Avir at Grand Saline

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Oct 29, 2025

  Based on observations, interviews, and record review, the facility failed to ensure residents received adequate supervision to prevent accidents for 1 of 8 residents reviewed for accidents. (Resident #1).The facility did not prevent Resident #1, who was wearing a Wanderguard bracelet, from leaving the facility unsupervised on 09/07/2025. Resident #1 was found at the intersection of the county road the facility resided on and a state farm to market road approximately 1.3 miles from the facility. The facility was not aware the resident was missing for approximately 1 hour. The noncompliance was identified as PNC. The IJ began on 09/07/2025 and ended on 09/09/2025. […]

• No harm, potential for more than minimal, widespreadF812Feb 4, 2026

  Based on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food under sanitary conditions for 1 of 1 facility kitchens.The facility failed to ensure the reach-in stainless steel freezers and coolers were free from food debris, dried liquid splatters and fingerprints.The facility failed to ensure the bulk bins for sugar, flour and cornmeal were kept clean.The facility failed to ensure the outside of the milk box was clean.The facility failed to ensure the areas above the ovens on the stove were kept clean.The facility failed to ensure the vent hood above the deep fryer was kept clean.These failures could place residents who ate food from the kitchen at risk of foodborne illness.Findings included:During observations and interviews on… […]

• No harm, potential for more than minimal, widespreadF812Jun 10, 2021

  Based on observation, interview, and record review the facility failed to store, prepare, distribute, and serve food under sanitary conditions in 1 of 1 kitchen. Packaging was left open in the pantry and not resealed. Nectar Thickened Liquids were not dated when opened. The ice machine chute had black dirt-like and black greasy debris. Mechanically altered meat was touched with soiled gloves. Soiled gloves were used to handle bread and steak fingers. This failure could place residents who ate food from the kitchen at risk of foodborne illness. Findings included: During observations and interview on 06/07/21, the following was noted in the kitchen: *at 10:02 AM in the dry pantry: a 25 lb paper bag of Panko breadcrumbs was open with the top rolled down and not re-sealed. […]

• No harm, potential for more than minimal, patternF812Mar 22, 2026

  Based on observation, interviews and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for kitchen sanitation and safety.-The facility failed to ensure the required cooking and holding temperatures were known and followed.-The facility failed to ensure food temperatures were consistently monitored and documented for March 2026.-The facility failed to ensure the DM provided oversight and verification of food safety practices.These failures could affect the residents who received their meals from the facility's only kitchen, by placing them at risk for food-borne illness, and food contamination. […]

• No harm, potential for more than minimal, patternF645Feb 4, 2026

  Based on interviews and record review, the facility failed to ensure the Pre-admission Screening and Resident Review (PASRR) Level I assessment accurately reflected the resident's status for 4 of 10 residents (Residents #64, #9, #20, and #47) reviewed for resident assessments. 1.The facility failed to ensure the accuracy of the PASRR Level 1 screening dated 9/15/25 for Resident #64. The PASRR Level 1 screening did not indicate a diagnosis of mental illness, although the diagnosis (Delusional Disorder) was present on 3/22/24. 2. The facility failed to ensure the accuracy of the PASRR Level 1 screening dated 9/11/25 for Resident #9. The PASRR Level 1 screening did not indicate a diagnosis of mental illness, although the diagnosis (Delusional Disorder) was present at the time.3. […]