Avir At Comfort
Avir at Comfort in COMFORT, TX — inspection on May 27, 2026.
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
unsure if residents' preferences for activities were reviewed during these conferences.
She was
overall well-being and healing. In an interview on 5/27/2026 at 2:54 PM, the Admin said the facility
department.
She said the current process was the care conferences were attended only by the LSW and DON, and all care areas were reviewed.
She said the staff were aware of residents' activities preferences because the census was small and the staff had become familiar with the residents over time. In an interview on 5/27/2026 at 3:45 PM, the DON said she was responsible for creating resident's care plans.
She said residents' preferences and needs were reviewed during care plan conferences, but the facility was instituting a new process that would include the Activities Director at all care plan conferences.
She said the care plans did not include specific preferences, but she made the preferences known to staff during routine, weekly staff meetings.
Record review of the facility policy Care Plans, Comprehensive Person-Centered dated 2001, revised March 2022 reflected the following: .7.
The comprehensive, person-centered care plan: . b. describes the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being .
675871 05/27/2026
Avir at Comfort 615 Faltin Ave Comfort, TX 78013
facility was displeased with her decision to include self-directed activity on the calendar for the
interview with the Admin. on 5/27/2026 at 2:54 PM, she said was aware the scheduled activity for
seen the schedule when the calendar was posted by the AD.
She said this activity did not meet the standards of the facility, but she did not discuss the deficiency with the AD due to ongoing performance issues.
She said the AD had been on a performance improvement plan since January 2026 due to complaints from residents and staff about lack of activities, poor communication, and inconsistent efforts to engage residents in activities, and the AD had resigned effective June 2026.
Record review of the facility policy titled Activity Programs dated June 2018 reflected the following: .
- Activities are scheduled 7 (seven) days a week and residents are given an opportunity to contribute
to the planning, preparation, conducting, cleanup and critique of the programs .
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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.