Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Avir At Itasca during CMS and state inspections, most recent first.
The facility failed to maintain a comfortable temperature in the secure unit, causing discomfort to several residents due to a malfunctioning heating system. Additionally, a resident's room had unrepaired damage, including holes in the drywall and a bent window screen, raising concerns about pest entry and preventing the resident from opening the window for fresh air. These deficiencies compromised the residents' comfort and quality of life.
Two residents' privacy was compromised during wound care treatments when staff failed to properly close curtains and doors, exposing the residents to view by others. Staff interviews confirmed that privacy should be maintained during treatments to prevent embarrassment and loss of dignity, as per facility policy.
A facility failed to accurately reflect a resident's primary diagnosis of orthostatic hypotension in the Quarterly MDS assessment. Despite the resident receiving medication for this condition, the MDS and care plan did not include the diagnosis, potentially affecting care. Staff interviews revealed the omission was a mistake, with the MDS Coordinator acknowledging the error. The facility's policy mandates that MDS assessments align with progress notes and care plans, which was not followed.
A resident's care plan failed to include their primary diagnosis of orthostatic hypotension, despite having a physician's order for midodrine with specific instructions. The omission was acknowledged by facility staff, including the MDS Coordinator, DON, and ADM, who emphasized the importance of accurate care plans. The facility's policy requires care plans to include measurable objectives and timeframes, which was not followed in this instance.
A facility failed to ensure the safe storage of food in a resident's personal refrigerator, which was not monitored for safe temperatures. The resident, with multiple health conditions, had a refrigerator lacking a temperature log, contrary to facility policy. Staff interviews revealed it was the housekeeper's responsibility to document temperatures daily, but this was not done, risking food safety.
A resident with severe cognitive impairment fell and sustained a hip fracture, but the LTC facility failed to notify the family or hospice of the x-ray results and hospital transfer. The LVN assumed the family was aware, and the administrator was unaware of the lapse in communication. The family and hospice only learned of the fracture and transfer after visiting the facility.
Facility Fails to Maintain Comfortable Environment and Room Conditions
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment for its residents, as evidenced by two main deficiencies. Firstly, the secure unit of the facility was not maintained at a comfortable temperature, causing discomfort to several residents. On the morning of the survey, the thermostat in the secure unit read 67 degrees Fahrenheit, which was below the comfortable range of 71 to 81 degrees Fahrenheit as per the facility's policy. Residents expressed feeling cold, and observations confirmed that the temperature was indeed low, with some residents wearing additional clothing to keep warm. The issue was attributed to a malfunctioning sensor in the heating system, which had been previously serviced but not permanently fixed. Secondly, the facility failed to maintain the physical condition of Resident #7's room, which had two holes in the drywall, scratches in the wall paint, and a bent window screen that did not fit properly. The resident expressed concern about the potential for pests entering through the holes and was unable to open the window for fresh air due to the damaged screen. The maintenance staff acknowledged the issues but indicated that repairs were delayed due to other priorities and an impending renovation. The facility's maintenance log did not reflect any recorded issues with the heater or the damage in Resident #7's room, indicating a lack of documentation and follow-up on these environmental concerns. The administrator and maintenance staff were aware of the temperature issues and had contacted the HVAC company for repairs, but the problem persisted. The facility's failure to address these environmental deficiencies compromised the residents' comfort and quality of life.
Failure to Maintain Resident Privacy During Wound Care
Penalty
Summary
The facility failed to maintain the privacy of two residents during wound care treatments, as observed by surveyors. For Resident #8, the privacy curtain was not fully closed, leaving a gap that allowed a roommate and surveyors to view the resident's uncovered body during treatment. This resident, who has a moderately impaired cognitive ability due to dementia, was exposed during the procedure, which was not corrected until several minutes later. Similarly, for Resident #13, the door was left completely open during wound care, allowing people in the hallway to see the resident. This resident has a severely impaired cognitive ability, and the exposure occurred while the wound dressing on her foot was being changed. Interviews with staff, including a CNA, LVN, the Administrator, and the DON, confirmed that privacy should be protected during all resident treatments by closing curtains, doors, and blinds, and limiting exposure of body areas. The staff acknowledged that the failure to maintain privacy could lead to embarrassment, loss of dignity, and shame for the residents. The facility's policy on dignity, which emphasizes the protection of resident privacy during personal care and treatment procedures, was not adhered to in these instances.
Inaccurate MDS Assessment for Resident with Orthostatic Hypotension
Penalty
Summary
The facility failed to ensure that a resident's Quarterly Minimum Data Set (MDS) assessment accurately reflected the resident's primary diagnosis of orthostatic hypotension. This oversight was identified during a review of the resident's records, which showed that the MDS assessment did not include this critical diagnosis, despite it being a primary condition affecting the resident's health. The resident, an elderly female with severe cognitive impairment, was receiving medication for orthostatic hypotension, as indicated by physician's orders. However, the MDS assessment and care plan did not reflect this diagnosis, which could potentially lead to inadequate care. Interviews with facility staff, including the MDS Coordinator, Director of Nursing (DON), and Administrator (ADM), revealed that the omission was a mistake. The MDS Coordinator acknowledged the error and its potential impact on the resident's care. The DON and ADM both confirmed that the resident's primary diagnosis should have been included in the MDS assessment to ensure accurate care planning. The facility's policy requires that MDS assessments consistently reflect information from progress notes, care plans, and resident observations, which was not adhered to in this case.
Failure to Include Primary Diagnosis in Care Plan
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for a resident, which did not include the primary diagnosis of orthostatic hypotension. This oversight was identified during a review of the resident's records, which showed that the care plan, dated August 6, 2024, did not address this primary diagnosis. The resident, an elderly female with severe cognitive impairment, had a physician's order for midodrine to manage her orthostatic hypotension, with specific instructions to keep her sitting or standing for several hours after administration. However, this critical information was not reflected in her care plan, potentially impacting the care she received. Interviews with facility staff, including the MDS Coordinator, DON, and ADM, revealed that the omission was acknowledged, and it was stated that the care plan should have included the resident's primary diagnosis. The MDS Coordinator admitted responsibility for ensuring the care plan was accurate, while the DON and ADM emphasized the importance of reflecting all primary diagnoses in care plans to ensure appropriate care. The facility's policy mandates that care plans include measurable objectives and timeframes to meet residents' needs, which was not adhered to in this case.
Failure to Monitor Resident's In-Room Refrigerator Temperature
Penalty
Summary
The facility failed to ensure the safe and sanitary storage of food items in a resident's personal in-room refrigerator, which was not monitored for safe temperatures. This deficiency was identified for one resident, a female with multiple diagnoses including essential hypertension, major depression disorder, gastro-esophageal reflux disease, and paranoid schizophrenia. The resident's refrigerator lacked a temperature log, which is necessary to ensure that the refrigerator is functioning properly and maintaining safe food storage temperatures. Interviews with staff, including a nursing assistant, housekeeper, director of nursing, and administrator, revealed that it was the housekeeper's responsibility to document the refrigerator's temperature daily. However, the housekeeper could not recall if the temperature log was completed, and the absence of this log was confirmed during observations. The facility's policy requires that refrigerators maintain temperatures at or below 41 degrees Fahrenheit and that monthly tracking sheets are posted to record temperatures, but this was not adhered to in the case of the resident's personal refrigerator.
Failure to Notify Family and Hospice of Resident's Hospital Transfer
Penalty
Summary
The facility failed to notify the resident's representative and hospice agency of a significant change in condition for a resident who experienced a fall resulting in a left hip fracture. The resident, who had severe cognitive impairment and multiple diagnoses including dementia and diabetes, fell on one day, and an x-ray the following day revealed a left hip fracture. Despite the severity of the injury, the family and hospice agency were not informed of the x-ray results or the resident's subsequent transfer to the hospital. The Licensed Vocational Nurse (LVN) involved acknowledged receiving the x-ray results and notifying the doctor, who ordered the resident's transfer to the emergency room. However, the LVN did not notify the family or hospice agency, assuming the family was already aware of the potential need for hospital transfer. The facility's administrator stated that staff were trained to notify families and hospice agencies of any changes in condition or hospital transfers, but was unaware that the notifications had not occurred in this instance. Interviews with the family member and hospice registered nurse (HRN) revealed that they were initially informed of the fall but not of the subsequent x-ray results or hospital transfer. The family member discovered the fracture and hospital transfer only after visiting the facility and noticing the resident's condition. The HRN confirmed that the facility had not communicated the x-ray results or transfer, which prevented the family from making informed medical decisions. The facility's policy required notification of the resident's representative or family in such situations, but this was not followed.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 51 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Itasca
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Grandview Nursing And Rehabilitation Center | 8.1 mi | — | 0 | 0 |
| Avir At Hillsboro | 10.2 mi | — | 15 | 0 |
| Town Hall Estates | 10.5 mi | — | 0 | 0 |
| Renaissance Rehabilitation And Healthcare Center | 14.5 mi | — | 4 | 0 |
| Alvarado Meadows Nursing & Rehabilitation | 17.7 mi | — | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Avir At Itasca.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.