Avir At Dripping Springs

Based on observations, interviews, and record reviews, the facility failed to properly store, prepare, and distribute food in accordance with professional standards for food service safety for 1 of 1 kitchen.The facility failed to ensure food was properly labeled and dated.These deficient practices could place residents who were served from the kitchen at risk for health complications and foodborne illnesses.Findings Included:Observation on 12/29/2025, at 7:07 AM revealed 3 clear plastic bags containing food items that were undated and unlabeled. The bags contained one bag of corn, one bag of cookie dough, and one bag containing five pie crusts.In an interview on 12/31/2025, at 8:41 AM DA stated she was in-serviced two weeks ago on labeling and dating but does not remember the date. She stated each person in the kitchen is responsible for the labeling and dating of food items. If items are not properly labeled and dated this could cause a resident to become sick.In an interview on 12/31/2025, at 8:48 AM DMIT stated she has been trained on and labeling and dating of foods sometime…

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 each resident was treated with respect and dignity in an environment that promotes maintenance or enhancement of his or her quality of life for 4 of 5 residents (Resident #7, Resident #10, Resident #41, and Resident #45) reviewed for resident rights. The facility failed to ensure that Resident #7, and Resident #45 were fed their lunch in a timely manner. The facility failed to ensure that Resident #7, and Resident #10, were covered completely before transporting them in the hall to/from the shower room. The facility failed to ensure that Resident #41 were covered completely and dressed before taken to the common area. This failure placed all residents at risk for not receiving adequate care and diminished quality of life and embarrassment. Findings included: Record review of Resident #7's admission Record dated 09/25/2024 revealed the resident was a [AGE] year-old female, who was admitted to the facility on [DATE]. Resident #7's…

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 an ongoing program of activities based on the comprehensive assessment to meet the interests and support the physical, mental, and psychosocial well-being of 4 of 4 (Residents #7, #13, #29 and #30) residents reviewed for activities. 1. The facility did not provide Resident #7, , #29 and #30 with individual or group activities. These failures placed residents at risk for a decline in their physical, mental, and psychosocial well-being due to a lack of ongoing activities. Findings included: Review of the September 24-26 2024 Activity Calendar for the week of 09/01/2024- 09/07/2024 reflected the following: Tuesday 09/24/2024 08:45 Daily Chronicle word search 09:45 Exercise 10:00 Question of the day 10:30 Red Hat w/pop corn 2:00 Beading 3:00 Dominoes Group Wednesday 09/25/2024 08:45 a.m. Daily Chronical Word Search 09:45 Rosary 11:00 a.m. Music on request 02:30 Rummikub 3:00 pm Dominoes Group Thursday 09/26/2024 08:45 Daily Chronicle…

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, 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 4 (CNA D, HK G, MA B, and AD) staff members reviewed for hand hygiene. HK G, CNA D, MA B, and AD failed to perform hand hygiene when performing tasks for or around residents and their environment. 1. HG failed to perform hand hygiene in between cleaning resident rooms and failed to remove gloves after cleaning in resident rooms. 2. CNA D failed to perform hand hygiene after she removed bagged dirty linen from a resident room and entered another resident's room and proceed to assist another resident. 3. MA B failed to perform hand hygiene in-between medication pass with residents and failed to sanitize a blood pressure cuff in-between resident use. 4. AD failed to perform hand hygiene before passing snacks to residents and after she touched her face and hair. These failures placed residents at an…

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 residents received services in the facility with reasonable accommodations of resident's needs and preferences except when to do so would endanger the health and safety of the resident or other residents for 3 of 5 residents (Resident #6, Resident #14, and Resident #50) reviewed for resident rights. The facility failed to ensure Resident #6, Resident #14, and Resident #50's call lights were within reach on 09/24/2024. This failure could place residents at risk of needs not being met. Findings included: Record review of Resident #6's admission Record dated 09/24/2024 revealed an [AGE] year-old female admitted to the facility on [DATE] with diagnoses that included psychotic disturbance, mood disturbance, anxiety, seizures, cerebral infarction (long term effects of a stroke), type 2 diabetes mellitus with hyperglycemia (high blood sugar), heart failure, sleep apnea (breathing pauses while sleeping), weakness, seasonal allergies,…

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 the resident's assessment accurately reflected the resident's status for 1 (Resident #11) of 4 residents reviewed for MDS assessments. The facility failed to include Resident #11's psychiatric diagnose on his quarterly MDS and significant change MDS. This failure could place residents at risk of not having their care and treatment needs assessed to ensure necessary care and services were provided. Findings included: Review of Resident #11's face sheet dated 09/26/2024 revealed an [AGE] year-old male with initial admission date of 09/01/2022 and with diagnoses of Alzheimer's disease, anxiety disorder, major depressive disorder, and atherosclerotic heart disease. Review of Resident #11's physician orders revealed order for Zyprexa with start date of 06/13/2024. Order revealed medication was indicated for Paranoid Schizophrenia. Further review revealed behavior monitoring order for Zyprexa to monitor for delusions and paranoia with start date of…

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, interview and record review the facility failed to provide pharmaceutical services to assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals to meet the needs of each resident for 1 of 3 medication carts reviewed in that: The medication cart Contained 3 loose pills. These deficient practices could affect residents and result in a drug diversion due to medications not being properly disposed and secured. The findings were: Observation and interview with MA B on 09/25/2024 at 9:40 am of the medication cart Revealed 1 blue tablet in the right middle drawer. MA B was able to identify the 1 blue tablet as Zoloft. DON was standing next to the cart and made the same observation. Interview with MA B on 09/25/2024 at 09:45 am, he said that the loose blue pill indicated that a resident did not get their Zoloft medication today. MA B stated he holds onto the pill bags after he takes out the medications daily and places them in the middle drawer because of HIPAA rules. He said the medication bags have the resident identifiers…

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 all alleged violations involving abuse or neglect were reported immediately or no later than 24 hours for one (Resident #1) of four residents reviewed for abuse and neglect, in that: The facility failed to report to HHSC an allegation that Resident #1 was overdosed with opioid medication. This failure could place residents at risk of abuse or neglect. Findings included: Review of Resident #1's undated face sheet reflected a [AGE] year-old male who was admitted to the facility on [DATE] with diagnoses including type II diabetes, paranoid schizophrenia, major depressive disorder, history of heart attack, hypertension (high blood pressure), chronic pain, and age-related physical debility. Review of Resident #1's quarterly MDS assessment, dated 05/04/24, reflected a BIMS of 6, indicating a severe cognitive impairment. Section J (Health Conditions) reflected he had occasional pain and received PRN pain medication. 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.

Based on observation, interview, and record review the facility failed to ensure all drugs and biologicals were stored in locked compartments under proper temperature controls and permitted only authorized personnel to have access to the keys in 2 medication carts of 3 medication carts (the Nurses Medication Cart and the Treatment Cart) reviewed for medication storage, in that; The facility failed to ensure the Treatment Cart was locked when it was left unattended in the common area of the 200-hallway; and the facility failed to ensure the Nurses Medication Cart was locked when it was left unattended on two different occasions in a common area near the nurses' station. This deficient practice could place residents at risk of medication misuse or drug diversion. The findings were: In an observation on 7/25/2023 at 3:38 PM, the Nurses Medication Cart was unlocked and unattended. The Nurses Medication Cart had prescription and over the counter medications in the drawers. The top drawer also had 3 plastic souffle cups with several pills in each souffle cup. Staff, visitors, 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 interviews and record reviews, the facility failed to provide an MDS assessment that accurately reflected the resident's status for one resident (#58) of three residents reviewed for accurate assessments in that: Resident #58's MDS inaccurately reflected he discharged to the hospital. This deficient practice could affect residents who receive MDS assessments and could result in disruption of continuity of care. The findings were: Review of Resident #58's electronic face sheet dated 07/26/2023 revealed he was admitted to the facility, on 6/8/23, with diagnoses of cerebral infarction (occurs because of disrupted blood flow to the brain due to problems of the blood vessels that supply it), major depressive disorder (a mood disorder that causes a persistent feeling of sadness and loss of interest that can interfere with daily routines), anemia (results from lack of red blood cells, and can cause fatigue, skin pallor and shortness of breath) and diabetes mellitus (metabolic disease, involving inappropriately…

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 maintain medical records on each resident that are complete; accurately documented; readily accessible; and systematically organized, for 1 of 22 residents (Resident #13) reviewed for accurate medical records, in that: Resident #13's electronic medical record inaccurately care planned an anti-convulsive medication as an anti-Parkinson's medication. This failure could cause confusion about the residents diagnoses and place residents at risk for harm due to inaccurate records. The findings included: Record review of Resident #13's face sheet dated 7/27/2023 revealed the resident was admitted to the facility on [DATE] and had diagnoses that included bipolar disorder (a disorder associated with episodes of mood swings ranging from depressive lows and manic highs), paraplegia unspecified (a type of paralysis that affects movement of the lower half of the body), type 2 diabetes mellitus (a chronic condition that affects the way the body processes blood…

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 to help prevent the development and transmission of communicable diseases and infections, in that; The facility failed to ensure that staff sanitized the blood pressure cuff between 2 of 3 residents (Resident # 44 and Resident #18) to prevent cross contamination. This deficient practice had the potential to affect residents in the facility by placing them at risk of contracting, spreading and/or exposing them to pathogens that could lead to the spread of communicable diseases. The findings included: Record review of the quarterly MDS assessment dated [DATE], revealed Resident #44 was a [AGE] year-old female admitted on [DATE]. Primary medical condition was debility related to cardiorespiratory conditions. Other active diagnoses included hypertension. Record review of the quarterly MDS assessment 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.