Avir At Houston
Inspection Findings
F-Tag F0640
F 0640 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
#2 was discharged home but she was not sure, she would have to checked. On 10/22/2025 at 4:47 PM, the. DON said CR#2 left AMA (against medical advice) and the Social Worker will would upload the discharge home in the PCC (Person -Centered Care) now.Interview with the DON on 10/23/25 at 11:05 AM, she said before a residents leave left AMA, they should do be educated, we getgot a doctor's order for AMA or discharge order,. Get got the AMA form,. ensured there's transportation and the. Social Worker would get involved and set up appropriate out-patient needs. CR#2 wanted to leave; there was a physician order to discharge the resident home. CR #2 had to signed an AMA form, but it was in the SW's office, and
she found it in her office and. it should be uploaded to PCC . The DON said an AMA order was entered at 1:00 PM. It looked like the nurse entered the orders after the resident left. Her expectations are were to get
an order, but we the facility don't didn't know if they don't didn't have a right to leave. We The staff get got
the form signed if the resident wants wanted to leave and we do did education. We The facility cannot could not stop themthe resident. For discharges, the facility don't follow-up by social worker , but it would be nice if someone in corporate to check on them. We hold everyone accountable, and the AMA form should be given to medical records, and they upload everything in PCC and CR #2 was not transmitting in discharge MDS.Interview with the SW (social worker) on 10/23/25 at 10:43 AM, the. SW said if a resident leaves left AMA, she would try to contact them through phone in the chart. If they don't didn't have anybody, she tries tried to contact them. The doctor would be notified, which is was usually communicated by the nurse. She follows followed up with safety, the SW said CR #2 was the one that who left AMA. She would document in
the progress notes. I The SW said she would typically have a note on why the residents left. She was aware when CR #2 left. The SW said she got the CR #2 to sign the AMA form. She said a note is was okay, but
the form is was good, the SW and Medical Records can could upload AMA in PCC. Everyone keeps kept each other in the loop. It should be uploaded in the system so that everyone can could see. She didn't give AMA to medical records staff and the staff was not aware of CR#2's discharge. Record review of the facility's policy on Transfer or Discharge, Facility-Initiated, last revised October 2022, read in part: Documentation of Facility -Initiated Transfer or Discharge1. When a resident is transferred or discharged from the facility, the following information is documented the medical record: c. The date and time of the transfer or discharge.F. A summary of the resident's overall medical, physical, and mental condition.i.
Others as appropriate or as necessary andj. The signature of the person recording the data in the medical record.
Event ID:
Facility ID:
If continuation sheet
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
11/19/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Avir at Houston
2310 S Eldridge Parkway Houston, TX 77077
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-Tag F0690
F 0690 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
responsible for ensuring nurses documented urine output and nursing management reviewed documentation every morning. Staff were trained on monitoring and documenting resident vitals, which included output. The DON said the facility had a problem entering documents right away and that was something they would work on. Interview with the Administrator on 10/23/2025 at 12:42 PM, he said urine output should have been monitored and if urine output was not monitored, the resident could be retaining fluids and maybe have clogged catheters. Staff would not know the amount of fluid coming in and leaving
the resident's body and if fluids were not leaving the resident's body it could be a sign of renal issues.
Output needed to be monitored as ordered by the physician. Record review of the facility's policy on change
in a resident's condition or status, last revised April 2025, reflected it did not cover accurate documentation
in resident records.
Event ID:
Facility ID:
If continuation sheet
Avir at Houston in HOUSTON, TX inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 HOUSTON, 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 Houston or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.