Avir At River Ridge

F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few

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

Resident #7's care plan and Kardex reflected 2 person assistance with hoyer for transfers, 2 person assistance as needed for bed mobility and 2 person assistance for toileting. Resident #8's care plan and Kardex reflected 2 person assistance with hoyer for transfers, 1-2 person assistance as needed for bed mobility and 1 -2 person assistance for incontinent care stating she may require more or less assistance due to decreased functional mobility and changes in cognition. Resident #9's care plan and Kardex reflected 2 person assistance with hoyer for transfers, 1 person assistance as needed for bed mobility and 1 person assistance for incontinent care. Resident #10's care plan and Kardex reflected 1 person assistance with gait belt for transfers, and 1 person assistance for bed mobility and incontinent care.

Resident #11's care plan and Kardex reflected 1 person assistance for transfers, and 1 person assistance for bed mobility as needed only and toileting/incontinent care. Record review of email provided by the Administrator indicated he submitted an addendum for his self-report related to Resident #1 that now included the allegation of neglect. Record review of in-services provided to staff indicated the following were provided:1. Abuse, neglect, exploitation, misappropriation prevention program - 11/02/252. Change in Residents condition or status (New/worsening pain, skin conditions, refusal of meds)- 11/02/253. POC: Kardex and transfers - Transfer status is verified and resident is to be transferred as per POC - How to access Kardex and how to input an alert - 11/07/254. [Electronic charting software]/POC: Kardex - when unable to login and access [Electronic charting software]/POC the DON/ADON need to be made aware to ensure that all nursing employees have access and are able to log in. - 11/08/255. POC: Kardex - How to access the Kardex and return demonstration - 11/08/25 The Administrator was informed the Immediate Jeopardy was removed on 11/10/25 at 3:48 PM. The facility remained out of compliance at a severity level of no actual harm with potential for more than minimal harm that was not immediate and a scope of isolated due to the facility's need to evaluate the effectiveness of the corrective systems that were put into place.

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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

11/10/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Avir at River Ridge

3922 W River Dr Corpus Christi, TX 78410

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 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

stated Resident #3's fall from 10/18/25 was not in the electronic system because their system was down at

the time and she put it on paper and had not uploaded it. MDS Nurse G stated the information on Resident #3's paper care plan should have been added into her electronic chart. MDS Nurse G stated it was important to include falls on the care plan because if anything happened there would be a record you could go back to and see what incident happened and what the goals and interventions were. MDS Nurse G stated she reviewed and monitored the care plans to ensure they had all the required information. MDS Nurse G stated she monitored the care plans by running an order list in the morning to show any orders from the day before and by adding anything that was discussed in the morning meetings that needed to be added. MDS Nurse G stated she previously was trained on developing the care plan and what should be included, she stated she was trained on this when she first started through an MDS training, MDS Nurse G did not provide a date to this training. MDS Nurse G stated in regard to fall history on the care plan the facility policy stated to make sure it documented with the goals and intervention and whatever they were going to do to resolve the issue. MDS Nurse G stated in this situation she did follow the facility policy on paper but needed to uploaded it. MDS Nurse G stated not including a resident's fall history on their care plan could negatively impact them because people may not know if they were falling and it was a reference to look back on. During interview on 11/10/25 at 4:51 PM, the DON stated she did not have any documentation to provide for training of MDS Nurse G regarding development of care plans and what should be on it. Record review of the facility's policy titled, Care Planning - Interdisciplinary Team, with an updated date of 12/2024, did not include any verbiage regarding what should be included on the care plan.

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