Avir At Schertz

F 0585 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

complaint, the complaint would be reviewed by the grievance coordinator, the Administrator. The Administrator would assign the complaint to the appropriate department head and then would review the department head's report and resolution of the resident's complaint. The DON stated the potential negative outcome for residents not having their grievances resolved could be unresolved issues. A record review of

the facility's Grievances / Complaints, Filing policy dated April 2017, revealed, Policy statement: presidents and their representatives have the right to file grievances, either orally or in writing, to the facility staff or to

the agency designated to hear grievances . policy interpretation and implementation: all grievances, complaints or recommendations stemming from resident or family groups concerning issues of resident care in the facility will be considered. Actions on such issues will be responded to in writing, including the rationale for the response. upon receipt of a grievance and were complaint, the grievance officer will review and investigate the allegations and submit a written report of such findings to the administrator within 5 working days of receiving the grievance and or complaint. The resident or person filing the grievance and or complaint on behalf of the Resident, will be informed verbally and in writing of the findings of the investigation and the actions that will be taken to correct any identified problems. a written summary of the investigation will also be provided to the Resident, and a copy will be filed in the business office.

Event ID:

Facility ID:

If continuation sheet

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

10/31/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Avir at Schertz

3301 Fm 3009 Schertz, TX 78154

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 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

coordinator, the Administrator. The Administrator would report the ANE allegation to the State Agency, assess residents for safety, assign the investigation to the appropriate department head and then would provide the staff with re-enforced training for ANE prevention and reporting protocol. The DON stated the potential negative outcome for residents not having their allegations of ANE reported could be ANE. A

record review of the facility's Abuse, Neglect, Exploitation or Misappropriation - Reporting and Investigating dated September 2022, revealed, Policy Statement:All 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. Findings of all investigations are documented and reported.Policy Interpretation and Implementation Reporting Allegations to the Administrator and Authorities:If resident abuse, neglect, exploitation, misappropriation of resident property or injury of unknown source is suspected, the suspicion must be- reported immediately to the administrator and to other officials according to state law and HHSC reporting guidelines.The administrator or the individual making the allegation immediately reports his or her suspicion to the following persons or agencies:The state licensing/certification agency responsible for surveying/licensing the facility.The local/state ombudsman.The resident's representative.Adult protective services (where state law provides jurisdiction in long-term care).Law enforcement officials.The resident's attending physician; andThe facility medical director.

Event ID:

Facility ID:

If continuation sheet

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

10/31/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Avir at Schertz

3301 Fm 3009 Schertz, TX 78154

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 Avir at Schertz in SCHERTZ, TX for a deficiency under regulatory tag F-F0656 during a complaint investigation conducted on 2025-10-31.

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 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 3 deficiencies cited during this inspection of Avir at Schertz.

Correction Status: Deficient, Provider has no plan of correction.