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Complaint Investigation

Avir At Grapevine

March 13, 2025 · Grapevine, TX · 1500 Autumn Drive
Citations 2
CMS Rating 2/5
Beds 126
Provider ID 675905
Healthcare Facility
Avir At Grapevine
Grapevine, TX  ·  View full profile →
Inspection Summary

Avir at Grapevine in GRAPEVINE, TX — inspection on March 13, 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.

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Inspection Findings

FF600
Immediate On 01/21/2025 MDS nurse care planned a new behavior of aggressiveness towards other residents. With Few affected

Findings included:

Record review of Resident #12's MDS dated [DATE] reflected the resident was a [AGE] year-old female admitted to the facility on [DATE].

The resident's diagnoses included diabetes, multiple sclerosis (a chronic autoimmune disease that affects the central nervous system), and anxiety disorder.

The resident had a BIMS score of 14 which indicated her cognition was intact.

Record review of the facility's Provider Investigation Report dated 09/26/24 reflected the following:

[Resident #12's] [family] called to report the resident's debit card stolen and it had been used at three locations in [city]

[business] - $54.00

[business] - $157.00

[business] - $48.00

On 09/18/24 the photos from the [business] were sent to the administrator.

The DON identified the staff member [CNA I] At the time [CNA I] was suspended and when asked to provide a statement did not [CNA I] has been terminated, the staff have been educated on abuse, neglect, and misappropriation.

Interview on 02/27/25 at 11:18 AM with Resident #12 revealed she was in her room in her wheelchair.

The resident said her [family] had called her and asked if she had her debit card because it appeared it had been used at several businesses. Resident #12 said she usually kept her card in her purse in the top drawer of her night stand and when she went to look for it, it was not there and there was also $20 missing from her purse.

The resident also said it appeared to have been a new staff member that had not worked at the facility long and the day after the incident, a police officer had gone to talk to her about the theft.

675905

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 675905 B.

Wing 03/13/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Birchwood of Grapevine 1500 Autumn Drive Grapevine, TX 76051

Findings included:

Observation on 02/27/25 from 10:00 AM-10:30 AM of the Memory Care Unit revealed Resident #1's room had a privacy curtain that would not extend around the bed due to damage of the track.

Residents #2, #3, and #4 had no privacy curtain at all.

Residents were not in their rooms, staff kept residents in the dining area for observation.

Residents were unable to give interviews.

Interview on 02/27/25 at 12:27 AM with the Housekeeping Supervisor revealed her Floor Tech was responsible for changing out privacy curtains when they were soiled or damaged. If the track was damaged, then maintenance would have to fix the track.

She stated the reason the curtains were needed was to provide each resident with privacy and dignity.

She stated the Floor Tech was on leave currently.

Interview on 02/27/25 at 5:04 PM with the Director of Plant Operations revealed curtains were not usually placed on his maintenace requests. He states staff would usually just notify him verbally when a curtain needed attention. He stated he did not know of any curtains that currently needed attention.

Record review of the facility's Resident Rights policy, dated February 2021, reflected:

.1.

Federal and state laws guarantee certain basic rights to all residents of this facility.

These rights include the resident's right to:

a. a dignified existence;

.t. privacy and confidentiality .

675905

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 675905 B.

Wing 03/13/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Birchwood of Grapevine 1500 Autumn Drive Grapevine, TX 76051

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


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