are unable to filter waste from your blood), Cognitive Communication Deficit (impairment in organization/ thought organization, sequencing, attention, memory, planning, problem-solving, and safety awareness) and Psoriasis (skin disease). Record review of Resident #62's admission MDS, dated [DATE], revealed Resident #62 was severely cognitively impaired and he did not have any teeth or had teeth fragments. Record review of Resident #62's Care Plan, dated 12/16/22, revealed Resident…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.