Avir at Weston: Missed Tube Feedings Put Residents at Risk - TX
A PEG tube, or percutaneous endoscopic gastrostomy tube, delivers nutrition directly into the stomach for residents who cannot eat by mouth. When those feedings are skipped or inconsistently administered, the consequences aren't abstract. LVN C, interviewed by inspectors that evening at 6:00 p.m., put it plainly: the negative outcome of not following physician orders and not providing tube feeding is weight loss and malnutrition.
LVN B said the same thing an hour earlier, at 5:42 p.m. He acknowledged receiving in-service training that day on PEG tube feeding, following physician orders, and documentation. He said the negative outcome of not providing tube feeding is the potential of weight loss.
Both nurses received that training on January 29, 2026 — the same date as the inspection.
The in-service records, reviewed by inspectors, confirmed that LVN B, a third nurse identified in the report as LVN 3, and the facility's Director of Nursing all completed the training that day. The facility's own enteral nutrition policy, dated November 2018, states that adequate nutritional support through enteral nutrition is provided to residents as ordered. That policy had been on the books for more than seven years before inspectors showed up.
The inspection was triggered by a complaint, not a routine survey. That means someone, likely a resident, family member, or staff, contacted regulators with a specific concern before investigators walked through the door. The report does not describe how many residents were affected by the missed feedings, noting only that "few" residents were impacted, with the level of harm characterized as minimal harm or potential for actual harm.
One resident's records were reviewed as part of the investigation. A nutrition risk assessment showed that resident weighed 168 pounds, stood 64 inches tall, and had a body mass index of 28.8, a figure that falls in the overweight range. That single data point doesn't tell the full story of what missed feedings might have meant over time for that person, or for others in the facility whose records were not detailed in the two-page inspection report.
What the report does make clear is the sequence: orders existed, feedings were not reliably given, and nurses understood what the consequences were. Both LVN B and LVN C, when asked directly, described the risks accurately. They knew. The facility's policy required it. The physician orders required it. And still, inspectors found enough of a gap between what was ordered and what was done to substantiate the complaint.
The timing of the retraining is the sharpest detail in the report. Facilities sometimes conduct staff education after a deficiency is cited, as a corrective measure. Here, the training happened on the same calendar date as the inspection itself, with inspectors still on the premises conducting interviews at nearly 6:00 in the evening. LVN C was interviewed at 6:00 p.m. The training she described receiving had taken place earlier that same day.
Whether the facility knew the inspection was coming, or moved quickly once investigators arrived, the report does not say. What it shows is that the nurses who had been providing care without consistent adherence to feeding orders were still working their shifts when inspectors sat down to ask them what they knew about the risks of skipping those feedings.
They answered correctly. The residents in their care had been waiting for the practice to match the answer.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Avir At Weston from 2026-01-29 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.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 16, 2026 · Our methodology
Avir at Weston in Temple, TX was cited for violations during a health inspection on January 29, 2026.
A PEG tube, or percutaneous endoscopic gastrostomy tube, delivers nutrition directly into the stomach for residents who cannot eat by mouth.
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.