Avir at Western Hills: Catheter Bag Dignity Violations - TX
Federal inspectors cited Avir at Western Hills following a complaint inspection on May 27, 2026. The violation centered on uncovered foley bags, the drainage pouches attached to urinary catheters that collect urine. When left exposed, those bags are visible to anyone who enters a resident's room, a detail that the facility's director of nursing acknowledged without hesitation.
The director of nursing told inspectors there was never a time when it was acceptable for a resident's urinary bag to be left uncovered. She said all nursing staff and caregivers were responsible for making sure privacy bags, the cloth or fabric covers designed to conceal the drainage pouches, were in use at all times. She said it was a dignity issue. She said she was ultimately responsible for all of them.
She also said that she had ordered an in-service on foley bag coverage for the entire nursing department the day before inspectors arrived, on May 26.
That detail sits at the center of what inspectors found. A staff in-service on a specific care practice, ordered the day before a complaint inspection, suggests the problem was known inside the facility before regulators walked through the door.
CNA D, interviewed the same afternoon inspectors arrived, said she did not recall her most recent training on catheter bags. She said nursing staff had always known urinary bags were supposed to be covered. She said there was a policy about it but added she could not quote it.
Those two statements, offered in the same breath, describe a gap that shows up in nursing homes with some regularity: staff who understand in a general way that something is required but cannot say when they last learned it, cannot point to a specific policy, and cannot account for why it wasn't happening.
The facility's Resident Rights policy, dated February 2001, states that employees shall treat all residents with kindness, respect and dignity. The policy is more than two decades old. Whether it was ever connected to something as specific as catheter bag coverage, or whether it remained a general statement on a shelf, the inspection record does not say.
Inspectors classified the violation as causing minimal harm or potential for actual harm, and noted that few residents were affected. That classification sits at the lower end of the harm scale. It does not mean the experience of the residents involved was minor.
A urinary catheter is not a temporary inconvenience. Residents who require foley catheters are often among the most physically vulnerable people in a facility, those who cannot control bladder function, who depend entirely on staff for the most basic aspects of bodily care. An exposed drainage bag, visible to roommates, to visitors, to anyone who opens a door, removes something that cannot be given back in the moment it is taken. The director of nursing understood this. She used the word dignity unprompted.
What the inspection record captures is a facility where the expectation was clear at the top and inconsistent at the bedside. The director of nursing could articulate exactly what the standard was. The nursing assistant who worked the floor could not recall the last time anyone had made sure she knew it.
The in-service ordered on May 26 may have corrected that gap going forward. It does not account for the period before it, or for how long residents moved through their days with uncovered bags while staff either didn't notice or didn't act.
Avir at Western Hills is located in Temple, Texas. The inspection was conducted in response to a complaint.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Avir At Western Hills from 2026-05-27 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 12, 2026 · Our methodology
Avir at Western Hills in Temple, TX was cited for violations during a health inspection on May 27, 2026.
Federal inspectors cited Avir at Western Hills following a complaint inspection on May 27, 2026.
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.