Avir At Longview

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

matter in both rooms of the suite. Observation of Resident #9's room and interview on 11/26/25 at 2:53 p.m., there was a strong odor of urine and fecal matter. Observation of hallway outside and inside of Resident #10's room on 11/26/25 at 3:29 p.m., there was a strong odor of urine and fecal matter. Resident #10 did not wake up to be interviewed. Interview with ADM on 11/26/25 at 4:15 p.m., ADM stated that the facility should not smell any foul odors for any extended period of time and that they are implementing weekend rotations for housekeeping to help keep up with cleaning protocols at the facility. She stated that Resident #10 urinates into his air conditioning which caused the strong odor in his bedroom. She stated that Resident #1 had C. Diff which could cause a strong odor. Record review of Resident Rights Policy dated February 2021 which indicated that residents have a right to a dignified existence, to be treated with respect, kindness and dignity, to be free from neglect.

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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

11/26/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Avir at Longview

301 Hollybrook Dr Longview, TX 75605

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 0677 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

plan to deal with that and will be providing it to the investigator. Record review of the document entitled Action Plan and dated 11/19/25 and indicated issues identified by facility regional administration were wound tracking, weight documentation being completed timely, documentation not being completed timely by facility staff, care plans not completed timely and do not accurately reflect each resident's needs. These tasks were being addressed by the facility by close monitoring by the DON and ADON as well as the administrator to ensure correction. Record review of the Weekly Shower Schedule for Residents 1, 3, 5, and 7 were to be given showers on Mondays, Wednesdays and Fridays. Record review of the Infection Surveillance Report dated 11/25/25 which indicated that since August 2025 the facility has had 29 urinary tract infections. Record review of grievances filed at the facility from May 2025 to present which showed that

on 5/5/25, 5/23/25, 6/13/25, 7/25/25, 11/11/25, 11/24/25 (2) grievances were filed for not being showered, and on 6/13/25, 7/8/25 and 7/25/25 (2) grievances were filed for briefs not being changed. Record review of in-service documentation dated 11/24/25 indicated the following areas were addressed in the in-service: *Showers being given as scheduled, *2-hour rounds being completed,*The correct size briefs are being used and no one is put in a double brief. Record review of an in-service dated 11/10/25 indicated instructed participants to check and change including that incontinent rounds are to be conducted every two hours throughout the shift.fresh ice is to be passed every shift.do not leave dirty briefs in the trashcans in the rooms.all showers are to be given per schedule. Record review of the facility action plan dated 11/19/25 and indicated that the entire facility had a skin sweep completed on 11/20/25 and that there was a plan in place to update and complete skin assessments and wound documentation daily in the clinical meeting.

This document identified a problem of some residents care plans are not completed timely and some do not match the needs of the residents The facility implemented a plan to get care plans back on track to identify accurately the needs of each resident in a timely manner upon admission into the facility. The facility identified a problem of an increase in UTI's in the facility and the plan to address this was to ensure that nursing staff are in-serviced on 2 hour incontinent care, importance of hydration at bedside, ADON or Designee will do spot checks of CNA's ensuring that 2 hour rounds are being completed on both the day and night shift. DON and ADON will ensure that CNAs are proficient in handwashing and peri care competencies. Record review of the Abuse, Neglect, Exploitation and Misappropriation Prevention Policy dated April 2021 that indicated that neglect is defined as the failure of the facility, its employees or service providers to provide goods or services to a resident that are necessary to avoid physical harm , pain, mental anguish or emotional distress.neglect occurs when the facility is aware of, or should have been aware of, goods or services that a resident requires but the facility fails to provide them and this has resulted in (or may result in)physical harm, pain, mental anguish, or emotional distress.includes cases where the facility's indifference to or disregard for resident care, comfort or safety results in (or could have resulted in) physical harm, pain, mental anguish or emotional distress. Record review of the facility Resident Rights policy dated February 2021 and indicated a right to a dignified existence, to be free from abuse and neglect.

Event ID:

Facility ID:

If continuation sheet