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Complaint Investigation

Avir At Magnolia

November 5, 2025 · Luling, TX · 1105 N Magnolia
Citations 3
CMS Rating 2/5
Beds 90
Provider ID 676044
Healthcare Facility
Avir At Magnolia
Luling, TX  ·  View full profile →
Inspection Summary

Avir at Magnolia in Luling, TX — inspection on November 5, 2025.

Found 3 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.

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Inspection Findings

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Immediate Jeopardy

Review of the facility policy titled Identifying Types of Abuse, dated 2001 and revised September 2022, reflected the following: Policy StatementAs part of the abuse prevention strategy, volunteers, employees and contractors

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/05/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Avir at Magnolia

1105 N Magnolia Luling, TX 78648

SUMMARY STATEMENT OF DEFICIENCIES

jeopardy to resident health or safety

cleaning up [Resident #2].

They had raised the bed to [CNA A]'s hip which was approximately 23 inches above the floor.

With the bed raised to hip level it would be 25 inches from the ground. [Resident #2] was being combative, and [CNA A] stated they texted [NA B] to come and help them.

When [NA B] came to the room [CNA A] stated [NA B] was holding [Resident #2]'s hands and [NA C] was trying to keep him from kicking [NA B] and herself. [CNA A] and [NA B] switched positions because [NA B] could not turn his upper body. [NA B] stated she got both hands and held them on his left shoulder with one hand and turned him with the hand[sic?] while [NA B] finished cleaning the BM from his right side which was difficult since they had him turned on this right side facing the wall. [NA C] was holding his leg and [CNA A] stated they struggled to push the sheets under him and then they turned him on his bed.

They were able to get his brief on and then they were only able to put a draw sheet under him. [CNA A] stated they then positioned him in the bed so that he could eat breakfast and then they all walked out. [CNA A] stated she remembered that day clearly because [Resident #2] had never been that combative before or hit her like that before.Per [CNA A] via text Review of in-service dated 09/27/2025, with subject Abuse/Neglect/Abuse Prevention coordinator is [ADM] and her cell is [###-###-####]. If not at the facility notify her on her cell for any allegations of abuse/neglect/exploitation.

When a resident is combative walk away from the resident and go and get your charge nurse.

Sometimes a resident will get care from someone else.

Also remember the change in personality is the disease process reflected 36 of the 98 staff members attended the in-service.

Review of the facility policy titled Abuse, Neglect, Exploitation or Misappropriation - Reporting and Investigating, dated 2001 and last revised 09/2022, reflected the following: .1. If resident abuse, neglect, exploitation, misappropriation of resident property or injury of unknown source is suspected, the suspicion m

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/05/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Avir at Magnolia

1105 N Magnolia Luling, TX 78648

SUMMARY STATEMENT OF DEFICIENCIES

Review of the facility policy titled Abuse, Neglect, Exploitation or Misappropriation - Reporting and Investigating, dated 2001 and last revised 09/2022, reflected the following: Policy StatementAll reports of resident abuse (including injuries of unknown origin), neglect, exploitation, or theft/misappropriation of resident property are reported to local, state and federal agencies (as required by current regulations) and thoroughly investigated by facility management.

Findi

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


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