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Complaint Investigation

Avir At Schertz

October 31, 2025 · Schertz, TX · 3301 Fm 3009
Citations 3
CMS Rating 2/5
Beds 96
Provider ID 676301
Healthcare Facility
Avir At Schertz
Schertz, TX  ·  View full profile →
Inspection Summary

Avir at Schertz in Schertz, TX — inspection on October 31, 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

FF0585
Resident Rights Deficiencies
Potential for More Than Minimal Harm

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.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/31/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Avir at Schertz

3301 Fm 3009 Schertz, TX 78154

SUMMARY STATEMENT OF DEFICIENCIES

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.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/31/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Avir at Schertz

3301 Fm 3009 Schertz, TX 78154

SUMMARY STATEMENT OF DEFICIENCIES

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.

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


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