Avir at Killeen: Infection Control Violations Found - TX
The August 11 complaint inspection cited the facility under federal infection control standards. The deficiency, designated F0880, carried a harm level of minimal harm or potential for actual harm.
Catheter-associated urinary tract infections are among the most common infections acquired in care facilities. Residents who rely on urinary catheters are already vulnerable. The catheter itself creates a direct pathway for bacteria to enter the bladder, which is why how staff handle the equipment matters as much as whether they use it at all.
The inspection found that staff were not consistently maintaining what the report calls "clean technique" when handling the catheter, its tubing, or the drainage bag. The drainage bags, which collect urine and must remain lower than the bladder to prevent backflow, were being kept on the floor.
That detail is not minor. A drainage bag resting on the floor picks up whatever is on that surface and becomes a contamination point every time a staff member touches it. The bag connects directly to the tubing that connects directly to the catheter inside the resident. The chain from floor to bladder is short.
The facility's own written procedure addressed this. It stated that tubing and drainage bags should be kept off the floor. It also outlined the standard for periurethral care, specifying that antiseptics should not be used to clean the area around the catheter while it is in place, and that routine hygiene during bathing or showering is the appropriate approach. What inspectors found was that the written procedure and actual practice had separated.
Catheter-associated urinary tract infections are not abstract risks. In older adults, a UTI can escalate quickly. What begins as a localized infection can become a systemic one. For residents who are already medically fragile, the consequences can include hospitalization, sepsis, and death. The infections are also painful and disorienting in the days before they are caught and treated.
The inspection report identified the number of residents affected as "few," which under federal reporting conventions means between one and five. The harm level was recorded at the lower end of the scale, meaning inspectors assessed that actual serious harm had not yet occurred, though the conditions created the potential for it.
Avir at Killeen is a nursing and rehabilitation facility in Killeen, Texas. The inspection was conducted in response to a complaint, meaning someone, a resident, a family member, or a staff member, contacted regulators before inspectors arrived. Complaint inspections are targeted rather than comprehensive, focused on the specific concerns that prompted the visit.
The finding does not indicate whether any residents had developed infections connected to the catheter care failures. The inspection report documents what inspectors observed and what the facility's own procedures required. The gap between those two things was enough to generate the citation.
Catheter care is one of the areas where nursing homes are most frequently cited nationally, in part because the protocols are specific and observable and in part because the stakes of getting it wrong are high. Keeping a drainage bag off the floor is not a complex clinical task. It is a basic step that requires staff to be trained, reminded, and supervised consistently enough that it becomes routine rather than optional.
When it stops being routine, residents with catheters are the ones who absorb the risk.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Avir At Killeen from 2025-08-11 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
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Last verified: November 3, 2026 · Our methodology
Avir at Killeen in Killeen, TX was cited for violations during a health inspection on August 11, 2025.
The August 11 complaint inspection cited the facility under federal infection control standards.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.