Avir At Jefferson
AVIR AT JEFFERSON in JEFFERSON, TX — inspection on February 22, 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
place and added health shakes. MD E said Resident #2 had gained some weight back and then went
could have put interventions in place. MD E said he was not notified of Resident #2 being combative
pattern and needed to investigate before notifying him. MD E said if there was an active problem with the resident and staff did not notify him timely, it could delay diagnosis and treatment to some extent.
MD E said Resident #2 had a tumor in his brain and it had gotten bigger, along with his age and history of stroke, which were contributing factors of his cognitive decline and did not feel it was related to his care at the facility.
During an interview on 2/22/26 at 2:41 PM, the DON said Resident #2 could not feed himself at all.
The DON said staff should notify the physician and RP about anything abnormal, such as lab results, changes, adverse reactions, for sure should notify of meal refusals and document it.
The DON said the CNA should have notified the nurse if a resident was refusing or not eating well.
The DON said the physician should have been notified if the resident was refusing medications.
The DON said MA D should have notified LVN B so she could have determined if the physician and the RP needed to be notified.
The DON said the physician not being notified of changes, did not allow the physician to intervene and put things in place such as labs or anything.
The DON said Resident #2's RP should have be notified to keep them in the loop for that family member of what is going on.During an interview on 2/22/26 at 3:08 PM, the ADM said she had been the ADM for about two and a half weeks.
The ADM said the physician should be notified about not eating, not swallowing, or any kind of change of condition.
The ADM said she would notify the physician immediately if she knew there was a change in the resident's normal behavior.
The ADM said the physician absolutely should have been notified about Resident #2's poor appetite.
The ADM said not notifying the physician could have caused the patient to lose weight.
The DON said the physician may have wanted to give orders, but we will never know since he was not notified.
The ADM said not notifying the physician of a change in condition could delay the resident's treatment.
The ADM said she would expect the facility policies to be followed.
The ADM said the family should have also been notified with any changes in condition with the resident.
The ADM said family should always be notified of any changes with their loved ones so they could be a part of the decision-making process.
The ADM said RP/family probably did not know Resident #2 had a change until they got the call he was sent out to the hospital.Record review of the facility's policy titled Change in a Resident's Condition or Status dated revised April 2025, indicated .
Our facility promptly notifies the resident, his or her attending physician, and representative of changes in the resident's medical/mental condition and/or status . 1.
The nurse will notify the resident's attending physician or on-call physician when there has been . d. a significant change in the resident's physical/emotional/mental condition . f. refusal of treatment or medications three or more consecutive times . 2. A significant change of condition is a major decline or improvement in the resident's status that: a. will not normally resolve itself without intervention by staff or by implementing standard disease related clinical interventions . b. impacts more than one area of the resident's health status . c. requires interdisciplinary review and/or revision to the care plan . 4.
Unless otherwise instructed by the resident, a nurse will notify the resident's representative when . b. there is a significant change in the resident's physical, mental, or psychosocial status . 5.
Except in medical emergencies, notifications will be made within twenty-four hours of change occurring in the resident's medical/mental condition or status .
675241 02/22/2026
Avir at Jefferson 1307 Martin Luther King Dr Jefferson, TX 75657
ADM said she would expect the facility policies to be followed.
Record review of the facility's policy
meet the resident's physical, psychosocial and functional needs is developed and implemented for
or legal representative, develops and implements a comprehensive, person-centered care plan for each resident . 2.
The comprehensive, person-centered care plan was developed within seven (7) days of the completion of the required MDS assessment (Admission, Annual or Significant Change in Status), and no more than 21 days after admission . 3.
The care plan interventions were derived from a thorough analysis of the information gathered as part of the comprehensive assessment . 4.
Each resident's comprehensive person-centered care plan was consistent with the resident's rights to participate in the development and implementation of his or her plan of care, including the right to: . g. receive the services and/or items included in the plan of care . 7.
The comprehensive, person-centered care plan: a. included measurable objectives and timeframes; b. described the services that were to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being . e. reflected currently recognized standards of practice for problem areas and conditions . 11.
Assessments of residents were ongoing, and care plans were revised as information about the residents and the resident's conditions change . 12.
The interdisciplinary team reviews and updates the care plan . c. when the resident has been readmitted to the facility from a hospital stay .
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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.