Avir At Beaumont

F 0760 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

LVN C said the residents' blood pressure should be checked by the nurse each time the blood pressure medication was due. She said the blood pressure protocol ordered by the physician should be followed. She said if Resident #1's blood pressure was low and was still given a blood pressure medication, it could get too low. She said residents was at risk for passing out or dizziness resulting in a fall or injury. During an

interview on 08/11/2025 at 5:30 p.m., LVN H said the residents' blood pressure should be checked by the nurse each time the blood pressure medication was due. She said the blood pressure protocol ordered by

the physician should be followed. She said if the residents' blood pressure was low and was still given a blood pressure medication, it could get too low. She said residents were at risk for being lightheaded, passing out or dizziness resulting in a possible fall or injury. She said she would contact the physician if she was unsure of the parameters or dosing, or if BP medication was repeatedly being held or missed. During

an interview on 08/12/2025 at 11:40 a.m., LVN A said she checked residents' BP prior to administering BP medications. She said she checked the BP and then reviewed the resident's MAR to determine if the blood pressure medication was to be administered. She said some residents had parameters to hold the blood pressure medication if the BP was low and medications to administer if BP was low. She said she checked

the BP, reviewed and administered the medication if within acceptable parameters. She said if residents' blood pressure was low and they were still given a blood pressure medication, it could get too low or if blood pressure was low and medications were not given to increase it, it could cause hypotension symptoms. She said residents were at risk for hypotension including passing out or dizziness which could result in a fall or injury. 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 .

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

08/12/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Avir at Beaumont

4195 Milam St Beaumont, TX 77707

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0770 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

review. The Administrator said it was important that labs were drawn per the physician's orders to ensure

the residents were getting the highest quality of care for their health. Record review of the facility's policy titled Test Results revised April 2007 indicated . the resident's attending physician will be notified of the results of diagnostic test. 1. Results of laboratory, radiological, and diagnostic test shall be reported to the resident's attending physician or to the facility. 2. Should the test results be provided to the facility, the attending physician shall be promptly notified of the results. 3. The director of nursing services, or charge nurse receiving the test results, shall be responsible for notifying the physician of such test results. Signed and dated/electronic signature as applicable of all diagnostic services shall be made a part of the residence medical records. Requested a policy regarding laboratory services with no policy provided by the exit conference.

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