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Complaint Investigation

Avir At Bandera

April 5, 2025 · Bandera, TX · 222 Fm 1077
Citations 1
CMS Rating 3/5
Beds 118
Provider ID 676233
Healthcare Facility
Avir At Bandera
Bandera, TX  ·  View full profile →
Inspection Summary

AVIR AT BANDERA in BANDERA, TX — inspection on April 5, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF690
being Some affected

During interviews on 04/05/25 from 11:32 AM - 1:28 PM, three RNs, three LVNs, one MA, and five CNAs from different shifts all stated they were in-serviced before working their shift on catheter care, communication during shifts, change in conditions, and signs and symptoms of a UTI.

All stated a change in condition could be increased pain, altered mental status, or anything that is out of the resident's baseline.

All staff stated that any change in condition should be relayed to the NP because it could indicate a bigger issue that could be occurring that needed to be addressed.

They all gave signs and symptoms of a UTI such as altered mental status, burning during urination, dark urine, or increased pain.

The aides and MA stated if they noticed any of those signs and symptoms, they would notify a nurse immediately.

All stated a negative outcome of not getting orders for a suspected UTI could be sepsis or hospitalization .

The nurses stated during shift changes, instances of new skin integrity issues, new orders, or any change in condition with residents should be communicated to the oncoming nurse.

676233

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 676233 B.

Wing 04/05/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Bandera Nursing & Rehabilitation 222 Fm 1077 Bandera, TX 78003

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BANDERA, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from AVIR AT BANDERA or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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