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Complaint Investigation

Avir At Weston

February 12, 2025 · Temple, TX · 2505 S 37th St
Citations 2
CMS Rating 1/5
Beds 120
Provider ID 675797
Healthcare Facility
Avir At Weston
Temple, TX  ·  View full profile →
Inspection Summary

Avir at Weston in Temple, TX — inspection on February 12, 2025.

Found 2 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

FF686
Immediate treatments not ref erred or consented to wound care physician will be directed by primary care until Some Responsible Party: DON/ADON, affected

During an interview on 2/12/2025 at 2:23 PM, the ADON stated she was in-serviced by the Nurse Consultant on 02/11/2025 on the process of new and current residents with wounds, skin assessments weekly as indicated.

The ADON stated she was told to get a complete description of the wound, and notify the NP, transcribe orders immediately, communicate with the Wound Doctor if there were referrals, carry out orders from the Wound Doctor immediately.

The ADON stated all Residents seen by the wound Doctor had his number in their chart where the nurses can look to contact him.

The ADON stated she was to ensure the floor nurses are putting in orders immediately, completing wound care orders as ordered, following up with referrals.

The ADON stated she was trained by the Administrator on 2/12/2025 on how to monitor PCC dashboard for missed treatment and follow up with the nurses why the treatments were missed.

The ADON stated, she was to ensure after the wound Doctor's visits that all new orders were put in the Resident's charts.

She stated the Nurse Consultant rechecked the Wound Doctor's orders from 02/11/2025 to ensure all orders from the Wound Doctor's visit were in the resident's charts.

675797

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 675797 B.

Wing 02/12/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Weston Inn Nusring and Rehabilitation 2505 S 37th St Temple, TX 76504

Review of the facility's QAPI agenda, dated 01/29/25, reflected the MD, ADM, DON, ADON , MDS Nurse, SW, and Licensed Nursing Staff were in attendance.

Review of an in-serviced entitled Pain, dated 01/29/25, reflected all nursing staff were in-serviced on their pain policy and the following:

675797

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 675797 B.

Wing 02/12/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Weston Inn Nusring and Rehabilitation 2505 S 37th St Temple, TX 76504

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


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