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Complaint Investigation

Avir At Lancaster

November 24, 2025 · Lancaster, TX · 1241 Westridge Ave
Citations 1
CMS Rating 2/5
Beds 110
Provider ID 675809
Healthcare Facility
Avir At Lancaster
Lancaster, TX  ·  View full profile →
Inspection Summary

Avir at Lancaster in Lancaster, TX — inspection on November 24, 2025.

Found 1 citation. 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

FF0567
Resident Rights Deficiencies
Potential for More Than Minimal Harm

During the corporate investigation they were provided receipt from a clothing purchase for almost $200 (provided by Resident #5 for the same time period.).

Regional BOM stated they still covered the $150.

Corporate staff confirmed they do not believe that BOM took any money, she was just not following the proper policy for disbursement of funds and the police were notified.

The corporate office reconciled the funds and found no discrepancies other than the procedure was not followed.

The Regional BOM stated they understood that the resident does have cognitive issues and may not remember the exact amounts, but the corporation did not want to appear like they were hiding anything, So the $310 was the amount we thought was most accurate.

There was a corporate training class at the end of August 2025, for all of the business office managers and the facility BOM was present.

Effective September 1, 2025, the facility BOM should have been followed the policy from that point on. (No evidence of training was provided.)An interview with the administrator on 10/17/2025 at 12:05 pm revealed the BOM had not returned to the building since 09/22/2025 when she was suspended and was terminated effective 10/10/2025.

She stated that after the initial findings she decided to terminate the BOM.

She stated the BOM was scheduled to come in on 10/08/2025 for a meeting but never showed up.

The termination papers were signed on 10/10/2025.

Review of punch detail for BOM dated September 2025 reflected BOM's last day worked was on 09/22/2025.

Facility ID:

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


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