Avir At Petal Hill
Avir at Petal Hill in Tyler, TX — inspection on November 11, 2025.
Found 1 citation. 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.
Inspection Findings
During observations from 11/9/25 through 11/11/25 at various times from 8:00 a.m. to 6:00 p.m. on the secured memory care unit, residents were noted to engage in calm and non-confrontational interactions.
Residents appeared generally quiet, with limited verbal engagement, and interactions were primarily passive or casual in nature.
Some residents were observed walking in common areas or sitting near one another without signs of agitation or distress. No instances of verbal or physical aggression were observed.
Residents did not demonstrate behaviors that suggested intimidation or fear.
Staff were present in the area, providing routine supervision and re-direction as needed, and were observed promptly intervening if any residents began to appear anxious or confused.
Residents appeared to be appropriately monitored, and no residents displayed behaviors that posed a risk to others during the period of observation.
Interactions were consistent with the cognitive and functional levels of the residents on the memory care unit.
Interview with RN MDS who was the DON at the time of the incident, verified the QAPI committee implemented the following steps as part of the Post Investigation follow up, the secure unit policy and procedure was reviewed and during care plan review, IDT determined other residents with independent ambulatory ability on the secure unit may be at risk for similar behaviors of initiating or receiving physical aggression.
The facility will monitor staff to ensure appropriate and care planned interventions were implemented: Department heads agreed to assist in providing increased rounding on secure unit - for 4 weeks department heads (Med Records, Staffing, Admin, DON, ADON, Housekeeping, BOM) intentionally made hourly walking rounds on the secure unit to enhance observation of ambulatory residents and provide assistance with any noted needs (snacks, hydration, distraction, re-direction is needed), QAPI Committee reviewed the incident and findings at June 2025 and July
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.