The resident, who has been at the facility since March 2023, is cognitively impaired and entirely dependent on staff for every activity of daily living.
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The resident, identified in inspection records as Resident #99, was admitted to the facility while it was in the middle of a staffing crisis.
The incident happened on July 29, 2025.
The incident involving Resident #4 was discovered on the night of July 16 into the early morning of July 17.
The gap in care at Civita Care Bayview came to light during a complaint inspection on August 11, 2025.
The gaps showed up across two separate stretches of the year.
Both buttocks wounds had been recorded as resolved in May.
The nurse, a Licensed Vocational Nurse identified in inspection records only as LVN 1, was working the 3 p.m.
The resident, identified in inspection records only as R6, was admitted to the facility in September 2023.
When inspectors arrived on August 12, he explained the situation plainly.
The director of nursing at Greenbrier Nursing & Rehabilitation Center couldn't find the paper shower sheets for Resident #1.
Resident #44 arrived at Avir at Woodlands with a fractured femur, high blood pressure, an irregular heartbeat and muscle weakness.