Avir At Mineola

F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Based on observation and interview the facility failed to ensure the resident environment remains as free of accident hazards as is possible for 1 of 1 secured unit living rooms observed. The facility failed to ensure CNA D and LVN B did not have a blanket covering the overhead light in the secured unit living room on 9/18/25. This failure places residents at risk for a fire hazard and decreased quality of life.Findings Include:During an observation on 9/18/25 at 4:35 a.m. LVN B and CNA D were in the secured unit living room with a blanket covering the overhead light. LVN B was observed removing the blanket when the surveyor and a CNA walked into the secured unit living room. During an interview on 9/18/25 at 4:41 a.m.

LVN B said covering the overhead light in the living room of the secured unit was not safe. LVN B said CNA D usually covered the overhead light in the secured unit dining room with a blanket. LVN B said a blanket covering a light could get too hot and catch fire. During an interview on 9/18/25 at 4:45 a.m. CNA D said

she usually hung a blanket over the overhead light in the secured unit living room because the light could not be turned off and it shined directly into Resident #1's room. CNA D said the switch to the light in the secured unit living room did not work. CNA D said she kept Resident #1's door open so she could hear him because of his history of wandering. CNA D said she did not know if it was safe or not to cover the overhead light with a blanket. During an interview on 9/18/25 at 8:00 a.m. the Maintenance Director said the light switch in the living room of the secured unit was disconnected and not dysfunctional. The Maintenance Director said the light switch was disconnected before he had started at the facility, and it was disconnected to prevent staff from turning it off at night and sleeping while on the job. The Maintenance Director said staff should not be hanging a blanket over any light in the facility. The Maintenance Director said it was a fire hazard to hang a blanket or cloth over a light because light bulbs get hot and can catch the fabric on fire.

During an interview on 9/18/25 at 8:22 a.m. the Administrator said he was not aware of the light switch in

the living room of the secured unit being disconnected. The Administrator said staff should not cover lights with anything. The Administrator said covering lights with cloth was a fire hazard. During an interview on 9/18/25 at 9:29 a.m. the Administrator said the facility did not have a policy regarding covering lights with anything including cloth items.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date

these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

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

Facility ID:

If continuation sheet

Event ID:

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

09/18/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Avir at Mineola

320 Greenville Highway Mineola, TX 75773

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)

Federal health inspectors cited Wood Memorial Nursing and Rehabilitation in Mineola, TX for a deficiency under regulatory tag F-F0761 during a complaint investigation conducted on 2025-09-18.

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 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 2 deficiencies cited during this inspection of Wood Memorial Nursing and Rehabilitation.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-19.