Avir at Boerne

In the surveyor’s words

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

• Immediate jeopardy, patternF600Mar 8, 2024

  Based on interviews, observation, and record reviews, the facility failed to protect residents' rights to be free from verbal abuse, physical abuse, and involuntary seclusion for 7 (Resident #1, 2, 3, 4, 5, 6, and 7) of 12 residents reviewed for abuse and neglect, in that: 1. Residents #2, 5, and 6 were pinched, pulled, and told bad words by CNA A on 01/11/24. 2. CNA A was arguing with Resident #4 in a disrespectful manner on 01/11/24. 3. CNA A was physically aggressive with Resident #7 on 01/11/24 4. Residents #1 and #3 revealed CNA A verbally abused them, undated. The noncompliance was identified as past noncompliance IJ (Immediate Jeopardy). The noncompliance began on 01/11/24 and ended on 01/12/24. The facility had corrected the noncompliance before the investigation began. […]

• Immediate jeopardy, patternF600Sep 1, 2023

  Based on observation, interview, and record review, the facility failed to protect a resident's right to be free from abuse, neglect, misappropriation of resident property, and exploitation for 1 of 4 residents (Resident #1) reviewed for abuse, in that: The facility failed in that they used physical and chemical restraints on Resident #1 when he began exibiting aggressive and exit seeking behaviors. Resident #1's behaviors included; hitting, scratching, pulling, pushing, kicking and grabbing clothes. These failures resulted in an IJ on 8/31/23 at 6:01 p.m. […]

• Immediate jeopardy, patternF604Sep 1, 2023

  Based on observation, interview, and record review the facility failed to ensure residents were free from physical or chemical restraints imposed for purposes of discipline or convenience, and not required to treat the resident's medical symptoms for 1 of 4 residents (Resident #1) reviewed for freedom from physical and chemical restraints, in that: The facility failed to ensure Resident #1 was free from any physical or chemical restraints when exhibiting aggressive behaviors These failures resulted in an IJ on 8/31/23 at 6:01 p.m. […]

• Immediate jeopardy, patternF689Sep 1, 2023

  Based on observation, interview and record review, the facility failed to ensure the Resident(s) environment remained as free of accident hazards as possible and each resident received supervision and assistance devices to prevent accidents for 1 of 4 residents (Resident #1) reviewed for elopements in that: The facility failed to provide adequate safety interventions to prevent Resident #1 from elopement. Resident #1 had elopement events recorded on 5/18/23, 5/27/23, 8/22/23, 8/25/23. On 8/26/23, Resident #1 was found in the middle of the street a half mile down the road from the secure unit. These failures resulted in an IJ on 8/26/23 at 6:00 p.m. […]

• Immediate jeopardy, patternF740Sep 1, 2023

  Based on observation, interview, and record review, the facility failed to provide the necessary behavioral health care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being for 1 of 4 residents, (Resident #1) reviewed for behavioral health services in that: The facility failed to ensure Resident #1 was provided appropriate or timely behavioral health services after showing increased signs of aggression. This failure resulted in an IJ on 8/31/23 at 6:01 p.m. […]