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Complaint Investigation

Avir At Beaumont

August 12, 2025 · Beaumont, TX · 4195 Milam Street
Citations 2
CMS Rating 1/5
Beds 214
Provider ID 455001
Healthcare Facility
Avir At Beaumont
Beaumont, TX  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Avir at Beaumont in Beaumont, TX — inspection on August 12, 2025.

Found 2 citations. 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.

Inspection Findings

FF0760
Pharmacy Service Deficiencies

During an interview on 08/12/2025 at 11:28 a.m., RN D, said he administered Resident #1's BP medications during the evening shift. He said prior to administer BP medication he checked the MAR for parameters and then checked the resident's BP if it was out of parameters, he would hold the BP medication and document on the MAR. He said that he recalls Resident #1's BP being low during her evening BP med dosing and the medication would be held. He said he would contact the physician if he was unsure of the parameters or dosing, or if BP medication was repeatedly being held or missed.

RN D said if it showed he administered a BP medication when the BP was out of parameters it must have been documentation error because he held Resident #1's BP medication if it was out of parameter. RN D said if the blood pressure dropped too low Resident #1 could have dizziness, unresponsiveness, or even possibly death. RN D said he was recently terminated so he was unable to review the residents' MAR for clarification.

During an interview on 08/12/2025 at 1:30 p.m., the DON said she expected her nurses to follow physicians' orders.

She stated she expected them to read the MAR and follow parameters.

The DON said if cardiovascular medication was ordered with parameters, parameters were to be checked prior to administration the medication and to be held if out of the ordered parameters.

She said it was the nurse's responsibility to check vitals prior to administering any cardiac medications with parameters.

She said if BP medication administered and BP is low (out of parameters) the resident could experience symptoms of hypotension including syncope (fainting or passing out), confusion, and even death.

During an interview on 08/12/2025 at 1:45 p.m., the Administrator said she expected her staff to follow physicians' orders and to check parameters prior to administering cardiac medications if ordered and if BP or pulse is out of parameters not to administer and document on MAR and/or progress note.

Record review of a facility's Administering Medications policy revised April 2019, indicated Policy: Medications are administered in a safe and timely manner, and as prescribed.4.

Medications are administered in accordance with prescriber orders including any required time frame. 11.

The following information is checked/verified for each resident prior to administering medications: a. allergies to medication; and b. vital signs if necessary .

455001 08/12/2025

Avir at Beaumont 4195 Milam St Beaumont, TX 77707

diagnostic services shall be made a part of the residence medical records.

Requested a policy

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 Beaumont, 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 Beaumont or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.