Avir At Kennedale
Avir at Kennedale in Kennedale, TX — inspection on September 3, 2025.
Found 14 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
Federal health inspectors cited Avir at Kennedale in Kennedale, TX for a deficiency under regulatory tag F-F0553 during a standard health inspection conducted on 2025-09-03.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of Avir at Kennedale.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-04.
Federal health inspectors cited Avir at Kennedale in Kennedale, TX for a deficiency under regulatory tag F-F0565 during a standard health inspection conducted on 2025-09-03.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to organize and participate in resident/family groups in the facility.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of Avir at Kennedale.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-04.
Federal health inspectors cited Avir at Kennedale in Kennedale, TX for a deficiency under regulatory tag F-F0607 during a standard health inspection conducted on 2025-09-03.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of Avir at Kennedale.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-04.
Federal health inspectors cited Avir at Kennedale in Kennedale, TX for a deficiency under regulatory tag F-F0609 during a standard health inspection conducted on 2025-09-03.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of Avir at Kennedale.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-04.
Resident #24 to be discharged from the facility.
Interview on 09/03/25 at 6:08 PM with the MD
another facility. He stated he expected for the facility to notify the family of the transfer prior to the
12/2017, reflected the following: It is the policy of this home that residents and/or responsible parties will be notified prior to transfer or discharge. discharged residents will have documentation related to discharge or transfer in clinical software .
675270 09/03/2025
Avir at Kennedale 413 E Mansfield Cardinal Kennedale, TX 76060
be completed.
She stated it was her responsibility to ensure discharge summaries were completed.
notified prior to transfer or discharge. discharged residents will have documentation related to
Federal health inspectors cited Avir at Kennedale in Kennedale, TX for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-09-03.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope/Severity Level K: pattern, immediate jeopardy to resident health or safety.
This represents an immediate jeopardy situation, the most serious level of deficiency.
This was one of 14 deficiencies cited during this inspection of Avir at Kennedale.
Correction Status: Past Non-Compliance.
The facility reported correction as of 2025-08-04.
Federal health inspectors cited Avir at Kennedale in Kennedale, TX for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-09-03.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of Avir at Kennedale.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-04.
Federal health inspectors cited Avir at Kennedale in Kennedale, TX for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-09-03.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Scope/Severity Level J: isolated, immediate jeopardy to resident health or safety.
This represents an immediate jeopardy situation, the most serious level of deficiency.
This was one of 14 deficiencies cited during this inspection of Avir at Kennedale.
Correction Status: Past Non-Compliance.
The facility reported correction as of 2025-08-04.
Federal health inspectors cited Avir at Kennedale in Kennedale, TX for a deficiency under regulatory tag F-F0692 during a standard health inspection conducted on 2025-09-03.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide enough food/fluids to maintain a resident's health.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of Avir at Kennedale.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-04.
Federal health inspectors cited Avir at Kennedale in Kennedale, TX for a deficiency under regulatory tag F-F0727 during a standard health inspection conducted on 2025-09-03.
Category: Nursing and Physician Services Deficiencies
The facility was found deficient in the following area: Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of Avir at Kennedale.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-04.
Federal health inspectors cited Avir at Kennedale in Kennedale, TX for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-09-03.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of Avir at Kennedale.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-04.
Federal health inspectors cited Avir at Kennedale in Kennedale, TX for a deficiency under regulatory tag F-F0803 during a standard health inspection conducted on 2025-09-03.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of Avir at Kennedale.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-04.
Federal health inspectors cited Avir at Kennedale in Kennedale, TX for a deficiency under regulatory tag F-F0805 during a standard health inspection conducted on 2025-09-03.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of Avir at Kennedale.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-04.
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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.