Avir At Petal Hill
Inspection Findings
F-Tag F0600
F 0600 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
and confirmed that they were receiving the care they needed. This was verified by record review of safe survey sheets. --On 6/2/25 Resident #2 had an appointment at the trauma clinic for staples removal and refused treatment. Interviews and record reviews were conducted from 11/9/25 through 11/11/25 from 8:00 a.m. to 6:00 p.m. and included 5 LVNs, 4 CNAs, ADON, DON, and MDS Coordinator. Staff were able to explain abuse and neglect prevention, resident rights, and the facility's expectations for immediate intervention and reporting. Staff were able to explain how to identify early signs of behavioral escalation and proper use of effective and calm communication techniques and apply de-escalation strategies. Staff had knowledge to intervene immediately, maintain resident dignity, notify supervisory staff and the physician without delay, follow the care plan, and accurately document all actions taken. 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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If continuation sheet
AVIR AT PETAL HILL in TYLER, TX inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 TYLER, 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 PETAL HILL or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.