Avir At Patriot
Avir at Patriot in El Paso, TX — inspection on November 25, 2025.
Found 3 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
During a telephone interview with the RN at the Dialysis Center on 10/28/25 at 10:09 AM, revealed she had called the nursing facility to inform LVN A on the day shift on Wednesday 10/22/25 that the nephrologist at the dialysis center had given an order to send Resident #1 to the ER for evaluation of ecchymosis and a blood blister in the middle of the chest due to the close proximity to the dialysis access site.
The RN said the nephrologist had determined the ecchymosis and blood blister was not an emergent situation, the resident was stable and did not know what had caused the ecchymosis and blister in the middle of the chest and the nursing home could send the resident to the ER for evaluation upon return to the nursing facility.
She said LVN A had not allowed her to finish telling him what the nephrologist's orders were.
She said LVN A had said, Send Resident #1 to the ER for what. Resident #1 was already been started on antibiotics and the Nurse Practitioner will be coming to see the resident on Thursday 10/23/25.
The RN said she had received a call from the resident's family member on 10/23/25 and she said she wanted her family member to be sent to the ER for evaluation as ordered by the nephrologist.
The RN said the dialysis center will only transport patients to the emergency room for life threating situations, altered mental status or unstable vital signs.
During a telephone interview on 10/28/25 at 3:51 PM with attending physician for Resident #1 revealed, he did not think the ecchymosis and blood blister in the middle of the chest were not caused by trauma, because the resident did not complain of pain and there were no signs of suspicion of trauma and x-ray done at the ER was negative for trauma. He said it could be an autoimmune skin condition that affects some patients with ESRD. He said he had given orders for a dermatology consultation to determine what type of skin condition the resident had.
He said, The nurse at the nursing facility should have called me to get an order to send the resident to the ER for evaluation as requested by the family.
Review of facility's Policy and Procedure on Change in a Resident's Condition revised April 2025, provided by DON on 10/27/25 revealed, Policy Statement: Our facility promptly notifies the resident, his or her attending physician, and the resident representative of changes in the resident' medical/mental condition and/or status (e.g., changes in level of care, billing/payments, resident rights, etc.).
Policy Interpretation and Implementation: The nurse will notify the resident's physician or physician on call when there has been a (an): accident or incident involving the resident; discovery of injuries of an unknown source; significant change in the resident's physical/emotional/mental condition; need to transfer the resident to a hospital/treatment center; specific instruction to notify the physician of changes in the resident's condition; ultimately is based on the judgement of the clinical staff.
Regardless of the resident's current medical or physical condition, a nurse or healthcare provider will inform the resident of any changes in his/her medical care or nursing treatment.
The nurse will record in the resident's medical record information relative to changes in the resident's medical/mental condition or status.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/25/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Avir at Patriot
11490 Gateway North Blvd.
El Paso, TX 79934
SUMMARY STATEMENT OF DEFICIENCIES
Summary of In-service: New Grievance Form, New Grievance Process, and New Grievance Location.Review of facility's policy and procedure on Grievance/Complaints, Filing revised April 2017 revealed: Policy Statement: Residents and their representatives have the right to file grievances, either orally or in writing, to the facility staff or to the agency designated to hear grievances (e.g., the State Ombudsman).
Policy Interpretation and Implementation: Any resident, family member or appointed resident representative may file a grievance or complaint concerning care, treatment, behavior of other residents, staff members, theft of property, or any other concerns regarding his or her stay at the facility.
Grievance also may be voiced or filed regarding care that has not been furnished.
All grievance, complaints or recommendations stemming from residents or family groups concerning issues will be responded to in writing, including a rationale for the response.
The administrator has delegated the responsibility of grievance and/or complaints to the grievance officer who is (was left blank).
Upon receipt of a grievance and/or complaint, the grievance officer will review and investigate the allegations and submit a written report of such findings to the administrator within five (5) working days of receiving the grievance and/or complaint.
The grievance officer, administrator and staff will take immediate action to prevent further potential violations of resident rights while the alleged violation is being investigated.
The administrator will review the findings with the grievance officer to determine what corrective actions, if any, need to be taken.
The resident, or person filing the grievance and/or complaint on behalf of the resident.
Will be informed (verbally and in writing) of the findings of the investigation and the actions that will be taken to correct any identified problems.
The administrator, or his or her designee, will make such reports orally within (was left blank) working days of the filing of the grievance or complaint with the facility. A written summary of the investigation will also be provided to the residents, and a copy will be filed in the business office.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/25/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Avir at Patriot
11490 Gateway North Blvd.
El Paso, TX 79934
SUMMARY STATEMENT OF DEFICIENCIES
interdisciplinary team regarding the resident's condition and response to care.
Policy Interpretation and Implementation: Documentation in the medical record may be electronic, manual or a combination.
The following information is to be documented in the resident medical record: Objective observations; Changes in the resident's condition; Events, incidents or accidents involving the resident; Documentation in the medical record will be objective (not opinionated or speculative), complete, and accurate.
Entries may only be recorded in the resident's clinical record by licensed personnel (e.g., RN, LVN, physician, therapist, etc.) in accordance with state law and facility policy.
Documentation of procedures and treatments will include care-specific details, including: the assessment data and/or any unusual findings obtained during the procedure/treatment; notification of family, physician or other staff, if indicated; the signature and title of the individual documenting.
Facility ID: