Avir at Bandera

In the surveyor’s words

From the most serious findings on record at Avir at Bandera, in the surveyor’s own words.

• Immediate jeopardy, patternF690Apr 5, 2025

  Based on observation, interview, and record review, the facility failed to ensure that a resident who is incontinent of bladder receives appropriate treatment and services to prevent urinary tract infections to the extent possible for one (Resident #1) of three residents reviewed for indwelling urinary catheters. The facility failed to identify a change in condition or recognize symptoms of a UTI when Resident #1, who required a catheter and had a history of UTIs, began experiencing increased bladder spasms and dysuria (painful urination) from 03/13/25 - 03/21/25. These failures resulted in an identification of an Immediate Jeopardy (IJ) on 04/04/25 at 1:07 PM and an IJ template was given. […]

• Immediate jeopardy, patternF600May 20, 2021

  Based on interview and record review the facility failed to ensure the resident's right to be free from abuse for 12 of 15 residents (Resident #1-7, 12-16) reviewed for abuse: a. CNA B was alleged to get in the resident's face, yell and then aggressively remove the resident's hand from the wheelchair and CNA B was alleged to have pulled Resident #1 hair. b. CNA D was alleged to have turned off the Resident #2's call light without assisting the resident resulting in emotional distress for Resident #2. c. CNA B was alleged to have told Resident #3 to cut off her leg if it was causing her so much pain which resulted in emotional distress and depression to the resident. d. CNA A and CNA B were alleged to have been rough with Resident #4 when providing care. e. […]

• Immediate jeopardy, patternF607May 20, 2021

  Based on interview and record review the facility failed to implement written policies and procedures to prevent abuse for 7 of 15 (Resident #1, #2, #3, #4, #5, #6, and #7) reviewed for abuse; The facility failed to ensure the Administrator thoroughly investigated and followed the facility's abuse policy and procedures when: 1. The Administrator failed to conduct a thorough investigation, obtain written witness statement, interview witnesses of the abuse allegations, and failed to protect Resident #1, #2, #3, #4, #5, #6, and #7 from the alleged perpetrators during the investigation. Although the facility was aware of the allegations of abuse, staff continued to work and have direct contact with the residents. 2. […]

• Immediate jeopardy, patternF609May 20, 2021

  Based on interview and record review, the facility failed to ensure that all allegations involving abuse and neglect, were reported immediately, but no later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the administrator of the facility and to other officials including the State Survey agency (HHS), in accordance with State law through established procedures for 7 of 7 residents (Resident # 1, #2, #3, #4, #5, #6 and #7) reviewed for abuse, in that; 1. […]

• Immediate jeopardy, patternF610May 20, 2021

  Based on interview and record review, the facility failed to ensure that all alleged violations involving abuse were thoroughly investigated, failed to take corrective action and prevent further potential abuse for 7 of 7 residents (Resident #1, #2, #3, #4, #5, #6 and #7) reviewed for abuse: The Administrator, who is the Abuse Coordinator, failed to thoroughly investigate and prevent further potential abuse and mistreatment by allowing the alleged perpetrators to remain in the facility and allowed them to have direct contact with the residents while the investigation process was occurring when: 1. The Speech Pathologist reported to the Administrator that she had witnessed CNA B get in Resident #1's face, yell and then aggressively remove the resident's hand from the wheelchair. 2. […]