Avir at Beeville

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, the facility failed to ensure that one of five residents (Resident #1) and RP was notified of the transfer or discharge and the reasons for the move in writing as soon as practicable before transfer or discharge. The facility failed to provide written notice of discharge to Resident #1 and his RP before he was discharged from the facility on 03/25/26. This failure could put residents at risk for inappropriate discharge from the facility.The findings included:Record review of Resident #1's face sheet dated 04/09/26 revealed a [AGE] year-old male with an initial admission date of 06/14/25 and a discharge date of 03/25/26. The pertinent diagnoses included schizoaffective disorder (a chronic mental health condition combining schizophrenia symptoms (hallucinations, delusions, disorganized speech) with a major mood disorder, such as depression or bipolar disorder) and dementia (a progressive syndrome characterized by a decline in memory, language, and thinking severe enough to…

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 residents had the right to be free from abuse for 4 of 5 residents (Residents #1, #2, #3, and #4) reviewed for abuse, neglect, and exploitation. 1. The facility failed to protect Resident #2 from physical abuse when Resident #1 hit Resident #2 on the arm and kicked him in the leg on 10/15/2025. 2. The facility failed to protect Resident #1 from physical abuse when Resident #2 hit Resident #1 in the face for hitting him on the arm on 10/15/2025. 3. The facility failed to protect R #4 on 11/24/25 from being hit by R #3 in the hall of the women's locked unit. These failures could place residents at risk for physical or psychological harm or injury.Findings included: 1. Record review of Resident #1's face sheet, dated 11/26/2025, revealed a [AGE] year-old male with an admission date of 06/14/2025. Resident #1's diagnoses included Myocardial Infarction (commonly known as a heart attack, occurred when blood flow to a part of the heart…

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, including hand hygiene, designed to provide a safe, sanitary, and comfortable environment, and to help prevent the development and transmission of communicable diseases and infections for one (Resident #2) of fifteen residents reviewed for infection control practices, in that: The facility failed to ensure the WCN performed hand hygiene for at least 20 seconds prior and after performing Resident #2's wound care. This failure could place residents that require wound care at risk for healthcare associated cross-contamination and infections. Findings include:Record review of Resident #2's face sheet dated 08/19/25 reflected a [AGE] year-old-female with an original admission date of 05/06/2012. Diagnoses included Alzheimer's disease (progressive brain disorder that slowly damages memory, thinking, and learning skills), dementia (loss of thinking, remembering, and reasoning skills),…

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 establish and maintain an infection prevention and control program designed to provide a safe, sanitary, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 1 Residents (Resident #1) reviewed for infection control and transmission-based precautions policies and practices. 1. CNA A failed to don the appropriate PPE before she entered Resident #1's room. This failure could place residents at risk for infection through cross-contamination of pathogens and infectious diseases. The findings include: Record review of Resident #1's face sheet, dated 07/01/25, revealed a [AGE] year-old female who was admitted to the facility on [DATE]. Resident #1 had diagnoses which included: chronic obstructive pulmonary disease, unspecified (progressive lung disease that makes it hard to breath), type 2 diabetes mellitus (the body has trouble controlling blood sugar and using…

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 provide pharmaceutical services, (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of 1 of (Resident #1) of 5 residents reviewed for pharmacy services. The facility failed to administer from 1/03/2025-01/06/2025 Resident #1's anticoagulant medication Eliquis 5MG BID. LVN A and RN A did not administer Resident #1's anticoagulation medication from 01/03/2025-01/06/2025 as prescribed. This failure could place residents at risk for serious complications such as atrial fibrillation, blood clots, and/or stoke. The findings included: Record review of admission record dated 06/23/2025 revealed Resident #1 was an [AGE] year-old male, who was initially admitted on [DATE] and readmitted on [DATE]. Resident #1 was admitted with diagnoses of paroxysmal atrial fibrillation (irregular heartbeat), unspecified atherosclerosis of native arteries of extremities of right and…

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 that residents receiving enteral feeding received appropriate care and services to prevent complication of enteral feeding for 1 of 1 resident (Resident #34) reviewed for enteral feeding. The facility failed to ensure LVN A verified placement and checked residual (something left behind) of Resident #34's G-tube (a tube into the stomach that delivers formula for nutrition and medication) by checking for tube placement and residual before enteral administration of water and medications. These failures could place residents receiving medications at increased risk of serious complications. Findings included: Review of Resident #34's face sheet dated 07/12/24, revealed the resident was a [AGE] year-old female admitted on [DATE] and initially admitted on [DATE] with diagnose that included dysphagia (difficulty or discomfort swallowing). Aphasia (a language disorder that affects how you communicate), cerebral infarction(stroke),…

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 that a resident who needs respiratory care was provided such care consistent with professional standards of practice for 1 of 16 (Resident #34) residents reviewed for oxygen in that: Resident #34's oxygen tubing was not connected to the concentrator. This failure could place residents who receive oxygen at risk of developing respiratory complications and a decreased quality of care. The findings included: Record Review of Resident #34's face sheet dated 7/11/2024 indicated she was a [AGE] year old female initially admitted on [DATE] and readmitted [DATE] with the diagnoses of Chronic Obstructive Pulmonary Disease (lung disease that blocks the air flow), Cerebral Infarction (condition that occurs when blood flow is disrupted causing brain tissue to die), Severe vascular dementia (brain damage caused by multiple strokes), generalized muscle weakness. Record review of Resident #34's comprehensive care plan dated 6/21/2024 indicated…

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 medication error rate was not five percent or greater. The facility had a medication error rate of 8% based on 2 errors out of 25 opportunities, which involved 1 of 4 residents (Resident #34) reviewed for medication errors. Resident #34's Acetaminophen-Codeine Oral Tablet was prescribed for pain and Memantine tablet was prescribed for Alzheimers were administered by Gastrostomy tube (G-Tube), and the medication cups used contained residual medication after the medications were administered. These failures could place residents at risk of not receiving the desired therapeutic effect of their medications to manage their medical conditions and decline in health. Findings included: Review of Resident #34's face sheet dated 07/12/24, revealed the resident was a [AGE] year-old female admitted on [DATE] and initially admitted on [DATE] with diagnose that included dysphagia (difficulty or discomfort swallowing). Aphasia (a language…

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 observation, interviews, and record reviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 2 of 2 unit refrigerators (unit 1 and unit 2) reviewed for sanitation. The facility failed to ensure unit refrigerators were free of unlabeled and undated items. This failure could place residents at risk for foodborne illess due to cross contamination from unlabeled and undated items in the unit refrigerators. Findings included: Observation of 2 of 2 unit refrigerators (unit 1 and unit 2) on 07/11/24 at 4:10 pm revealed 1 near empty 24-ounce bottle of salad dressing, wrapped in a paper towel, was unlabeled and undated in unit 1. There were 3, 16.9-ounce bottles of water, 1 hamburger bun, 1 hamburger patty, and 1, 6.75-ounce near empty container of orange juice, all undated and unlabeled in unit 2. Interviews with LVN D and LVN E on 07/11/24 at 4:12 pm both stated the refrigerators were kept locked for patient safety because the residents were in the locked unit. They both stated only the nurse…

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 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 diseases and infections for three (Resident #19 and Resident #34, and Resident #218) of five residents observed for infection control. 1. LVN A did not remove his gloves after insulin medication preparation for Resident #19 and administered insulin medication with the same pair of gloves. 2. The facility failed to ensure LVN A washed his hands or used hand sanitizer between glove changes while performing medication administration for Resident #34. 3. LVN F failed to wash her hands for 20 seconds or greater after performing wound care on Resident #218. These deficient practices have the potential to affect residents in the facility receiving care by exposing them to care that could lead to cross contamination and the spread of infection. Findings included:…

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 Evidence for tag placed under [NAME], [NAME] 609 - Reporting of Alleged Violations - E Based on, interview and record review, the facility failed to ensure that all alleged violations involving abuse, were reported immediately, but not later than 2 hours to the State Survey Agency and other officials, for 4 residents (Resident #2, Resident #3, Resident #5, and Resident #1) of 6 residents reviewed for abuse, in that: 1. The facility did not report to the Health and Human Services Commission (HHSC)/State Survey Agency and other officials for one incident of possible sexual abuse for Resident #2 and Resident #3 on 11/08/23. 2. The facility did not report to the Health and Human Services Commission (HHSC)/State Survey Agency and other officials for one incident of an unwitnessed fall resulting in an elbow fracture for Resident #5. 4. The facility failed to report the allegation of abuse to the local law enforcement agency when they were made aware of an allegation of abuse regarding Resident #1 on 07/18/2023. These…

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 develop and implement a comprehensive person-centered care plan that includes measurable objectives and time frames to meet a resident's medical and nursing needs to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 3 of 16 residents (Resident #29, Resident #17, Resident #16) reviewed for care plans in that: The facility failed to develop a comprehensive person-centered care plan for Resident #17, use of anticoagulant medication. The facility failed to develop a comprehensive person-centered care plan for Resident #29 placement in the memory unit. The facility failed to develop a comprehensive person-centered care plan for Resident #16 for a left femur fracture sustained on 3/8/2023. These deficient practices could place residents in the facility at risk of not being provided with the necessary care or services and having personalized plans developed to address their specific needs.…

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.